APRM • SECOND COUNTRY REVIEW REPORT OF THE REPUBLIC OF KENYA Box 2: Best practice: Gender Based Violence Recovery Centres in major public hospitals While the concept of Gender recovery centres were started as an initiative of Nairobi Women’s Hospital, a private hospital, the Ministry of Health working through public private partnerships since 2007 has replicated this model in public hospitals regionally. Nairobi, Mombasa, Nyeri and Kisumu referral hospitals have these centres. The centres are servicing the regions around them and provide one stop services to SGBV survivors including medical care services, psychosocial support and safe spaces, HIV Testing, post-exposure prophylaxis and referrals to legal services as well as aiding in court preparations and watching briefs. Women who cannot afford treatment utilise these services from trained health care workers, with continuous care being provided in some instances. 200. One of the overarching challenges in combating SGBV has been lack of evidence-based analyses and data collection to aid planning and programming for appropriate responses. NGEC developed a comprehensive National Monitoring and Evaluation Framework towards the Prevention of and Response to Sexual and Gender Based Violence in Kenya. In addition, it established a data management system to address gaps in institutional data collection on SGBV. 3.8.2.3 Right to the highest attainable standard of health 201. In providing for the highest attainable standard of health, which includes the right to health care services and reproductive health care, the 2010 Constitution made novel guarantees for women’s health care. The removal of user fees for maternal health is a positive measure in this regard as it has allowed more women to access professional health care facility, and use of these services has increased from 43% to 67%. Government noted declining child mortality rates from 100,000 in 2013 to 70,000 in 2016 while mortality for mothers giving birth has declined from 6,000 in 2013 to 4,300 in 2016. Government has increased its financial allocations; in the financial year 2016/17 government provided Ksh 4.3 billion for free maternal healthcare16 up from Sh3.8 billion in 2013. The issue of maternal mortality nonetheless remains a continuing problem in Kenya, with a maternal mortality rate of 7700 fatalities annually and 362 per 100,000 births. 202. The MDGs Final Report of Kenya 2016 indicates progress in accessing family planning needs and increasing resort to contraceptive use of 58% in 2014. It is also commendable that contraceptives from government facilities or those supplied by government to private facilities are free, although some health facilities levy charges on them. Adolescence pregnancy is still high and 15% of women aged 15-19 had already given birth in 2014. In North Eastern Kenya where it is estimated that 68% births are without professional care, while efforts have been made to put in place level 4 hospitals and maternal health care is free, the long distances to health care centres contribute to high mortality rates. 16 Kenya Budget statement for the Fiscal Year 2016/17 | 113 |