The ambitious five-year Reproductive, Maternal, New-born, Child, Adolescent Health and Nutrition (RMNCAH-N) Investment Case in Kenya is an ambitious plan worth Sh 460 billion that is expected to save over 45,000 lives and achieve more than Sh 565 billion in economic returns by 2030.
Dr. Edward Serem, the head of RMNCAH-N said that the RMNCAH-N investment plan is focused on persistent challenges to maternal and child survival, equity, and social protection while considering health not merely as a social service but as a critical engine for economic growth.
“The investment case projected return on investment (ROI) on modelling tools, estimating that Kenya stands to gain KSh 12.50 in productivity benefits for every shilling invested in RMNCAH-N, resulting in an estimated KSh 565 billion in cumulative economic gains by 2030.”
Aden Duale, Kenya’s Cabinet Secretary for Health, said the documents were developed through a collaborative effort involving the government, the private sector, faith-based institutions, and development partners.
“These documents provide significant data on the state of health care delivery today and the facilities’ a state of readiness. They assess the condition of the health workforce and the financial support needed to improve nutrition and maternal, neonatal, child, and adolescent health” stated Duale.
Under the investment plan, the substantial economic returns are closely linked to its projected impact on human lives. Full implementation between 2025 and 2030 is expected to avert more than 45,000 deaths, including 6,495 maternal deaths, 27,995 child deaths, and 11,071 stillbirths. These gains are critical to strengthening the nation’s human capital and could increase life expectancy from 66 to 72 years.
Over a five-year period, KSh 460 billion is then allocated in order to achieve these life-saving aims. However, the issue is not an enormous problem: only about sixty percent of the necessary expenditures are currently available, leaving a large KSh 193.8 billion fiscal shortfall. It demand quick and powerful advocacy for increased stability and significant domestic financing.
Maternal and Newborn Health services represent the greatest portion (43%), with the aim to decrease the maternal mortality ratio from 355 to 164 deaths per 100,000 live births by 2029–2030.
Nearly 40% of the expenditure will be invested into commodity procurement showing the importance of better supply chain coordination.
The plan takes an integrated approach that addresses clinical gaps while also tackling key social determinants of health.
While recognizing Gender-Based Violence (GBV) as a major public health challenge, the plan allocates 8 percent of the budget toward its elimination by 2030. This includes scaling up community mobilization, school-based prevention education, and empowerment programs for women and girls.
Adolescent interventions should incorporate youth-friendly care, mental health services, and access to contraception to reduce teenage pregnancy rates.
The nutrition focus prioritizes addressing micronutrient deficiencies and managing the growing dual burden of malnutrition.
The success of the investment case depends on strong coordination through a Ministry of Health–led Multi-Stakeholder Country Platform, ensuring shared accountability among national and county governments and partners. Monitoring and evaluation will be data-driven, using county-level systems and regular performance reviews to transparently track progress.
While the roadmap is ambitious, the Ministry recognizes that external factors such as climate shocks, inequality, and weak infrastructure continue to threaten health outcomes.
Experts advocate for the integration of climate-resilient approaches into health planning to safeguard the continuous provision of life-saving services.
“There is a need to sustain the progress achieved by planning how RMNCAHN programs will be financed domestically in Kenya, while allocating more resources to high-impact interventions with measurable outcomes that support the Sustainable Development Goals (SDGs). This approach will also strengthen accountability and monitoring of RMNCAHN service delivery,” Lubaale said.










