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Maricianah Onono

Maricianah Onono - 2016 Winner
Position: Medical doctor/Research Scientist
Organization: Kenya Medical Research Institute
Development of national FP guidelines. Scaling up integration of FP and HIV in Kenya. Drafted the Kenya minimum package for RH-HIV integration. Currently developing the FP/HIV integration toolkit. – Pauline Wekesa, Nurse at Kenya Medical Research Institute
In addition to her PhD studies, Dr. Onono is a medical doctor in Kenya. She has played a key role in FP - developing national guidelines, scaling up integration of FP and HIV and training HCWs. – Amy Lockwood, PhD Candidate at University of California, San Francisco
-Lead in development of national FP-Toolkit -Lead in scaling up integration of FP and HIV and reducing the unmet need for HIV in Kenya – Kevin Okoth, Finance Manager at Research Care and Training Programme, Family Aids Care & Education services (RCTP-FACES)
Development of national guidelines, scaling up integration of FP and HIV, sits in the national RH-HIV committee as its youngest member and drafted the Kenya minimum package for RH-HIV integration. – Edwin Mulwa, Senior Programmer at KEMRI RCTP-FACES
Dr. Onono has championed Family Planning in Kenya, reducing the unmet need for contraception among HIV patients in Kenya. Her efforts span across the region to Tanzania and Zambia. – Vickie Wambura, Social Entrepreneur at Nafisika Trust
She is a FP research and policy development innovator. She leads several research studies in Kenya resulting to FP policy change e.g. the minimum package and toolkit for integration of RH-HIV service! – Rebecca Njuki, Public Health Specialist at Centre for Population Health Research and Management
She has conducted Family Planning and HIV related studies and has been involved in ministry of health policy and guidelines formulations and development on family planning and HIV integration. – Peter Manwari, Community Prevention Technical Adivisor at PATH
"Development of national guidelines Scaling up integration of FP and HIV and reducing unmet need for HIV Hosting the 1st integration for impact conference as the chair for the scientific committee" – Iris Wanga, Nurse at KEMRI/RCTP
Describe your contributions to and achievements in family planning.

Main contribution has been in reducing unmet need for FP among persons living with HIV using research
Adapted the existing FP guidelines and designed a 4 prong approach towards integration of FP and HIV services: 102 (94%) of FACES-supported ART health facilities providing integrated FP-HIV services. FP uptake in HIV+ women increased from 42% in 2012 to 60% in 2014
Member: Kenya national RH-HIV integration TWG  -Developed the national minimum package of RH-HIV integration-2012. 
Current lead on the national RH-HIV toolkit for service providers
Convener of the 1st integration for impact conference held in Nairobi Kenya, 2012 ; chaired the scientific committee. Over 300 delegates from 15 countries attended

What sparked your passion for family planning?

I love women and babies! As a general practitioner, I cried for every woman died in childbirth, every dead baby I held in my arms.  FP can prevent up to one-third of all maternal deaths by allowing women to delay motherhood, space births, avoid unintended pregnancies, and unsafely performed abortions, and stop childbearing when they have reached their desired family size. Closely spaced births result in higher infant mortality. To me, FP is the magical silver bullet for saving women and babies 

What is the biggest challenge you’ve faced in your family planning efforts, and what have you done to overcome it?

Trying to decrease the unmet need for FP among adolescents against rigid national guidelines and retrogressive societal norms that equate contraception to young girls as an open door to encouraging promiscuity.  The Kenya 2003 Adolescent and Reproductive Health and Development Policy was barely implemented by 2015. To overcome this challenge, our program we are beginning to collect metrics on adolescents, using combination social economic approaches and addressing male norms and masculinities 

What is your (country/region/city)’s biggest challenge in family planning, and how can it be addressed?

Lack of government investments in FP programmes and service provision for adolescents has left this population with a increased cases of teenage pregnancies, unsafe abortions and STIs. 2014 KDHS, about 1 in every 5 adolescent girls aged 15-19 years is already a mother or is pregnant with her first child. This can only be addressed by providing comprehensive age-appropriate info and services on sexual health and FP, social protection approaches and by having metrics by which to assess change. 

What do you want to accomplish in the next 5 years?

I want to decrease unmet need for FP and STI services for adolescents, reducing the numbers of unwanted pregnancies and unsafe abortions  by Increasing consistent use and availability of condoms, FP and PREP to adolescents through
Interventions that build social assets to improve girls’ abilities to protect themselves by reducing their social isolation and providing them with social safety nets through mentors, peer groups, civic engagement, and access to health information and services.

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