A New Dawn for Health in Siaya County: The Launch of the RMNCAH Act

January 29, 2025, Siaya County stood at the forefront of a significant healthcare revolution. County Chief HE James Orengo unveiled the first ever Siaya County Reproductive, Maternal, Newborn, Child, and Adolescents Health Act (RMNCAH Act)—a groundbreaking piece of legislation that aims to transform the health landscape for its residents. This moment was not just a formality; it was a celebration of years of hard work, collaboration, and unwavering commitment to improving health outcomes for women, children, and adolescents. The RMNCAH Act is more than just a legislative document; it is a beacon of hope for many in Siaya County. With its primary goal of enhancing access to quality maternal and neonatal healthcare services, the act addresses critical gaps that have long plagued the healthcare system. For too long, women and children have faced barriers to receiving the care they need. This act aims to dismantle those barriers, ensuring that every resident has access to safe and effective healthcare.

As HE James Orengo passionately articulated during the launch, this legislation is about health equity. It recognizes that every individual, regardless of their background deserves the right to make informed decisions about their reproductive health without fear of morbidity or mortality. The act is a commitment to inclusivity, empowering communities by safeguarding reproductive rights.

A Collaborative Journey

Nyimine Empowerment CBO has been involved from the inception of this initiative to the launch with support from The African Women’s Development and Communications Network (FEMNET). The bill was spearheaded by a sponsor who played a pivotal role Hon. Ben Adalla, the MCA of Ugenya ward. His unwavering support and leadership were crucial in navigating the legislative process within the county assembly. Hon. Adalla’s dedication ensured that Siaya County would be the first in Kenya to adopt such comprehensive health legislation a feat that deserves recognition. The RMNCAH Act does not shy away from addressing pressing challenges faced by Siaya County. High rates of maternal morbidity and adolescent pregnancies have been longstanding issues that require urgent attention. This new legislation sets forth clear measures aimed at reducing these rates by improving access to quality healthcare services. Moreover, the act promotes public awareness around adolescents, maternal and child health issues, fostering a culture where community members are informed and proactive about their health needs. It encourages collaboration among various stakeholders to ensure that everyone from local leaders to health workers plays a role in advancing health outcomes.  

The RMNCAH Act represents not just a legislative achievement but a commitment to building a healthier future for all residents of Siaya County. It serves as a blueprint for future health initiatives across Kenya, demonstrating what can be achieved when communities come together with a shared vision. The launch of the RMNCAH Act is not just an event; it is a movement toward better health for all. #NYECBOVoices. #NyimineNyaloNyimineMalo.