Abstract
Background The Sustainable Development Goals created an absolute goal of ending preventable child deaths and reducing overall under-five mortality (U5M) to less than 25 per 1,000 live births by 2030(1). Between 1990 and 2015, Kenya saw a decrease in U5M of nearly 50% to 51 per 1,000 livebirths(2). However, regional variability is striking with county-level rates ranging from 20 to well over 100 per 1,000 livebirths(2,3). The Lwala Community Alliance (LCA) is a community-led organization in rural western Kenya in the former Nyanza province. Nyanza has the highest U5M of all regions in Kenya at 82 per 1,000 livebirths(3). Founded in 2007, LCA operates …
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