Kenya’s 2018 GHI score is 23.2, on the low end of the serious category. This is a considerable improvement from 2000, when Kenya’s score was 36.5, considered alarming. Kenya has the lowest 2018 GHI score of any country in East Africa, with the exception of the small-island nation of Mauritius, the only upper-middle-income country in the region.
At the national level, there has been a decline in each of the GHI indicators since 2000 (Figure 2). The mortality rate of Kenyan children under age five has fallen steadily since 2000 (UN IGME 2017). Kenya’s undernourishment rate, reflecting the share of the population without adequate consumption of calories, declined consistently between 2001–2003 and 2013–2015 but has risen since then (FAO 2018b). This increase coincides with the 2016–2017 drought that plagued Kenya and neighbouring countries, sparking drops in agricultural production and increases in food prices (FEWS NET 2017a, 2017b). Kenya’s child stunting and child wasting rates have also fallen considerably. Between 2008–2009 and 2014, the stunting
rate dropped from 35.2 to 26.0 percent and the wasting rate fell from 7.0 to 4.0 percent (KNBS and ICF Macro 2010; KNBS et al. 2015).
Rates vary substantially between regions and counties, however, with some still having values significantly higher than the national averages. The highest stunting rates are in Kitui County at 45.8 percent and West Pokot County at 45.9 percent (KNBS et al. 2015). Although these counties have high poverty rates (48 and 57 percent, respectively, based on national poverty lines), stunting in Kenya is not perfectly associated with poverty levels. Rather, it is influenced by a complex set of factors, such as dietary diversity, feeding and care-giving practices, access to adequate sanitation, and
disease (KNBS 2018; Eberwein et al. 2016). Wasting is highest in
Kenya’s northernmost counties: 22.9 percent in Turkana, 16.3 percent
in Marsabit, 14.8 percent in Mandera, 14.3 percent in West Pokot,
and 14.2 percent in Wajir (KNBS et al. 2015). These counties are
arid or semi-arid, are dominated by pastoralism, and have high rates
of poverty (Krätli and Swift 2014; KNBS and SID 2013). Moreover,
rates of contraception use and women’s education levels in these
counties are low and fertility rates are high (KNBS et al. 2015).
Indeed, children’s nutritional status is also associated with mothers’ education and literacy rates (Ruel, Alderman, and Maternal and Child Nutrition Study Group 2013), both globally and in Kenya specifically. A study from urban settlements of Nairobi finds that maternal education strongly predicts children’s nutritional status, even when controlling for other socioeconomic and demographic factors
(Abuya, Ciera, and Kimani-Murage 2012). The latest data from Kenya show that the stunting rate of children whose mothers have had no formal education was 31 percent, while that of children whose mothers
have had secondary education or higher was just 17 percent (KNBS et al. 2015). Children’s nutrition is also associated with mothers’ nutritional status. A study from rural Kenya showed a positive
correlation between maternal nutrition and children’s nutritional status in terms of anthropometric measures (Gewa, Ottugu, and Yandell 2012).
As Kenya attempts to further reduce child under-nutrition and
improve the situation in the counties with persistent challenges, it
will be crucial to address infant and young child feeding practices.
Breastfeeding practices have improved substantially in Kenya, with
61 percent of children under 6 months exclusively breastfed in 2014,
compared with just 32 percent in 2008–09 (KNBS et al. 2015;
KNBS and ICF Macro 2010). Meanwhile just 22 percent of children
between 6 and 23 months of age receive a minimum acceptable diet (KNBS et al. 2015).
Finally, although most food and nutrition analyses of Kenya have
traditionally focused on rural areas, where rates of child under-nutrition
tend to be higher than in urban areas, Kenya’s population is
increasingly urban, and urban food insecurity and under-nutrition are
rising concerns (KNBS et al. 2015; WFP 2010; Concern Worldwide
2017). Urban dwellers are highly vulnerable to food price spikes,
which affects their access to food. In addition, urban populations
are subject to illness and disease and may lack adequate water, sanitation, and hygiene (WFP 2010; Concern Worldwide 2017).
Moreover, child mortality declined much more slowly in urban than
in rural areas of Kenya between 1993 and 2008, perhaps because
of the deplorable living conditions in urban settlements (Kimani-
Murage et al. 2014). In 2014, Nairobi had the second-highest child
mortality rate among Kenya’s regions (Table 1).