Little steps, Great Gains on Care of Preterm Babies THE PUMWANI MATERNITY HOSPITAL KANGAROO MOTHERCARE STORY KPA 2019

Pumwani Maternity Hospital Established in 1946 as a 79 bed maternity hospital for the Black Africans. Owned by Lady Grigg missionary group. At independence in1963, it was handed over to the Kenyan Government that expanded it to its present capacity of 265 beds maternity and 150 cots and was given to the Nairobi City Council to operate. In 1971, the outpatient clinic was opened. In June 2011, ownership moved to the Nairobi City County. Currently attend to approximately 300 patients daily.

SERVICES 1. Preventive and promotive services 2. Rehabilitation Mother and child health Family planning VCT, Cervical cancer screening Nutrition 2. Rehabilitation Occupational Therapy Physiotherapy 3. Curative Comprehensive obstetric care Comprehensive neonatal care Comprehensive care center – HIV/ AIDs 4. Support services Laboratory Ultra sound services 5. Pharmacy Community pharmacy Inpatient pharmacy 6. Training center

Pre - KMC The care of the preterm – incubator care Barriers in resource-poor setting Procurement Maintenance /Servicing Infection control – overcrowding (meant for 1, housing 2 -3 )

KMC - background Kangaroo position Kangaroo nutrition Kangaroo discharge Kangaroo nutrition

Background

Background

Journey to KMC Training at Mbagathi District Hospital - 2 nurses (2015) Intermittent KMC – 1st neonate 29/5/2016 Study on KMC

NUMBER OF ADMISIONS AND MORTALITY TRENDS FROM 2016 TO DATE

ADMISSIONS BY WEIGHT CATEGORY

KMC

Journey to KMC Training of health workers – UNICEF (UNOPS) Proposal to Save the Children - March 2016

KMC Journey Infrastructural support began in 2016 by Save the children. Further support for equipment through UNICEF 2017. To enhance capacity building a conference hall was renovated and equipped June 2018. So far, KMC updates for all Hospital staff done July 2018. First KMC Regional training Aug 2018. KMC training for 8 counties March 2019.

The Facility Intermittent KMC practiced by all stable mothers with neonates <2.5kg Within NBU neonates<2kg

The facility 20 bed capacity 4 rooms 3 room continuous KMC – 12 beds 3 beds in postnatal ward. 1 used for support group meetings 1 room to be renovated.

The Facility

Kangaroo Support Specialist clinic every Tuesday The champion mothers Nzisa – 29/3/2017 bwt 650g end of neonatal period 1650g 29/4/2017 .9/5/2017 discharge 1830g Mary nyabura (ku student) Beatrice Akinyi- triplets 2kg, 1.5 kg, 1.5 kg

Kangaroo Support Peer support group every Tuesday & Thursday Champion mothers were supported by partners.

Arrival Continuous KMC from August 2017 Total numbers for both intermittent and continuous 797 neonates discharged as of March 2019. Official launch at World Prematurity Day 2017

Numbers Data capture on Redcap from 10th July 2016 Average weight at admission 1.6kg smallest 650g biggest 2.2kg Longest stay 39 days

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