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

2. Pumwani Maternity Hospital
Established in 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.

3. 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

4. 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 )

5. KMC - background Kangaroo position Kangaroo nutrition
Kangaroo discharge
Kangaroo nutrition

6. Background

7. Background

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

9. NUMBER OF ADMISIONS AND MORTALITY TRENDS FROM 2016 TO DATE

10. ADMISSIONS BY WEIGHT CATEGORY

11. KMC

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

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

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

15. 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.

16. The Facility

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

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

19. 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

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

21. THANK YOU