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Little steps, Great Gains on Care of Preterm Babies

Discover the remarkable journey of Kangaroo Mothercare (KMC) at Pumwani Maternity Hospital, providing comprehensive care for preterm babies since its establishment in 1946. Explore services such as preventive health, rehabilitation, and curative treatments, alongside training facilities and support services. Witness the impact of KMC through admissions and mortality trends, as well as the facility's progression in training health workers and renovating infrastructure. Join the Kangaroo Support program and champion mothers in their continuous KMC journey. Learn how this initiative has helped over 797 neonates, with data capturing extensive details on weight, stays, and progress. Experience the transformation of care for preterm babies at Pumwani Maternity Hospital, supported by dedicated staff and partners.

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Little steps, Great Gains on Care of Preterm Babies

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  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 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.

  3. SERVICES 1. Preventive and promotive services • 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 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 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.

  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

  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

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