Partnerships

A recent study conducted by Department of Health Services in partnership with Vitamin Angels has revealed low adherence to Iron and Folic Acid Supplementation (IFAS) among pregnant women despite high coverage during antenatal clinic visits.

The findings show that while 93.1 per cent of women attending prenatal care receive IFAS tablets, only 17 per cent complete the recommended dosage.

Iron and Folic Acid Supplementation remain a critical nutritional intervention aimed at preventing anaemia in pregnancy and reducing birth defects while supporting maternal and fetal health.

However, the study established that many pregnant women in Makueni fail to complete the dosage due to concerns over the alleged smell and unpleasant taste of the tablets among other characteristics.

The study further revealed growing acceptance of Multiple Micronutrient Supplements (MMS), with 95.4 per cent of pregnant women expressing willingness to use the supplement.

The World Health Organization-recommended MMS contains 15 essential vitamins and minerals ( iron and folic included) specifically formulated to improve maternal nutrition, pregnancy outcomes, and infant health.

Makueni County, which this year became the first in the country to launch the supplementation programme, is now adopting a multi-sectoral approach to ensure successful implementation and adherence.

The county government has brought together several departments, including Agriculture, Health, Education, Gender, Finance, and Socio-Economic Planning, to strengthen nutrition interventions among mothers and adolescent girls.

The Department of Agriculture is supporting food systems and dietary diversity initiatives such as kitchen gardens and food preservation, while the Department of Health is working closely with the education sector to improve antenatal care awareness among school-going adolescents.

According to the findings, adolescents account for 11 per cent of antenatal clinic attendees, with studies indicating that 66 per cent of them record the lowest adherence to Iron and Folic Acid supplementation.

Vitamin Angel’s Africa Technical Director, Dr. Lucy Kanya, who spoke on Friday as she addressed healthcare workers and other stakeholders noted that full implementation of MMS programmes across Africa would significantly contribute to the achievement of suitable development goals on zero hunger, good health and well-being, and gender equality.

She noted that full implementation of MMS programmes across Africa would significantly contribute to the achievement of Sustainable Development Goals on zero hunger, good health and well-being, and gender equality.

Health Services CECM Joyce Mutua believes the transition to MMS could mark a major breakthrough in improving maternal and child health outcomes, especially in vulnerable and hard-to-reach communities.

Makueni County has strengthened its efforts to improve child healthcare services through a new partnership with Israel focused on pediatric emergency and trauma care training for local health workers.

Israel’s Ambassador to Kenya, Gideon Behar, on Thursday visited the Makueni County Referral Hospital to launch a pediatric emergency medicine skills workshop aimed at enhancing child healthcare services in the county.

The training is being facilitated by experts from Hadassah University Medical Center and The Hebrew University. The seminar focuses on pediatric trauma care and seeks to strengthen the ability of healthcare workers to respond to children in emergency and stress situations while promoting knowledge exchange between the institutions.

Governor Mutula Kilonzo Jr. said the partnership places Makueni on the international map in health innovation and health capability. He urged healthcare practitioners to fully utilize the opportunity, saying residents deserve quality healthcare services.

Ambassador Behar l described the partnership as the beginning of broader collaborations between Israel and Makueni. He said the training is intended to enhance the county’s healthcare capacity and improve preparedness for accurate emergency response in pediatric trauma care.

Makueni County has become the first in the country to officially roll out Multiple Micronutrient Supplements (MMS), marking a major milestone in the fight against maternal anaemia.

This initiative is between Makueni county and Vitamin Angels through the Transforming Lives initiative, through the nutrition consortium.

The launch was held on Friday at Makindu Sub-County Hospital.

The supplements, packaged in doses of 180 tablets, are to be taken once daily over a six-month period. Each tablet contains 15 essential nutrients designed to address the high prevalence of anaemia among pregnant women and reduce the risk of maternal deaths.

Despite nearly universal access to Iron and Folic Acid Supplementation (IFAS) among women attending antenatal clinics, many still present with anaemia at the time of delivery. This condition significantly increases the risk of excessive bleeding during childbirth.

According to County Executive Committee Member for Health, Joyce Mutua, investigations revealed that many women found IFAS unpleasant due to its taste, which often caused nausea and reduced adherence.

Unlike IFAS, which contains only two nutrients, the new Multiple Micronutrient Supplement combines 15 essential nutrients in a single tablet. This formulation is expected to improve compliance among expectant mothers while meeting their broader nutritional needs.

During pregnancy, a woman’s daily iron requirement increases significantly. However, many existing supplements provide insufficient iron and lack complementary nutrients that enhance absorption and utilization in the body.

Deputy Governor Lucy Mulili, who presided over the launch, praised Vitamin Angels through the Transforming Lives initiative for partnering with the county to integrate MMS into antenatal care services.

She noted that the implementation science-driven initiative positions Makueni at the forefront of advancing maternal nutrition interventions, setting a precedent for other counties to follow.