MOTHER AND CHILD HOSPITAL IN WOTE RECORDS MAJOR GAINS IN PRETERM BABY SURVIVAL
The Mother and Child Hospital in Wote is registering tremendous strides in improving outcomes for preterm babies, with significant gains recorded from July 2024 to date.
According to the Head of the Newborn Unit, Francisca Kisilu, the introduction and consistent use of Continuous Positive Airway Pressure (CPAP) machines has been a major contributor to these positive outcomes.
The machines support breathing in preterm infants, many of whom are born with underdeveloped lungs.
Preterm babies often lack sufficient surfactant, a substance that prevents the lungs from collapsing, making them highly vulnerable to respiratory complications. CPAP machines help keep the air sacs (alveoli) open during breathing and also support the production of surfactant, thereby stabilizing the infants’ respiratory function.
In addition, the Ministry of Health 2023 rollout of Caffeine Citrate, an essential drug used in management of apnea of maturity, has further strengthened neonatal care.
The Nurse in Charge of the Mother and Child Hospital, Christine Muteria, notes that the drug was initially not readily available. However, its consistent supply has since improved care outcomes.
In addition the county got donations of 22000 vials from Clinton Health Access Initiative
Francisca also commends the impact of the drug in reducing mortality rates, explaining that it is administered to babies born before 34 weeks of gestation.
She also highlights the role of infusion and syringe pumps, which have made it easier for neonatal nurses to administer intravenous fluids accurately and efficiently.
Efforts to improve maternal nutrition have equally played a key role. The county has prioritized nutritional screening for expectant mothers during antenatal care (ANC), with those meeting specific criteria receiving fortified blended flour for porridge, alongside other supplements.
According to Anncietta Nduku,a nutrition officer at the County Referral Hospital, these interventions have significantly contributed to better preterm outcomes, while also supporting further management in cases of preterm delivery.
To strengthen capacity, the county government procured five CPAP machines, six infusion pumps, and two syringe pumps. Additional support from Eni Kenya saw the facility receive two more CPAP machines, four infusion pumps, and two syringe pumps.
ENI Kenya also donated incubators, infrared light for Jaundiced babies and Neonatal ICU equipment
Francisca, a neonatal care champion, has also been instrumental in training nurses and clinicians on the effective use of CPAP machines.
She noted that cases of respiratory distress were previously high, but current data from the Makueni County referral Hospital -New born Unit shows that in 2024, survival rate was 81% and increased in 2025 by 10% , therefore recording a 90%.
In the first quarter of the calendar year,the facility is recording a survival rate of 98 %a significant decline in neonatal mortality rates at the facility.
Meanwhile, the Acting Director in charge of Preventive and Promotive Health, Dr. Stephen Mwatha, affirmed that Caffeine Citrate has remained consistently available in all delivery facilities across the county since its adoption as an essential component of preterm care by the Ministry of Health.



































































