At the government-run health facility, serving about 96,000 people, there has been a shortage of gloves - and health personnel are overwhelmed.
"Are you going to send a mother away to buy gloves at night? We need to attend to her, but we cannot recycle gloves. At the same time we cannot touch blood," said Eric Achira, nursing officer in charge of maternity at the facility.
People accompanying the woman are sent to buy gloves, but they often do not have enough money. Achira has on many occasions been forced to dig into his pocket to buy gloves and stock the maternity ward.
Kitale District Hospital, a higher facility and referral hospital, is nearly 180 km away. And it is also suffering a shortage of basic supplies such as gloves.
"Supply of non-pharmaceuticals is an issue. We lack gloves from time to time, and this can be a challenge when it comes to providing a safe and clean delivery," said Dr Geoffrey Wasembeli, obstetrician and gynaecologist at Kitale.
Where gloves are in short supply and women must buy them, some may be discouraged from seeking hospital deliveries, notes Monica Oguttu, executive director of the Kisumu Medical and Education Trust (KMET), a reproductive health organisation working with communities in western Kenya.
As it stands, only about 41% of births in Kenya take place in hospitals under skilled birth attendants, according to government figures. A great percentage of births, particularly in the rural areas, are assisted only by traditional midwives who, besides not being able to deal with pregnancy complications, may lack equipment to perform clean deliveries.
"When health facilities are unable to provide basic supplies like gloves - and even syringes in some cases, we are simply telling women to seek services elsewhere. They end up with unskilled attendants, where they can die, adding to the already high maternal mortality," Oguttu told IPS.
The national maternal mortality rate stands at 414 per 100,000 births, with parts of western Kenya such as Siaya battling rates of between 800 and 900 per 100,000, according to KMET.
But efforts are under way to meet the need for basic medical supplies. For example, KMET has embarked on a pilot project distributing simple birth kits to pregnant women in Siaya, in western Kenya.
Popularly known as mama kits, each contains among other things a pair of gloves, cord clamp to tie the baby's umbilical cord, sterilised razor, soap for hand washing and a polythene draper.
Women are advised to carry the kit from the eighth month of pregnancy, to avoid delays in looking for basic items when she checks into a health facility.
The kit is also handy in that some women may find themselves delivering at home, or on the way to hospital. The baby would then be delivered with safe equipment. About 2,000 kits have been distributed in Siaya, which has the highest maternal mortality rate due to infection, according to the latest government data available.
Article published courtesy of IPS Africa
