Siaya County has made remarkable strides in enhancing its health sector, achieving a significant reduction in mother-to-child HIV transmission from 21% to 4.3%, surpassing the national average of 8.6%. This success is driven by a combination of community-based health initiatives and innovative emergency medical services, transforming lives across the county’s six sub-counties.
At the heart of the HIV prevention efforts is Madam Zilper Imbuye, the Prevention of Mother-To-Child Transmission (PMTCT) Coordinator. Supported by a dedicated team of Community Health Promoters (CHPs), Zilper leads targeted outreach programs and health talks to educate expectant mothers and communities about HIV prevention. These initiatives emphasize regular clinic visits, proper nutrition, and adherence to prescribed medication, empowering families with knowledge and support.
During a field visit to Pandi village, we met Rachel Anyango and her husband Shaban Odhiambo, a young couple who shared their transformative experience under the care of Community Health Promoter Lydia Adhiambo. As first-time parents, they faced uncertainty and anxiety. “We were young and unsure about pregnancy and health,” Rachel recalled. However, Lydia’s regular visits, facilitated through Siaya’s Universal Health Coverage (UHC) program, provided consistent support, including routine check-ups, home visits, and guidance on nutrition, hygiene, and clinic appointments. “Lydia became like a sister, always checking in and ensuring we understood every step,” Shaban said. The couple credits Siaya County’s robust community health system for making such personalized care possible. “We feel seen, cared for, and never alone,” Rachel added, smiling. Their story underscores the impact of CHPs, who work tirelessly to improve maternal and child health outcomes across rural communities like Pandi. “We’re proof this program works—it’s about people who care,” Shaban emphasized.
We also met Lilian Anyango Oketch, another Pandi resident, who expressed gratitude for the comprehensive care at her local clinic. Educated about her blood group and provided with malaria prevention drugs and tetanus injections, Lilian’s experience highlights Siaya’s commitment to maternal health through grassroots interventions.
Complementing these efforts, Siaya County has revolutionized emergency medical services for pregnant mothers through a partnership with Rescue Connect Limited. Launched by the Governor in July 2024, the MamaLink program, managed by Mr. Odhiambo Otieno, the County Chief Nursing Officer and Emergency Medical Services Unit manager, has served 2,700 mothers in its first year. The initiative ensures rapid transfers even from dispensaries or health centers to hospitals for critical care.The County Government of Siaya has supported this initiative by providing 6 new advanced life support ambulances which were allocated to major referral hospitals. The program has reduced average response times from 45 minutes to 27 minutes, significantly lowering risks for mothers and newborns.
Further enhancing this system, Siaya County through the department of health has operationalized a technology-driven Call Center at Siaya County Referral Hospital. Staffed by trained medical dispatchers, primarily nurses, the Call Center streamlines ambulance mobilization and dispatch, ensuring efficiency and sustainability. Mr. Otieno praised the county’s efforts to improve referral services and applauded the Governor’s pledge to add two more ambulances to bolster the existing fleet.
The dedication of health workers like Zilper Imbuye, Lydia Adhiambo, and Mr. Odhiambo Otieno, combined with Siaya’s innovative health systems, is creating a lifeline for families. From reducing HIV transmission to providing swift emergency care, Siaya County is on a promising path toward healthier, HIV-free generations, proving that community-driven and technology-supported healthcare can transform lives.