Last Mile Oxygen

Affordable, decentralized oxygen access for frontline health facilities in Kenya

Overview

CPHD’s Last Mile Oxygen Access Initiative is rethinking how health systems deliver medical oxygen. Rather than relying solely on cylinder refills and costly infrastructure, the program introduces a fit-for-purpose oxygen bundle backed by a sustainable financing model, clinical training, and biomedical support.

By equipping primary-level hospitals (Level 2 and 3) with the tools and skills needed to manage oxygen safely, and piloting higher-capacity solutions for referral-level facilities, CPHD aims to reduce preventable deaths from hypoxia, especially among children and mothers in resource-limited settings.

90+

Facilities Equipped

10,800+

Patients Benefited

1,198

Workers Trained

The Problem

Access to medical oxygen remains a major challenge in Kenya’s decentralized health system. Facilities often rely on intermittent supply chains, high-cost cylinder refills, and undertrained staff. These factors can delay care or compromise patient safety.

Limited Capacity

Limited or no on-site oxygen generation capacity at primary care facilities where most patients first seek treatment.

High Costs

High operational costs of oxygen cylinders make sustainable access difficult for resource-limited facilities.

Training Gaps

Inadequate training for clinical and biomedical staff on appropriate oxygen therapy and equipment use.

Infrastructure

Infrastructure gaps for safe oxygen storage, delivery and monitoring at the primary care level.