COVID-19  Kenya Project #46097

Help protect 1000 health workers in Western Kenya

by SAFE WATER & AIDS PROJECT
Help protect 1000 health workers in Western Kenya
Help protect 1000 health workers in Western Kenya
Help protect 1000 health workers in Western Kenya
Help protect 1000 health workers in Western Kenya

GLOBAL GIVING REPORT NOVEMBER 2020

Help protect 1000 health workers in Western Kenya

Introduction

Safe Water and AIDS Project (SWAP) has been operating in Western Kenya since 2005 with public health programs, research and emergency response. SWAP's mission is to provide innovative solutions for improved health and economic status of communities. SWAP has joined the Ministry of Health COVID 19 rapid response teams to help prevent the spread and mitigate the impact. The Founder and Technical Advisor of SWAP was appointed as member of the COVID-19 Advisory Committee of Lake Region Economic Bloc, providing advisory services to the Governors of 14 Counties in the region. So far we have been reaching out to remote public health facilities with hand washing stations, soap, water treatment and hygiene promotion. The area was further affected by flood which made communities more vulnerable and at risk. SWAP also started the production of sodium hypochlorite and alcohol based rub hand rub to be issued to the health facilities.

The scope of the problem

Healthcare facilities in resource-limited settings lack essential WASH and health care waste services.

  • 50% Lack access to piped water
  • 33% Lack improved Sanitation
  • 39% Lack soap for hand washing or alcohol based hand rub
  • 39% Lack adequate infectious waste disposal

Without appropriate WASH infrastructure and services, patients, healthcare workers, and communities are at increased risk of disease. For example, if patients or staff drink unsafe water when they are thirsty, or when taking oral medications, they could get sick with a waterborne disease. WASH infrastructure and services are also essential to allow healthcare workers to perform appropriate infection prevention and control practices.

For example, both healthcare workers and patients need access to hand hygiene supplies to reduce the risk of spreading infections through unwashed hands. This has become more essential during the current COVID 19 community spread.

In Kenya the first case was reported and confirmed on March 13, 2020  and currently there is very fast community spread with over 57,000 cases and more than 1000 deaths. We have seen an increased number of health workers getting sick, which shows that they are insufficient protected. Health facilities in rural areas are ill prepared and the health workers at risk. There are limited testing facilities and contact tracing is no longer effective due to the large numbers of confirmed cases who get infected through community spread. Community members are often not complying to the rules of frequent hand washing, social distancing and wearing of masks. Cultural practices such as funerals and political rallies have caused the rapid spread. Some health facilities were further challenged due to the massive floods in the region with as a results some health facilities were hard to reach and others were submerged under water with collapsed toilets. Quite a number of health facilities do not have reliable water supply.

Activities

Distribution of supplies to health facilities

SWAP completed an assessment of all 43 health facilities in two sub counties (Nyando and Nyakach) which have been affected by flood and which are underserved due to poor road infrastructure. We were evaluating to see if these facilities meet the Joint Monitoring Program WASH and Waste Management standards. The aim was to identify gaps and to do resource mobilization and advocacy to get more support from the County Government. SWAP also continued with mentorship of the health workers to promote hygiene and hand washing and ensure they improve their WASH standards and prevent hospital acquired infections.

The GlobalGiving Fund supported additional health facilities with the following supplies; hand washing soap and waterguard (chlorine solution). The focus was on the remote health facilities affected by flood and who were targeting to support the families displaced.

Water Tank for Health Facilities

During the assessment we identified one facility, Gari Dispensary in Nyakach Sub County with an unreliable water source, which made them struggle to adhere to the COVID-19 rules and regulation of regular hand washing. County Governments are currently overwhelmed with the increasing cases and the need for testing and contact tracing as well and the limited spaces in isolation rooms. We therefore felt the need to support and procure a water tank to enable them to harvest rain water to supplement the piped water. SWAP procured a water tank and this was installed in order to harvest rain water.

There was cost sharing with the facility, SWAP with funds from GlobalGiving paid for the tank and its delivery and the facility supported preparing the base, gutters and piping.

Production of alcohol based hand rub

SWAP started the production of alcohol based hand rub which is prepared in our lab by the lab technologist and is currently going through the approval of the Kenya Bureau of Standards for quality control. Once this is approved SWAP will do distribution to the 43 health care facilities where we have done the assessment to support health workers with practicing hand hygiene.

Production of Sodium Hypochlorite

SWAP started the production of Sodium Hypochlorite (Chlorine) with the STREAM community water disinfection system, which will be installed at two larger facilities in Nyando and Nyakach Sub County Hospitals. The chlorine can be used for treating of water and cleaning purposes, contributing to the infection prevention and control. It is a user friendly device which uses water and salt to generate the sodium hypochlorite. The in charges of the two selected facilities in collaboration with the Sub County Health Management teams will be trained on the production of sodium hypochlorite and its use. The generated chlorine will be used in the patient care areas, labor ward, and to treat the water for drinking and hand washing. Currently SWAP is still doing experiments testing the levels of degradation to ensure we produce a quality product which can be used in the prevention of COVID-19 spread and to protect the health workers.

 

WE THANK YOU FOR YOUR ONGOING SUPPORT AND DONATIONS


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GLOBAL GIVING REPORT JULY 2020

Help protect 1000 health workers in Western Kenya

Introduction

Safe Water and AIDS Project (SWAP) has been operating in Western Kenya since 2005 with public health programs, research and emergency response. SWAP's mission is to provide innovative solutions for improved health and economic status of communities. SWAP has joined the Ministry of Health COVID 19 rapid response teams to help prevent the spread and mitigate the impact. We have been reaching out to remote public health facilities with hand washing stations, soap, personal protective equipment and hygiene promotion. The area was further affected by flood which made communities more vulnerable and at risk.

The scope of the problem

Healthcare facilities in resource-limited settings lack essential WASH and health care waste services.

  • 50% Lack access to piped water
  • 33% Lack improved Sanitation
  • 39% Lack soap for hand washing
  • 39% Lack adequate infectious waste disposal

Without appropriate WASH infrastructure and services, patients, healthcare workers, and communities are at increased risk of disease. For example, if patients or staff drink unsafe water when they are thirsty, or when taking oral medications, they could get sick with a waterborne disease. WASH infrastructure and services are also essential to allow healthcare workers to perform appropriate infection prevention and control practices. For example, both healthcare workers and patients need access to hand hygiene supplies to reduce the risk of spreading infections through unwashed hands. This has become more essential during the current COVID 19 community spread.

In Kenya the first case was reported and confirmed on March 13th and currently there is community spread with over 14000 cases. Health facilities in rural areas are ill prepared and the health workers at risk. Some health facilities were further challenged due to the massive floods in the region with as a results some health facilities were hard to reach and others were submerged under water with collapsed toilets.

Activities

Distribution of supplies to health facilities

SWAP visited 150 public health facilities in Kisumu County and 27 health facilities in Rarieda, Sub County and distributed hand washing stations, soaps and Personal Protective Equipment. The initial response was done with funding from VoX Impuls, a Dutch Family Foundation, but a top up of supplies was facilitated with funding through GlobalGiving.

The GlobalGiving Fund supported two additional health facilities with the following supplies:   Hand washing station, box of hand washing soap, bleach, waterguard, menstrual bin, waste management bins, waste management liners, heavy duty gloves, surgical gloves, surgical masks and a gown.

The two additional health facilities were Pandipieri Community Center, serving the vulnerable communities in the slums of Kisumu City and St Elizabeth Mission Hospital a busy Hospital in Kisumu East with many outreach programs and good leadership.

Face Masks

Local tailors were trained to make double layer cotton face masks with filter in between. Ten each were distributed to 27 public health facilities in Rarieda Sub County (270) in Siaya County where we had a program on WASH and Waste Management at Health Care Facilities. Ten each were given to 21 public health facility in Nyando Sub County and 22 in Nyakach Sub County in Kisumu County where we had a program evaluating a sanitary platform at health care facilities. The masks were used by Community health volunteers attached to the health facilities and the casuals who are responsible for cleaning. Another 20 masks were provided to Vihiga County where community health volunteers were trained on COVID 19 and provided education to patients at the health facility as well as in the households.

And 20 were given to Rachuonyo Sub County where community health volunteers were as well trained on COVID 19 prevention and were educating parents with young children on the same.

Water Tank for Health Facilities

Omia Diere Health Center in Rarieda Sub County lacked any reliable water source after their water tank got spoiled and could no longer hold any water. They had to use community health volunteers to get water from a far distant borehole which was very difficult and labor intensive. Lack of water also posed a challenged in managing WASH and preventing COVID 19 since increased awareness created more demand for proper hygiene and handwashing. SWAP procured a water tank which was brought from Nairobi and delivered to the site. We further provided materials and mentorship for the base and gutters in order to harvest rainwater. The tank was installed during the first week of July 2020.

A second water tank was ordered for Rambugu Health Facility as well in Rarieda when it was reported during a dissemination meeting SWAP attended that they had similar challenges and were lacking any reliable source of water. This will be delivered to the site. The Health Facility in charge will take care of the installation.

WE THANK YOU FOR YOUR ONGOING SUPPORT AND DONATIONS


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Organization Information

SAFE WATER & AIDS PROJECT

Location: KISUMU - Kenya
Website:
Facebook: Facebook Page
Twitter: @swapkenya
Project Leader:
Alie Eleveld
KISUMU, Kenya
$3,600 raised of $50,000 goal
 
21 donations
$46,400 to go
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