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
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
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
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
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

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 a wealth of experience in public health interventions and has worked in collaboration with County Health Management Teams to respond to COVID-19 especially with focus on health care facilities supporting and protecting the frontline work force and the community at large from COVID-19 spread.

For that reason, the GlobalGiving platform was used to source for crowd funding from donors and well-wishers in our effort to protect health workers, reduce the COVID-19 spread and mitigate the impact.

Production of Alcohol Based Hand Rub (ABHR)

SWAP’s lab team actively continued with ABHR production to combat the spread of COVID-19, in the month of October and November 2022, a total of 200 liters of ABHR was produced and packed in readiness for centralized distribution to all 47 health facilities within Nyando and Nyakach sub-counties in Kisumu County.

SWAP had submitted several samples of ABHR to the Kenya Bureau of Standards to facilitate the renewal of our permit for production of ABHR. This was granted 17th November before the previous expiry date of the permit. The samples all passed the quality checks.

On 24/11 /2022, a total of 77.5 litres of ABHR was delivered to Nyando sub-county central stores within Ahero County Hospital and on 30/11/2022, a total of 96 litres of ABHR was delivered to Nyakach sub-county central store within Katito sub-county hospital. This marked the first round of planned central distribution which is to run for the next 4 months.

The sanitizers were packed in 500ml bottles for all 47 health care facilities. Each Health Care Facility is entitled to a specific number of bottles depending on the number of patient care areas they have.

STREAM Chlorine generators at Health Care Facilities

The lab team trained and installed STREAM disinfectant generators at 8 health care facilities for infection prevention and control. This generates chlorine using salt and water and supports facilities to reduce hospital acquired infections and mitigates the spread of COVID-19. Chlorine is used for cleaning surfaces, treating water and disinfecting laundry. The Hospitals used to have interrupted supplies of the same and can now make their own. On average each facility produces up to 1000 liters of chlorine per month and they support the surrounding smaller dispensaries and health centers.

Our team visits the facility on monthly basis for trouble shooting, on the job training and monitoring of its use and distribution. The facilities who were provided the STREAM disinfectant generators are located in all sub counties of Kisumu County.

Production of Liquid Soap

Following demand from the health workers and community members SWAP started a production unit for Liquid Soap. During distribution of hand washing stations with bar soap we realized that bar soap often gets dirty, dry, soaked during rain or gets missing or eaten by goats or rats. Preferred for hand hygiene was liquid soap. Renovations were made of our store and investments were made to procure supplies and ingredients needed. The soap is distributed to health care facilities, hot spot areas, worship areas and sold for sustainability. Approval was given after submitting several samples by the Kenya Bureau of Standards. The liquid soap became very popular and its sale through social marketing can pay for the production. It is not only used for hand washing but for general cleaning purpose as well.

COVID 19 Waste Water Based Epidemiology Research

With technical support from the University of Illinois at Chicago SWAP started testing waste water for COVID-19. A PCR testing kit was donated and intensive training on standard operating procedures and sampling was done. On weekly basis the lab team in collaboration with the public health officers and representatives of the Kisumu Water and Sanitation Company collects samples from waste water treatment plants, Hospitals, lagoons, prisons, markets and other hot spot areas and analyses the waste water. All positive samples are further taken to the Walter Reed Lab for genomic sequencing. All data from this is entered into a COVID 19 Data base and is helping with mathematical modeling and projections of COVID-19. Recently 7 samples tested positive, which shows community spread of COVID-19. We are currently experiencing the 7th wave of COVID-19. SWAP will continue this research until March 2023.

 

WE THANK YOU FOR YOUR ONGOING SUPPORT AND DONATIONS


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GLOBAL GIVING REPORT

SEPTEMBER 2022

Help protect 1,000 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 a wealth of experience in public health interventions and has worked in collaboration with County Health Management Teams to respond to COVID-19 especially with focus on health care facilities supporting and protecting the frontline work force and the community at large from COVID-19 spread.

For that reason, the GlobalGiving platform was used to source for crowd funding from donors and well-wishers in our effort to protect health workers, reduce the COVID-19 spread and mitigate the impact.

Production of Alcohol Based Hand Rub (ABHR)

Our Lab technicians continued with the Production of Alcohol Based Hand Rub (ABHR). In 2020 SWAP received approval by the Kenya Bureau of Standards for the production and distribution of ABHR. This became an essential supply during the COVID-19 pandemic. Distribution has been ongoing to 47 health care facilities in two sub counties of Kisumu County to all patient care areas. SWAP also ensured that health care facilities had hand washing stations and soap placed at strategic points. On average the lab team produces 200 liters per month, which apart from health care facilities is also distributed to hot spot and worship areas.

Capacity Building of Production Unit of ABHR in Turkana County

Through sharing our work with various stakeholders our lab team was invited by Turkana County Government to give them on the job training of how to produce Alcohol Based Hand Rub, use of correct formulas and approvals required. Supplies especially in hard ship areas like Turkana have been problematic therefore they desired to have their own production unit.

Kisumu County Vaccination Outreach

Kisumu County organized a COVID-19 stakeholder’s forum in order to seek support from partners during their COVID-19 vaccination outreach. SWAP was able to donate 33 liters of Alcohol Based Hand Rub to be used by the vaccination teams. Further support was given to help with data entry in the Ministry of Health portal for those vaccinated.

Donation of Alcohol Based Hand Rub during Yellow Fever Vaccination Outreach

In North Eastern Kenya in Garissa and Isiolo Counties some suspected yellow fever cases triggered the Ministry of Health to do massive yellow fever vaccination outreach. SWAP was requested to donate 40 liters of Alcohol Based Hand Rub to support the teams and protect the health workers.

STREAM disinfectant generators at Health Care Facilities

The lab team trained and installed STREAM disinfectant generators at 8 health care facilities for infection prevention and control. This generates chlorine using salt and water and supports facilities to reduce hospital acquired infections and mitigates the spread of COVID-19. Chlorine is used for cleaning surfaces, treating water and disinfecting laundry. The Hospitals used to have interrupted supplies of the same and can now make their own. On average each facility produces around 300 to 500 liters of chlorine per month and they support the surrounding smaller dispensaries and health centers. Our team visits the facility on monthly basis for trouble shooting, on the job training and monitoring of its use and distribution. The facilities who were provided the STREAM disinfectant generators are located in all sub counties of Kisumu County.

Production of Liquid Soap

Following demand from the health workers and community members SWAP started a production unit for Liquid Soap. During distribution of hand washing stations with bar soap we realized that bar soap often gets dirty, dry, soaked during rain or gets missing or eaten by goats or rats. Preferred for hand hygiene was liquid soap. Renovations were made of our store and investments were made to procure supplies and ingredients needed. The soap is distributed to health care facilities, hot spot areas, worship areas and sold for sustainability. Approval was given after submitting several samples by the Kenya Bureau of Standards.

COVID 19 Waste Water Based Epidemiology Research

With technical support from the University of Illinois at Chicago SWAP started testing waste water for COVID-19. A PCR testing kit was donated and intensive training on standard operating procedures and sampling was done. On weekly basis the lab team in collaboration with the public health officers and representatives of the Kisumu Water and Sanitation Company collects samples from waste water treatment plants, Hospitals, lagoons, prisons, markets and other hot spot areas and analyses the waste water. All positive samples are further taken to the Walter Reed Lab for genomic sequencing. All data from this is entered into a COVID 19 Data base and is helping with mathematical modeling and projections of COVID-19.

 

WE THANK YOU FOR YOUR ONGOING SUPPORT AND DONATIONS


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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 a wealth of experience in public health interventions and has worked in collaboration with County Health Management Teams to respond to COVID-19 especially with focus on health care facilities supporting and protecting the frontline work force and the community at large from COVID-19 spread.

For that reason, the GlobalGiving platform was used to source for crowd funding from donors and well-wishers in our effort to protect health workers, reduce the COVID-19 spread and mitigate the impact.

COVID-19 Current Status in Kisumu

In this region we experienced a fifth wave now mostly with the new variant Omicron. The people who get very sick and need hospitalized are mostly those unvaccinated. The new variant is also spreading very fast. This triggered the need to accelerate vaccination. The County Department of Health reached out to partners to support COVID-19 vaccination outreaches. There has been increased supply of donations of vaccines in the country and this has now also allowed people to get vaccinated including getting boosters. However, there is still a problem with many being hesitant to visit the assigned health facilities were vaccination is done. For others they lack transport or are too vulnerable to visit those sites. At the same time the most vulnerable are at higher risk and need to be protected.

Strategy to accelerate vaccination

In collaboration with partner organizations and the County Department of Health SWAP came up with targeting the most vulnerable and hard to reach communities to ensure they get vaccinated. These are the physical disabled, street families, people from informal settlements, families affected by flood, elder community members and others from low income or remote areas.

Vaccination outreaches

Following successful vaccination outreaches targeting the old, physical challenged and street families in December and January 2022, SWAP embarked on a mission to continue support Kisumu County Department of Health with vaccination outreaches in all sub counties of Kisumu targeting low income areas in informal settlements, elder community members in hard to reach areas and people visiting markets. The aim was to get more people vaccinated so that there will be less strain on the health sector. We also combined sports event where we pitched tent with vaccination outreaches especially during football tournaments which is pulling large crowds.

A table with a summary of outreaches facilitated and the locations and numbers reached is provided in the report with images. SWAP facilitated the vaccination teams and date clerks to ensure all was entered in the Ministry of Health portal. Community health volunteers were engaged to do social mobilization to ensure that people are aware and attend the outreaches. In total since December 2021 until the end of April 2022 4058 individuals were vaccinated.

Data entry support

Due to many vaccination outreaches organized by the Kisumu County Health Department they realized a back log of data entry in the Ministry of Health portal. This meant that people got their Covid-19 vaccinations but could not show evidence which was to be shared through their phone.

SWAP took the initiative to invite a team of data entry clerks at the office and work on daily targets of data entry under the supervision of our data management team. In total 7600 entries were made and the back log was cleared.

Stakeholders engagement

SWAP was invited at a COVID-19 stakeholders’ engagement meeting to share its best practices of reaching the most vulnerable and marginalized communities through its strategy of vaccination outreaches. The Kisumu County Health Department appreciated our efforts and encouraged other partners to borrow this idea in order to increase access to COVID 19 vaccination uptake.

Cancer screening support

Gari Dispensary in Nyakach Sub County in collaboration with partners organized a free cancer screening at their Dispensary. They reached out for support to enable them to comply with COVID-19 rules and regulations and requested for hand washing stations, soap, alcohol based hand rub and chlorine solution. SWAP was able to donate the above mentioned supplies to them which were used during the cancer screening days and later remained at the Dispensary which is in remote and rural area serving hard to reach and vulnerable communities.

Distribution of Alcohol Based Hand Rub and hand washing stations at health care facilities.

SWAP continued reaching out to 47 public health care facilities in Nyando and Nyakach sub counties on monthly basis to ensure they can practice proper hand hygiene to protect the health workers and patients. Hand washing stations were installed and soaps provided. Monitoring of proper use continued by health care workers and patients visiting the facility. The hand washing stations are placed in most of the patient care areas as well as at the entrance and close to the toilets. Alcohol based hand rub and soap was replenished.

 

WE THANK YOU FOR YOUR ONGOING SUPPORT AND DONATIONS


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GLOBAL GIVING REPORT

JANUARY 2022

Help protect 1,000 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 a wealth of experience in public health interventions and has worked in collaboration with County Health Management Teams to respond to COVID-19 especially with focus on health care facilities supporting and protecting the frontline work force and the community at large from COVID-19 spread.

For that reason, the GlobalGiving platform was used to source for crowd funding from donors and well-wishers in our effort to protect health workers, reduce the COVID-19 spread and mitigate the impact.

COVID-19 Current Status in Kisumu

In this region we experienced a fifth wave now mostly with the new variant Omicron. The people who get very sick and need hospitalized are mostly those unvaccinated. The new variant is also spreading very fast. This triggered the need to accelerate vaccination. The County Department of Health reached out to partners to support COVID-19 vaccination outreaches. There has been increased supply of donations of vaccines in the country and this has now also allowed people to get vaccinated including getting boosters. However, there is still a problem with many being hesitant to visit the assigned health facilities were vaccination is done. For others they lack transport or are too vulnerable to visit those sites. At the same time the most vulnerable are at higher risk and need to be protected.

Strategy to accelerate vaccination

In collaboration with partner organizations and the County Department of Health SWAP came up with targeting the most vulnerable and hard to reach communities to ensure they get vaccinated. These are the physical disabled, street families, people from informal settlements, families affected by flood, elder community members and others from low income or remote areas.

Vaccination drive in Ombaka, Nyando Sub County

Ombaka is an area which is prone to flooding which has displaced several families. Most have lost their crops and livelihood and others had their homes destroyed and are living in tents. SWAP has been intervening preventing disease outbreaks by providing food and non-food items. The local chief reached out to SWAP requesting for a COVID-19 vaccination outreach to protect his community members.

SWAP organized two COVID 19 vaccination outreaches on the 3rd of December 2021 and 12th of January 2022 to ensure that the community members could get first dose and second dose. There was very good mobilization done and good attendance. Nyando Sub County Department of Health sent two vaccination teams consisting of vaccinators and data clerks who did real time entry in the MOH portal for vaccinations. Vaccination was done under the trees. During the first outreach 470 people were reached and during the second 312 got vaccinated.

COVID-19 vaccination for physical handicapped and street families

On the 15th of December 2021 SWAP joined hands with other stakeholders during a COVID-19 vaccination outreach for physical handicapped and street families at CITAM Church in Kisumu County. Transport was arranged for the physical handicapped to be ferried to and from the vaccination site. Other partners donated milk, biscuits, sanitary pads and reusable face masks. In total 132 people living with disability and 189 street family members above 18 years were vaccinated. A total of 321. A follow up of the same will be done on the 2nd of March 2022. The exercise was really appreciated because most of these families are left out when it comes to such health campaigns.

A similar exercise was repeated now in Nyando Sub County and spread out over 3 days to get enough coverage. The exercise was done on the 18th, 19th and 20th of January 2022 and also opened up for the general public. Every day two vaccination teams gathered at designated places easy accessible by the public. Prior mobilization was done by community health volunteers informing the public about the vaccination days and venue. During the 3 days we managed to get 909 people vaccinated.

Moving forward SWAP has committed to do one COVID-19 vaccination outreach per week for all the 7 Sub Counties in Kisumu mostly targeting vulnerable low income community members. We aim to reach people where they are for example pitching tent at market places to get crowds. This has been a very successful approach and much appreciated by the County Department of Health and the communities. After getting more people vaccinated there will be less strain on the health sector.

Distribution of Hand Washing Stations and soap to Health Care Facilities

SWAP continued reaching out to 47 public health care facilities in Nyando and Nyakach sub counties on monthly basis to ensure they can practice proper hand hygiene to protect the health workers and patients. Hand washing stations were installed and soaps provided. Monitoring of proper use continued by health care workers and patients visiting the facility. The hand washing stations are placed in most of the patient care areas as well as at the entrance and close to the toilets.

Alcohol Based Hand Rub (ABHR) production and distribution

The objective was to improve hand hygiene and to produce, distribute and monitor consumption of Alcohol Based Hand Rub at public health care facilities. Technical support was provided for the production which was done at the Water Lab with appropriate safety measures, capacity building and quality control measures. SWAP received approval from the Kenya Bureau of Standards in November 2020 and started monthly distribution in January 2021 to 47 health care facilities and later 34 hot spot areas in Nyando and Nyakach Sub Counties. The 47 health facilities are in rural Kenya and often lack sufficient water. Some are only relying on rain water, but during the dry season do not have any reliable source. So Alcohol Based Hand Rub is ideal for the health workers to protect themselves when handling patients.

We evaluated ABHR usage and developed a monitoring system and electronic database for ABHR consumption/use by service point with built-in feedback to production unit to produce and redistribute ABHR when stocks are low, development of localized estimates for monthly/yearly stocks needed by size of facility to aid future projections for consumption. The distribution was free but for sustainability SWAP included ABHR in the basket of products and sold to partner organizations and individuals. In 2021 3845 liters of Alcohol Based Hand Rub was produced in the lab.

WE THANK YOU FOR YOUR ONGOING SUPPORT AND DONATIONS

 

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GLOBAL GIVING REPORT

OCTOBER 2021

Help protect 1,000 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 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.

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      

COVID-19 Current Status in Kisumu and the Lake Region Economic Bloc (LREB)

Limited testing, slow vaccine rollout under COVAX, poor logistics, limited health system implementation capacity, and serious vaccine hesitancy are amongst the constraining issues to controlling COVID-19 in this region. While Europe and the USA are potentially moving towards ‘herd immunity’ through vaccination program, Africa is tremendously lagging (less than 3% of the population is vaccinated today). COVAX is seriously behind. Recent research prove that COVID-19 is in fact very much present, though more hidden, due to underreporting and less symptoms. This situation, with high COVID-19 presence at the population level, seriously risks the development of different COVID-19 mutants in the future that could (partly) escape from existing COVID-19 vaccines, creating potential health risks to Kenya. In Kenya’s Lake Region residents’ livelihoods have been significantly disrupted by COVID-19. A raft of measures including dusk to dawn curfew, cessation of movement, social distancing, among others have made subsistence trade difficult, causing widespread food insecurity.

The LREB region with 14 million inhabitants has 2,363 health facilities, 2,870 isolation beds, 137 ICU beds, 1,216 doctors, 8,866 nurses, 30,213 community health workers, 36,213 cases, 117 ambulances, and less than 300,000 and 50,000 have received the first and second doses of vaccine respectively. 

From May 9 2021 onwards, starting in Kisumu, LREB region is experienced a sudden Delta Variant surge, which followed preceding Alpha and Beta surges. This further exacerbated the deteriorating socio-economic situation.

The unstable COVID-19 situation in LREB identified gaps in disease management, response, surveillance, and recovery. These gaps include, but are not limited to insufficient medical oxygen, inadequate testing capacity, need to accelerate COVID-19 testing, understaffed health facilities, little vaccination, waning cross-border disease surveillance, few multidisciplinary clinics to attend to long COVID-19 patients, and lack of social safety nets like health insurance schemes to cushion residents against ravages of the pandemic.

SWAP has a wealth of experience in public health interventions and has worked in collaboration with County Health Management Teams to respond to COVID-19 especially with focus on health care facilities supporting and protecting the frontline work force and the community at large from COVID-19 spread.

For that reason, the GlobalGiving platform was used to source for crowd funding from donors and well-wishers in our effort to protect health workers, reduce the COVID-19 spread and mitigate the impact.

Production and Distribution of Alcohol Based Hand Rub to public health facilities

Following the needs of improved hand hygiene for infection prevention and control of hospital acquired infections including COVID-19, SWAP supplemented the GlobalGiving funds and sought funding from loyal donors to produce its own alcohol based rub (ABHR) to supplement the distribution of hand washing stations and soap.

The ABHR was produced in SWAP’s water lab by a team of lab technicians and approval was granted in December 2020 by the Kenya bureau of standards for a period of two years. Since January 2021 the monthly distribution continued to 50 public health care facilities in Kisumu County for all patient care areas. Distribution is done on needs basis while regular monitoring and evaluation is done to observe use and hand hygiene practices. Alcohol Based Hand Rub is also sold to partner organizations.

In September 2021, SWAP extended the activities to 34 hot spot areas in the region. These are local markets, police stations, administrative offices among others. In these areas, hand washing stations and soap were donated and training was done on hand hygiene and social behavioral change communication. In collaboration with the Public Health Officers, ongoing monitoring of compliance and proper use is done.

STREAM disinfectant generation

SWAP imported 8 STREAM disinfectant generators and installed these following training at health care facilities. The STREAM Disinfectant Generator provides a continuous flow of disinfectant solution (0.5% sodium hypochlorite) from common salt and electricity. The chlorine-based solution generated by the STREAM System complies with national and international guidelines for disinfecting surfaces, medical devices, and instruments. The STREAM Disinfectant Generator is ideal for rural and urban hospitals. The STREAM system produces enough disinfectant to treat up to 240,000 liters (60,000 gallons) per day of water. The 8 facilities selected by Kisumu County Health Management Team now no longer rely on the mostly interrupted external supply but can produce enough chlorine for infection prevention and control.

COVID 19 Vaccine Outreach

Because of COVID-19 vaccine hesitancy and myths and misconceptions around COVID -19, Kisumu County Health Management Team reached out to partners seeking support of the County Expanded Immunization Officers with COVID-19 outreach. The target group was people living in informal settlements where there is in general overcrowding and poor compliance with COVID-19. Many people living here are not well educated and therefore have limited access to health services and have not taken the initiative to go for COVID-19 vaccinations. To reduce this barrier, mobilization was done prior and the COVID 19 vaccination outreach teams were brought to them in Nyalenda, Obunga and Manyatta informal settlements during a two day exercise on 13th and 14th October 2021. SWAP supported with the mobilization and allowances for the teams mobilizing, vaccinating and recording.

 

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
$4,835 raised of $50,000 goal
 
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