programs


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Research Department

research_team SWAP has since 2007 established a research department with technical support from CDC Atlanta undertaking various effectiveness studies, collecting both quantitative and qualitative data to evaluate the health and economic impact of some of SWAP’s interventions and its distribution model. The research findings keep SWAP informed and its findings are also shared with the community leaders, international conferences, journals and publications. These findings have been instrumental in informing policies and implementation models worldwide.


SWAP Model Village

swap_model_village2SWAP acquired land at Ahero, about 100 meters from the Nyando River to put up a model village which is intended to showcase the health interventions that SWAP deals with in the community. These include; Safe Water system products, Indoor Air Quality (IAQ), improved traditional kitchen and a Jamii Center. Inside the model village the sky hydrant was installed with funding and support from Janivo foundation, Aquaya Institute, Global Water challenge, Procter and Gamble, IPA among other private well-wishers. The system draws water from the river using a fuel powered pump. The water is filtered and used to be sold to the community at very low cost. However the County Government installed tapped water at households and as a result the water service was no longer relevant.

The model village receives a lot of visitors from all over the world and on one such occasion the Dutch Ambassador toured the facility and planted a tree. The center also has a training / meeting room which is often used by other partners including the Ministry of Health. There is a clean toilet with a hand washing facility for demonstration. Solar has been installed to provide clean energy. The kitchen is used for cooking and for demonstration, showing the clean improved cook stoves.

Inside the village there is a Jamii Center, where Community Health Promoters operate from. They perform door to door social marketing of health products and health education. The community can access this center for health products and information.


Training Program

trainingLeaders Orientation workshops This is a one day meeting with opinion leaders in a District and its purpose is to orient leaders and introduce them to the SWAP’s model, its staff, the basket of goods, share research findings and get the leaders involvement and support to mobilize the communities to adopt healthier behaviors. Targeted leaders include the Provincial Administration, Churches, Local Authorities and Ministry of Public Health and Sanitation.


Outreach and Mobilization

SWAP creates awareness to HIV support groups and builds their capacity.
Groups targeted are widows, people living with HIV, home based care groups, youth groups, orphan support groups and other self help groups.


Cholera Response Project

The purpose of this project is to provide a rapid integrated response to cholera outbreaks to reduce morbidity and mortality, and prevent the spread of illness. The project was initiated in 2006 with funding from Global Disease Detection and the Integrated Diseases Surveillance and Response programs at the Centers for Disease Control and Prevention. To implement this project, SWAP partners with the Ministry of Public Health and Sanitation, Population Services International (PSI), and the Red Cross. Response activities have two principal components: Training of personnel from the Ministry of Health, Red Cross, local government personnel, NGO personnel, schoolteachers, and others.Distribution of water treatment and hygiene products.


Product Promotion

SWAP sells both wholesale and retail from the office. SWAP is also selling to partner organizations. The following are some of the products in SWAP’s Basket.
• WaterGuard, PuR, Aquatabs, Mosquito Nets, Condoms, Ceramaji, Hand washing Buckets e.t.c.


Scholarship Program

Niva and the motherSWAP has been supporting orphans and vulnerable children with psycho-social support including counseling and referrals, school fees and requirements. SWAP further offers support to approximately 100 desperate orphans and vulnerable children per year by providing counseling, referral and clearance of areas of fees. SWAP encourages cost sharing with the caretakers.


Emergency Response to outbreaks and disasters

Donation of health products to schThe initial response started during the post-election violence in 2008, whereby SWAP was supporting internally displaced and returnees with health products, material support and counseling. The main aim was to prevent diarrhea, malaria and other disease outbreaks and to mitigate the negative impact of the trauma.

The purpose of the emergency response was to provide a rapid integrated response to outbreaks to reduce morbidity and mortality, and prevent the spread of illness.

Response activities have two principal components:

  1. Training on rapid integrated response to outbreaks to the Ministry of Health representatives, administrative leaders, representatives of NGO’, Community Health Assistants and Community Health Volunteers
  2. Distribution of water treatment, storage and hygiene products and mosquito nets to the affected families as well as to health facilities

There have been several disease outbreaks such as cholera and response during flood. SWAP has received support from Harber Charitable Foundation for general support and CDC in the case of cholera respond in collaboration with the Ministry of Health.

SWAP is members of the Humanitarian Coordination Hub coordinated by UNICEF, which brings together all the partners for disaster preparedness and response as well as election preparedness.

SWAP continued to offer preventive services through promotion and social marketing of health and hygiene products together with hygiene promotion including hand washing.

Some desperate cases supported are referrals. Examples are vulnerable and desperate families who need support with medical or funeral bills, shelter, loss during theft or fire, displacement, nutritional support or business seed money. Each case is scrutinized and counselled by SWAPs community support officer and communities are involved for sustainability and cost sharing.


Exhibitions and Public Functions

SWAP participates in many occasions and has exhibitions and promotion of health products during Global Hand Washing Day and World AIDS Marathon., international water day, NGO week e.t.c.
SWAP has for the sixth year organized the World AIDS Marathon bringing together runners from all walks of life. The World AIDS Marathon is held on the 1st of December. Activities include full and half marathon, relays, walk for vulnerable children, Voluntary and Counseling services, Sexually Transmitted Infections Treatment, Condom Demonstrations, Exhibitions, Safe Water Demonstrations.


Jamii Centres

SWAP in partnership with the Ministry of Health, Procter & Gamble, Population Services Kenya and USAID/DIV had between 2014 and 2016 established 11 Jamii Centres in Ahero, Nyakwere, Awasi, Marindi, Kakamega, Kegondi, Kajulu, Sondu, Ugenya, Yala and Wagai with an aim of improving the health and development of babies, children and families in the community by increasing access to health products and information about health topics and healthy habits. Community Health Promoters were trained at these centers to become self-reliant by generating income through sales of health products while improving health.

The community health promoters are individuals drawn from HIV support groups, self-help groups and community units. They are trained on primary health care, social behavioral change communication, business skills, safe water, social marketing of health products, health promotion, record keeping and stock management.

Each center had an average of 20 Community Health Promoters who were each given household targets of at least 100 households. On weekly basis they would visit the Jamii Centers which served as a business hub and where all the health products were stored. The community could access these centers direct for health information and products.

However towards the end 2016 the USAID DIV funding to support these centers ended and we had to drastically scale down and close most of the centers due to difficulties to make them sustainable, complexity to manage them and to track all the products. Ahero SWAP Model village and Kegondi Jamii Center continued operations and Kisumu Headquarters did sales to partner organizations and individuals.


Mumias Sub-D

The Sub-Distributors business was set up with technical support from Procter $ Gamble to enable SWAP to generate income by selling P&G products to traders. SWAP received a Sub Distributors status which attracts bonuses and discount on all the products. Revenue generates is put back into operation and is helping SWAP to become less donor dependent.

The centre was established at Ekero near Mumias town and we recruited 3 sales representatives. The area of coverage was extended from Mumias to Butere and to Sidindi. A vehicle is allocated to the site and close monitoring is done to track the sales and banking.

The center sells on average Kes 1.8 million monthly and can sustain the operations while it brings in additional profit.


 

HCM – Health Communication Marketing Program

Safe Water and AIDS Project (SWAP) renewed its partnership with Population Services Kenya (PSK) and signed a 5 year sub award agreement in November 2016- 2021. The Five years Health Communication and Marketing (HCM) program targets Migori County in Western Kenya with focus of implementation being Malaria and diarrhea Prevention. The rationale behind this is that Migori County is among counties with high malaria prevalence countrywide. Implementation of the HCM project kicked off with Nyatike Sub – county as the start point.

The overall goal for the HCM project focuses on; Health of Kenyans improved through increased uptake of Reproductive Health/ Family Planning (RH/FP), HIV, Malaria products and services.

Implementation of social marketing and health communication within the health sector aims to build the sustainability of Ministry of Health (MOH) to lead, coordinate and implement initiatives.

SWAP through its established structures engages the communities through Malaria and Diarrhea Inter Personal Communication (IPC) intervention by adoption of the social behavior Change Communication (SBCC) as a strategy focused on increasing adoption and maintenance of healthy behaviors in regards to the following key health result areas namely,

1: Increased use of quality health services, products and information through Client focused demand creation activities expanded and Social marketing of health products expanded

2: Strengthened capacity of government to Lead, manage and govern Health Communications and marketing Counties leadership and management of health communications and marketing activities strengthened and Public health sector engagement and oversight.

3: Improved use of information for decision making through use of program monitoring and Formative research improved.

SWAP works with existing Community Units (CU’s) and Community Health Volunteers (CHV’s) who champion the SBCC in the households. Malaria, diarrhoea IPC program is implemented through household visits and Small group session (SGS) meetings. The trained community health volunteers contribute significantly towards the government health agenda by taking services to the local level.


Sondu Water Enterprise

In partnership with the Sondu community members, the Ministry of Health, Ministry of Water, Siemens Stiftung and Skyjuice Foundation, SWAP established the Sondu Water Enterprise which was formally launched in July 2016.

The main objective of the Safe Water Enterprise, is to increase access to clean and safe drinking water and sanitation for the community. The enterprise is managed by a local water operator and is run under the supervision and guidance of SWAP.

SWAP was provided the sky-hydrant filtration unit by Sky-juice Foundation and an initial seed funding and technical support from Siemens Stiftung to launch the enterprise. A public toilet was built to serve the communities around Sondu. The service is on high demand in particular during the dry season. Water is sold to the communities at a rate of Kes 5/=.

Major improvements and ongoing operational costs have been done to the water Kiosk through the global giving funding.

SWAP still requires more support for the ongoing operations of the center, maintenance and monitoring as well as some improvements to increase pressure. Donations can be received through the global giving site.

https://www.globalgiving.org/projects/sondu-water-enterprise/


Vivatos

Vivatos is a Dutch Foundation. It collaborates with SWAP with the aim to improve water and sanitation in schools. SWAP identified Miringo Primary School, a day school in rural Nyando village with poor water and sanitation infrastructure. The school lacked hand washing stations and sufficient water storage tanks. During drought this affects the over 500 school students in primary school from baby class (2 years and above) up to class eight. Lack of water results in diarrheal illness, pneumonia, skin and eye infections and absentia of school days and mortality in severe cases.

Recently the area experienced drought, which worsened the situation and put the children more at risk. The school receives limited support from the Government and further relies on parents paying school fees. However the area has many widows and orphans due to the high prevalence of HIV, who cannot afford to pay the fees. SWAP supported the school during a cholera outbreak in 2015 with water treatment and a 60 liter hand washing bucket, which was not enough to take care of the many children.

During World Water Day, 22nd of March 2017, SWAP with donations from VIVATOS was able to support the school with a water tank and 2 hand washing stations, placed next to the boys and girls toilet. The water tank will be used for rain water harvesting and will improve the hygiene standards at the school.