Research department

SWAP Research Department


jared labSince March 2007, SWAP’s research department has been engaged in various research studies on public health in collaboration with CDC- Atlanta amongst other research partners. The research has been conducted in various counties of Western Kenya where there is high burden of disease. The main aim of the research department is to evaluate the health and economic impact of health interventions, technologies and products. The department has an efficient pool of researchers that have technical expertise and experience in conducting baselines, surveillance, evaluations and feasibility studies. Through partnership and collaboration with various organizations, SWAP has published over 30 studies in peer reviewed international journals. These research findings have been instrumental in informing policies and implementation models worldwide. Internally, the research department has been helpful in modeling of implementation and evaluation of intervention impact. Research findings have been disseminated to the SWAP staff and the beneficiary communities through a community feedback mechanism. SWAP projects and interventions have been continuously adjusted to keep up with the changing trends and community needs. SWAP now outsources its research activities to various research partners.

LABORATORY SERVICES

SWAP has an internal research water lab where it can perform bacteriological and full chemical tests. The lab is used by different partners for research purpose and the Ministry of Health for surveillance during waterborne disease outbreaks. Major improvements have been made to the lab in 2016 and 2017. The latest equipment procured to enable the lab to provide quality water testing and to test a variety of parameters. SWAP is in the process of accreditation of the lab and aims to have it self-sustaining. SWAP received support for this from Procter and Gamble’s Children Safe Drinking Water Program and from CDC Foundation.

In April 2017, a urine and stool research lab was opened for the Schistosomiasis study. A team of lab technicians has been hired to support this study. The study is supported by CDC.

CURRENT RESEARCH STUDIES;

CUPS OR CASH FOR GIRLS TRIAL (CCg)

This is a partnership consortium between SWAP, Liverpool School of Tropical Medicine, CDC, KEMRI & Government of Kenya’s Ministries of Education and Health.

The title of the study is; “ Menstrual cups and cash transfer to reduce sexual and reproductive harm and school drop-out in adolescent schoolgirls in Siaya County: a cluster randomized controlled trial”. 84 secondary day schools have been randomized and 3,800 girls in Form 2 are the study participants. There are 4 study arms– 1 moon-cups, 2 moon-cups and cash, 3 cash and 4 comparison. SWAP is the implementing partners providing WASH surveys at the schools as well as trainings on puberty, hygiene, moon cup and  financial literacy.

AFYA CREDIT INCENTIVE SCHEME FOR IMPROVED MATERNAL AND CHILD HEALTH OUTCOMES

A cluster randomized controlled trial evaluating the role of conditional cash transfers in retaining rural Kenyan women in the continuum of care during pregnancy, birth and the postnatal period.

The intervention being tested is a conditional cash transfer to women each time they attend their health appointments for ANC (up to 4 visits), facility birth and postnatal care visits until their new-born reach 1 year of age (up to 6 visits) in Siaya County.

This is a collaboration between SWAP, Stockholm Environment Institute, Nailab, University College of London and the Ministry of Health. The study is funded by Bill and Melinda Gates and is a follow up of a successful pilot.

SCHISTOSOMIASIS MANSONI STUDY

This is a collaborative initiative between SWAP, KEMRI, CDC and the Ministries of Education and Health. The title of the study is “Defining cut-offs for the Point-of-Care Circulating Cathodic Antigen (POC-CCA) assay in areas of low Schistosoma mansoni prevalence in western Kenya”. The study involves testing urine and stool samples for Schistosomiasis Mansoni among primary school going children aged 9 to 12 years in Siaya County along the shores of Lake Victoria. SWAP established a Urine and Stool Lab and hired lab technicians, field assistants and a study coordinator.  The study started in March 2017.

SAFE WATER PRODUCT DEVELOPMENT ALLIANCE PROJECT

This study is collaboration for the partners in the product development alliance (Stanford University, PATH and MSR Global Health) to improve the efficiency of the product development process for emerging water treatment technologies targeted at low income markets. SWAP installed 4 Venturi chlorine dosers at identified water kiosks in Kisumu County and is currently collecting data. Improved prototypes will be installed in future and SWAP will monitor pilot sales and evaluate this business model.

SOLAR POWERED WATER DISINFECTION UNIT

With funding and technical support from the University of Illinois, SWAP will evaluate a solar-powered water treatment unit that has been developed by researchers at the University of Illinois at Urbana Champaign and commercialized through EP Purification.   Several months of testing in a water quality laboratory at the UIC School of Public Health has shown that the SWTUs rapidly decrease concentrations of bacteria and viruses in waste water.  SWAP will be implementing partner in a pilot-scale study that would evaluate the potential value of such units by 10 families living in Kisian Village in the Kisumu region of western Kenya. SWAP will received a PHD student in June 2017 to support the study.

SWAP Research Staffs