Nyando Integrated Child Health and Education Project
Country of Operation
- CDCForeign aid agency or multilateral organization
- Population Services InternationalNot-for-profit
SummaryCDC has joined with partners to create the Nyando Integrated Child Health and Education (NICHE) project to combine several proven approaches to child survival in an impoverished rural district of western Kenya.
This program aims to reduce high rates of child acute respiratory infection, diarrhea, and malaria. By integrating services, combining interventions, and engaging local leadership, the NICHE project is attempting to create a model for improved child health. In addition, the program aims to evaluate the feasibility and effectiveness of community-based distribution of health products through community vendors.
Key program components
- Safe Water Services SWS
- Distribution of ITNs
- Promotion of handwashing with soap
- Distribution of Sprinkles®, single-serve packets of dry powder, containing iron and other micronutrients intended for home fortification of foods consumed by young children who are no longer exclusively breastfeeding, and
- Deworming of primary-school children with albendazole.
To promote these interventions, the project partners with Population Services International, which has an ongoing program to promote purchase and use of SWS bleach solution, ITNs, and reproductive-health products through mass media, peer educators, murals, and billboards. The Safe Water and AIDS Project (SWAP) trains HIV self-help groups in rural villages and urban low-income settings to provide health education and sell health products to their neighbors as an income-generating activity. SWAP trains clinic nurses, school teachers, and religious leaders to teach their clients, students, and congregations about these interventions and installs drinking water and hand washing stations in these settings. Finally, NICHE project staff members enlist the support of local political leaders and the ministries of health and education. The NICHE project will enable CDC and partners to assess the extent to which combining proven child-survival interventions and employing multiple community-based implementation techniques can improve health in impoverished populations. The use of inexpensive, locally available interventions will control program costs and increase the prospects for sustaining the program. If the simultaneous engagement of local populations and institutions, the private sector, and government in program implementation proves successful, this implementation approach might serve as a blueprint for child-survival programs in other regions of Kenya and elsewhere in Africa.