Small Change Awards

Small Changes With Big Impact

The University of Washington Center for Integrated Health of Women, Adolescents, and Children (Global WACh) aims to contribute to scientific discoveries, nurture leaders, and foster collaborative approaches to improving the health and well-being of women, adolescents, and children.  As part of this commitment, Global WACh supports Small Change Awards that empower local front-line care providers to identify targets for clinical improvement, compete for support, and advocate for their patients.  Small Change awards improve the patient experience in limited and middle income countries by improving clinical care, patient satisfaction, workforce empowerment, and health service delivery for programs benefiting the health of women, adolescents and children.

Small gifts to the Small Change Award Fund make a big impact.

100% of your gift to the Small Change Awards Fund goes to supporting UW partner sites.  Applicants fill out a short, detailed form describing an idea for a small change that can positively impact the patient experience at their site.  Applications are reviewed by a panel and the highest quality ideas demonstrating tangible change are chosen.

Small Change Awards are funded by donors like you.  Make a gift today through UW or the Combined Fund Drive (Charity 1481904).  For donors wishing to make larger gifts, Global WACh will work with the donor to create special awards focused on specific goals.  Please contact Kate Pfizenmaier, Program Manager at kpfiz1@uw.edu for more information on creating a special award.

Scroll down to see our Small Change Award recipients.

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Small Change awards are funded by private donations from people like you. Join us in strengthening Global WACh collaborative sites one small change at a time.

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2016 Recipients

Awardee: Ahmed Ali, Executive Director of Somali Health Board

Award: $639

Site: Somali Health Board, Seattle WA

The problem: The organization’s office lacked office equipment necessary for SHB to serve as a reliable resource to Seattle’s Somali community.

The Small Change: Global WACh provided funds for a laptop and digital scanner to the Somali Health Board.

The Big Impact: SHB is now able to access digital resources at meetings, presentations and events and scan and prepare health insurance documents. SHB can expand its outreach to a greater number of new Somali immigrants and refugees, who are disproportionately affected by health disparities.

Title: Managing Pediatric Diagnosis

Awardee: Daisy Chebet, Clinical Officer for the Kenya Pediatric Studies

Award: $960.00

Site: Kenya Pediatric Studies, Kenyatta National Hospital (KNH).

The problem: KNH’s general HIV clinic required that important diagnostic sets be shared between clinicians due to a lack of equipment. This was resulting in delays in patient management and incomplete physical examination during times of high patient volumes.

The Small Change: Diagnostic sets and pediatric blood pressure monitoring cuffs to assist in the diagnosis and management of HIV and HIV-related care.

The Big Impact: Health workers are better able to serve the 30-40 patients seen each week. KNH clinics can continue to serve a high volume of children per day and clinicians can better perform comprehensive and thorough physical examinations, helping to reduce morbidity and mortality rates from undiagnosed conditions.

Title: Improving Space Management to Reduce Infections in the Pediatric Intensive Care Unit

Awardee: Dr. Rashmi Kumar, University of Nairobi Department of Pediatrics and Child Health

Award: $900

Site: Pediatric Intensive Care Unit (PICU) at the Kenyatta National Hospital

The problem: The PICU was a small, congested unit without enough space to accommodate basic patient and unit gadgets and equipment.

The Small Change: Bedside cupboards, a nurse desk, and filing cabinet to better utilize the space

The Big Impact: Equipment overflowing on to patient beds is of the most common causes of poor infection control practices and deadly hospital-acquired infections. Now bedside rounding, teaching, and resuscitation can occur without overflow or congested space.

Title: Creating a Maternal Waiting Room to Encourage Assisted Births

Awardee: Getnet Mequanint, University of Gondar

Award: $952

Site: Aymba Clinic, Gondar, Ethiopia

The problem: The Aymba clinic serves patients who do not have ease in transportation to the site, especially for pregnant women needing to be at the clinic at the time they go into labor.

The Small Change: Beds and bedside cupboards to make Aymba’s maternal waiting room more comfortable for pregnant women while they wait to deliver.

The Big Impact: Women using the Aymba’s clinic are more likely to receiving timely labor and delivery care with a skilled attendant, which can drastically reduce the risks of death and infection associated with childbirth.

Title: Updating the Karen Health Centre Waiting Bay and Examination Room 

Awardee: Teresa Nderi

Award: $1000

Site: Karen Health Centre, Nairobi County

The problem: Karen Health Centre was built in 1957 and now required painting, refurnishing, and repair of dilapidated areas of the facility.

The Small Change: A more expansive and freshly-painted waiting area, new exam-room curtains, and new fetal heart monitors.

The Big Impact: The comfort and efficiency of patient care will be increased for mothers, children, and providers.

Title: Addressing Basic Equipment Shortages in KNH Pediatric Unit

Awardee: Hellen Okinyi, University of Nairobi

Award: $964

Site: Kenya Pediatric Studies, Kenyatta National Hospital (KNH)

The problem: The pediatric inpatient unit had insufficient basic equipment, making it a challenge treat ill children in a timely manner.

The Small Change: Pulse oximeters, pediatric ambu bags, and nebulizers for the pediatric inpatient unit to better accommodate high volumes of patients.

The Big Impact: Improved management of critically ill, hospitalized children reduces child mortality.

Title: An Engaging Reflection Room for Children at KNH Deptartment of Mental Health

Awardees: Drs. Josephine Atieno Omondi, Manasi Kumar, Gertrude Nyakohito, Pius Kigamwa, and Ann Vander Stoep

Award: $900

Site: Department of Mental health at Kenyatta National Hospital (KNH)

The problem: Children and adolescents who seem to demonstrate behavioral problems can easily become neglected patients in busy hospital environments in low resource settings.

The Small Change: The presence of a child reflection room offers a space devoted to the calming, reflection, and engagement of children aged 5-12 who may get bored easily and become disruptive.

The Big Impact: A child friendly space that is both comforting and psycho-therapeutic for children and adolescents managing anger, behavioral impairment, or grief.

Title: Web-Based Tracking of HIV DNA Lab Results

Awardee: Sally Nyaboke Mogire

Award: $1000

Site: Kisumu East District Hospital (KEDH)

The problem: In the pediatric HIV care clinic, there were delays of up to eight weeks in the transmission of HIV DNA results from the central laboratory to the study clinic 60 km away.

The Small Change: A desktop computer, printer, and USP device allow KEDH’s pediatric clinic to access a new web based tracking system, which improves the time for HIV results to 1-2 weeks after sample collection.

The Big Impact: The clinic will have direct access to HIV DNA results in the shortest possible time, allowing for safer diagnosis and treatment.

2015 Recipients

Title: Tools to Reduce Inpatient Case Fatalities at Homa Bay County Hospital

Awardee: Dr. Liru Meshack

Award: $992

Site: Homa Bay County Hospital, Kenya

The problem: Dr. Meshack and colleagues identified improved monitoring of acutely ill children as a way to improve survival in the emergency department.

The Small Change: A pediatric oxygen delivery set, nebuliser, and repair of the ward’s oxygen concentrator improved the team’s capacity to accurately monitor and treat acutely ill children.

The Big Impact: Children admitted to Homa Bay Hospital receive better acute care, increasing their chance of recovery.

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View this video for more information on the needs at Homa Bay and how the Global WACh Small Change Award provided resources to help.
https://youtu.be/jzWBN_1w1zU

Title: Improving the Waiting Room Expereince at KNH’s VCT and HIV Prevention Unit

Awardee: Dr. Peter Maingi

Award: $80

Site: Kenyatta National Hospital, VCT and HIV Prevention Unit

The problem: VCT and HIV Prevention Unit staff noticed that patients requested entertainment while they waited to see a provider.  The Unit’s waiting area TVs needed new equipment to function on Kenya’s new, digital platform.

The Small Change: Dr. Maingi’s team purchased two digital terrestrial receivers to repair the TVs in the VCT and HIV Prevention Unit’s reception areas.

The Big Impact: Televisions in the waiting areas contribute to a better patient experience in the Unit and positively influence patient retention and engagement.

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Title: Refurbishing the Gazebo at the Comprehensive Care Clinic to appeal to Children and Adolescents

Awardees: Drs. Justine Odienya, Manasi Kumar, Nelly Opiyo, David Bukusi, and Sarah Benki-Nugent

Award: $1000

Site: Kenyatta National Hospital, Comprehensive Care Clinic, Kenya

The problem: Dr. Odienya and her team wished to enhance a waiting area and outside play area called “The Gazebo” to serve more children and adolescents visiting the Comprehensive Care Clinic.

The Small Change: The team worked together to refurbish the Gazebo by painting and adding whiteboards, tables, chairs, and board games.

The Big Impact: The Gazebo provides a child and adolescent friendly space that further engages families in HIV care.

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