Global WACh

Seeds for Change Awards

The 2023 Request for Applications (RFA) cycle is closed. Please visit this page in Spring 2024.

As part of our mission to improve the health and well-being of women, adolescents, and children, we provide Seeds for Change Awards that empower local front-line care providers to identify targets for clinical improvement, compete for support, and advocate for their patients.  These awards improve the patient experiences in limited and middle-income countries by improving clinical care, patient satisfaction, workforce empowerment, and health service delivery for programs benefiting WACh health.


Types of Resources Funded

Proposals must address unmet needs and improve the experience of women, adolescents, and children receiving healthcare services.

Potential topics may include but are not restricted to the following:

  • Infrastructure improvements to existing structures (paint, furniture, signage) and associated labor costs
  • Electronics (telephones, tablets, computers, AV)
  • Medical equipment (stethoscopes, scales)
  • Youth-friendly clinic improvements (play areas, toys)
  • Patient educational materials that are non-consumable

Proposals that will not be considered:

  • Consumable supplies (gloves, gowns, notebooks, etc.)
  • Items that will not be retained at the site (e.g., giveaways to patients)
  • Items and supplies that are already provided through government programs (e.g., mosquito nets)
  • Ongoing salary support for staff

Eligibility Requirements

Applicants must be employed by a current UW partnering organization (defined as an entity engaged in joint activities with UW faculty or staff) in a resource-limited setting and is a staff or faculty member working in a health program/clinical setting serving WACh populations.

Budget Guidelines

Awards of up to $1,500 USD are available. Award proposals for equal or less than $1,500 are strongly encouraged and will be given preference due to the scope of the award.  Items and services budgeted at $500 USD or more are required to have a quote.

Application and Submission Guidelines

Applicants fill out a short, detailed form describing an idea for a change that can positively impact the patient experience at their site.  Proposals should not exceed word limits listed for each component and should be typed in Arial size 11 font.  Applications that are incomplete or do not follow instructions may not be considered. Successful applications will address the following components:

  • Explain the unmet need
  • Describe the specific resources requested
  • Outline the health-related outcomes the proposal addresses (improved care, improved patient satisfaction, health care worker (HCW) empowerment, improved health service delivery)
  • Describe the potential impact of the project on the target population’s health
  • An itemized budget

Send your completed application to by Wednesday, March 10, 2023 at 11:59 PM Pacific Standard Time (PST). 

Review Criteria

Applications are reviewed by a panel and the highest quality ideas demonstrating tangible change are chosen.  The panel scores each application using the following criteria:

  • Significance/Impact: Does the request address an important unmet or underserved clinical need?
  • Beneficiaries: Who are the direct beneficiaries of the resource request? Women, children, adolescents, health care workers? Will the request jointly benefit multiple target populations?
  • Feasibility: Is the proposal realistic given the scope of the award?
  • Collaboration: If funded, will the proposal strengthen existing Global WACh collaborations, or initiate new collaborations?

Re-budgeting Policy

The Seeds for Change Awards are expected to be used as described in the grant proposal, which was reviewed and selected by the reviewers and program team for funding. This helps assure the integrity of our award process, and additionally respects and honors the work of the review committee and administrative team who conduct the award competition and review process.

Under exceptional conditions, the Awardee may request revision of an award. These include:

  • Category 1: The price of the item has changed and the item is no longer available for purchase at the original quote price.
    • Documentation must be provided to show both the original and new quotes.
  • Category 2: The item is no longer available due discontinuation or import/export issues.
    • Documentation is required.
  • Category 3: While waiting for the award, the site has acquired the requested items, or conducted the requested activities (renovations, repairs, improvements, etc) and the original request is no longer needed.
    • Documentation must be provided as a letter from the site.

Revision process:

  1. The Awardee contacts Global WACh administration at to request a revision of award.
  2. The Awardee completes the revision request paperwork and provides documentation appropriate to the request (as described above).
  3. The Global WACh leadership team reviews the request and denies/approve the revision.

Download and complete the Re-budget Request Form.


Support the Award Fund

Make a Gift to the Seeds for Change Award Fund

Seeds for Change Awards are funded by donors like you. See the impact of your gifts at collaborative sites, like Katito Subcounty Hospital in Kisumu, Kenya, below.  For donors wishing to make larger gifts, Global WACh will work with you to create special awards focused on specific goals.  Please contact us at for more information on creating a special award.

“The admission ward now looks much better, beautiful, warm, and friendly.  The project has impacted positively on children who get admitted by calming their anxiety after seeing the drawings on the walls. It distracts them from the pain they undergo from their illness and of treatment administered especially injections.  The washrooms, initially a couple of meters away, are now nearer to the ward, enabling the patients and their caregivers to access them better especially at night and when it rains.  The project has tremendously transformed the place from its former state.”
Dominic Bosire, 2018 Recipient

Award Recipients

Since 2015, Global WACh granted Seeds for Change Awards to 37 recipients to strengthen UW partner sites.  Learn how our awardees used the seed funding to transform patient care experiences, leading to improved health outcomes among women, adolescents, and children.



Female friendly toilets for women and children

Title: Female friendly toilets for women and children

Award: $1,498

Awardee: Dr. Joy Githua

Site: Kenya Medical Research Institute (KEMRI) Centre for Respiratory Disease Research

The Problem: Serving approximately 50 patients daily, with a majority being women and children, the insufficient restroom facilities often compelled mothers with infants to change diapers while holding their babies or defer the process until the end of the visit, which could sometimes extend over an entire day. Likewise, women and adolescents during their menstrual cycle would delay necessary changes, increasing their susceptibility to infections. Older children, while awaiting attention, were compelled to use public shared spaces to attend to their needs. Due to the insufficient restroom facilities, the elderly tended to avoid or delay their visits.

The Seed: Materials and labor to create new toilet facilities

The Growth: Ensure proper hygiene levels, and eliminate queuing and site visit postponements due to insufficient facilities. Furthermore, the provision of a private and comfortable space for mothers to change their babies’ diapers or breastfeed, equipped with a wash area and a bench, is designed to enhance privacy and convenience for women and children, while also addressing the needs of elderly and disabled women.

Improving monitoring of perioperative children in the paediatric surgical unit

Title: Improving monitoring of perioperative children in the paediatric surgical unit at Migori County Referral Hospital

Award: $1,450

Awardee: Dr. Timothy Jumbi

Site: Migori County Referral Hospital

The Problem: The unit can only accommodate 6 children at any given time, coupled with the high demand from children with other medical conditions, this ICU is always operating in full capacity with no space to accommodate children with surgical conditions. The ward is therefore obligated to accommodate children who require high dependency care and occasionally those who require intensive care, a factor leading to increased deaths in children undergoing surgery.

The Seed: A patient monitor

The Growth: With a second monitor equipped in the unit, the unit can perform continuous non-invasive monitoring to patients requiring high dependency care. There is a significant reduction in hospital stay, morbidity and mortality. The patient satisfaction rate improved.

Strengthening quality of care for Maternal, Neonatal, Child and Adolescent Health Services

Title: Strengthening quality of care for Maternal, Neonatal, Child and Adolescent Health Services

Award: $1,450

Awardee: Priscah Lihanda

Site: Migori County Referral Hospital

The Problem: The site is a level 4 hospital that serves >500,000 patients annually, of whom 66% are pregnant women, adolescents, and children under five. The facility has partnered with Kenya Medical Research Institute-University of Washington research collaborations to conduct several studies in the past 10 years with a focus on improving health outcomes among pregnant women and their infants, children admitted to hospital, and HIV services among adolescents, women and children. Additional resources awarded to the facility can improve care for patients and fill gaps in achieving research goals.

The Seed: Pediatric nebulizers, oxygen regulators, digital infant weighing scales, mini gazebo tent for tuberculosis sputum sample collection, TV to stream health education messages in waiting room

The Growth:

  • The pediatric nebulizer machine will help in emergency situations and provide continuous relief of children with difficulty in breathing due to respiratory conditions. There are currently delays and inadequate care due to the shortage of nebulizers. Additional nebulizers will lead to timely and appropriate management of respiratory emergencies with improved health outcomes for children.

  • Additional oxygen regulators will help in delivering oxygen to more children in the pediatric and newborn unit in need of oxygenation. This will ensure adequate oxygen therapy is given in time and not intermittently, to all children in need. The improved service delivery will hasten recovery and reduced mortality and better health outcomes for children and overall client satisfaction.

  • Television screens will help mothers at the MCH and pediatric ward to get health messages on immunizations, nutrition including breastfeeding, and other topical areas throughout the day in local languages ensuring all caregivers are covered. This will improve caregiver understanding and involvement in their health.
  • Digital weighing scales for growth monitoring will ensure that the weight of children is consistently monitored since MCH is the first triage area for children before accessing other clinic services. This will ensure enhanced referral for appropriate management.

  • Gazebo mini tent for the TB patients on follow up for sputum sample expectoration will protect the vulnerable groups such as pregnant mothers, newborns, sick and immunocompromised children, who are brought to MCH for immunization from contracting TB. Currently the facility does not have a designated area, which poses a risk to vulnerable populations.

Strengthening service provision and quality of care for improved maternal and pediatric health outcomes

Title: Strengthening service provision and quality of care for improved maternal and pediatric health outcomes at Kisii Teaching and Referral Hospital

Award: $1,206

Awardee: Maurice Okello

Site: Kisii Teaching and Referral Hospital

The Problem: For nearly 15 years, the site has partnered with the Kenya Medical Research Institute-University of Washington research collaboration focusing on the health of women, adolescents, and children. Equipment to monitor paediatric growth, early diagnosis of nutritional disorders, and manage common respiratory conditions are urgently needed to provide care to patients and support the research partnership.

The Seed: Shorr board, digital pediatric weigh scales, height measuring scale, electric room heater, handheld pulse oximeter

The Growth: Proper diagnosis and management of various paediatric health conditions that can lead to improved service delivery and better health outcomes. Proper equipment incentivizes healthcare workers to perform examination and screening procedures with greater satisfaction, knowing that they are improving clinical outcomes.

Improving services and care for children and women at the MCH, Pediatric, and Maternity wards

Title: Improving services and care for children and women at the MCH, Pediatric, and Maternity wards

Award: $1,475

Awardee: Maurine Anyango Okello

Site: Rongo Sub County Hospital

The Problem: 

The Seed: Office furniture, room heater, digital pediatric weighing scale, Shorr board, height measuring scale, nebulizer

The Growth: The purchase of furniture and medical equipment has strengthened the relationship between the hospital staff and research team, and improved service delivery within the respective departments. Furniture provides comfort and an improved working environment for staff; even improving their workflow to see clients, leading to reduced wait times. Metal cabinets provide secure storage of medical records and information.


Room heaters provide warmth to newborns and children during their hospital stay, providing comfort and speeding up recovery time. New equipment ensures accurate and timely management of care and emergencies, thereby reducing the risk of adverse outcomes due to time delays.

Improving the Dandora 2 Health Center Pediatrics Occupational Therapy Ward

Title: Improving the Dandora 2 Health Center Pediatrics Occupational Therapy Ward

Award: $1,096

Awardee: Judith Onyango

Site: Dandora 2 Health Center Pediatrics Occupational Therapy Ward

The Problem: The site is facilitating activities of a University of Washington-University of Nairobi research collaboration focused on the effect of air pollution on early childhood brain development. The unit serves around 300 children with various neurodevelopmental delays mostly resulting from birth injuries. improve the existing paediatrics occupational therapy unit to improve their ability to offer effective services to children with neurodevelopmental delays, often resulting from birth injuries. Existing resources are lacking or in poor state of disrepair.

The Seed: Therapy balls, mats, walking aids, standing aids, benches

The Growth: Encourage mothers and caregivers – particularly from low socioeconomic backgrounds – to bring children in to be seen by providers. Improved service delivery, leading to shorter wait times for therapies. Adequate equipment and tools, such as the therapy balls and mats, allow providers to offer more effective and appropriate services to children, leading to improved health outcomes.

Purchase of furniture and medical equipment for a maternal child health clinic

Title: Purchase of furniture and medical equipment for maternal child health clinic at Yala Sub County Hospital

Award: $1,425

Awardee: Felix Abuna Otieno

Site: Yala Sub County Hospital

The Problem:  The site supports several PrEP-related research projects partnered with the University of Washington and Kenyatta National Hospital. It is one of three hospitals in the county that provide round-the-clock pediatric and obstetric services. Services for children under five, pregnant mothers, and those seeking family planning are free-of-charge; this creates a need for some essential medical equipment to enhance service delivery.

The Seed: Benches, office furniture, computer, IUCD set, stethoscopes, digital BP machine, forehead thermometers

The Growth: The staff offering the services will enjoy higher quality and increased space capacity as they serve the volume of clients since as we intend to purchase furniture for both staff and patients use. By using the award to purchase medical equipment and furniture, quality service delivery will be ensured for the benefit of clients. Safety of patient information and records will also be ensured of by purchase electronic devices for data storage and ease of access of information.

Improving care and health outcomes for women and children in the MCH and Pediatric ward

Title: Improving care and health outcomes for women and children in the MCH and Pediatric ward at the Homa Bay County Teaching and Referral Hospital

Award: $1,040

Awardee: Joyce Akinyi Otieno

Site: Homa Bay County Teaching and Referral Hospital

The Problem: 

The Seed: Adult and pediatric weighing scales, thermometer, oxygen splitters, metal cabinet

The Growth:

  • The availability of 4 thermometers for the pediatric ward and MCH department has resulted in the prompt identification of fever for quicker diagnosis and treatment of febrile illnesses.
  • The metal cabinet in the pediatric ward has reduced the loss of patient records as the documents are now stored under lock and key.
  • The weighing scales have resulted in accurate weight measurements for dosage calculations and also reduced the waiting time for pregnant women and children at the MCH.

  • The oxygen splitter has improved the outcome of children in the Newborn unit. Currently, Up to five neonates can receive oxygen therapy at the same time.


Empowering postpartum women with digital health content

Title: Empowering postpartum women with digital health content

Award: $1,450

Awardee: Brenda Wandika

Site: Mathare North Hospital

The Problem: Educating mothers on essential newborn care practices – early initiation of exclusive breastfeeding (EBF), hygienic cord care, and thermal control – has been shown to improve neonatal outcomes; therefore, providing education and support within the facility is a potentially critical time. There is, however, insufficient health care provider resources at Mathare to educate women on these practices. The healthcare staff hold round-table discussions to address incidences with patients and lessons learned; however, the current format does not motivate staff to participate.

The Seed: TV and accessories; digital LCD projector

The Growth:  The mounted TV will display health information, leading to improved maternal self-efficacy on infant care and birth experiences. At the round-table meetings, the digital LCD projector is intended to connect to laptops and screens, creating a more efficient environment to share experiences and facilitate richer discussions among healthcare workers.



Purchasing Games and Toys to Support HIV+ Children and Adolescents

Title: Purchasing resources for the Lighthouse Trust Children and Adolescent Support Program

Award: $975

Awardee: Christine Kiruthu-Kamamia

Site: Lighthouse Trust, Lilongwe, Malawi

The Problem: Adherence and viral load suppression among adolescents remain a challenge due to multiple barriers experienced by adolescents.

The Seed: Games and toys for the Teen Club, and play therapy toys for the Gender-Based Violence (GBV) One-Stop Center

The Growth: Supportive games and sports will entice adolescents living with HIV to attend the Teen Club frequently to learn positive lifestyle habits and skills. Psychosocial therapists can offer more culturally appropriate and child-centered tools in therapy and service delivery to children who have experienced GBV.

Improving Care for Women and Children at a Referral Hospital

Title: Improving privacy and care for women, and favorable health outcomes for neonates and malnourished children

Award: $715

Awardee: Dr. Benson Singa

Site: Migori County Referral Hospital, Migori, Kenya

The Problem: 

The Seed: Portable room heaters, blood pressure machines, neonatal pulse oxymeters, and materials to partition consultation rooms.

The Growth: The additional heaters will reduce the risks of recovering malnourished children from developing hypothermia and will decrease hospitalization time. The essential monitoring equipment will ensure healthcare providers can provide life-saving interventions when needed and improve neonatal health outcomes. Partitioning the consultation rooms for antenatal and HIV services will increase efficiency in service delivery to multiple patients at a time and improve patient privacy.

Engaging Women and Adolescents with Digital Health Education Content

Title: Enhancing waiting room experiences for women and adolescents

Award: $960

Awardee: Dr. Nelly Mugo

Site: Partner in Health Research and Development Research Site, Thika, Kenya

The Problem: Long patient wait times and lack of engagement can have negative impacts on adolescent participant retention in clinical research studies.

The Seed: Flat screen TVs with USB flash drives to play health education content (i.e. sexually transmitted diseases, safe sex, nutrition) and a phone charging station.

The Growth: More informative content in the waiting rooms will help adolescents stay engaged with their providers about their health needs. The charging station will entice adolescents to adhere to their clinical visits.

Providing Clean Water to Enhance Experiences of Pregnant Mothers

Title: Improving infrastructure to support maternity care

Award: $950

Awardee: Brenda Wandika

Site: Mathare North Health Centre, Nairobi, Kenya

The Problem: Frequent water shortages at this 24-hour health facility make meal preparation, laundry, and proper handwashing challenging. Inadequate equipment to monitor maternal and fetal health during labor delivery.

The Seed: A 3,000-liter water storage tank, a digital blood pressure monitor, and a doppler fetal monitor.

The Growth: The availability of food and clean linens will improve delivery experiences for expectant mothers. Improved hand washing will prevent infections among mothers and infant patients. Due to unforeseen challenges from the COVID-19 pandemic, the water storage tank was not purchased. The medical equipment will allow for early detection, diagnosis, and referral of fetal complications and improve health outcomes.

Purchasing Emergency Response Equipment

Title: Emergency response equipment for the FIT/STEP-UP Study

Award: $975

Awardee: Emma Otieno

Site: Yala Sub County Hospital, Yala, Kenya

The Problem: A lack of resources to provide a coordinated emergency response causes delayed and in some cases, inappropriate care to sick children and mothers, increased likelihood of preventable hospital admissions, increase treatment costs, and long-term morbidity and mortality.

The Seed: Basic emergency equipment, such as an oxygen concentrator, a suction machine, and a pediatric sphygmomanometer.

The Growth: Reduces the number of preventable deaths of mothers, newborns, and children under age five.

Improving Emergency Response in a Maternity Ward

Title: Improving the emergency response in the Maternity Ward

Award: $1,000

Awardee: Ednah Ojee

Site: Mathare North Health Centre, Nairobi, Kenya

The Problem: Lack of a central space to store emergency obstetric care and infant resuscitation equipment, causing delays in nurses to move materials between patients in need of immediate care.

The Seed: Emergency equipment trolley with storage shelves.

The Growth: The improved emergency response time will reduce maternal-child morbidity and mortality.

Expanding Hospital Space for MCH and TB Care

Title:  Refurbishing hospital space for TB and MCH care

Award: $998

Awardee: Matemo Daniel

Site: Lumumba Sub County Hospital, Kisumu, Kenya

The Problem: Limited space to provide care to a high volume of maternal-child patients in a high HIV and tuberculosis (TB) burdened region.

The Seed: Renovation of a 10×20 foot container to outfit two rooms for clinical and laboratory procedures.

The Growth: Reduces patients’ wait times as more patients can be seen at once, ensures patient privacy during procedures, and improve care delivery services including TB screening and HIV drug adherence counseling.

Improving Perinatal Monitoring Capacity for Maternal-Neonatal Health

Title: Improving perinatal monitoring capacity

Award: $1,000

Awardee: Judy Onyango

Site: Mathare North Health Centre, Nairobi, Kenya

The Problem: Inadequate equipment to monitor blood pressure and pulse rate of pregnant mothers and infants.

The Seed: Patient vital signs monitor with a mounted fixed cart, and a handheld neonatal fetal heart monitor.

The Growth: The modern, portable equipment will benefit the nurses providing care and will allow for early detection, diagnosis, and referral of fetal complications and improve maternal-neonatal health outcomes.

Purchasing Resources to Improve Out-Patient Care Delivery

Title: Purchasing resources for the Antibiotic Use in Children with Severe Diarrhoea (ABCD) study

Award: $950

Awardee: Karoli Lwanga

Site: Mbita Sub County Hospital, Mbita, Kenya

The Problem: The hospital’s out-patient ward lacks the equipment to manage patients efficiently.

The Seed: Pediatric charts and toys, fresh paint, blood pressure machines, anthropometric equipment, pulse oximetry, a wheelchair, and a TV for the waiting room.

The Growth: The items will benefit women, children, and infants in various ways.  The availability of equipment will improve patient care delivery and assist healthcare workers to manage patients more efficiently and improve patient satisfaction. Pediatric patients can receive accurate drug dosing based on their weight and height. Pregnant women have the option to be wheelchaired to the maternity ward. Hospitalization time will decrease among children recovering in a calm and comfortable environment. Emergency obstetric equipment will allow early detection, diagnosis, and treatment to improve health outcomes.



Improving Hygiene and Comfort at a Pediatric Patient Ward

Title: Painting the inpatient pediatric ward and water closets

Award: $997

Awardee: Dominic Bosire

Site: Katito Subcounty Hospital, Kisumu, Kenya

The Problem: The existing in-patient ward lacks washrooms for patients, who must use the latrines in the out-patient block.

The Seed: Utilize available space in the in-patient ward to install a water closet and drainage system that connects to the facility’s septic tank.  Add a fresh coat of colorful paint for the pediatric ward water closet, so children feel comfortable when using it.

The Growth: Improved hygiene and comfort as in-patients gain exclusive access to their own bathrooms.  Healthcare workers no longer need to accompany patients to the outdoor latrines after dark and can dedicate more time to patient care.

Purchasing Essential Medical Equipment

Title: Purchasing essential medical equipment

Award: $998

Awardee: Dr. Anfilled Agwanda

Site: Nyakach County Hospital, Kisumu, Kenya

The Problem: The health workers have limited quantities of medical equipment that is shared between multiple departments.

The Seed: Funds to purchase a digital thermometer, blood pressure machine, sterilization equipment, manual vacuum aspiration (MVA) kit, weighing scale, wheelchair, and dressing kit.

The Growth: The additional equipment will speed up medical diagnoses and improve patients’ care environments, particularly for patients in critical care situations.

Enhancing an HIV Counseling and Testing Room

Title: Furnishing the HIV counseling and testing room in the Postnatal Ward

Award: $919

Awardee: Dr. James Mburu Kang’ethe

Site: Kenyatta National Hospital, Nairobi, Kenya

The Problem:  The facility lacks comfortable seating for patients and healthcare providers to work, leading to complaints of physical discomfort and adverse impacts on the quality of HIV care and treatment provided.  Supplies and resources used during appointments do not have secure storage space.

The Seed: Comfortable and adequate furniture (a table and softer chairs), a lockable storage cabinet, a modern sink for washing hands, and a modern soap dispenser.

The Growth: Immediate improvements in the patient care environment, resource security, and infection prevention.



Promoting Exclusive Breastfeeding in a Welcoming Space

Title: Promoting Exclusive Breastfeeding Among Working Mothers

Award: $990

Awardee: Eliud Akama

Site: Kenya Medical Research Institute, Nairobi, Kenya

The Problem: The health workers promote breastfeeding for optimal growth in the populations they serve, yet they are unable to offer opportunities for breastfeeding among working mothers for their infants.

The Seed: A calm, welcoming breastfeeding room with newly painted walls, comfortable seating, a cabinet, countertop, sink, electric kettle, and refrigerator for storing breast milk.

The Growth: Working mothers will have a dedicated space for breastfeeding, leading to healthy growth and development of their babies, and potentially increased empowering conversations around breastfeeding among staff and to patients.

Renovating a Pharmacy to Improve FP and MCH Patient Services

Title: Enhancing Patient Experiences at Rabuor Subcounty Hospital

Award: $990

Awardee: Maureen Akinyi Ochieng

Site: Rabuor Subcounty Hospital, Kisumu County, Kenya

The Problem: Multiple service departments are in need of renovation to improve efficiency and efficacy of care to patients.

The Seed: Chairs to comfortably seat pharmacy staff and clients during medicine dispensation. Plywood to install storage shelves for medication and partitions to improve integration among the hospital’s family planning and maternal-child health service areas.

The Growth: Patients seeking a variety of health care services will have a more comfortable experience, particularly young women who will have more patient privacy and attention from family planning health workers.

Bridging Gaps in Patient Diagnostic Equipment

Title: Bridging Gaps in Patient Diagnostic Equipment

Award: $997

Awardee: Jennifer Muhanji

Site: HIV Care Clinic at Pandi-Pieri Health Centre, Kisumu, Kenya

The Problem: The clinic has insufficient equipment, resulting in sharing tools among departments and difficulty in offering quality health services to patients.

The Seed: An up-to-date diagnostic set exclusively for the clinic’s use and furniture for more comfortable patient experiences.

Improving Patient Management and Treatment Systems

Title: Improving Patient Management and Treatment Systems

Award: $947

Awardee: Dr. James Mburu Kang’ethe

Site: Reproductive Health Clinic 66 at Kenyatta National Hospital, Nairobi, Kenya

The Problem: Due to increased patient volumes, many patients leave the clinic without having accessed the full care package for HIV treatment.

The Seed: A queue management system to improve patient flow and ease of access to all service delivery points at the clinic.

The Growth: Improved management and clinical treatment of HIV infected mothers and infants.

Strengthening Delivery of Adolescent Peer Support

Title: Strengthening Delivery of Peer Support for Adolescents

Award: $424

Awardee: Dr. Manasi Kumar, Dr. Judy Machuka, Nduku Wambua, Otsetswe Musindo, Dr. David Bukusi (University of Nairobi and Kenyatta National Hospital)

Site: Comprehensive Care Clinic (CCC) at Kenyatta National Hospital

The Problem: Unmet needs within CCC’s peer support groups for adolescents living with HIV impact how peer mentors (a critical group of providers) to bridge gaps in needs of young people, including transitioning to adult care clinics or addressing disclosure issues.

The Seed: Art supplies, games, puppets, beadwork supplies, hygienic items, camera, and digital audio recorder as tools to improve patient engagement.

The Growth: Young patients will have stimulating ways to engage with peer mentors, leading to improved HIV treatment adherence and psychosocial outcomes.

Accelerating Recovery Time Among Hospitalized Children

Title: Accelerating Recovery Time Among Hospitalized Children

Award: $990

Awardee: Dr. Joyce Wangari Ng’ang’a

Site: Migori County Hospital, Kenya

The Problem: Migori County Hospital faces barriers to inpatient clinical management of a high volume of acutely ill and/or malnourished children.

The Seed: Oxygen concentrator and nebulizer for additional respiratory support care. Toys, mats, multilingual informational posters, and space heaters for the play therapy room.

The Growth: Sufficient medical equipment and the incorporation of psychosocial stimulation through play therapy advances recovery among ill children.



Creating a Maternal Waiting Room

Title: Creating a Maternal Waiting Room to Encourage Assisted Births

Award: $952

Awardee:  Getnet Mequanint

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

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

Managing Pediatric Diagnoses and Management

Title: Managing Pediatric Diagnoses and Management

Award: $960

Awardee: Daisy Chebet

Site: Kenya Pediatric Studies at Kenyatta National Hospital, Nairobi, Kenya

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

The Growth: 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.

Enhancing the Somali Health Board Office

Title: Enhancing the Somali Health Board Office (SHB)

Award: $639

Awardee: Ahmed Ali

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 Seed: Funds for a laptop and digital scanner to the Somali Health Board.

The Growth: SHB is now able to access digital resources at meetings, presentations, and events and to 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.

Minimizing Infections Acquired in the Pediatric ICU

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

Award: $900

Awardee: Dr. Rashmi Kumar

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

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

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

The Growth: 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.

Upating a Patient Waiting Bay and Examination Room

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

Award: $1,000

Awardee:  Teresa Nderi

Site: Karen Health Centre, Nairobi County, Kenya

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

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

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

Addressing Pediatric Equipment Shortages

Title: Addressing Basic Equipment Shortages in KNH Pediatric Unit

Award: $964

Awardee: Hellen Okinyi

Site: Kenya Pediatric Studies, Kenyatta National Hospital, Nairobi, Kenya

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

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

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

Mental Health Engagement for Children

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

Award: $900

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

Site: Department of Mental Health at Kenyatta National Hospital, Nairobi, Kenya

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

Digitizing HIV DNA Lab Results

Title: Web-Based Tracking of HIV DNA Lab Results

Award: $1,000

Awardee: Sally Nyaboke Mogire

Site: Pediatric HIV Care Clinic at Kisumu East District Hospital, Kenya

The Problem: There are 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 Seed: 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 Growth: The clinic will have direct access to HIV DNA results in the shortest possible time, allowing for safer diagnosis and treatment.



Improving a Waiting Room Experience

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

Award: $80

Awardee:  Dr. Peter Maingi

Site: VCT and HIV Prevention Unit, Kenyatta National Hospital, Kenya

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

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

Making a Clinic More Child and Adolescent Friendly

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

Award: $1,000

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

Site: Comprehensive Care Clinic at Kenyatta National Hospital, 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 Seed: The team worked together to refurbish the Gazebo by painting and adding whiteboards, tables, chairs, and board games.

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

Reducing Pediatric Inpatient Case Fatalities

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

Award: $992

Awardee: Dr. Liru Meshack

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

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