SAFE HANDS KENYA - OVERVIEW 27 APRIL 2020 The Problem: COVID-19 risk is highest in low-income communities with limited sanitation – and social distancing will not work

Population with no handwashing facilities in or near the home

Baringo 93 For millions in Kenya, social Bomet 92 Bungoma 80 Busia 77 distancing will not work in the fight Elgeyo Marakwet 91 Embu 85 Garissa 91 against COVID-19. Homa Bay 86 Isiolo 61 Kajiado 73 Kakamega 92 Kericho 85 Three big problems prevent this: Kiambu 59 Kilifi 84 Kirinyaga 79 Kisii 97 1. Lack of sanitation options, e.g. Kisumu 82 Kitui 90 Kwale 93 running water, sewerage Laikipia 80 Lamu 80 Machakos 84 Makueni 95 management. Mandera 93 Marsabit 93 Meru 65 Migori 96 2. Unavoidable physical proximity Mombasa 81 Murang’a 91 56 in informal communities Nakuru 81 Nandi 90 Narok 95 Nyamira 95 Nyandarua 88 3. Economic fragility forces people Nyeri 80 Samburu 98 Siaya 78 to work despite health potential Taita Taveta 63 Tana River 88 Tharaka-Nithi 86 health risks. (Daily Wage Trans Nzoia 93 Turkana 93 Near Handwash Uasin Gishu 86 Workers) Vihiga 84 No Handwash Wajir 98 West Pokot 94 Typical Low Income Neighbourhoods

KIBRA Background: Estimated to be the largest informal settlement in Africa. Housing: 12’ x 12’ shack, 6-7 pple Area: 2.5 KM2 Population: 300,000 – 500,000

DANDORA Background: Principle dumpsite for Nairobi city, enviromental and waste related hazards. Area: 4 KM2 Population: 110,000 Objectives: Provide products immediately – at no cost – and with depth and breadth of reach

The coalition partners will commit to 3 guiding principles:

1 2 3 Suspension of the “Last mile” Speed profit motive saturation

This project will ensure The project’s supply chain bypass The project aims to provide vulnerable Kenyans access traditional flows to respond to products to all Kenyans, especially critical sanitation products at urgent need and provide quick those in at-risk communities and no cost mitigation to the crisis hard to reach areas

To sustain an intervention of this scale, the coalition will have a fully-funded supply chain for the duration of the crisis The solution: Rapid mass sanitation via three-pronged approach

1 Large-scale distribution of FMCG products: soap, hand sanitizer, surface disinfectants and Masks

RAPID MASS 2 SANITATION Sewage extraction

3 Water supply

This project is focused on large-scale distribution of FMCG sanitation products Consumer behavior: Adopt best practice to spur behavior change

Project will ensure every Kenyan, particularly those in hard to reach ACCESS areas, are able to access the products by leveraging organizations community trust and extensive last-mile distribution

The project will sensitize end-users on the importance and effective CONSUMER usage of hygiene and sanitation products by using right medium, content, and a EDUCATION compelling message

USER The project will leverage human-centered design principles to shape EXPERIENCE product and delivery design improving adoption, tracking distribution at a granular level, and ensuring a learning feedback loop Unique Approach to a Unique Problem

Weights 40% 25% 5% 0% 25% 5%

Share of Population Density Latrine use (all No water piped Makeshift ESI informal (% of highest) types), % into dwelling, % Houses, % Sublocation code Location Subloc Population employment 11224 SILANGA SILANGA 17,363 36.6 60% 31% 93% 95% 99% 11271 GATWIKIRA SERANGOMBEGATWIKIRA 24,988 47.8 72% 25% 96% 99% 97% 11231 LAINI SABA LAINI SABA LAINI SABA 28,180 47.2 64% 29% 98% 95% 99% 13272 4A RUARAKA MATHARE 4A 18,776 51.8 73% 27% 42% 96% 74% 11222 LINDI KIBERA LINDI 35,143 47.1 59% 26% 98% 95% 99% 13253 NYAYO KOROGOCHONYAYO 9,835 44.4 44% 34% 91% 98% 87%

Data Driven Approach to Prioritization • Weighted Indeces • Economic Security • Pop. Density • Employment • Water/Latrine Availability • Home Structure

Fully visible ‘last mile’ coverage of distribution Network • Only SHK have visibility We have rolled out a major consumer awareness & behaviour change campaign – #TibaNiSisi (“We are the cure” in Swahili)

Campaign involves both above- and below-the-line activities: • Significant creative content development and distribution via partners (posters; TVCs; print newspaper ads; billboards; radio) • Large social media presence for #TibaNiSisi brand • Engaging celebrity influencers around campaign – initially in Kenya Messaging is targeted at driving best practice adoption & positive behavioural change in a way that is relevant to target audience

Posters reinforce behaviour change messaging and dispel myths

Example content from SHK partner on the correct use of Celebrity influencers used to face masks amplify campaign & demonstrate correct product use Online content relates best practice back to viewers’ life, challenging them to adapt their own behaviours All on-ground activities and consumer engagement falls under the #TibaNiSisi brand.

Cleaning team from local partner in (Nairobi) prepare to use Handwashing at one of the handwash disinfectant spray in public areas Disinfecting handwash stations at local shops stations delivered by SHK

Residents read #TNS hygiene signage at entry gate to compound Grafitti artist paints mask messaging Disinfecting public spaces and playgrounds Achievements (SHK & Coalition Partners)

 54,000 Bars of Soap, 2,000 Lts Sanitizer & 2,000 Lts Surface Disinfectant (Kibra)  Door to Door Delivery with SHOFCO  110,000 Bars of Soap, 3,000 Lts Sanitizer + 8,000 Lts Disinfectant (Dandora)  Public Hand Washing Stations  Public Area Sanitization  200,000 Masks (TBD)  All of Nairobi Informal Settlements Coverage by End May (2,7m pple) Challenges/Learning

 Changing Regulatory Landscape  Ease of Movement  Regulation on food/material donations  Inputs  Importation of inputs at scale  Local & Global Availability  Be Ready to Plug in  Multiple efforts, all solving for the greater good.  Move Fast But Be Agile  There is no Silver Bullet Coalition Members as of 27th April 2020

INPUT SUPPLY CONSUMER PRODUCTION DISTRIBUTION CHAIN EDUCATION

LEADERSHIP & PROJECT MANAGEMENT Thank You For more information on AVPA & our various initiatives please contact one of the following individuals:

South Africa: Dr. Frank Aswani – [email protected] Kenya: Nancy Kairo – [email protected]

@_avpa_ @Faswani