... Figure3.4Projectteammembers‐fromLtoR:Datamanager;laboratory;projectteam(Kisumu)(Photocredit:BruceN,2009) In respectofthecurrent(integratedW&S and HHE)project,SWAPhasonefieldoffice,located in Nyando and managedbytheFieldOfficer,MarthaGembo.ThefieldofficerworkscloselywithNICHE and withthecommunities,beinginvolvedwithcommunitymobilization and ETL training, promotion and selling(atwholesale)tovendors, and in counselling, and also in implementing and supportingtheresearchactivities.Promotion and sellingofproductsisviaHIVsupportgroups and othercommunityselfhelpgroupswhoareengagedasvendorsofhealthproducts,followingcapacitybuilding(seeSection3.4).Thevendorsdrawnfromthesegroupsaremostlywomen,becausewomentraditionallyhavebeenthecaretakersofthesick,orphans, and aretheoneswhotakeresponsibilityforobtainingwater and cooking.Thereareafewgroupswhoaremixedwithbothmen and womenparticipating.Menarealsoinvolvedduringorientationworkshops and communitymeetings.Thisevaluationwasnottaskedwithcarryingoutdetailedassessmentofproject and financialmanagementprocedures,etc.However,alloftheseaspectswerereviewedthroughtheinterviews,viewingofsomerecordsofactivity, and observation.Theprojectappearstobewellmanaged,staffaremotivated and happy and goodrecordsarekeptatboththeKisumu and Nyando(field)offices.Initially,SWAP and NICHEweremanagedquiteseparately,butarenowmoreintegrated.Thespecificmethods,fieldactivities,datavalidityforNICHEwerealsonotevaluatedcomprehensively,althoughsomeaspects–notablythoserelatingtoHAPassessment,HWT ... Toexplorewhetherornotitispossibletoachievesynergies and economiesofscalebylinkingHWT and IAQinterventions2. Toexaminethepotentialforexpansion and scalingup in theimplementationof projects combiningtheseinterventions3. ... 49use and testing, and thesurveillanceforhealthoutcomes–havebeendiscussed in somedetailwithstaff.Issuesthoughttobeofparticularrelevancearereported in Sections3.5 and 3.7.3.4Education(health),productpromotion and finance(loans)Education and productpromotioniscentraltothisproject.Thekeypeople in termsofdeliveringthisarethevendors,whohavebeentrainedbySWAPprojectstaff.ThevendorsareindividualsidentifiedfromHIVsupport and communitygroups(typicallytwoindividualspervillagecommunity)mostofwhomarewomen, and whoarealreadyinvolved in someformofbusinessactivity,forexamplesellingagriculturalproduce(Figure3.5).Figure3.5Oneoftheprojectvendors(atrear,right)withtheproject and evaluationstaff.Thisvendorhadoneofthefewkiosksforadvertising and sellingproducts‐mostwoulddosodirectlyfromtheirhomes,whentheyvisit,atmeetings,etc.ThekioskcontainedasmallstockofHWTproducts and stoves.(PhotoCredit:BruceN,2009)Initially,visitsaremadetothegroupswhereSWAPisintroduced and allitsproductsarepromoted,emphasizingthehealth and economicimpacts.Thegroupsareencouragedtousethisasanincomegeneratingactivity and atthesametimeimprovetheirownhealth.The'EducationThroughListening'(ETL)methodisusedforallteaching.ETLisamethodthathasbeendevelopedbyCDC/DrBobbiePerson(SeniorBehaviouralScientist,CDC,Atlanta),whichplacesemphasisonencouragingthehouseholder/potentialcustomertothinkabouttheirsituation and needs and howtheymightbeabletomeetthesewiththeproductsavailable.Onceagroupbecomesavendortheyqualifyfor training. Training coverssafewater(oneday training fortheentiregroup), and anintroductiontomicrofinanceservices,sincesomegroupsreportedthattheydonothaveenoughcapitaltopurchasetheproducts.OncetheyregisterwithKRep(theorganisationofferingMicrofinanceservices) and qualifyforaloanafteratleasteightweeksofsavings,theyundergo training in businessskills.Thisprovidesbasicskillsonhowtomanageasmallscalebusiness,generationofbusinessideas,marketing,recordkeeping, and soon.Duringthebusiness training, theywillbetakenthroughalloftheproductsagain,theirusedemonstrated, and healthbenefitsexplained,togetherwithhowtheycanturnvendingtheseproductsintoanincomegeneratingactivity.Aclearmessagefromtheprojectisthattheproductswillnotbefreegive‐aways, and animportantissuehasbeenhowhand‐outsfromanumberofotherNGOs and aidorganizations(especiallyduringfloods, and drought)haveinterferedwiththemarketsustainabilityofSWAP'sactivities....