EA Cameroon - COVID-19 Awareness and Prevention in the Santa Division of Cameroon Project Proposal

post by brb243 · 2020-07-25T20:19:01.733Z · score: 58 (28 votes) · EA · GW · 12 comments

Contents

    August 7 update:
    July 25 update:
    Feel free to comment on any of this material.
    July 9 update:
  deliberate carefully, potentially donate now
None
12 comments

August 7 update:

We are waiting for funds processing at the Cameroonian bank headquarters. We will update when the funds can be collected and the project can start.


July 25 update:

We (at least temporarily) stopped fundraising. Based on the raised amount USD 3,650 (after the GoFundMe 2.9% + $0.3/transaction processing fee, including a USD 640 bank-transfer donation), we updated the tentative budget:



After one month, we will estimate the cost-effectiveness of the campaign and compare it to that of the DMI's COVID-19 program. If the cost-effectiveness may be comparable, we will see if we can meet any remaining project needs with the remaining funds (USD 1,040, or 28% of the currently available amount), if we require further funding, or if campaign should be extended to other areas. If DMI's program is more cost-effective, we will inquire funders of the remaining amount about further steps.

Currently, newspaper poster & flyer graphics are finalized, radio show transcript is almost finalized, detailed information about COVID-19 preventive measures for community leaders can be shared in its current form, and M&E baseline and midline questionnaires are drafted.

Feel free to comment on any of this material.

We are waiting for bank transfer processing. Ideally, we would like to start the program at the end of next week.


July 9 update:

The Development Media International's COVID-19 prevention campaign (28:52) uses, marginally, about USD 0.017/person informed. The cost per life saved is between $50 and $1,000 (31:55–32:20). In comparison, EA Cameroon's cost is USD 0.0283/person. However, EACAM adds personal delivery of informational flyers to local community leaders, workshops on making own masks, and newspaper articles. Also, if only some of the activities to inform the Santa community are selected, the cost/person will decrease. Thus, donating to EA Cameroon for the COVID-19 prevention campaign may be the most cost-effective way to provide a quality life that is currently available.

Counterarguments: However, newspaper articles may already exist (as per EACAM, none on prevention), flyers may be too few (if shared in-person while talking with local community leaders, the flyers may be well regarded), and workshops may be better run via radio (it may be difficult to explain what piece of fabric to put where, videocalls are not possible because of very low smartphone/computer use).

So,

deliberate carefully, potentially donate now

Use the GoFundMe link above or message brb243 [EA · GW] if you wish to donate via a US or EU bank transfer or an international transfer to Cameroon.

--> Also, please, do let us know why you choose to support any parts of this project or to refrain from doing so. Also, please tell us if we can help even more cost-effectively. We can possibly make it happen.


Summary

EA Cameroon aims to inform 180,000 individuals in the Santa Division of Cameroon about COVID-19 and its prevention measures. Since virtually no prevention information has been shared so far, we aim to reduce new coronavirus cases 35×. For 4 months, we plan to run 3 talk shows in local languages per week, post one infographic article in local newspaper per week, distribute 1,000 flyers to local community leaders, and run 2 workshops on making own masks.

We have radio talk show experience, infographic writing skills, community connections, organizational expertise, and relevant linguistic knowledge. The only thing that is missing is funding.

We require USD 5,090 (USD 0.0283/person) to manage all of these prevention measures. This includes all costs and overhead.

Please donate now via GoFundMe, or message brb243 [EA · GW] for US and EU banking details. Let us know regarding any possible support (for particular activities or otherwise) or feedback in the comments below, at ea.cam@yahoo.com or call Alex at +237652263908. We will appreciate any prompt responses since in Cameroon, coronavirus cases are increasing at the second highest rate in Africa (after South Africa).



Project details

EA Cameroon plans to inform 180,000 individuals in the Santa Division of Cameroon about COVID-19 and its prevention measures. We aim to reduce new coronavirus cases 35× (https://www.washingtonpost.com/nation/2020/05/15/social-distancing-study-coronavirus-spread/).

We (core EA Cameroon and trusted community volunteers) plan to manage these 4 activities for 4 months:

· Run 3 30-min radio talk shows per week in local dialects, Pidgin English, and English.

· Write weekly COVID-19 situation update and prevention reminders in local newspapers.

· In-person distribute 1,000 flyers to trusted village leaders while raising their awareness of COVID-19 and talking to them about effective prevention measures that they can share with their communities. We will trek to several communities because of poor conditions or the absence of roads.

· Run 2 workshops on making own masks while maximizing social distancing.

At the time of submission of this proposal, none of these four measures took place in the Santa Division. Social distancing has not increased: people are crowded in the markets, at local njangi (associations), shops, funerals, etc. Only one in five wears a mask. Further, citizens hesitate to trust government statistics on the disease.

Concurrently, COVID-19 cases in Cameroon are increasing at the second highest rate in Africa (after South Africa), with regards to daily surge. On July 6, 2020, Cameroon has confirmed 13,711 cases. The death toll from the virus rose to 328 after 22 more patients died in the last 24 hours. 11,114 patients are currently recovering. The Santa Division has confirmed 720 cases, 350 recoveries, and 28 deaths.

We propose to leverage existing human and information infrastructure resources to reverse the trends in the spread of COVID-19 in the Santa Division of Cameroon (villages Akum, Meforbe, Santa, Pinyin, Njong, Bamock, and Mbei).


Our Track Record

EA Cameroon comprises experts from various fields who are caring, loving, and aimed at doing good to humanity and the environment. Since 2017, we have been assisting the poorest members of the Santa Division’s rural communities to meet their various needs. With little available resources and extensive local knowledge, we maximize our operational cost-effectiveness, responding to the greatest and most neglected needs.

Relevantly to the proposed project, last month, we distributed 180 masks to people in 4 communities. Recipients are wearing them. Unfortunately, most persons had to be turned down because of the mask shortage. Thus, running workshops on making own masks from available materials may be more suitable in Santa.

In the past, we run radio talk shows on climate change, children’s rights, and gender equality. Our members speak many of the local dialects and can organize translation into languages that we do not speak. We will be delighted to share WHO Africa’s COVID-19 prevention recommendations with our friends who shall be happy to hear from us again.

Additionally, we can make COVID-19 prevention infographics for local newspapers, publishing them as ads. We can adjust these as flyers that we plan to bring to and talk about with village leaders that we meet through our connections.

Traditionally, we have relied on local sources and volunteer commitments to run our activities, building on existing community assets to improve the community life. However, the COVID-19 Awareness and Prevention project requires external support. Since other actors are not likely to step in at this point of the local coronavirus spread, or at all in remote villages, we offer a great opportunity for making cost-effective impact in COVID-19 prevention.


Other Team Members

[July 21, 2020 edit] In addition, Bara Hanzalova (brb243 [EA · GW]), an EA volunteer with 8 years of international development work and study experience, is supporting this project online.

[July 26, 2020 edit] Pim, an instructional designer, is working on the graphic design.

[August 7, 2020 edit] Malvya Chintakindi and Sayak Khatua of 3ie are consulting on impact evaluation.


Proposed budget



Contact details

E-mail: ea.cam@yahoo.com

Phone: +237652263908 (Alex Gwanvalla, EA Cameroon organizer)

Please contact us anytime (or comment below) with any collaboration offers or/and feedback on our activities. We welcome any support, for particular measures or otherwise.

12 comments

Comments sorted by top scores.

comment by John_Maxwell (John_Maxwell_IV) · 2020-07-10T03:29:28.066Z · score: 8 (5 votes) · EA(p) · GW(p)

This looks like a great initiative!

I noticed that based on the link in your EA Forum profile, you're located in the Czech Republic--would you mind talking a bit about your relationship with EA Cameroon?

comment by brb243 · 2020-07-10T16:19:51.856Z · score: 1 (1 votes) · EA(p) · GW(p)

Sure! I am currently connecting with EAs in sub-Saharan Africa with the intention of building the EA community there. During these conversations, I identified a project that the EA community may be interested in and offered to edit the writing of EA Cameroon.

comment by vaidehi_agarwalla · 2020-07-20T01:46:20.483Z · score: 5 (3 votes) · EA(p) · GW(p)

Meta-level: It might help to add a section on the top explaining the above so the relationship is clear.

comment by brb243 · 2020-07-21T17:39:55.371Z · score: 3 (2 votes) · EA(p) · GW(p)

Added the [July 21, 2020 edit] to the Our Track Record section that talks about the team.

comment by RayTaylor · 2020-07-20T11:52:53.555Z · score: 3 (2 votes) · EA(p) · GW(p)

It's nice to see the photo - is that the team, and are there more details about the people doing the project somewhere?

What will be the monitoring and evaluation of outcomes, and how will spending be accounted and tracked.

comment by brb243 · 2020-07-21T18:06:13.804Z · score: 1 (1 votes) · EA(p) · GW(p)

Hello Ray,

That is a part of the team. Community leaders (not pictured) will be also engaged in recording the show in local languages and answering questions regarding details of any of the preventive measures in their local communities.

The idea is to collect baseline data on following the preventive measures (and case incidence, if possible) in a town within the radio and newspaper reach and in a comparable town outside of the reach of the two. After one month, the results will be evaluated and further steps taken accordingly.

The spending will be accounted and tracked by EA Cameroon. It may be a great idea to post updates on spending.

comment by John_Maxwell (John_Maxwell_IV) · 2020-07-20T06:56:51.977Z · score: 2 (1 votes) · EA(p) · GW(p)

Since you requested feedback, here are some quick thoughts:

While I very much hope Cameroon is able to bring COVID under control, it seems like this could be difficult based on what we've seen in other countries. So the part of your plan that I'm most optimistic about is the mask making, because I think that could save lives even if COVID is not brought under control. Somewhere I read (can't remember where unfortunately) that if you wear a mask, then you'll end up inhaling a smaller number of viral particles if you get exposed to an infected person, and inhaling a smaller number of viral particles tends to give you a milder case, which means you're more likely to acquire immunity without putting your life at risk.

So I'd encourage you think about questions like: After we practice explaining the mask-making process in our workshops, can we find a way to explain mask-making via radio / flyers / newspaper articles? Or can we tell everyone at our mask-making workshops that they should run their own mask-making workshops for their family and friends and so on, so the mask-making knowledge spreads through the population that way?

Additionally, from what I've read some homemade masks are much more effective than others. Some snippets from my notes on mask effectiveness:

The test produced a few clear winners. While droplets from the average cough traveled around eight feet from an uncovered face, they went only 2.5 inches when produced behind a mask made of two layers of simple cotton quilting fabric. A mask made from a folded handkerchief produced droplets that traveled a bit over a foot. A loose, single-ply cotton bandana didn’t fare as well: While it prevented some fluid release, the cough’s plume still traveled nearly four feet.

“Whenever you have the option, use tightly woven fabric that has minimal leakage,” Verma concludes. “Any sort of covering is better than none.”

https://www.nationalgeographic.com/science/2020/07/how-to-make-coronavirus-masks-that-everyone-will-want-to-wear-cvd/

Thicker, more densely woven cotton fabrics are best, such as quilting cotton or cotton sheets. Stretchy knits aren’t ideal. Hold the fabric up to the light: The fewer tiny holes you can see, the better it will work to filter droplets.

https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-face-masks-what-you-need-to-know

The fabric should be a woven fabric, not a knitted fabric. What’s the difference? Woven fabrics don’t stretch much, so when you tie it around your face, the tiny holes between the threads don’t get bigger and let in more viruses.

https://www.sleepphones.com/Comfortable-Coronavirus-Face-Mask-Beard-Glasses-Fogging

In recent tests, HEPA furnace filters scored well, as did vacuum cleaner bags, layers of 600-count pillowcases and fabric similar to flannel pajamas. Stacked coffee filters had medium scores. Scarves and bandanna material had the lowest scores, but still captured a small percentage of particles.

If you don’t have any of the materials that were tested, a simple light test can help you decide whether a fabric is a good candidate for a mask.

“Hold it up to a bright light,” said Dr. Scott Segal, chairman of anesthesiology at Wake Forest Baptist Health who recently studied homemade masks. “If light passes really easily through the fibers and you can almost see the fibers, it’s not a good fabric. If it’s a denser weave of thicker material and light doesn’t pass through it as much, that’s the material you want to use.”

...

Dr. Wang’s group tested two types of air filters. An allergy-reduction HVAC filter worked the best, capturing 89 percent of particles with one layer and 94 percent with two layers. A furnace filter captured 75 percent with two layers, but required six layers to achieve 95 percent. To find a filter similar to those tested, look for a minimum efficiency reporting value (MERV) rating of 12 or higher or a microparticle performance rating of 1900 or higher.

The problem with air filters is that they potentially could shed small fibers that would be risky to inhale. So if you want to use a filter, you need to sandwich the filter between two layers of cotton fabric. Dr. Wang said one of his grad students made his own mask by following the instructions in the C.D.C. video, but adding several layers of filter material inside a bandanna.

Dr. Wang’s group also found that when certain common fabrics were used, two layers offered far less protection than four layers. A 600 thread count pillow case captured just 22 percent of particles when doubled, but four layers captured nearly 60 percent. A thick woolen yarn scarf filtered 21 percent of particles in two layers, and 48.8 percent in four layers. A 100 percent cotton bandanna did the worst, capturing only 18.2 percent when doubled, and just 19.5 percent in four layers.

...

The best-performing designs were a mask constructed of two layers of high-quality, heavyweight “quilter’s cotton,” a two-layer mask made with thick batik fabric, and a double-layer mask with an inner layer of flannel and outer layer of cotton.

...

Bonnie Browning, executive show director for the American Quilter’s Society, said that quilters prefer tightly woven cottons and batik fabrics that stand up over time. Ms. Browning said most sewing machines can handle only two layers of fabric when making a pleated mask, but someone who wanted four layers of protection could wear two masks at a time.

https://www.nytimes.com/article/coronavirus-homemade-mask-material-DIY-face-mask-ppe.html

...adding a layer of nylon stocking over the masks minimized the flow of air around the edges of the masks and improved particle filtration efficiency for all masks, including all commercial products tested. Use of a nylon stocking overlayer brought the particle filtration efficiency for five of the ten fabric masks above the 3M surgical mask baseline...

https://www.medrxiv.org/content/10.1101/2020.04.17.20069567v2.full.pdf

So it's probably worth doing some research to figure out the best mask design from the perspective of effectiveness, ease of explaining how to create, and likelihood that people in the Santa Division will be able to acquire the necessary materials, if you haven't already done this.

comment by brb243 · 2020-07-21T17:55:09.123Z · score: 3 (2 votes) · EA(p) · GW(p)

Hi John,

This is so cool! Actually EA Cameroon has done this research and they recommended using socks. However, all the resources will specify that any fabric works, as long as it covers mouth and nose.

And yes, I should write an update. The mask-making will be explained via radio and also taught to community leaders who will then be able to run the workshops. It is actually a great idea to schedule these workshops. Everyone will be encouraged to share the general information regarding preventive measures.

comment by John_Maxwell (John_Maxwell_IV) · 2020-07-22T03:42:54.148Z · score: 2 (1 votes) · EA(p) · GW(p)

Hm, socks are knitted not woven, right?

comment by brb243 · 2020-07-22T15:08:26.945Z · score: 1 (1 votes) · EA(p) · GW(p)

Yes. In terms of percentage, how less effective are 4 layers of woven fabric in preventing the spread of coronavirus than 4 layers of knitted fabric? Than 2 layers of woven fabric? The idea is to have at least 4 layers of the sock (after folding) or at least 2 layers of other fabric. In preventing breathing in the virus?

comment by John_Maxwell (John_Maxwell_IV) · 2020-07-23T03:30:47.896Z · score: 2 (1 votes) · EA(p) · GW(p)

I have no idea, I already shared my notes above! :) Perhaps the team could reach out to e.g. the author of the Johns Hopkins article?

BTW, I did find this article which argues for knitted masks:

https://stringking.com/face-masks/knit-vs-woven-fabric/

However, I'm more inclined to trust Johns Hopkins. But maybe the author of the Johns Hopkins article would have interesting opinions on the above link.

Edit: Here's more info

https://med.stanford.edu/news/all-news/2020/06/stanford-scientists-contribute-to-who-mask-guidelines.html

comment by brb243 · 2020-07-23T17:38:15.564Z · score: 1 (1 votes) · EA(p) · GW(p)

OK, thank you. Added that better fitting masks made of denser material work better.