Impact

"Quality sleep in children is important for a healthy mind, body and spirit. The work of SCAW provides sleep environments for children in impoverished nations around the world. The CSS supports this important work that will improve the health and wellbeing of children around the world through improving sleep".

- Canadian Sleep Society (CSS)

The SCAW Impact Strategy

The Importance of Sleep

Sleep is a well-documented pillar of health, especially for children. A good night’s sleep has a significant impact on a child’s overall well-being and development. Each $40 bedkit we provide offers a child the chance for better sleep, which in turn helps them thrive. This simple, sustainable intervention brings long-term health benefits, making a lasting difference in their lives. Here are five facts about the importance of sleep for children:

  1. Cognitive Development

    Adequate sleep is essential for cognitive processes like memory, learning, and problem-solving in children.

  2. Emotional Regulation

    Sufficient sleep helps children manage their emotions, reducing the risk of anxiety, depression, and behavioral problems.

  3. Academic Performance

    Children who sleep well tend to perform better academically, showing improved attention, concentration, and overall school performance.

  4. Immune Function

    Adequate sleep boosts the immune system in children, helping them fight off infections and recover from illness more quickly.

  5. Physical Growth

    Sleep is crucial for physical growth in children, as growth hormone is primarily secreted during deep sleep.

“Sleep is like a magical fuel for children.  It has the power to make them feel better, think better and play better.  Let’s give the magic of sleep to every child every night.”

- Dr. Reut Gruber
PhD Psychologist Full Professor, Department of Psychiatry,
Faculty of Medicine, McGill University; Director, Attention Behaviour and Sleep Lab,
Douglas Research Centre, Psychologist at Douglas Mental Health University Institute


Theory of Change

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Primary Theory of Change

Better sleep can improve a child’s health and school performance, lead to more life opportunities, and improve the chances of finding a way out of poverty.

Making a Real Difference

For many children, the gift of a bedkit is life-changing; however, the impact of the Sleeping Children Around the World (SCAW) bedkit program goes well beyond a good night’s sleep, and the subsequent benefits derived. Some of these other benefits of the SCAW bedkit program are summarized in the diagram below.

Detailed Theory of Change

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It should be noted that this detailed Theory of Change is consistent with the following United Nations Sustainable Development Goals:

Goal 1 - End poverty in all its forms everywhere

Goal 3 - Ensure healthy lives and promote well-being for all at all ages

Goal 4 - Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all

Goal 5 - Achieve gender equality and empower all women and girls

Goal 8 - Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all

ref: United Nations, Department of Economic and Social Affairs, The 17 Goals, https://sdgs.un.org/goals


SCAW Sleep Research

Proving the Benefits of Bedkits

It takes a village, not questionnaires, to improve children's sleep health.

- Dr. Reut Gruber

The following published articles document some ongoing research into the approach of using bedkits to address sleep needs for children in developing countries:

  1. Investigation demonstrates that a community-driven approach, such as the bedkit distributions by SCAW, improves the sleep environments of children living in poverty in a developing country, and offers a scalable model for promoting sleep health in low-resource settings.

    ref: Delivering sleep: Bed kit distributions to children living in poverty in Tanzania https://doi.org/10.1016/j.sleepx.2025.100155

  2. This study shows how real progress in sleep health happens when we make small, everyday spaces safer and more consistent—one family and one school at a time.

    ref: Establishing a nurturing micro-sleep environment may positively influence children's overall development  https://doi.org/10.1016/j.sleepx.2025.100162

  3. This article outlines practical, scalable actions (that include providing physical supplies such as those in bedkits) that can be implemented at local, regional, and national levels, to improve children’s sleep.

    ref: It takes a village, not questionnaires, to improve children's sleep health: A commentary on community-driven sleep health https://doi.org/10.1016/j.sleepx.2025.100161


Observed Outcomes

  1. Outcomes for the Child Bedkit Recipient

Each child receives $40 of bedding, clothing, footwear and school supplies sourced at wholesale prices. SCAW estimates each bedkit would cost at least 2 times $40 if items were purchased retail.

Better night’s sleep leads to child being more alert, contributes to improved health:

• Protection from mosquito borne diseases,

• Emotional well-being,

• Better school attendance and school performance, and

• Child knows that someone cares about them.

2. Outcomes for the Family

Entire families benefit when a child receives a bedkit:

• Other family members share mosquito net and other bedkit items,

• Reduced medical costs from fewer cases of malaria - families not having to pay for doctors or medicines for children suffering from malaria, and

• Parent / guardian is able to work rather than needing to stay home to care for a child sick with malaria.

3. Outcomes from Insecticide Treated Nets (ITNs)

From 2011 to 2025, SCAW funded 276,818 long-life ITNs that were given out in Sub-Saharan Africa. Based on the WHO statistics quoted below (Ref. 1), it is estimated that SCAW ITNs during the period 2011 to 2025 have:

Saved 1,550 lives, and reduced the number of malaria cases by over 24,000,

• Provided direct cash savings and incremental earned income to families of CDN $420,000,

• Generated incremental Gross Domestic Product in Sub-Saharan Africa of over CDN $8,400,000, and

• Reduced the burden on public health care systems in countries of distribution from reduced malaria.

4. Outcomes for the Countries of Distribution

Over $61 million directly contributed to developing countries for sourcing bedkits since 1970.

As well, local manufacturing is encouraged, whenever possible, leading to Worker training - workers are trained on new skills (e.g., sewing) that can lead to future employment opportunities.

Other benefits to the country include:

• Ancillary benefits to communities from being made aware of capabilities of overseas partners, and

• Increased awareness of Overseas Volunteer Partners to opportunities to provide other services to these communities.


Impact to Date

(as of February 2025)

Yearly Comparisons


Children Helped (cumulative)

2025
1,916,692

2026
1,995,193

2027
2,062,138 (projected)


World Health Organization (WHO) Studies Show:

1. Saving lives:

Nearly half the world’s population is at risk of malaria, dengue fever or Zika, and children are among the most vulnerable.

Insecticide-Treated Nets (ITNs) have been proven to save lives and protect families. World Health Organization (WHO) and independent reports (Refs. 1, 2 & 3) reveal that using ITNs, compared to no nets:

  • Reduces child mortality from all causes by 17%, a saving of 5.6 lives each year for every 1,000 children protected with ITNs,

  • Reduces the number of uncomplicated episodes of malaria by 82 (46%) per 1,000 ITNs, and

  • Reduces severe malaria episodes by 6.6 (44%) per 1,000 ITNs.

2. Reducing family health care costs:

The prevention, diagnosis and treatment of malaria represents a significant expenditure for poor households, even when there are no or only modest charges for public sector health care.  (Ref. 4, Pg 21)

  • Fewer cases of malaria from children sleeping under an ITN would save families from potentially incurring health care and transportation costs, and benefit health care systems by reducing the need for diagnosis and treatment of children suffering from malaria.

  • Each case of malaria costs households at least US $2.67 in direct out-of-pocket expenses.  

3. Earning more family income:

Reducing malaria frees women from caring for sick family members (2-4 days) and enables them to work and generate income. (Ref. 4, Pg 20 and 21). In sub-Saharan Africa, women make up 60-80% of food crop producers for household consumption and sale. Each case of malaria prevented has been shown to lead to an average of 3.4 days (US$10.85) of income earned that would otherwise be lost (Ref. 4, Pg 21).

Based on the above, a mother losing 3 days’ work to care for a sick child suffering from malaria represents a loss of family income of US$9.57. This can be viewed against the reality that families in malaria endemic countries are often trying to survive on less than US$2.50 per day.

4. Increasing country Gross Domestic Product:

The 2014 Jobin study estimated that every US$1 per capita invested fighting malaria increased per capita GDP by US$ 6.75 (Ref. 5). The Jobin study included Kenya, Tanzania and Uganda.

References:

1. World Health Organization Health Topics, Malaria, December 11, 2024  https://www.who.int/news-room/fact-sheets/detail/malaria
2. Cochrane Library - Cochrane Database of Systematic Review: Insecticide-Treated Nets for Preventing Malaria; Price J, Richardson M, Lengeler C –– Updated review, 2019 https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000363.pub3/full
3. World Malaria Report 2024 (Pages 100-101) https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2024
4. AIM - Action and Investment to Defeat Malaria, 2016 – 2030 – For a Malaria-Free World, developed by the Roll Back Malaria (RBM) Partnership https://www.swissmalariagroup.ch/en/assets/uploads/files/Action%20and%20Investment%20to%20defeat%20Malaria%202016–2030%20(AIM)%20Roll%20Back%20Malaria%202015.pdf
5. Suppression of Malaria Transmission and Increases in Economic Productivity in African Countries from 2007 to 2011, by W. R. Jobin https://pubmed.ncbi.nlm.nih.gov/38764801/


Impact in Their Own Words

Note: To read a full account below, click on its heading.