The Sleeping Children 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:
Cognitive Development
Adequate sleep is essential for cognitive processes like memory, learning, and problem-solving in children.
Emotional Regulation
Sufficient sleep helps children manage their emotions, reducing the risk of anxiety, depression, and behavioral problems.
Academic Performance
Children who sleep well tend to perform better academically, showing improved attention, concentration, and overall school performance.
Immune Function
Adequate sleep boosts the immune system in children, helping them fight off infections and recover from illness more quickly.
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
2. Making a Real Difference
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.
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.
3. Detailed Theory of Change
It should be noted that this detailed Theory of Change is consistent with the following United Nations Sustainable Development Goals:
End poverty in all its forms everywhere
Ensure healthy lives and promote well-being for all at all ages
Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
Impact in Context
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 (Ref: 2) 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.
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.
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.
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. 1, Pg. 20 and Ref 4, Pg 7). 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
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/
Our Outcomes
Outcomes for the Child Bedkit Recipient
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
• Child knows that someone cares about them
Outcomes for the Family
Parents save $ - don’t have to buy clothes and supplies required for child to attend school
• 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
• Mother able to work because not having to stay home to care for a child sick with malaria
Outcomes from 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 above, it is estimated that Sleeping Children 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.
• Reduced the burden on public health care systems in countries of distribution from reduced malaria
Outcomes for the Countries of Distribution
Economic benefits generated from bedkit items being manufactured in the countries of distribution:
• Worker training - workers are trained on new skills (e.g., sewing) that can lead to future employment opportunities
• Ancillary benefits to communities from being made aware of capabilities of overseas partners;
• Increased awareness of OVPs to opportunities to provide other services to these communities
Social Return on Investment
Graphic showing SROI
Link to SROI report
Impact in their own Words
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Clarence DeYoung - Travelling Volunteer writes, “While on my last distribution in Bangladesh, I noticed a 20ish year old gentleman standing off to one side watching as we did the distribution. He stood there for hours. After we were done, he came over and introduced himself and said, ‘I received one of your bedkits over ten years ago and it changed my life. I felt, if people from halfway around the world cared enough about me to come and help me, I had better do everything I can to help myself.’ He went on and became an accountant and credits the bedkit for making this happen.”
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Bill Sergeant - Travelling Volunteer writes, “In Yallapur, India, we had a young mother and her son, who had received a bedkit three years previously, show up at the distribution and do whatever they could to help make the distribution go smoother. She said because of this great gift from Canada, she was able to save the cost of her son’s schooling for a year, and now, though their hard work and savings, he has the opportunity to attend college in a few years. It was a very touching moment.”
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Chris Hills - Travelling Volunteer writes, “I truly believe the value of the bedkit contents goes far beyond the mere monetary value of the items. Certainly, the mosquito net, the blanket, the clothing etc. are articles that the family may never have been able to afford…but more importantly is what you see in the eyes of those children and parents when you hold their hands and look into their faces, the look that says, ‘Thank you for caring, thank you for coming here and bringing hope for our child’s future.’”
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Ravi Shankar Ganesan - Overseas Volunteer Partner in Chennai, India, writes, “Given the economic background of the children mostly living in a single multipurpose room, we normally identify items which they can keep in their small space and use daily. However, we are always on the look out on how to improve the sleeping items which would be more comfortable, durable, and foldable to store in the day. We can always reduce the not-so-usable personal and expendable school items. The first of your other two questions: The bedkit definitely has a lasting impact on the child. The child gets the feeling that someone cares for him/her. It provides them with better comfort to sleep. Otherwise, they may be sleeping over just a sheet or a brush mat on the floor. Even that would be old with lot of wear and tear. Further, now they have a sheet to cover too. Your second question on motivation: All members of our Club were not born with a Silver Spoon. When we were young, we never had the luxuries that we enjoy now, so we are able to understand the difficulties of these children better. Therefore, we feel it is our duty to devote a little time and money of ours to ensure that the generous donations of someone abroad to give relief to underprivileged children of our society, reach the needy. It also gives us a sense of joy and satisfaction.”
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Dr. Monica Roosa Ordway, PhD, APRN, PPCNP-BC Associate Professor, Yale School of Nursing; New Haven, CT, USA said: “Sleep Well, Be Well. Prior to leaving for my first distribution with Sleeping Children, I was eager, as a pediatric sleep researcher and clinician, to learn from the people of Honduras about the sleep health in school age children. For the purpose of background, my research is based on the idea that sleep health in children is important to the physiological stress response system and inadequate sleep may exacerbate the ill-effects of adverse childhood experiences by elevating stress hormones and increasing inflammation known to place them at risk for future long-term health problems. With this in mind, I prepared a list of questions for the school principals, teachers, and parents to explore whether the patterns of sleep facilitators and barriers to healthy sleep I was finding in my research with young children in low-income families in New Haven, Connecticut were similar to those in Honduras. While I hoped to have an opportunity to ask my questions, I embarked on the trip without expectations. Nothing could have prepared me for the lived experience of working with Sleeping Children and the Rotarians and Rotaracts of Tegucigalpa, Honduras. On day 3 of the distributions, Fidel, the lead among the Rotarians on this project, arranged for me to meet with a school principal and teacher. Despite my years of experience visiting homes of families living in poverty in Connecticut, I was brought to tears as I listened to the school principal describe the excitement of the children the week prior to the distribution. They were full of anticipation at the thought of not having to sleep on the rocky ground on a piece of cardboard. When I asked how he felt the bedkit distribution would impact these children, I can only share that the implicit emotion that exuded from the principal is something I will never forget and regret that I cannot convey in words. That evening, I was invited by the Rotarians to speak at their weekly meeting about my sleep health research and ideas for introducing sleep health education in the Honduran communities. The next morning, Fidel greeted me with the news that he arranged for me to speak with four government officials from the President’s office. Debbie WillDryden, the other team members, and I could hardly contain our excitement. Debbie and I had the opportunity to meet with the government officials on 2 occasions. As I spoke about the importance of sleep health in the physical and emotional development of children (including brain development, emotion regulation, physical growth, etc.), the principals, teachers, and government officials overwhelmingly agreed that there was much we could do in the future within Honduras. We have spoken with the OVPs (Rotarians) and they have already identified 2 people who will take a lead in working with Debbie and I to develop at least one if not two side projects to promote the importance of sleep health in buffering the adverse childhood experiences of poverty, violence, and lack of resources that is the reality of the children we visited with in Honduras. We look forward to updating the Sleeping Children community over the next several months.”
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Judy Dryden - Travelling Volunteer said, “I had the privilege of meeting nineteen women at an orphanage in Pune, India who had received Sleeping Children bedkits starting with the original distribution in 1970, through the 1980s and 1990s. Even after all the time that had passed, they still remembered receiving their bedkits and the impact it had on their lives. One woman commented that she learned her ABCs from reading the pattern on her new quilt. Another said she couldn’t believe that someone thought enough of her to give her a gift. Delphine, who’s now a nurse, stated she received her bedkit in 1983, and said ‘I still have the blanket.’”
Future Plans
Continuing Sleep Research
Further quantification of impacts