Sima Community Based Organization is among of faith based organization and we are doing voluntary services in the community at grassroots level. We registered on 1994 as community based as non profit making organization. We are totally members 39 and we serve or target groups e.g. women, youth’s, schools and churches and community as all.
Our aim was to achieve better for all by the year 2010 by investing in primary health care programmes through provision of health facilities, construction of ventilated improved pit latrines, training of traditional birth attendants and training of community health workers.
Sima CBO focus on four key themes and five priority activities. And raise the commitment of political and social leaders to achieving these goals (of making water, sanitation and hygiene a reality for all) and affecting the necessary behavioural changes through various information and communication channels, using traditional and mass media, hygiene promotion in schools, training and building local capacity in communications and improving networking and research.
Themes:
Hygiene promotion
Environmental sanitation
Institutional and management reform
Community-based approaches
Activities:
Advocacy and mobilization
Networking
Trainings/education
Working with partners
Dissemination of knowledge and best practice.
Water and sanitation are key areas of concern. Our majority communities at grassroots do not have access to safe and affordable water supply and inadequate sanitation. Large communities of those who do not have access to these basic necessities belong to the poorest areas of society in rural areas.
This crisis in water and sanitation has a catastrophic impact on many aspects of life for the poor;
Health: more than 500 in our region, most of them children die each year from diseases associated with lack of access to safe drinking water, inadequate sanitation and poor hygiene.
Education: poor sanitation in schools affects attendance rates, particularly of girls
Women: it is estimated that over 150, 000 person-years are spent by women and female children carrying water from distant sources every year.
Economics: national economies are weakened by the need to spend significant funds on health care and medicines, while many working days are lost to ill-health resulting from poor water and inadequate sanitation.
Health and Hygiene
The district has one district hospital and other health centres at Saboti, Kiminini, and Sikhendu. Tha Saboti health centre is currently been upgrade to the status of a district hospital. There are other health posts at Tulwet, Kisawai, and Machewa the socio-economic survey, 50.7% use hospitals, 24% use health centres, 16.2% use traditional healers, with 8.4% and 0.6% using clinics and health posts respectively.

The prevalent disease in the district is malaria, accounting for 60% of OPD records. This is followed by upper respiratory infections. Other endemic diseases in the district include schistosomiasis, guinea worm, onchocerciasis yaws and buruli ulcer. Immunization coverage of this district currently stands at 60%.


Hygiene education is usually carried out in schools and at the community level by community health workers of the Sima Community Based Organization. Women who attend antenatal and postnatal clinics also benefit from hygiene education offered by mid wives. Hygiene education lessons available to women include proper house keeping, hygienic cooking methods, the relationship between sanitation and diseases and many others. Water and Sanitation Committees under the District Community Water and Sanitation Programme (CWSP) also carry out hygiene education.

School hygiene education lessons focus on cleanliness, environment and sanitation, the relationship between diseases and sanitation.
This is what we are doing in the communities at grassroots we serve more population 345, 650.
Thank you in advance
Pastor Johnstone Sikulu Wanjala
Programme coordinator
Sima Community Based Organization
PO Box 1691, Kitale
30200
Kenya.

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