Community Health in Sub Saharan Africa

Lets build on what we have achieved so far!

The Kisoboka Trust has  worked for several years to provide clean water and proper sanitation in schools and local communities. It can be shown that the successful implementation of these projects has benefited the school pupils and staff and local communities.   However, our local partners have shown us that there is not only a need for these facilities but also for further improvements in community health through education and local involvement. Our partners in Kenya and Uganda have shown us the need for  the provision of local centres with an emphasis on provision of education and training of committed individuals in local communities.

A Vision for Community Health

From small beginnings in the overcrowded slum areas of Kenya to rural areas of Uganda with limited health provision we are looking to support local health care providers to bring basic health care to the disadvantaged children, mothers and families in the area. These initiatives are targeting groups and communities who for whatever reason, are not reached by the state health care system. Basic health care education at community level is a fundamental part of the support

Community Led Total Sanitation

Following  the pump re-instatement project  in Kalungu our local partner made recommendations to develop a proposal for promotion of sanitation and hygiene in these communities. The objective is to  transform them into model communities as a way of supplementing the safe water provision project and demonstrating the means of improving Community Health to neighbouring villages.

The District Local Government in conjunction with Notre Dame Community Outreach Association (NDCOA) conducted an assessment of the hygiene and sanitation profile in these communities. It was found out that 30% of the community members do not have access to improved sanitation contributing to the continued occurrence of diarrheal diseases. These diseases account for over 30 % of Outpatient Department attendances at nearby health centres. Due to lack of improved sanitation, open defecation is practised hence human excreta is spread over the village area contaminating water sources.

The major objective of the project is to promote hygiene and sanitation improvement through promotion of a minimum set of sanitation requirements in over 800 household using the Community Led Total Sanitation (CLTS) approach which inspires and empowers community members to make rightful decisions for their health leading to 100% sanitation improvement. CLTS concentrates on ending open defecation as a first significant step and entry point to behavioral change.

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