Services at Mogotio Sub-County Hospital, in Rongai Sub-County, Nakuru County, three years ago, were poor. The facility was understaffed with only nine nurses and two clinical officers providing medical services to citizens. A borehole at the facility was not functioning because of a failed water pump. In the maternity ward, mothers shared beds, which had torn mosquito nets.


The infrastructure in the facility was deplorable. The facility had one sanitation block shared by staff and patients (both male and female). Ceiling boards were falling apart, and facility users complained of snakes falling into the wards during the hot season.  These were among many challenges at the health facility.


Presently, notable changes have been made in the facility, after citizens and service providers dialogued over these challenges using a community scorecard.   In 2015 and 2017, Centre for Transformational Leadership (CTL)- an Uraia Trust Implementing Partner –  worked with a team of 30 facility users [...]

Okook Young Farmer’s Group members and residents of Okook village in Amukura West Ward, Busia County are enjoying access to clean water for domestic and livestock use, after the county government drilled a borehole for them. This is after the residents took an initiative to demand construction of that had been delayed for one year.

Residents had suffered a lot in search of water: they had been travelling for an average of seven kilometres to and fro to seek for water from rivers and springs, along winding mountainous and thicketed paths. This situation posed a security risk to them, as they had to walk for long and treacherous distances in search of the commodity. Many cases of snake bites along the thickets were reported. In addition, women were exposed to rape, as they had to wake up as early as 3am to fetch clean water. For example, in the neighbouring Chakol North Ward, some men [...]

Members of a quarry business group in Baringo County have enhanced business performance, due to improved road accessibility to the site for their customers, where they sell ballast and stones. The repair of a two-kilometre road was because of advocacy engagement of the group that made the county undertake the works.

Currently, Kapsergong Quarry Youth Group in Baringo County have four lorries to the site on daily basis, up from one lorry, a year ago. Kapsergong Quarry is now more accessible from Kapsoo Trading Centre, about five kilometres away, where there is a tarmac road linking it to urban centres such as Kabarnet Town.

Judy Ruto, 25, says improved accessibility is changing the fortunes of the youth group’s members. “Currently, lorries can easily get to the quarry, and there is ready market for ballast and stones. Our income has greatly improved,” an excited Ms. Ruto says. The group has 18 members.

These improved fortune of [...]

Hundreds of children of Sirende Primary school and other residents can now safely access their institution in Siboti Ward, Bumula Sub-County in Bungoma County after a rickety bridge was replaced, through construction of a new, stable one. The bridge at Sirende on Kisawayi River has been posing danger to residents, especially to pupils going to school. In addition, completion of five kilometres Sango – Letima road has eased transport for residents.

A Netima Location chief’s report indicates that two children and one elderly person fell into the river and the latter lost his life in January 2018. The construction of the bridge was undertaken after Enjelesia Namilama Women group on behalf of residents of Kisawayi village in Siboti Ward successfully petitioned both the office of the Member of County Assembly (MCA) and ward Administrator over the poor state of St. Monica Sango road, and resultantly inaccessibility, especially during the rainy season. The group had been [...]

Residents of Gatanga Sub-County, Murang’a County, often struggled to hire taxis to carry patients to referred health facilities, in case of emergencies, since the health facility did not have an ambulance. However, this changed after the community got engaged and demanded an ambulance for from the county government.

A Community Score Card (CSC) was undertaken on Kirwara Sub-District, situated in the sub-county from November 2017. The tern CSC members were trained on the procedure and how to interface with duty bearers by Catholic Diocese of Murang’a (CDM), an Implementing Partner of Uraia Trust.  One of the most challenging issues that emerged from the ecercise was referral of patients, especially during emergencies.  They were being referred to Maragua health Centre or Murang’a Level Four Hospital, but they have to seek means of transport, especially in cases of emergencies.  In most cases, they had to hire  taxis to get them to the referred health facilities.  Previously, the [...]

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