Reviews from MICS Report 2012, reflect that households that are using improved water are (51.9%), hygiene and sanitation situation coverage is only (64.8%), and there are high malnutrition rates among children. This renders continuous exposure of the population of Bay region – and in particular children and women - to diseases, with high risks of measles and acute watery diarrhea (AWD)/cholera outbreaks.

The objective of SK’s WASH project is to reduce levels of morbidity and mortality for vulnerable communities in the Bay region through provision of integrated services (Health, Nutrition & WASH) through Community Health Workers.

At the beginning of the project, local community was mobilized and informed about the benefits of the project. Stakeholders (including community members, local authorities and religious leaders) were assembled and informed about the project implementation. During the process of the mobilization of the communities, SK and the community elders decided to form village Community-lead total Sanitation (CLTS) Committees and started to select CBWs for every village which has been selected to become part of the project. Benefits of open defecation free (ODF) spaces were discussed and how this program can change their lifestyles in terms of good health and sanitation.

The Bay district community elders selected 115 CBWs, among this number 70 CBWs to be trained for Prevention and Promotion and 45 will be trained for both prevention and Promotion plus combining additional services through Integrated Community Case Management (ICCM) project for better integration and results. Followed by the selection and mass sensitization for the targeted villages, 115 CBWs from 88 villages in Baidoa were selected, in which 32 villages have ICCM /CLTS combined components and 56 village had only CLTS interventions. One Day Regional Orientation Workshop of Regional Level Stakeholders was held to mobilize support for ODF campaigns. All stakeholders have been invited to this forum, including the WASH Sector, officers from MoH, Minister of Education and Planning, and local NGOs.

Community awareness for the regional /district and village level campaigns have been held in Baidoa and surrounding villages in order to understand and utilize the benefits of CLTS/ICCM and clarifies that the CLTS ownership belongs to the communities themselves. Every targeted village even has it is own villages CLTS committee in which the elders and religious leaders of that village were leading the committees. Following project outcomes and benefits were envisages at those meetings: