Gucha Community Based Organization has Environment, Health and sanitation as part of the programs meant to benefit the entire populace of Gucha and its environs. The CBO has embarked on Environment, Health and sanitation as one of its primary concern for the community which it considers more of a reward that it will leave to the community when it may face out of Gucha to set its base elsewhere. Gucha Community and like the larger Kisii County, is face with the problem of tapped water. Most of the homes do not have tapped water but instead people there depend on water from moving rivers and streams for drinking and domestic use which are located at far distances. This makes women who are charged with the responsibility of fetching water for the entire family use.

From the foregoing, it is evident that the people here only use pit latrines as opposed to modern toilet that use flashing. Now the pit latrines are dug by cheap laborers some of whom get injured in due course following the use of local equipment. Now the dug latrines are in most cases temporarily covered from sides but the tops are left open totally uncovered. This means that the toilets are best used during dry seasons but unfortunately for Kisii region, rain is on almost throughout the year. This then makes the toilets almost unuseful during wet times. Most of those toilets get damaged in a short time and lenders most of them to be in ruins and abandoned. So sanitation is usually at stake here and the CBO with the help of community members, have for the last one year embarked on cleaning the environment and taking care of sanitation.

In partnership with the ministry of Health especially Gucha sub-County Hospital, the CBO has done a lot of cleanups and tried to help the community to construct good temporary toilets using better materials and also ensuring that the toilets have a roof to avoid damage and safety of the person who uses it when raining. Though the CBO lacks the modern equipment which it is appealing to its main partners to assist provide, it has done its level best to use all available tools to have the environment cleaned, toilets constructed.

On Health matters, the CBO has had a great boost from Gucha sub-county Hospital which has provided the CBO with a reporting tool on the progress concerning matters to do with HIV and AIDS, early child pregnancies, malaria and reports on sanitation. The Hospital has really assisted the CBO with the necessary financial and material support and this has really seen the community improve so tremendously in terms of cleanliness, sanitation and health care.