dc.description.abstract |
Background: -The construction of latrine is less cost sanitation technology that is
used to prevent the spread of infectious diseases. Development actors in Ethiopia
are using Community-Led Total Sanitation and hygiene (CLTSH) as an approach to
bring sustainable behavioral change on latrine utilization.
Objective: To assess latrine utilization and associated factors among primary and
non-primary open defecation free kebele households (HHs) in Farta district, south
Gondar, Northwest Ethiopia.
Methods: A community based comparative cross-sectional study was conducted
from December 11/2015 to January 2/2016 in Farta district. A total of 714
households (358 HHs from primary open defection free and 356 HHs from non
primary open defecation free) were selected using systematic random sampling.
Data were collected using questionnaire and observational checklist by trained data
collectors. Data were entered using Epilnfo version 7 and exported to SPSS version
20 statistical software for analysis. Bivariate and multivariable logistic regressions
were used to identify factors associated with latrine utilization. Crude and Adjusted
odds ratio with 95%CI were calculated to identify the predictors of latrine utilization
Results: - The overall latrine utilization was 58.1 % with [95%CI :( 54.6-61.8)],
comprises of the prevalence among primary open defection free and non-primary
open defecation free HHs were 61.2% and 55%, respectively. The extent of latrine
utilization was significantly associated with households residing in open primary
defecation free kebeles [AOR: 95% Cl:2.71 (1.64-4.48)],households having latrine
more than 2 years[AOR: 95% Cl:2.49(1.56-3.98)], distance of latrine from the
house,< 6 meter [AOR: 95% Cl:5.4(2.82 -10.34)], household visitation ::::3 times per
month by HEWs [AOR: 95% Cl:5.36 (2. 71-10.63)],having elementary or secondary
school children in the house[AOR: 95% Cl: 3.84(2.27- 6.49)],latrine slab sealed with
mud or cemented [AOR: 95% Cl:5.6(3.43-9.13)] and latrines no need
maintenance[AOR: 95% Cl: 3.69(1.92-7.09)).
Conclusion: Latrine utilization in District of Farta was low the national target of 82%.
The level of latrine utilization variation was well explained by households with
residing in open primary defecation free kebeles, households having latrine more
than 2 years, distance of latrine < 6 meters from the house, households supervise ::::3
times per month by HEWs, having elementary or secondary school children in the
house, having latrine slab sealed with mud or cemented and latrines no need
maintenance were the major factors affecting utilization of latrines.
Cognizant of this fact, it is recommend that the frequency of supportive visits be
increased by health workers and having well-structured latrines had better be
strengthen to latrine utiliization. |
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