Abstract
The government of Ethiopia has been working in creating and increasing the number of open defecation free kebeles as a strategy of improving sanitation coverage in the country. However, apart from increasing sanitation coverage, data on utilization of the constructed latrines was not well investigated. Therefore, the study objective was to assess the latrine utilization coverage of the kebeles who have already declared open defecation free. Community-based cross-sectional study design with multistage sampling technique was employed. Data were checked, coded and entered into EpiInfo version 7 and analyzed using SPSS version 20. Bivariable and multivariable logistic regression model were fitted to identify factors associated with latrine utilization. Odds ratio with its 95% confidence interval was used as a measure of association. Eighty-three percent of the dwellers utilized their latrine. The odds of latrine utilization was higher among households which had latrine constructed after 2 years [AOR: 2.27; 95% CI: 1.23, 4.19], maintained latrine [AOR: 2.71; 95% CI: 1.61, 4.55], and had under-five children [AOR: 2.02; 95% CI: 1.24, 3.26]. However, households which had latrine constructed from wood and plastic [AOR: 0.44; 95% CI: 0.24, 0.81] and who constructed their latrine looking at their friends [AOR: 0.35; 95% CI: 0.18, 0.68] were less likely to use their latrine. The extent of latrine utilization is high in the community. Further strengthening of implementation modalities giving due consideration for the aforementioned factors is highly recommended. Key words: Latrine utilization, open defecation free, cross sectional, Ethiopia.
Highlights
Open defecation free (ODF) is a term used to describe either community that has eliminated the practice of open defecation or households which no longer defecate in the open
The objective of this study, was to determine the magnitude and to identify potential factors associated with latrine utilization in Wondo Genet district
A backward binary logistic regression model was used to identify factors associated with latrine utilization
Summary
Open defecation free (ODF) is a term used to describe either community that has eliminated the practice of open defecation or households which no longer defecate in the open. Inadequate access to sanitation facilities resulting in the practice of widespread open defecation has a negative impact on the health of the community (Kamal, 2005). In sub-Saharan Africa, in 2010, 45% of the population uses either shared or unimproved facilities, and an estimated 25% practice open defecation (WHO, UNICEF, 2012). Diarrheal disease is a major cause of death in sub-Saharan Africa due to lack of improved sanitation practice and those who practice open defecation are the riskiest group for sanitation related disease (Savadogo, 2013). Even though the government has placed two interventional programs, the introduction of health extension program since 2004 and community-led total sanitation and hygiene (CLTSH) programs, the changes that have been recorded so far have not brought change in latrine utilization as required (WHO, UNICEF, 2014; CDC, 2008; Barnard et al, 2013; Kema et al, 2012; Paul et al, 2013). The objective of this study, was to determine the magnitude and to identify potential factors associated with latrine utilization in Wondo Genet district
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