Latrine access and utilization among people with limited mobility: A cross sectional study.

Berhanu Asfaw,Gebremedhin Berhe Gebregergs,Muluken Azage

doi:10.1186/s13690-016-0120-5

Berhanu Asfaw, Gebremedhin Berhe Gebregergs + Show 1 more

Open Access

https://doi.org/10.1186/s13690-016-0120-5

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Abstract

BackgroundLatrine access is one of the challenges faced by people with physical disabilities that limit their mobility (PPDs) in their home and working environments. Latrines should be designed, built and located such that they are easily accessible and utilizable by PPDs. Therefore, the aim of this study was to determine latrine access and utilization, and explore the challenges in latrine use among PPDs in Bahir Dar city, northwest Ethiopia.MethodsA cross-sectional study design was conducted from July 15 to August 15, 2014. Data were collected using a structured and pre-tested questionnaire, and focus group discussions. Four hundred nineteen participants were included using a systematic random sampling technique. SPSS version 20 was used for data entry and analysis. Binary logistic regression was used to identify factors associated with latrine utilization. Qualitative data were analyzed using themes.ResultsOf 419 participants, 142 (33.9 %) had access to latrines and 173 (41.3 %) had satisfactory latrine utilization. Family support while using latrine (AOR = 4.7, 95 % CI (2.7, 8.3), latrine accessibility (AOR = 2.1, 95 % CI (1.2, 3.7) and past latrine modification (AOR = 3.1, 95 % CI (1.8, 5.4) were factors associated with latrine utilization. Presence of steps at the latrine entrance, privacy while using latrine, absence of handrails, unavailability of family support, narrower latrine door, distant latrine, unclean floor of the latrine and elevated foot rests were challenges mentioned by PPDs.ConclusionsLatrine access and utilization were low among PPDs. Family members should encourage and support PPDs when they need to use latrine, designing accessible latrines, modifying existing latrines to accommodate PPDs are the areas of interventions to increase latrine accessibility and utilization among PPDs.

Highlights

In developed as well as developing countries, people with physical disabilities that limit their mobility (PPDs) face difficulties in their physical environments [1,2,3,4]
Bivariate and multivariable logistic regression analyses were performed to identify factors associated with latrine utilization
Factors associated with latrine utilization among PPDs In bivariate logistic regression analysis, age, income, privacy, family support while using latrines, latrine modification in the past and latrine accessibility were factors associated with latrine utilization with a p-value less than 0.2

Summary

Introduction

In developed as well as developing countries, people with physical disabilities that limit their mobility (PPDs) face difficulties in their physical environments [1,2,3,4]. PPDs generally have poorer health, lower educational achievements, fewer economic opportunities and higher rates of poverty than physically-abled or fully-mobile people, due to lack of access to a range of services [1]. Accessibility of latrines for PPDs is very limited, affecting their quality of life [9,10,11]. Even when there are disabled-accessible latrines, use of those latrines by PPDs was still low [1]. Latrine access is one of the challenges faced by people with physical disabilities that limit their mobility (PPDs) in their home and working environments. The aim of this study was to determine latrine access and utilization, and explore the challenges in latrine use among PPDs in Bahir Dar city, northwest Ethiopia

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