Haile, Andualem Anteneh (2007) Assessment of the Impact of Latrine Utilization on Diarrhoeal Diseases in the Rural Community of Hulet Ejju Enessie District, Amhara Regional State. Masters thesis, Addis Ababa University.
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Abstract
Background: While household access is important, community sanitation coverage is even more important to improve health around the world. This is best achieved through regular use of a well-maintained sanitation facility. The proper use of latrines can reduce the risk of diarrhea to almost the same extent as improved water supplies. Objective: The study was designed to assess the impact of latrine utilization on diarrhoeal diseases in the rural community of Hulet Ejju Enessie district. Method: A community based cross- sectional study was conducted. All 824 households with latrines from 10 selected kebeles were interviewed about latrine utilization and 370 households with < 5 children were interviewed about diarrhoeal diseases. A structured and pre-tested questionnaire and checklist were used to collect data. Results: Most (60.7%) households observed that their latrine utilization was satisfactory. The extent of latrine utilization was significantly associated with presence of primary or secondary school children in the house [AOR: 1.47, 95%CI: (1.04-2.06), perceived reasons for latrine construction like self initiation [AOR: 2.89, 95%CI: (1.24-6.72) and seeing others [AOR: 10.07, 95%CI: (1.97-51.56), Climatic zone of ‘Kolla’ [AOR: 0.47, 95%CI: (0.29-0.74) and ‘Woyna-Dega’ [AOR: 0.55, 95%CI: (0.38-0.81), and duration of owning latrines by the households [AOR: 2.13, 95%CI: (1.57-2.89). The occurrence of childhood diarrhoea was statistically associated with the extent of latrine utilization in the bivariate analysis [AOR: 0.38, 95%CI: (0.17-0.87) but not significant in the multivariate analysis [AOR: 0.63, 95%CI: (0.22-1.81). The occurrence of childhood diarrhoea was also significantly associated with the duration of owning latrines by the households both in the bivariate [AOR: 0.29, 95%CI: (0.13-0.65) and final step of multivariate analysis [AOR: 0.28, 95%CI: (0.12-0.66). Conclusions and recommendations: The presence of primary or secondary school children in the house, perceived reasons for latrine construction and duration of owning latrines are factors affecting latrine utilization. Rather than the extent of latrine utilization, duration of owning latrines had impacts on the occurrence of childhood diarrhoea. Using role model sanitation intervention, well maintained and functional latrines, target oriented and regular hygiene education promotion programs are very important strategies to bring about behavioral change on latrine utilization as well to reduce the risk of the occurrence of childhood diarrhoea.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Impact, latrine utilization, extent of latrine utilization, childhood diarrhoeal disease, factors affecting latrine utilization |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 29 Jun 2018 14:10 |
| Last Modified: | 29 Jun 2018 14:10 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6320 |
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