OJEpi  Vol.5 No.2 , May 2015
Opportunities, and Challenges of Latrine Utilization among Rural Communities of Awabel District, Northwest Ethiopia, 2014
ABSTRACT
Ethiopia is working hard to increase access to improved sanitation to its rapidly growing population; however, its proper utilization is questioned. Update on its utilization is required. The objective of the study was to assess latrine utilization and associated factors among rural communities in Awabel District, Northwest Ethiopia, 2014. Community based cross-sectional study was conducted on 575 households. Participants were selected through multi-stage sampling technique. Pre-tested interviewer administered structured questioner and observational checklist was used to collect data. The collected data were coded and entered using Epi-Info 3.5.3 and analysis was done using SPSS version 20. Bivariable and multivariable logistic regressions were used to identify the associated factors for proper utilization of latrine facilities. Possible association and statistical significance were measured using odds ratio at 95% confidence interval. Proper utilization of latrine was practiced by about 297 (52%) of households. Utilization was significantly associated with presence of school children in the households [AOR: 1.824, 95%CI (1.189 - 2.799)], and latrine which did not need maintenance [AOR: 4.294, 95%CI (2.625 - 7.025)], households who were advised to construct latrine by health professionals [AOR: 4.194, 95%CI: (1.674 - 12.358)] and self initiation to construct latrine [AOR: 7.461, 95%CI: (1.850 - 30.084)]. The most outstanding findings of this study were the following: latrine utilization will be sustainable when the toilet is constructed following proper household based health education, when the toilet is well constructed, and when there is supportive supervision. This implies that health extension workers do have a pivotal role for increasing toilet construction as well as its proper utilization. The current level of proper latrine utilization seems fairly good for rural communities in the district. However, there is a lot to do to make it part of their culture. Its sustainability seems to be achievable via health extension package. Therefore, motivating health extension workers is recommended.

Cite this paper
Gedefaw, M. , Amsalu, Y. , Tarekegn, M. and Awoke, W. (2015) Opportunities, and Challenges of Latrine Utilization among Rural Communities of Awabel District, Northwest Ethiopia, 2014. Open Journal of Epidemiology, 5, 98-106. doi: 10.4236/ojepi.2015.52013.
References
[1]   WHO (2014) 10 Facts on Sanitation.
http://www.who.int/features/factfiles/sanitation/facts/en/index1.html

[2]   Ministry of Health (2005) National Hygiene and Sanitation Strategy. Addis Ababa, Ethiopia.
http://www.wsp.org/sites/wsp.org/files/publications/622200751450_EthiopiaNationalHygiene
AndSanitationStrategyAF.pdf


[3]   USIAD (2006) Achieving the Millennium Development Goals: The Contribution of Fulfilling the Unmet Need for Family Planning.
http://pdf.usaid.gov/pdf_docs/PNADM175.pdf

[4]   Unicef/WHO (2012) Progress on Drinking Water and Sanitation.
http://www.unicef.org/media/files/JMPreport2012.pdf

[5]   Federal Democratic Republic of Ethiopia, Ministry of Health (2004) Construction, Usage and Maintenance of Sanitary Latrine Extension Package. Addis Ababa.
http://cnhde.ei.columbia.edu/training/documents/Sanitary_Latrine.pdf

[6]   Anteneh, A. and Kumie, A. (2010) Assessment of the Impact of Latrine Utilization on Diarrhoeal Diseases in the Rural Community of Hulet Ejju Enessie Woreda, East Gojjam Zone, Amhara Region. Ethiopian Journal of Health Development, 24, 110-118.
http://dx.doi.org/10.4314/ejhd.v24i2.62959

[7]   The 2012/2013 Annual Report. Awabel District Health Office, Lumami.

[8]   Roma, E. and Pugh, I. (2012) Toilets for Health. London School of Hygiene and Tropical Medicine.

[9]   Awoke, W. and Muche, S. (2013) A Cross Sectional Study: Latrine Coverage and Associated Factors among Rural Communities in the District of Bahir Dar Zuria, Ethiopia. BMC Public Health, 13, 1-6.
http://dx.doi.org/10.1186/1471-2458-13-99

[10]   Abebe, A., Wale, A., Abebe, C., Sime, E., Kaba, E., Abate, M., et al. (2012) Water Supply and Sanitation in Amhara Region. Bahir Dar, Ethiopia. Learning and Communication Research Report, 54-61.

[11]   Robert, M. and Kusiima, B.A. (1998) Community Use of Pit-Latrines in Mubende District. Child Health and Development Centre Ministry of Health, Health Planning Department, Uganda National Health Research Organization and UNICEF.

[12]   Kema, K., Semali, I., Mkuwa, S., Kagonji, I., Temu, F., Ilako, F., et al. (2012) Factors Affecting the Utilization of Improved Ventilated Latrines among Communities in Mtwara Rural District, Tanzania. Pan African Medical Journal, 13, 1-5.

[13]   Ashebir, Y., Sharman, H.R., Alemu, K. and Kebede, G. (2013) Latrine Use among Rural Households in Northern Ethiopia: A Case Study in Hawzien District, Tigray. International Journal of Environmental Studies, 70, 629-636.
http://dx.doi.org/10.1080/00207233.2013.835533

 
 
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