Latrine Utilization and Associated Factors Among Households in SebetaHawas Woreda, Oromia Special Zone, Ethiopia

Abstract

In developing regions almost half of the population does not have access to improved latrine facilities. In Ethiopia up to 60% of the current disease burden was attributable to poor sanitation. However, the information regarding latrine utilization was minimal in the study area. This study assessed the magnitude of latrine utilization and associated factors among households in SebetaHawas Woreda Oromia special zone, Ethiopia from June 1-20, 2019. Cross-sectional study design was conducted. Using interviewer administered semi-structured questionnaires and observational checklist; data were collected from 631 households by using stratification sampling technique. Then data were entered in to Epi-Info version 7 and analyzed using statistical package for social science (SPSS) version 21. Descriptive statistics were performed to analyze frequencies, percentages, mean and standard deviation to describe the study population. Using bivariate and multivariate logistic regression, independent variables with P-value of <0.25 was considered a candidate for the final multiple logistic regression model. The association was expressed in odds ratio with 95% confidence interval and P-value <0.05 were used as cut-off points to declare significance in the final model. A total of 631 households were assessed for their latrine utilization status with 100% of response rate. The latrine utilization was 68% [(95%CI: 64.8-71.8)] in the study area. In multivariable analysis, respondents with age greater than or equal to 48 years [AOR: 6.24, 95%CI: 1.23-32.91)], collage and above [AOR: 8.02, 95%CI: 6.96-16.52)], family size greater than or equal to five [AOR: 0.51, 95%CI: 0.32 - 0.82], households with no availability of hand washing facility [AOR: 0.36, 95%CI, 0.14-0.89)], knowledgeable towards the use of latrine [AOR: 0.07, 0.02- 0.27)], and no feces observed around the pit hole [AOR: 4.37, 95%CI, 1.78-10.73)] were factors associated with latrine utilization. The magnitude of latrine utilization among households of SebetaHawas Woreda was low. Age, educational status, family size, availability of hand washing facility, knowledgeable towards the use of latrine, cleanliness of latrine were factors which affects latrine utilization. It needs attention to maximize 100% latrine utilization and zero open defecation.