Implementation of Community-led Total Sanitation and Hygiene Approach on the Prevention of Diarrheal Disease in Kersa District, Jimma Zone Ethiopia
Science Journal of Public Health
Volume 3, Issue 5, September 2015, Pages: 669-676
Received: Jul. 2, 2015;
Accepted: Jul. 13, 2015;
Published: Jul. 28, 2015
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Negasa Eshete, Department of Public Health, Dilla University, Dilla, Ethiopia
Abebe Beyene, Department of Environmental Health sciences, Jimma University, Jimma, Ethiopia
Gudina Terefe, Department of Environmental Health sciences, Jimma University, Jimma, Ethiopia
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Introduction: Lack of access to safe water supply and inadequate sanitation and unsafe hygiene practices can cause diarrheal diseases. It is believed that implementation of Community-led Total Sanitation and Hygiene (CLTSH) will significantly reduce the risk of diarrheal diseases. Objective: To assess the Community-led Total Sanitation and Hygiene approach on the prevention of diarrheal disease in Kersa District of Jimma Zone, Southwest Ethiopia. Methods: A cross sectional study was conducted in Kersa District of Jimma Zone, Southwest Ethiopia from December 03, 2012 to January 11, 2013. The study subjects were randomly selected 423 households from CLTSH implemented and 423 households where CLTSH none implemented kebeles. Data was collected through interview and observation then data obtained was analyzed with SPSS version 16.0. Result: The study showed that the extent of latrine coverage and utilization in CLTSH implemented was greater than that of CLTSH non-implemented kebeles. In this study the occurrence of diarrhea was statistically associated with the extent of latrine utilization in the bivariate analysis in the CLTSH non-implemented kebeles [OR: 9.64, 95%CI: (5.11-18.19)] but the significant was disappeared in the multivariate analysis. Study showed that hand-washing facility near the latrine in CLTSH implemented (73.06%) was greater than that of CLTSH non-implemented kebeles (72.58%). But the risk of diarrhea was statistically associated with hand washing facility only in CLTSH non-implemented kebeles in bivariate and multivariate analysis. Conclusion: in the study the diarrhea prevalence is less in CLTSH implemented than the non implemented kebeles. So it is possible to reduce diarrheal disease through implementation of CLTSH approach. Health-workers and local authorities must pay special emphasis to improve these conditions.
CLTSH Implementation, Diarrhea Prevention, Cross-sectional Study, Ethiopia
To cite this article
Implementation of Community-led Total Sanitation and Hygiene Approach on the Prevention of Diarrheal Disease in Kersa District, Jimma Zone Ethiopia, Science Journal of Public Health.
Vol. 3, No. 5,
2015, pp. 669-676.
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