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Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia

Received: 16 May 2016     Accepted: 6 June 2016     Published: 23 June 2016
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Abstract

Globally, an estimated 2.5 billion people lack access to improved sanitation which is more than 35% of the world’s population and about 1billion people, 15% of the world population do not have access to any kind of sanitation facility and exercise open defecation. A total of 16% of population living in urban Ethiopia do not have access to any kind of sanitation facility and exercise open defecation, of which the huge proportion lives in the slum areas. Objectives: To assess the level of practice and associated factors towards sanitation in the urban slum communities of Addis Ababa, Ethiopia. Methods: A community based cross-sectional study design was conducted on January 2015 in Addis Ketema, Lideta, Kirkos, and Gulelle sub cities of Addis Ababa. Using stratified sampling 636 sample households was selected and data was collected from 624 household, which is 98.1% of estimated sample size. Results: Practice of sanitation was 43.89% and it gets higher in households found in Lideta [AOR=3.37, 95% CI=1.12-10.15, p<0.031], Kirkos [AOR= 4.97, 95% CI=1.76-14.04, p<0.002], and Gullele [AOR= 10.16, 95% CI=3.61-28.58, p<0.000] sub cities; and who own previous latrines [AOR= 6.26, 95% CI=3.01-13.01, p<0.000]. It gets lower in households who share latrine with other neighboring households [AOR= 0.08, 95% CI=0.03-0.17, p<0.000], those who own simple pit latrines [AOR= 0.02, 95% CI=0.05-0.74, p<0.016], those who didn’t receive support during the construction of their latrine, [AOR=0.004, 95% CI=0.001– 0.014, p<0.000], and those whose annual income is between 55,001 ETB and 65,000 ETB [AOR=0.15, 95% CI= 0.02– 0.88, p<0.036]. The level of practice of sanitation in the study population is low. Latrine sharing habit, not hiring sanitation facility builder/ skilled mason, and need for subsidy and support during latrine construction were found to be the main factors contributing for this low practice. Establishing well organized and responsible body at each level of administration that will incept and execute awareness and promotion activities to improve the practice of sanitation should be done using different promotion approaches.

Published in Science Journal of Public Health (Volume 4, Issue 4)
DOI 10.11648/j.sjph.20160404.15
Page(s) 297-304
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Sanitation, Practice, Urban Slums, Cross-Sectional Studies, Associated Factors, Ethiopia

References
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  • APA Style

    Abdissa Aga, Walelegn Worku. (2016). Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia. Science Journal of Public Health, 4(4), 297-304. https://doi.org/10.11648/j.sjph.20160404.15

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    ACS Style

    Abdissa Aga; Walelegn Worku. Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia. Sci. J. Public Health 2016, 4(4), 297-304. doi: 10.11648/j.sjph.20160404.15

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    AMA Style

    Abdissa Aga, Walelegn Worku. Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia. Sci J Public Health. 2016;4(4):297-304. doi: 10.11648/j.sjph.20160404.15

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  • @article{10.11648/j.sjph.20160404.15,
      author = {Abdissa Aga and Walelegn Worku},
      title = {Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {4},
      number = {4},
      pages = {297-304},
      doi = {10.11648/j.sjph.20160404.15},
      url = {https://doi.org/10.11648/j.sjph.20160404.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160404.15},
      abstract = {Globally, an estimated 2.5 billion people lack access to improved sanitation which is more than 35% of the world’s population and about 1billion people, 15% of the world population do not have access to any kind of sanitation facility and exercise open defecation. A total of 16% of population living in urban Ethiopia do not have access to any kind of sanitation facility and exercise open defecation, of which the huge proportion lives in the slum areas. Objectives: To assess the level of practice and associated factors towards sanitation in the urban slum communities of Addis Ababa, Ethiopia.  Methods:  A community based cross-sectional study design was conducted on January 2015 in Addis Ketema, Lideta, Kirkos, and Gulelle sub cities of Addis Ababa. Using stratified sampling 636 sample households was selected and data was collected from 624 household, which is 98.1% of estimated sample size.  Results:  Practice of sanitation was 43.89% and it gets higher in households found in Lideta [AOR=3.37, 95% CI=1.12-10.15, p<0.031], Kirkos [AOR= 4.97, 95% CI=1.76-14.04, p<0.002], and Gullele [AOR= 10.16, 95% CI=3.61-28.58, p<0.000] sub cities; and who own previous latrines [AOR= 6.26, 95% CI=3.01-13.01, p<0.000]. It gets lower in households who share latrine with other neighboring households [AOR= 0.08, 95% CI=0.03-0.17, p<0.000], those who own simple pit latrines [AOR= 0.02, 95% CI=0.05-0.74, p<0.016], those who didn’t receive support during the construction of their latrine, [AOR=0.004, 95% CI=0.001– 0.014, p<0.000], and those whose annual income is between 55,001 ETB and 65,000 ETB [AOR=0.15, 95% CI= 0.02– 0.88, p<0.036]. The level of practice of sanitation in the study population is low. Latrine sharing habit, not hiring sanitation facility builder/ skilled mason, and need for subsidy and support during latrine construction were found to be the main factors contributing for this low practice. Establishing well organized and responsible body at each level of administration that will incept and execute awareness and promotion activities to improve the practice of sanitation should be done using different promotion approaches.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia
    AU  - Abdissa Aga
    AU  - Walelegn Worku
    Y1  - 2016/06/23
    PY  - 2016
    N1  - https://doi.org/10.11648/j.sjph.20160404.15
    DO  - 10.11648/j.sjph.20160404.15
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 297
    EP  - 304
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20160404.15
    AB  - Globally, an estimated 2.5 billion people lack access to improved sanitation which is more than 35% of the world’s population and about 1billion people, 15% of the world population do not have access to any kind of sanitation facility and exercise open defecation. A total of 16% of population living in urban Ethiopia do not have access to any kind of sanitation facility and exercise open defecation, of which the huge proportion lives in the slum areas. Objectives: To assess the level of practice and associated factors towards sanitation in the urban slum communities of Addis Ababa, Ethiopia.  Methods:  A community based cross-sectional study design was conducted on January 2015 in Addis Ketema, Lideta, Kirkos, and Gulelle sub cities of Addis Ababa. Using stratified sampling 636 sample households was selected and data was collected from 624 household, which is 98.1% of estimated sample size.  Results:  Practice of sanitation was 43.89% and it gets higher in households found in Lideta [AOR=3.37, 95% CI=1.12-10.15, p<0.031], Kirkos [AOR= 4.97, 95% CI=1.76-14.04, p<0.002], and Gullele [AOR= 10.16, 95% CI=3.61-28.58, p<0.000] sub cities; and who own previous latrines [AOR= 6.26, 95% CI=3.01-13.01, p<0.000]. It gets lower in households who share latrine with other neighboring households [AOR= 0.08, 95% CI=0.03-0.17, p<0.000], those who own simple pit latrines [AOR= 0.02, 95% CI=0.05-0.74, p<0.016], those who didn’t receive support during the construction of their latrine, [AOR=0.004, 95% CI=0.001– 0.014, p<0.000], and those whose annual income is between 55,001 ETB and 65,000 ETB [AOR=0.15, 95% CI= 0.02– 0.88, p<0.036]. The level of practice of sanitation in the study population is low. Latrine sharing habit, not hiring sanitation facility builder/ skilled mason, and need for subsidy and support during latrine construction were found to be the main factors contributing for this low practice. Establishing well organized and responsible body at each level of administration that will incept and execute awareness and promotion activities to improve the practice of sanitation should be done using different promotion approaches.
    VL  - 4
    IS  - 4
    ER  - 

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Author Information
  • School of Public Health, College of Health Sciences, University of Gondar, Gondar, Ethiopia

  • Addis Continental Institute of Public Health (ACIPH), Addis Ababa, Ethiopia

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