Volume 3, Issue 5, September 2015, Page: 669-676
Implementation of Community-led Total Sanitation and Hygiene Approach on the Prevention of Diarrheal Disease in Kersa District, Jimma Zone Ethiopia
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
Received: Jul. 2, 2015;       Accepted: Jul. 13, 2015;       Published: Jul. 28, 2015
DOI: 10.11648/j.sjph.20150305.22      View  4312      Downloads  116
Abstract
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.
Keywords
CLTSH Implementation, Diarrhea Prevention, Cross-sectional Study, Ethiopia
To cite this article
Negasa Eshete, Abebe Beyene, Gudina Terefe, 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. doi: 10.11648/j.sjph.20150305.22
Reference
[1]
Jill W. Ahs, W. T. (2010). diarrheal diseases in low and middle-income countries. the open infectious diseases journal , 113-124
[2]
WHO. (2004). The world health report 2004 - changing history. Retrieved from http://www.who.int/whr/2004/en/report04_en.pdf
[3]
Belachew, T. J. (2001). Module on diarrheal disease for the Ethiopian Health Center Team. Addis Ababa: Jimma University in collaboration with EPHTI, Carter Center, Ethiopia MOH and MOE,Ethiopia.
[4]
Kenya Breaking Toilet Taboos. (2012, April 09). Retrieved from http://allafrica.com.
[5]
Central Statistics Authority & ORC Marco. (2011). Ethiopia Demographic and health survey (DHS). Central Statistics Authority. Addis Ababa, Ethiopia and Calverton, Maryland, USA.
[6]
Lyla, M. & Petra, B. (2009). Community-led total sanitation(CLTS) across the seas: Experiences from Africa witha special emphasis on Ethiopia. RiPPLE Working Paper 12. , p6
[7]
Teklemariam, S., Getaneh, T. & Bekele, F. (2000). Environmental determinants of diarrhoea morbidity in under-five children. Keffa-Sheka Zone. Southwest Ethiopia . Ethiop. Med. J. , 38(1): 27-34.
[8]
Tefera, W. (2008). Technical Issues of Sanitation and Hygiene in Mirab Abaya and Alaba; a case study report from the Southern Nations Region (SNNPR) of Ethiopia. RIPPLE Working Paper no.2.
[9]
Awoke, W. & Muche, S. (2013). latrine coverage and associated factors among rural communities inthe District of Bahir Dar Zuria, Ethiopia. BMC Public Health , 13:99.
[10]
Rachael, R. (2011). An evaluation of household latrine coverage in Kewot woreda, Ethiopia three years after. Emory University.
[11]
Anteneh, A. & Kumie, A. (2010). Assessment of the impact of latrine utilization on diarrheal disease in the rural community of Hulet Ejju Enessie district, East Gojjam Zone, Amhara Regional state. Master thesis,. Ethiop. J. Health Dev. , 24(2);110-118.
[12]
Mengistie, B. & Baraki, N. (2010). Community based assessment on household management ofwaste and hygiene practices in Kersa Woreda, Eastern Ethiopia. Ethiop. J. Health Dev. , 24(2):103-109.
[13]
Dessalegn, M. (2009). Does the effect of water and sanitation vary by maternal education on childhood diarrhea. Addis Ababa: Addis Ababa University..
[14]
Wondimagegn, S. (1994). Survey of environmental sanitation in urban and rural communities in south western Ethiopia. Bull. JIHS , 4:40-51.
Browse journals by subject