Latrine Utilization and Associated Factors in Transformed District, West Gojjam Zone, Amhara Region, Ethiopia, 2021

Abstract

Background: Ethiopia has been encountering a higher predominance of communicable illnesses, which bring about high morbidity, mortality, and hospital admission rates. One of the higher contributing factors to this can be the lower level of latrine utilization. Objective: To assess latrine utilization and associated factors in transforming District, West Gojjam zone, Ethiopia. Methods: A community-based cross-sectional study was conducted from March to April 2021 among 352 households in the Dega Damot District, one of the transformed districts in the West Gojjam Zone. A systematic random sampling technique was used to select the study household. The data were collected through a face-to-face interview and right-away observation methods using structured questionnaires and an observational checklist respectively. Data were entered using Epi info version 7 and exported to a statistical package for social science’s version 25. Independent variables that had a P -value of <.25 were included in the multivariable binary logistic regression model. Variables with P -values of less than .05 were declared as statistically significant and an odds ratio of 95% CI was used to measure the strength of association between outcome and predictor variables. Results: We found that the prevalence of latrine utilization among households was 48.9% (95% CI: 44, 54). The household head has good knowledge of latrine utilization (AOR = 2.96, 95% CI 1.79, 4.87), a mother has formal education (AOR = 1.85, 95% CI 1.13, 3.04), daily cleaning of the latrine (AOR = 1.99, 95% CI 1.06, 3.74), and latrine having squat hole cover (AOR = 8.08, 95% CI 3.13, 20.87) were factors significantly associated with latrine utilization. Conclusion: In the transformed district latrine utilization was low Knowledge, education status, latrine cleaning frequency, and squat hole cover were factors associated with latrine utilization. Market-based sanitation, health extension program, and behavioral change communication strategies need to be strengthened to improve sustainable and consistent use of latrines.