Gebremariam Brhane, Tsehaye Kenfe
School of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia.
Department of Environmental and Occupational Health, College of Health Sciences, Aksum University, Aksum, Ethiopia.
BMC Res Notes. 2019 Aug 2;12(1):478. doi: 10.1186/s13104-019-4519-2.
Absence of latrine remains a common public health problem in most of the Sub-Saharan Africa countries. A cross-sectional study was conducted to assess the effect of community-led total sanitation and hygiene approach implementation and associated factors among villages of Laelai Maichew District, Tigray, and North Ethiopia.
This study revealed that the rate of latrine use in the rural community of Laelai-Maichew district was about 46.8%. The majority, 71.1% of households in CLTSH implemented Villages and 93.5% of households in CLTSH non-implemented Villages did not have hand washing facility around their latrine. Community-led to total sanitation and hygiene non-implemented villages were 49% times less likely to utilize their latrine compared to those community-led total sanitation implemented villages [AOR = 0.51 95% CI (0.35, 0.75)]. Households owned latrines for two and above years were 1.5 more likely to utilize their latrine [AOR = 1.50 95% CI (1.21, 2.59)] than those of owning latrines for less than 2 years. In this study, latrine use rate was low. As a result, the local, national governmental and non-governmental organization should design programs to create behavioral changes on the community's attitude towards latrine utilization.
在撒哈拉以南非洲的大多数国家，缺乏厕所仍然是一个常见的公共卫生问题。在埃塞俄比亚北部提格雷州莱莱迈乔区的村庄开展了一项横断面研究，以评估社区主导的全面环境卫生与个人卫生方法的实施效果及相关因素。
本研究显示，莱莱-迈乔区农村社区的厕所使用率约为46.8%。在实施社区主导的全面环境卫生与个人卫生的村庄中，大多数（71.1%）家庭没有，在未实施社区主导的全面环境卫生与个人卫生的村庄中，93.5%的家庭厕所周围没有洗手设施。与实施社区主导的全面环境卫生的村庄相比，未实施社区主导的全面环境卫生与个人卫生的村庄使用厕所的可能性低49%[调整后比值比（AOR）=0.51，95%置信区间（CI）（0.35，0.75）]。拥有厕所两年及以上的家庭使用厕所的可能性比拥有厕所不到两年的家庭高1.5倍[AOR=1.50，95%CI（1.21，2.59）]。在本研究中，厕所使用率较低。因此，地方、国家政府和非政府组织应设计项目，促使社区对厕所使用的态度发生行为改变。
