Department of Behavioural Sciences, School of Public Health, University for Development Studies, Tamale, Ghana.
Drylands Research Institute, University for Development Studies, Tamale, Ghana.
BMC Public Health. 2024 Oct 31;24(1):3027. doi: 10.1186/s12889-024-20521-w.
Latrine ownership and utilization is an integral part of the Community-Led Total Sanitation concept. This study assessed ownership and utilization of latrines in selected Open Defecation and Open Defecation-Free communities within the Bole district. A cross-sectional survey design and quantitative approach were employed in this study. Simple random sampling was used to select 166 households from 15 Open Defecation and 5 Open Defecation-Free communities. Data collection was done using a structured questionnaire. Data was analyzed using descriptive statistics, chi-square, and binary logistic regression. The proportion of latrine ownership and utilization were 22.3% and 6.6% respectively. Educational qualification, tertiary education (aOR: 6.1; 95% CI: 1.05-35.56), household subjective norms (OR: 0.19; 95% CI: 0.04-1.01), and awareness of Community-Led Total Sanitation (aOR: 13.3; 95% CI: 2.95-60.24) were determinants of latrine ownership and or utilisation. In conclusion, latrine ownership and use were generally low with education, awareness of community-led total sanitation, residential status, and household subjective norms as factors associated with ownership and or utilization. Education or sensitization should target cultural norms impeding latrine construction and usage. Again, implementable by-laws/community regulations must be implemented to propel latrine ownership and utilization.
厕所拥有和使用是社区主导整体卫生概念的一个组成部分。本研究评估了博莱区选定的无粪便露天排便和无粪便露天排便社区中厕所的拥有和使用情况。本研究采用了横断面调查设计和定量方法。简单随机抽样法从 15 个无粪便露天排便社区和 5 个无粪便露天排便社区中选择了 166 户家庭。使用结构化问卷进行数据收集。使用描述性统计、卡方检验和二元逻辑回归分析数据。厕所拥有率和使用率分别为 22.3%和 6.6%。教育程度、高等教育（优势比：6.1；95%置信区间：1.05-35.56）、家庭主观规范（比值比：0.19；95%置信区间：0.04-1.01）和对社区主导整体卫生的认识（优势比：13.3；95%置信区间：2.95-60.24）是决定厕所拥有和使用的因素。总之，厕所的拥有和使用普遍较低，教育程度、对社区主导整体卫生的认识、居住状况和家庭主观规范是与拥有和使用相关的因素。应针对阻碍厕所建设和使用的文化规范进行教育或宣传。此外，必须实施可执行的附则/社区法规，以推动厕所的拥有和使用。
