Access to Drinking Water, Sanitation, and Hand Hygiene Facilities in the Peri-Urban and Informal Settlements of Hosanna Town, Southern Ethiopia

Aydamo, Abiot Abera; Gari, Sirak Robele; Mereta, Seid Tiku

doi:10.1177/11786302231193604

Cited by 4 publications

(1 citation statement)

References 31 publications

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“…These settlements lack formal land tenure rights and are predominantly illegal. They suffer from inadequate infrastructure, including roads, electricity, and water supply (Aydamo et al 2023). Therefore, it is crucial to examine how water insecurity affects mother's handwashing practices and childhood diarrhea and their links in the study area.…”

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confidence: 99%

The nexus between household water insecurity, mother's handwashing practices, and diarrheal diseases among under-five children

Aydamo,

Gari,

Mereta

2024

Journal of Water and Health

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This study aimed to examine the association between household water insecurity (HWIS), mother's handwashing practices, and childhood diarrhea in the peri-urban and informal settlements of Hosanna town. A community-based cross-sectional study involving 424 mothers was carried out in Hosanna town, and the data were collected using a pretested structured questionnaire, HWISE Scale, and an observational checklist. Bivariate and multivariable logistic regression models were used to analyze the data. The study revealed that the prevalence of HWIS and diarrhea among under-five children was 68.6% (95% CI: 64.2–73.1%) and 16% (95% CI: 12.5–19.5%), respectively. Only 42.2% of the mothers had good handwashing practices. Good knowledge of handwashing, positive attitudes toward handwashing, household water security, and the presence of handwashing facilities were significantly associated with good handwashing practices. Children aged 6–11 months, HWIS, uncovered and wide-mouthed water storage containers, unsafe child's stool disposal practices, and hands not washed with soap after defecation, before preparing food, and feeding a child were significantly associated with the occurrence of diarrhea. The prevalence of diarrhea and HWIS was very high. The majority of the mothers had poor handwashing practices. Therefore, findings suggest interventions to improve HWIS and mother's handwashing practices, which could reduce the risk of diarrheal diseases.

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Section: Graphical Abstract Introductionmentioning

confidence: 99%

The nexus between household water insecurity, mother's handwashing practices, and diarrheal diseases among under-five children

Aydamo,

Gari,

Mereta

2024

Journal of Water and Health

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Seasonal Variations in Household Water Use, Microbiological Water Quality, and Challenges to the Provision of Adequate Drinking Water: A Case of Peri-urban and Informal Settlements of Hosanna Town, Southern Ethiopia

Aydamo,

Robele Gari,

Mereta

2024

Environ�Health�Insights

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Several studies have been conducted on household water use and microbial water quality globally. However, studies that considered seasonal variability of household water use and microbial water quality were limited. Therefore, this study investigated the seasonal variability of household water use, microbiological water quality, and challenges to the provision of adequate water in the peri-urban and informal settlements of Hosanna town, Southern Ethiopia. A longitudinal study was conducted on 288 households. The data was gathered using a pretested structured questionnaire, laboratory-analysis, interviews, storage-container inventories, focus group discussions, key-informant interviews, and an observational checklist. The data was analyzed using stepwise-multiple linear regression, bivariate and multivariable logistic regression, thematic-analysis, t-tests, and non-parametric-tests. Households were visited for 7 consecutive days during the dry and rainy seasons to account for changes in daily and seasonal variation of water use. 440 stored water and 12 source samples were analyzed for E. coli presence during dry and rainy seasons. The prevalence of stored water contamination with E. coli was 43.2% and 34.5% during the dry and rainy seasons, respectively. The per capita water consumption was 19.4 and 20.3 l during the dry and rainy seasons, respectively. Piped water on-premises, small family size, volume, and number of water storage containers were significant predictors of per capita water consumption in both seasons. Piped water off-premises, storing water for more than 3 days, uncovered, and wide-mouthed water storage containers were significantly associated with the presence of E. coli in water in both seasons. Seasonal variability of household water use and microbiological water quality was statistically significant, which is a significant public health concern and needs intervention to enhance water quantity and quality to mitigate the risk of waterborne diseases. Findings also suggest seasonal monitoring of the safety of drinking water to ensure that the water is safe and healthy.

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The Trend of Neglected Tropical Diseases in Gonji Kollela District in Amhara Region, Northwest Ethiopia: A Retrospective Study (2013-2022).

Damtie,

Ambelu,

Belay

2024

Preprint

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This study aimed to assess the trends of diseases, including Neglected Tropical Diseases (NTDs) among 1266 patients enrolled in three health centers from 2013-2022, in Gonji Kollela district of the Amhara region, Ethiopia. Sixty-one diseases ((56 non-NTDs (91.7%) and 5 NTDs (8.3%)) were reported. The top 13 most prevalent diseases in the research area were: Pneumonia (9.2%), Acute Febrile illness (8.8%), Upper Respiratory Tract Infection (7.4%), Intestinal Parasites (7.3%), Dyspepsia (6.7%), Trauma (6%), Helminthiasis (4.7%), Malaria (4.3%), Urinary Tract Infection (3.7%), Tonsilitis (3.1%), Skin Infection (2.7%), and Scabies and Muscle Disease (2.4%). The prevalence of NTDs was Helminthiasis (4.7%), Scabies (2.4%), Eye Disease (0.9%), Rabies (0.2%), and Podoconiosis (0.1%). Males (62.3%) had higher infection rates than females (37.7%). NTD prevalence was highest among males (5.2%), ages 18-64 (5%), at Geregera Health Center (3.1%), and in rural areas (6.6%). Statistical analyses revealed significant mean differences among the five NTDs, with Helminthiasis consistently higher. Scabies also showed higher means than Eye Disease and Rabies, while Eye Disease surpassed Podoconiosis. No significant differences are found between Scabies and Eye Disease, Eye Disease and Rabies, or Rabies and Podoconiosis.

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Access to Drinking Water, Sanitation, and Hand Hygiene Facilities in the Peri-Urban and Informal Settlements of Hosanna Town, Southern Ethiopia

Cited by 4 publications

References 31 publications

The nexus between household water insecurity, mother's handwashing practices, and diarrheal diseases among under-five children

The nexus between household water insecurity, mother's handwashing practices, and diarrheal diseases among under-five children

Seasonal Variations in Household Water Use, Microbiological Water Quality, and Challenges to the Provision of Adequate Drinking Water: A Case of Peri-urban and Informal Settlements of Hosanna Town, Southern Ethiopia

The Trend of Neglected Tropical Diseases in Gonji Kollela District in Amhara Region, Northwest Ethiopia: A Retrospective Study (2013-2022).

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