Objective: In Ethiopia, there has been progress on construction of latrine facilities in all parts of the country through health extension program since 2003. However, there were limited evidence whether the household are using properly or not. Therefore, the aims of this study were to decide level of latrine use and to explore the reasons for latrine use in rural community of North Achefer District, Ethiopia.
Result: The proportion of latrine utilization was 44.5 % (95% CI: 441%, 48%) among rural communities. Presence of student in household (AOR=4.3, 95%CI: 2.25, 8.26), father’s able to read and write (AOR=1.5, 95%CI: 1.03, 2.2), duration of latrine (AOR=3.04, 95%CI: 1.88, 4.9), latrine need maintenance (AOR=0.5, 95% CI: 0.36, 0.75), short distance of latrine (AOR=0.32, 95% CI: 0.19, 0.55), self-initiation of latrine use (AOR=0.22, 95%CI: 0.1, 0.46) and peer pressure for latrine use (AOR=2.07, 95%CI: 1.04, 4.13) were factors associated with increased latrine use. Poor quality of latrines, methods of mobilizing community, infrequent supervision and follow up, poor commitment of health extension workers, inadequate knowledge and unfavorable attitudes & motivations of latrine uses were challenges to use latrine.
Key words: Latrine utilization, Hand washing facilities, Hygiene, Sanitation, Amhara Region, Ethiopia