Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia
Science Journal of Public Health
Volume 4, Issue 4, July 2016, Pages: 297-304
Received: May 16, 2016; Accepted: Jun. 6, 2016; Published: Jun. 23, 2016
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Abdissa Aga, School of Public Health, College of Health Sciences, University of Gondar, Gondar, Ethiopia
Walelegn Worku, Addis Continental Institute of Public Health (ACIPH), Addis Ababa, Ethiopia
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Globally, an estimated 2.5 billion people lack access to improved sanitation which is more than 35% of the world’s population and about 1billion people, 15% of the world population do not have access to any kind of sanitation facility and exercise open defecation. A total of 16% of population living in urban Ethiopia do not have access to any kind of sanitation facility and exercise open defecation, of which the huge proportion lives in the slum areas. Objectives: To assess the level of practice and associated factors towards sanitation in the urban slum communities of Addis Ababa, Ethiopia. Methods: A community based cross-sectional study design was conducted on January 2015 in Addis Ketema, Lideta, Kirkos, and Gulelle sub cities of Addis Ababa. Using stratified sampling 636 sample households was selected and data was collected from 624 household, which is 98.1% of estimated sample size. Results: Practice of sanitation was 43.89% and it gets higher in households found in Lideta [AOR=3.37, 95% CI=1.12-10.15, p<0.031], Kirkos [AOR= 4.97, 95% CI=1.76-14.04, p<0.002], and Gullele [AOR= 10.16, 95% CI=3.61-28.58, p<0.000] sub cities; and who own previous latrines [AOR= 6.26, 95% CI=3.01-13.01, p<0.000]. It gets lower in households who share latrine with other neighboring households [AOR= 0.08, 95% CI=0.03-0.17, p<0.000], those who own simple pit latrines [AOR= 0.02, 95% CI=0.05-0.74, p<0.016], those who didn’t receive support during the construction of their latrine, [AOR=0.004, 95% CI=0.001– 0.014, p<0.000], and those whose annual income is between 55,001 ETB and 65,000 ETB [AOR=0.15, 95% CI= 0.02– 0.88, p<0.036]. The level of practice of sanitation in the study population is low. Latrine sharing habit, not hiring sanitation facility builder/ skilled mason, and need for subsidy and support during latrine construction were found to be the main factors contributing for this low practice. Establishing well organized and responsible body at each level of administration that will incept and execute awareness and promotion activities to improve the practice of sanitation should be done using different promotion approaches.
Sanitation, Practice, Urban Slums, Cross-Sectional Studies, Associated Factors, Ethiopia
To cite this article
Abdissa Aga, Walelegn Worku, Sanitation Practice of Slum Communities in Addis Ababa, Ethiopia, Science Journal of Public Health. Vol. 4, No. 4, 2016, pp. 297-304. doi: 10.11648/j.sjph.20160404.15
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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