Presentation on theme: "Presented by: Wosen Gezahegn, Amref Health Africa- Ethiopia"— Presentation transcript:
1 Presented by: Wosen Gezahegn, Amref Health Africa- Ethiopia Knowledge, Attitude & Practice on Hygiene and Sanitation Among Communities in Urban Slum Areas; The Case of Gullele Sub City, Addis Ababa, EthiopiaPresented by: Wosen Gezahegn,Amref Health Africa- Ethiopia
2Out line Introduction Objective Methodology Result Conclusion Recommendation
3IntroductionThe World Health Organization estimates that, worldwide, there are 884 million people without access to a safe water supply.It’s hard to believe that diarrhoea caused by dirty water, poor sanitation and bad hygiene kills more children than malaria, measles and HIV/AIDS combined.Globaly 4 out of 10 people lack access to something as basic as a clean toilet.
4Introduction cont…In Africa, 312 million people do not have access to an improved drinking-water source533 million people in Africa, do not have access to an improved sanitation facility.The Ministry of health of Ethiopia set an ambitious target to achieve 100 per cent sanitation coverage in both rural and urban areas of the country by 2015.
5According to Ethiopian DHS 2011 Introduction cont…According to Ethiopian DHS 2011Proportion of population using an improved drinking water source 50.8% ( Urban 92.8% , Rural 41.6%)Proportion of population using an improved sanitation facility 8.8% ( Urban 18.2% , Rural 6.8%)
6About the study areaAddis Ababa is divided in to 10 Sub cities, Gullele is one of them located in the north.It is the one of the oldest part of the capital city and contains indentified slum areas/districts.The total population of the sub city is estimated to be 283,000 (2012GC).
7Objective of the study General objective To assess the Knowledge, Attitude & Practice on hygiene and sanitation among communities in Gullele Sub City, Addis Ababa, Ethiopia.
8Specific objectivesTo Assess the Knowledge on hygiene and sanitation among communities in Gullele Sub City, Addis Ababa, Ethiopia.To assess the Attitude on hygiene and sanitation among communities in Gullele Sub City, Addis Ababa, Ethiopia.To Assess the Practice on hygiene and sanitation among communities in Gullele Sub City, Addis Ababa, Ethiopia.
9Study DesignCommunity based cross-sectional studyStudy PopulationAll the community who lives Gullele sub city of Addis Ababa EthiopiaStudy periodThis Study was conducted from April to June 2013
10Sample SizeSample size was determine using single population formula with95% confidence interval,50% prevalence,5% degree of precision,Design effect of 25 % non respond rateThe final Sample size was 807In actual data collection the data were collected from 803 house holds.
11Sampling Procedure10 districts in Gullele Sub city were includedFor selection of representative numbers of households, the ratio of total population in the respective districts were considered.The study population/house holds were obtained by simple random sampling.
12Data Collection Tools and Procedure Household Questionnaires: Interviews were administered using a structure household questionnaire in 803 householdsObservation: Using an observation checklist at the back of the questionnaires, the enumerators were able to observe and collect data on the physical conditions at the homes visitedThe collected data was processed with use of SPSS, Version 20.0.
13Limitation of the study This study do not show the associated factors behind the findings.It was done in one corner of the city , difficult to generalize the result to the city and the country, as it was a base line for the implimentation of a new project.
14Demographic Profile of the Respondents ResultsDemographic Profile of the Respondents803 house hold respondents were interviewedPercentage of Respondentsby Gender Educational level
15Water supply 618 ( 77% ) respondent use from piped water into dwelling Source of Water618 ( 77% ) respondent use from piped water into dwelling136 (17%) from stand pipe from water venders16 (2%) from protected hand dug well,24 (3 %) from protected Spring8 (1%) from Unprotected spring
20Studies in DRC ( 20%), Sudan ( 16% ), Bangladesh ( 18 %) 137 (17%) of the surveyed house holds reported that there was diarrhea in the past 2 weeksStudies in DRC ( 20%), Sudan ( 16% ), Bangladesh ( 18 %)
22Practices on Sanitation and Hygiene It was found that only129 (16%) of the households had designated place for hand washing .It was also observed only 10% of households had hand washing facility closer to the toilet facility.580 (85%) sanitation facilities was found to be functional.Only 102 (15% ) of the facilities were observed to have cover.
24ConclusionsThe respondents associated sanitation and hygiene mostly to (i) hand hygiene/cleanliness and (ii) clean, safe water. Safe disposal of feces was not among their prioritiesAccess to Improved sanitation facility is one of the major challenge in the study areaHad washing practice is also critical problem as 90% of the surveyed house holds did not have a hand washing facility adjacent to sanitation facility.
25RecommendationsPromotion of construction and use of improved latrines at HH level with hand washing facilities .Strengthening the existing urban health extension program with special attention to urban slum areas.Develop strong strategy to promote proper hand wash.Further research is needed on the design of messages and campaigns on hygiene awareness for urban poor communities.