Assessment of Community Led Total Sanitation Achievements and Its Associated Factors in Rural Kebeles of Adama Woreda, East Shoa Zone, Oromia, Ethiopia

Abstract

Ethiopia has made important improvement concerning entire water, sanitation and hygiene access in the past era on the other hand still significant problems present which varies from rural to urban. Due to limited access to safe water, inadequate sanitation and hygiene services, 60-80% preventable communicable diseases attributed in the country.For controlling, community led total sanitation program introduced in 2013. This is aimed to assess community led total sanitation achievements and its associated factors in rural kebeles. A cross-sectional study with cluster, probability proportion and simple random sampling techniques employed to collect data from 604 households. Data were collected through interview and observational checklist. The study revealed that, only 51(8.6%) respondents answered community led total sanitation achieved. Sex (AOR=4.72, 95% CI =1.09-8.48, p=0.01), monthly income (AOR=2.00, 95% CI=1.09-3.69, p=0.03), open dump in the yard (AOR=2.03, 95% CI = 1.11-3.72, p=0.005) and triggering step (AOR=3.54, 95% CI = 1.41-8.89, p=0.003) significantly allied to community led total sanitation achievement. This finding concluded that, community led total sanitation achievement in the study areas were very lower than the areas posted open defecation free. Health workers, community representatives and local authorities must give special emphasis to improve the coverage.