Assessement Of Kap Of Hh Torwards Market Based Sanitation Approach And Associated Factors In Ambo District, West Shoa Zone Oromia, Ethiopia, 2021

Abstract

Back ground: Market based sanitation is a sanitation marketing whereby the household fully pays at once or through installments to the supplier towards the purchase, construction materials, upgrade or maintenance of and hand washing products entitled to toilet for the desired improved latrine. Despite that different measures taken, market based sanitation implementation still remain challenging in Asia and Sub-Saharan Africa including Ethiopia. Households’ knowledge, attitude and practice towards market based sanitation guideline are very important. Objective: To assess knowledge, attitude and practice of households’ towards market based sanitation approach and associated factors in Ambo District, West Shoa Zone, Oromia, Ethiopia, 2021. Methods: A mixed method study was employed. Community based cross sectional was used among 419 randomly selected head of households using interviewer administered structured questionnaire and explanatory sequential was employed for key informant interview using open-ended questionnaire in Ambo district from October to November 2021and. The collected data were entered into EPI Data version 3.1 and analyzed using SPSS version 21.0 software. Binary and multiple logistic analyses were carried out to identify factors associated with knowledge, attitude, practice toward market based sanitation approach at 95%CI and p value of <0.05 and key informant interview were analyzed manually and quoted. Results: A total of 419 respondents participated with 99.2% response rate. The study showed that only 42.7 %( 95%CI: 38.1-47.8%) and 46.8 %( 95%CI: 42.1-52.3%) had good knowledge and good practices respectively. Households who were living in open defecation free village (AOR=4.47, 95%CI: 1.46-13.68); have understanding on village saving and loan association (AOR=3.33, 95%CI: 1.01-5.53) times more likely to have good knowledge. Head of household who had discuss and decide with family (AOR=2.78, 95%CI: 1.42-5.4) and having monthly income above 500 birr were (AOR=2.87, 95% CI: 1.06-7.71) times more likely to have good practice. From key informants’ poor implementation of market based sanitation guideline and saving money that hinders household from purchasing sanitation products. Conclusions: This study indicated that knowledge and practices of head of households towards market based sanitation approach was low as compared to mean. Living in open defecation free village and presence of village saving and loan association were significantly associated with good knowledge. While monthly income and discussing and deciding with family were significantly associated with good practice towards market based sanitation approach. National market based sanitation guideline was not properly implementing and monitored in the district. Thus, Ambo district health office should pay due attention to increase awareness and changes utilization behavior and establish and encourage village saving and loan association.