The article Factors associated with sanitation practices among household-level in Mogadishu, Somalia
Keywords:Diarrhea, Hygiene, Household, Sanitation Practices, Water.
Background: Poor sanitation is responsible for 4% of mortalities and 5.7% of morbidity worldwide, particularly among under five children. In 2015, the WHO estimated that 2.39 billion children under five had diarrhea. Diarrhea is accountable for 18% of all child deaths from water contamination, improper sanitation, or hygienic practices.
Methods: A cross-sectional study was conducted in the Hodan district of Mogadishu, Somalia, from December 2021 to February 2022. The study subjects were randomly selected from 241 households. Descriptive statistics were processed, and logistic regression analysis was used. A confidence interval of 95% and a p-value less than 0.05 were considered statistically significant.
Results: Among 29% of households had poor sanitation conditions. More than 60.6% of the participants lived in multi-family homes, and 81.3% of households lacked access to hand-washing facilities. There was an association between residences with multiple families and diarrhea in children under five years [AOR= 0.001 - 95% CI 0.001-0.002]. While families without toilets had [AOR= 0.577 - 95% CI 0.673- 0.623], and children in households using pit latrines were statistically significant [AOR= 9.393 - 95% CI 2.377-37.115]. Similarly, family income had a nearly increased risk of diarrhea occurrence in children [AOR= 0.125 - 95% CI 0.041-0.381].
Conclusion: Provide adequate water, hygiene and sanitation services in the Hodan district is vital for diarrheal prevention. Awareness-raising at a household level and improved sanitation facilities, and sanitation practices and encouraging, should be scaled up accordingly. Further in-depth studies should also be conducting.
Rah JH, Cronin AA, Badgaiyan B, Aguayo V, Coates S, Ahmed S. Household sanitation and personal hygiene practices are associated with child stunting in rural India: A cross-sectional analysis of surveys. BMJ Open. 2015;5(2).
Mustaf A. Isack, Juma J. Nyamai, Atei Kerochi. Analysis of risk factors associated with diarrhea prevalence among under-five children in Galkayo, Somalia, 2022].
Agustina R, Sari TP, Satroamidjojo S, Bovee-Oudenhoven IM, Feskens EJ, Kok FJ. Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas. BMC Public Health. 2013;13(1).
Berhe AA, Aregay AD, Abreha AA, Aregay AB, Gebretsadik AW, Negash DZ, et al. Knowledge, Attitude, and Practices on Water, Sanitation, and Hygiene among Rural Residents in Tigray Region, Northern Ethiopia. 2020.
Kumar A. Households’ Toilet Facility in Rural India: Socio-spatial Analysis. 2017;
Mihrete TS, Alemie GA, Teferra AS. Determinants of childhood diarrhea among under-five children in Benishangul Gumuz Regional State, North West Ethiopia. 2014;
Dagnew AB, Tewabe T, Miskir Y, Eshetu T, Kefelegn W, Zerihun K, et al. Prevalence of diarrhea and associated factors among under-five children in Bahir Dar city, Northwest Ethiopia, 2016: A cross-sectional study. BMC Infectious Diseases. 2019 May 14;19(1).
Sahiledengle B, Alemseged F, Belachew T. Sanitation practice and associated factors among slum dwellers residing in urban slums of Addis Ababa, Ethiopia: A community based cross-sectional study. 2018.
Id SY, Hudani A, Udenigwe O, Shah V. Improving Water, Sanitation and Hygiene Practices, and Housing Quality to Prevent Diarrhea among Under-Five Children in Nigeria.
Yusuf AM, Sheikh A, Omer M, Yasin S omer, Had HJ. Prevalence and Factors Associated with Diarrhoea Among Childern Aged 0-59 Months In Badbaado Camp In Mogadishu, 2018.
Alasow A, Yusuf Abdirizak. Knowledge, Attitudes and Practices on Sanitation Among Women of Reproductive Age at Badbado Camp, Dharkenley District, Mogadishu-Somalia. CAJPH. 2020;6(4):220.
Mohamed H. Prevalance of Diarrhea and Associated Factors Among Children Under Five Years in Internally Displaced Populations of Hodan District, Somalia. 2019;
Dahir O, Boonshuyar C. Environmental determinants of reported diarrhea among under 5-year-old children in Mogadishu, Somalia. 2020.
Biniyam S, Fessahaye A, Tefera B. Sanitation practice and associated factors among slum dwellers residing in urban slums of Addis Ababa, Ethiopia: A community based cross-sectional study. Journal of Public Health and Epidemiology. 2018;10(10):370–9.
Eshete Soboksa N, Nenko Yimam G. Assessment of Household Level Sanitation Practice of Mothers’ and Associated Factors in Gedeo Zone, South Ethiopia. American Journal of Public Health Research. 2017;5(2):43–9.
Bizatu M, Negga Baraki. Community based assessment on household management of waste and hygiene practices in Kersa Woreda, Eastern Ethiopia. 2010.
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