Under-Five Children Diarrheal Satus And Assocaited Factors Among Implemented And Not Implemented Community-Led Total Sanitation And Hygiene In Yaya Gulele District,Ehiopia,2017. A Community-Based Comparative Cross Sectional Study Design Triangulated With
Purpose: The aim of this study was to assess under five diarrheal status and associated factors among implemented and not implemented Community-led total sanitation and Hygiene in Yaya Gulele woreda, Ethiopia, 2017.
Methods: Community-based comparative cross sectional study-involving 380 households from each implemented and not implemented community-led total sanitation and hygiene (CLTSH) area was conducted from December 1 to June 30, 2017. Pretested structured questionnaire and a complete observational checklist were used to collect data. Qualitative data were collected via focus group discussions and analyzed manually. Data were checked and entered to Epi info 3.5.4 and analyzed by SPSS version 20. Bivariate and multivariable logistic regression analyses were computed
Results: In this study,of the households of participants , 88% inimplemnted and 66% in not implemented Community-Led Total Sanitation and Hygiene (CLTSH) had latrine. Of latrine owned households, 85% in implemented and 75% in not implemented CLTSH utilize latrine properly. In the study area, 12% in implemented and 34% in not implemented CLTSH area practice open defecation.
Two weeks period diarrhea prevalence was13.4% (95%CI: 10.2-17.3%) in implemented CLTSH and 36.3% (95%CI: 31.7-41.6%) in not implemented CLTSH were reported. Two and above under five years old children [AOR= 2.33;95% CI (1.09-4.96)], not clean water storage [AOR=2.36; 95%CI (1.16-4.80)], negative attitude of mothers/caregivers towards diarrhea [AOR=2.07; 95%CI (1.06-4.04)], presence of feces in the compound [AOR=1.88;95%CI (1.10-3.22)] and lack of hand washing facility in the compound [AOR=2.64; 95%CI (1.47-4.74)] were associated factors of the outcome. Conclusions: implementation of CLTSH is the applicable tool to reduce diarrhea prevalence.Having more than two under five years old children,not clean water storage,negative attitude of mothers towards of diarrhea,existence of feces in the compound and lack of handwashing facility in the compound were associated factors to under five years old diarrheal status.. Health workers and local authorities inspire the community to clean water storage and the environment,to change mothers’ behaviour towards diarrhea as well as construct handwashing facility in the compound.