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<title>Environmental Health</title>
<link>http://ir.haramaya.edu.et//hru/handle/123456789/198</link>
<description/>
<pubDate>Wed, 10 Jun 2026 12:54:04 GMT</pubDate>
<dc:date>2026-06-10T12:54:04Z</dc:date>
<item>
<title>HOUSEHOLD SANITATION PRACTICE AND ASSOCIATED FACTORS IN GOLA ODA WOREDA, EAST HARARGHE ZONE, EASTERN ETHIOPIA</title>
<link>http://ir.haramaya.edu.et//hru/handle/123456789/8488</link>
<description>HOUSEHOLD SANITATION PRACTICE AND ASSOCIATED FACTORS IN GOLA ODA WOREDA, EAST HARARGHE ZONE, EASTERN ETHIOPIA
Alemayehu Tsegaye; Dinku Mekbib (MSc); Dr Tesfaye Gobena
Sanitation practices are essential for maintaining health, preventing diseases&#13;
and contributing to long-term development. Poor sanitation conditions contribute significantly&#13;
to the spread of infectious diseases, making it a critical public health issue in most low- and&#13;
middle-income countries, including Ethiopia. There is evidence paucity on level of household&#13;
sanitation practices and related factors in the study area.&#13;
Objective: This study aimed to assess household sanitation practice and identify the&#13;
associated factors in Gola Oda woreda, East Harerghe Zone, Eastern Ethiopia.&#13;
Methods: A community-based cross-sectional study was conducted among 498 households&#13;
from September 19- October 6, 2024. Six out of 18 kebeles were selected using a simple&#13;
random sampling method. Within each selected kebele, a systematic random sampling&#13;
technique was used to select the study participants. Data collection involved a pre-test&#13;
structured questionnaire and an observational checklist. Analysis was performed by using&#13;
SPSS version 25, with bivariate and multivariate logistic regressions used to identify the&#13;
associated factors, considering a significance level of p-value &lt; 0.05.&#13;
Results: The study found that 53.5% (95 CI: 49.2%, 58.2%) of households exhibited good&#13;
sanitation practice. Factors significantly associated with sanitation practice included a&#13;
diploma or higher education (AOR = 14.389, 95% CI: 1.74-118.80), grades 9 to 12 education&#13;
(AOR = 4.034, 95% CI: 1.13-14.40), grades 1 to 4 education (AOR = 2.361, 95% CI: 1.33-&#13;
4.19), the presence of a latrine superstructure (AOR = 4.133, 95% CI: 1.24-13.80), regular&#13;
follow-up visits from health extension workers (AOR = 13.452, 95% CI: 2.36-76.75), good knowledge of sanitation (AOR = 4.218, 95% CI: 2.00-8.89), and positive attitudes towards&#13;
sanitation (AOR = 3.927, 95% CI: 1.89-8.15).&#13;
Conclusion: - This study revealed that just over half of the households in the study area&#13;
practice good sanitation. However, a significant portion still faces challenges. The study&#13;
underscores the critical need for targeted educational and awareness programs to improve&#13;
sanitation practices in the area. By bridging knowledge gaps, fostering positive attitudes&#13;
towards sanitation, enhancing sanitation infrastructure, and ensuring ongoing support from&#13;
health extension workers, significant advancements in public health can be realized
74p.
</description>
<pubDate>Sat, 01 Mar 2025 00:00:00 GMT</pubDate>
<guid isPermaLink="false">http://ir.haramaya.edu.et//hru/handle/123456789/8488</guid>
<dc:date>2025-03-01T00:00:00Z</dc:date>
</item>
<item>
<title>ASSESSMENT OF ORAL HYGIENE PRACTICE AND ITS ASSOCIATED FACTORS AMONG PRIMARY SCHOOL CHILDREN IN JIGJIGA TOWN, SOMALI REGION, ETHIOPIA</title>
<link>http://ir.haramaya.edu.et//hru/handle/123456789/8394</link>
<description>ASSESSMENT OF ORAL HYGIENE PRACTICE AND ITS ASSOCIATED FACTORS AMONG PRIMARY SCHOOL CHILDREN IN JIGJIGA TOWN, SOMALI REGION, ETHIOPIA
ZIYAD SHEIKHNUR ABDI; Negga Baraki (MPH, Assistant Professor); Dr. Roba Aragaw (PhD)
Background:-Oral health is essential to general health, is a fundamental human right, and is one &#13;
of the contemporary issues globally. However, poor oral hygiene among primary students is the &#13;
major causes of public health problems in Africa including Ethiopia, contributed to dental caries &#13;
and other periodontal diseases. Good practice of oral hygiene adopted as a preventive strategy &#13;
against oral diseases to improve the well-being of children and families. In Somali region, there &#13;
is limited awareness, poor access to quality water, sanitation, and health infrastructures which &#13;
may lead to poor practice of oral hygiene. However, oral hygiene practice was low among &#13;
students and little is known about the practice as well as factors contributing to it in Jigjiga.  &#13;
Objective:-To assess the prevalence of oral hygiene practice and its associated factors among &#13;
primary school children in Jigjiga town, Somali region, Ethiopia, from October 15 to 25, 2025. &#13;
Methodology:-A school based cross sectional study will be conducted in Jigjiga town among &#13;
primary school children students. A total of 383children will be selected by systematic random &#13;
sampling technique from randomly selected primary schools. Structured and pretested &#13;
questionnaire will be used to collect information through face to face interview. Descriptive &#13;
statistics such as frequency, percentage and cross tabulation will be displayed. Binary logistic &#13;
regression will be used to measure the association between dependent and independent variables &#13;
and significant variables at p-value &lt;0.2 will be further tested using multivariate analysis to &#13;
identify independent factors associated with the practice of oral hygiene. P-value &lt;0.05 will be &#13;
considered to show the level of significance. Odds ratio with 95% CI will be reported for each &#13;
predictors. &#13;
Expected Outcome: The finding is expected to improve the practice of oral hygiene among &#13;
primary school children in Jigjiga town by creating awareness to children, families and building &#13;
the schools capacity to introduce oral health education program &#13;
Proposed budget: The study needs a total budget of 60,658.00 Ethiopian Birr and will be &#13;
covered by self.
53
</description>
<pubDate>Wed, 01 Oct 2025 00:00:00 GMT</pubDate>
<guid isPermaLink="false">http://ir.haramaya.edu.et//hru/handle/123456789/8394</guid>
<dc:date>2025-10-01T00:00:00Z</dc:date>
</item>
<item>
<title>ACCESS TO WATER AND SANITATION FACILITIES AND  ASSOCIATED FACTORS AMONG HOUSEHOLDS IN THE SLUM   AREAS OF JIGJIGA CITY, EASTERN ETHIOPIA</title>
<link>http://ir.haramaya.edu.et//hru/handle/123456789/8393</link>
<description>ACCESS TO WATER AND SANITATION FACILITIES AND  ASSOCIATED FACTORS AMONG HOUSEHOLDS IN THE SLUM   AREAS OF JIGJIGA CITY, EASTERN ETHIOPIA
MOHAMED SIYAD YUSUF; Dr. Abraham Geremew (PhD, Associate Professor); Yohannes Mulugeta (MPH, Assistant Professor)
Background: Access to safe water and improved sanitation remains a major public health challenge &#13;
in rapidly expanding urban slum areas of Ethiopia. However, there is limited empirical evidence &#13;
examining both the level of access to improved water, sanitation, and hygiene (WASH) services and &#13;
their associated determinants in informal settlements of emerging regional cities. This study assessed &#13;
access to improved water supply and sanitation facilities and identified associated factors among slum &#13;
households in Jigjiga City, Somali Regional State, Ethiopia. &#13;
Objective: To assess access to water supply and sanitation facilities and examine factors associated &#13;
with improved water supply and sanitation among households in the slum areas of Jigjiga City, &#13;
Somali Regional State, eastern Ethiopia, from 15 July to 31 August 2023. &#13;
Methods: A community-based cross-sectional study was conducted among 404 slum households in &#13;
Jigjiga City from 15th July to 31st August 2023. 404 Households were selected using a systematic &#13;
random sampling technique, whereby every 19kth household was chosen after a random starting point &#13;
from a complete household list to ensure representative sampling. Data were collected from 404 &#13;
selected households through face-to-face interviews using a structured questionnaire and an &#13;
observational checklist to assess household water and sanitation conditions. Data were coded, &#13;
cleaned, and entered into Epi-Data version 3.1 and exported to STATA version 13 for analysis. Model &#13;
fitness was assessed using the log-likelihood ratio test. Bivariate and multivariable logistic regression &#13;
analyses were performed to identify factors associated with access to improved water supply and &#13;
sanitation. Adjusted Odds Ratios (AORs) with 95% confidence intervals (CIs) were used to determine &#13;
associations, and statistical significance was declared at p &lt; 0.05. &#13;
Results: Nearly all households (99.3%) reported access to a drinking water source; however, only &#13;
30.7% had piped water on premises, while the majority (69.3%) relied on water vendors, classified &#13;
as unimproved sources. Female-headed households were 49% less likely to have access to an &#13;
improved water supply compared with male-headed households (AOR = 0.51; 95% CI: 0.28–0.92). &#13;
Households headed by individuals with secondary education (AOR = 2.48; 95% CI: 1.14–5.40) and &#13;
those with diploma-level education or higher (AOR = 4.62; 95% CI: 1.85–11.54) had higher odds of &#13;
having piped water on premises compared with households headed by illiterate individuals.  &#13;
viii &#13;
Compared with low-income households, middle and high-income households showed significantly &#13;
higher odds of access to improved water supply (AOR = 3.42; 95% CI: 1.59–7.33 and AOR = 5.89; &#13;
95% CI: 2.67–12.97, respectively). &#13;
Households residing in semi-permanent (AOR = 0.29; 95% CI: 0.13–0.63) and temporary dwellings &#13;
(AOR = 0.33; 95% CI: 0.15–0.70) were significantly less likely to have improved water access. &#13;
Access to improved sanitation facilities was reported by 30.9% of households. Household head &#13;
education, household income, location of the water source, availability of handwashing facilities, and &#13;
presence of soap or detergent were significantly associated with sanitation access. Households headed &#13;
by individuals with diploma-level education or higher were more likely to have improved sanitation &#13;
(AOR = 3.02; 95% CI: 1.20–7.62). Middle-income (AOR = 1.78; 95% CI: 1.01–3.16) and high&#13;
income households (AOR = 2.41; 95% CI: 1.09–5.33) had higher odds of improved sanitation &#13;
compared with low-income households. Households using piped water off-premises were 52% less &#13;
likely to have improved sanitation (AOR = 0.48; 95% CI: 0.22–0.97). Availability of handwashing &#13;
facilities (AOR = 2.41; 95% CI: 1.08–5.37) and presence of soap or detergent (AOR = 2.76; 95% CI: &#13;
1.20–6.36) were also positively associated with improved sanitation. &#13;
Conclusion and Recommendations: Access to improved water supply and sanitation services in the &#13;
slum areas of Jigjiga City remains limited and unevenly distributed, and is significantly associated &#13;
with disparities in education, income, housing conditions, and gender. Strengthening water supply &#13;
infrastructure, promoting community-based sanitation programs, implementing gender-sensitive &#13;
WASH interventions, and expanding affordable piped water connections through public–private &#13;
partnerships are important strategies for improving equitable WASH access in urban slum settings of &#13;
Jigjiga City.
94
</description>
<pubDate>Sun, 01 Mar 2026 00:00:00 GMT</pubDate>
<guid isPermaLink="false">http://ir.haramaya.edu.et//hru/handle/123456789/8393</guid>
<dc:date>2026-03-01T00:00:00Z</dc:date>
</item>
<item>
<title>CUSTOMERS’ SATISFACTION AND ASSOCIATED FACTORS ON SOLID WASTE COLLECTION SERVICE IN HARAR CITY, EASTERN ETHIOPIA</title>
<link>http://ir.haramaya.edu.et//hru/handle/123456789/8355</link>
<description>CUSTOMERS’ SATISFACTION AND ASSOCIATED FACTORS ON SOLID WASTE COLLECTION SERVICE IN HARAR CITY, EASTERN ETHIOPIA
Ermiyas Worku Wegayehu; (PhD, ) Abreham Geremew; (Assis Prof) Negga Baraki
Solid waste collection and disposal practices had a serious human health related&#13;
problem. Community satisfaction on the practice of solid waste collection plays significant role&#13;
for the success of the collection process. However, community’s satisfaction is not well explored&#13;
in Harar, eastern Ethiopia.&#13;
Objective: To assess customers satisfaction and associated factors on solid waste collection&#13;
service in Harar town Eastern Ethiopia from September 1-30, 2023.&#13;
Method: A community based cross-sectional study was conducted on 976 households in Harari&#13;
region, Eastern Ethiopia. Data were collected using a pre-tested structured questionnaire utilizing&#13;
kobo tool box by visiting each household and analyzed using SPSS version16. A multivariable&#13;
logistic regression was used to explore the association between customer satisfaction and&#13;
independent variables. To measure the association between dependent and independent variables,&#13;
Crude and Adjusted Odd Ratios with 95% Confidence interval were calculated. Variable with pvalue &lt; 0.05 considered as statistically significant.&#13;
Result: The current study revelaed that only 39.1% (95% CI: 36.2 – 42.1) of customers were&#13;
satisfied by solid waste collection service. Factors such as educational status [AOR=4.8, 95%CI&#13;
(2.3, 9.88)], household income [AOR= 0.14, 95%CI (0.09, 0.23)], having family size of 4-6&#13;
[AOR=5.6, 95%CI (3.16, 10)], waste segregation practice [AOR= 2.5, 95%CI (1.7, 3.8)],&#13;
availability of vehicles for waste collection [AOR=2.99, 95%CI (2.1, 4.5)], thinking waste&#13;
pollute the environments [AOR=5.7, 95%CI (3.6, 8.9)], and awareness on solid waste collection&#13;
system [AOR= 4.1, 95% CI (2.57, 6.5)] were significantly associated at p value &lt; 0.05 with customer satisfaction.&#13;
Conclusion: Nearly three out of five customers are dissatisfied with the service. Educational&#13;
status, monthly income, family size, waste segregation practice, availability of vehicles for waste&#13;
collection, thinking that solid waste can pollute environment, and awareness on solid waste&#13;
collection system were the associated factors. Improving solid waste collection service by&#13;
increasing the personnel and vehicles is needed
78p.
</description>
<pubDate>Mon, 01 Apr 2024 00:00:00 GMT</pubDate>
<guid isPermaLink="false">http://ir.haramaya.edu.et//hru/handle/123456789/8355</guid>
<dc:date>2024-04-01T00:00:00Z</dc:date>
</item>
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