Abstract:
Sanitation is a basic human right but an estimation of globally 2.5 billion people do not use improved sanitation,1.2 billion practice open defecation in rural areas. However, there was no documented study in Tullo District related to latrine utilization in Community led total sanitation implemented and non-implemented kebeles. Objective: This study aimed to assess latrine utilization and associated factors among Community Lead Total Sanitation implemented and non- implemented kebeles in Tullo District, West Hararghe, Eastern Ethiopia, from June 5- 25, 2020. Methods: A community based comparative cross-sectional study design was conducted. A Total of 760 households (380 from CLTS and 380 from non-CLTS) was involved in the study. data was collected by interview and followed by observation. analysis was done using SPSS version 20. Bivariate and multivariate logistic regressions used to identify the associated factors for utilization of latrine. Significance was declared at p-value less than 0. 05. Result: In this study the extent of latrine utilization was 65.7% and 46.5% in CLTS and non-CLTS implemented kebeles. In CLTS implemented kebeles, literate (AOR=3.66; 95% CI: 1.53, 8.73), households being visited by health extension worker (AOR=11.72; 95% CI: 4.01, 34.31), households being graduated as model family(AOR=7.56, 95% CI: 2.79, 20.44), ≥2 years by years of latrine owning (AOR=12.10, 95% CI: 3.21, 45.64), >6 meters distance of toilet to home (AOR=27.43, 95%CI,8.43, 89.29),Latrine with hand washing (AOR=2.93, 95%CI:1.19, 7.17), latrine with superstructure (AOR=6.54, 95% CI: 2.04, 20.98) were significantly associated with latrine utilization, while in non CLTS implemented kebeles, literate (AOR=25.78, 95% CI: 13.35, 49.78), medium wealth status(AOR=4.87, 95% CI: 2.10, 11.29), poor wealth status(AOR=2.51, 95% CI: 1.26, 5.01) were significantly associated with latrine utilization. Conclusion: The finding of this study revealed that 65.7% and 46.5%) of households in the CLTS and non CLTS kebeles had utilized latrine. Being literate, households visited by health extension worker, households graduated as model family, ≥2 years by years of latrine owning, >6 meters‟ distance of toilet to home, latrine with hand washing and superstructure were significant predictors in CLTS implemented kebeles while being literate, medium and poor wealth status were significant predictors in non CLTS implemented kebeles
