Appropriate household water treatment methods in Ethiopia: household use and associated factors based on 2005, 2011, and 2016 EDHS data
Appropriate household water treatment methods in Ethiopia: household use and associated factors based on 2005, 2011, and 2016 EDHS data
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DOI：
10.1186/s12199-018-0737-9
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发表时间：
2018-09-27
影响因子：
4.7
通讯作者：
Sahilu, Geremew
中科院分区：
文献类型：
--
作者：
Geremew, Abraham;Mengistie, Bezatu;Sahilu, Geremew
背景：由于水和卫生设施引起的腹泻病可以通过使用点水处理来预防。在埃塞俄比亚，少数家庭在用水点用适当的方法处理水。然而，与家庭使用这些治疗方法有关的因素的证据很少。因此，本研究旨在探讨家庭使用适当的使用点的水处理和相关因素在Ethiopia.Methods：2005年，2011年和2016年埃塞俄比亚人口和健康调查的数据进行分析。据报告，在每次调查中，用漂白剂、煮沸、过滤和太阳能消毒处理水的家庭被视为用适当的处理方法处理水。家庭用水处理与这些处理方法和相关因素进行了评估，使用双变量和多变量回归。此外，还通过多水平模型（Multilayer modeling）评估了水处理使用的地区水平差异。结果：2005年、2011年和2016年，报告使用适当水处理方法处理水的家庭数量分别为3.0%、8.2%和6.5%。2005年、2011年和2016年，受过高等教育的户主使用治疗方法的几率分别是未受过教育的户主的5.99倍（95%CI = 3.48，10.33）、3.61倍（95%CI = 2.56，5.07）和3.43倍（95%CI = 2.19，637）。与2005年的数据相比，2011年（AOR = 2.78，95% CI = 2.16，3.57）和2016年（AOR = 2.18，95% CI = 1.64，3.89）使用适当水处理方法的家庭数量显著增加。在汇总数据分析中，报告的治疗方法的使用与户主教育、居住、饮用水源和拥有收音机和电视有关。从一个多层次的建模，区域内的变化是高于区域间的变化，在使用的治疗方法在each survey.Conclusions：低于10%的家庭报告治疗水在使用点在每次调查中归因于不同的因素。为在国家一级广泛使用治疗方法制定干预战略至关重要。
Background: Diarrheal disease attributable to water and sanitation can be prevented using point-of-use water treatment. In Ethiopia, a small number of households treat water at point-of-use with appropriate methods. However, evidence on factors associated with household use of these treatment methods is scarce. Therefore, this study is intended to explore the household use of appropriate point-of-use water treatment and associated factors in Ethiopia.Methods: The data of 2005, 2011, and 2016 Ethiopian demographic and health surveys were used for analysis. Households reportedly treating water with bleach, boiling, filtration, and solar disinfection in each survey are considered as treating with appropriate treatment methods. Household water treatment with these treatment methods and factors associated was assessed using bivariate and multivariable regression. In addition, a region level difference in the treatment use was assessed by using multilevel modeling.Results: The number of households that reported treating water with appropriate water treatment methods was 3.0%, 8.2%, and 6.5% respectively in 2005, 2011, and 2016. Household heads with higher education had 5.99 (95% CI = 3.48, 10.33), 3.61 (95% CI = 2.56, 5.07), and 3.43 (95% CI = 2.19, 637) times higher odds of using the treatment methods respectively in 2005, 2011, and 2016 compared to household heads who had no education. There was a significantly high number of households that used appropriate water treatment methods in 2011 (AOR = 2.78, 95% CI = 2.16, 3.57) and 2016 (AOR = 2.18, 95% CI = 1.64, 3.89) compared to 2005 data. In pooled data analysis, the reported use of the treatment methods is associated with household head education, residency, drinking water sources, and owning radio and television. From a multilevel modeling, within-region variation is higher than between-region variations in the use of treatment methods in each survey.Conclusions: Below 10% of households reportedly treating water at point-of-use in each survey attributable to different factors. Designing intervention strategies for wide-scale use of treatment methods at the country level is fundamental.