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Abstract：
UNASSIGNED: Open defecation is a significant global challenge, impacting public health, environmental sanitation, and social well-being, especially in low- and middle-income countries like Ethiopia. It is the second-largest cause of disease burden worldwide by facilitating the spread of germs that cause diarrhea diseases. Studies examining open defecation practices are insufficient, especially in areas implementing Ethiopia\'s Geshiyaro project. Therefore, this study aimed to assess the status of open defecation practice and associated factors in the study area.
UNASSIGNED: A community-based cross-sectional study was conducted from June to July 2023. The total number of households included in this study was 7995. A structured questionnaire and observational checklist were used to collect data. Descriptive and multivariate logistic regression analyses were performed using STATA version 16.
UNASSIGNED: The study found that 16.5% of households practiced open defecation. The following factors were significantly associated with the occurrence of open defecation: residence (AOR = 1.56, 95% CI: 1.26-1.92), education (AOR = 0.59, 95% CI: 0.49-0.72), age (AOR = 0.53, 95% CI: 0.41-0.69), knowledge on diarrhea prevention (AOR = 1.32, 95% CI: 1.17-1.50), marital status (AOR = 1.61, 95% CI: 1.32-1.97), and awareness creation about WASH services (AOR = 1.96, 95% CI: 1.71-2.25). On the other hand, no significant association was observed between the occurrence of open defecation and the household\'s income (AOR = 1.07, 95% CI: 0.93-1.23) or the head of household sex (AOR = 0.94, 95% CI: 0.78-1.12).
UNASSIGNED: Open defecation remains a critical public health concern in Ethiopia\'s Geshiyaro project sites. Various factors influencing this practice have been identified. Targeted interventions are needed to enhance access to safe sanitation facilities and promote awareness of WASH services, aligning with SDG 3 target 3, and SDG 6 target 2.
UNASSIGNED: A community-based cross-sectional study was conducted from June to July 2023. The total number of households included in this study was 7995. A structured questionnaire and observational checklist were used to collect data. Descriptive and multivariate logistic regression analyses were performed using STATA version 16.
UNASSIGNED: The study found that 16.5% of households practiced open defecation. The following factors were significantly associated with the occurrence of open defecation: residence (AOR = 1.56, 95% CI: 1.26-1.92), education (AOR = 0.59, 95% CI: 0.49-0.72), age (AOR = 0.53, 95% CI: 0.41-0.69), knowledge on diarrhea prevention (AOR = 1.32, 95% CI: 1.17-1.50), marital status (AOR = 1.61, 95% CI: 1.32-1.97), and awareness creation about WASH services (AOR = 1.96, 95% CI: 1.71-2.25). On the other hand, no significant association was observed between the occurrence of open defecation and the household\'s income (AOR = 1.07, 95% CI: 0.93-1.23) or the head of household sex (AOR = 0.94, 95% CI: 0.78-1.12).
UNASSIGNED: Open defecation remains a critical public health concern in Ethiopia\'s Geshiyaro project sites. Various factors influencing this practice have been identified. Targeted interventions are needed to enhance access to safe sanitation facilities and promote awareness of WASH services, aligning with SDG 3 target 3, and SDG 6 target 2.
摘要：
■露天排便是一项重大的全球性挑战，影响公共卫生，环境卫生,和社会福祉，特别是在埃塞俄比亚等低收入和中等收入国家。通过促进引起腹泻疾病的细菌的传播，它是全球疾病负担的第二大原因。对开放式排便实践的研究不足，特别是在实施埃塞俄比亚Geshiyaro项目的地区。因此,本研究旨在评估研究区域开放式排便实践的现状和相关因素。
■于2023年6月至7月进行了一项基于社区的横断面研究。纳入本研究的家庭总数为7995个。使用结构化问卷和观察性检查表收集数据。使用STATA版本16进行描述性和多变量逻辑回归分析。
■研究发现，16.5%的家庭实行露天排便。以下因素与开放式排便的发生显著相关:居住(AOR=1.56,95%CI:1.26-1.92),教育程度(AOR=0.59，95%CI：0.49-0.72)，年龄（AOR=0.53，95%CI：0.41-0.69），腹泻预防知识（AOR=1.32，95%CI：1.17-1.50），婚姻状况（AOR=1.61，95%CI：1.32-1.97），以及对WASH服务的意识创建(AOR=1.96，95%CI：1.71-2.25)。另一方面,开放式排便的发生与家庭收入(AOR=1.07,95%CI:0.93-1.23)或户主性别(AOR=0.94,95%CI:0.78-1.12)之间无显著关联。
在埃塞俄比亚的Geshiyaro项目中，开放式排便仍然是一个严重的公共卫生问题。已经确定了影响这种做法的各种因素。需要采取有针对性的干预措施，以增加获得安全卫生设施的机会，并提高对WASH服务的认识，与SDG3目标3和SDG6目标2保持一致。
■于2023年6月至7月进行了一项基于社区的横断面研究。纳入本研究的家庭总数为7995个。使用结构化问卷和观察性检查表收集数据。使用STATA版本16进行描述性和多变量逻辑回归分析。
■研究发现，16.5%的家庭实行露天排便。以下因素与开放式排便的发生显著相关:居住(AOR=1.56,95%CI:1.26-1.92),教育程度(AOR=0.59，95%CI：0.49-0.72)，年龄（AOR=0.53，95%CI：0.41-0.69），腹泻预防知识（AOR=1.32，95%CI：1.17-1.50），婚姻状况（AOR=1.61，95%CI：1.32-1.97），以及对WASH服务的意识创建(AOR=1.96，95%CI：1.71-2.25)。另一方面,开放式排便的发生与家庭收入(AOR=1.07,95%CI:0.93-1.23)或户主性别(AOR=0.94,95%CI:0.78-1.12)之间无显著关联。
在埃塞俄比亚的Geshiyaro项目中，开放式排便仍然是一个严重的公共卫生问题。已经确定了影响这种做法的各种因素。需要采取有针对性的干预措施，以增加获得安全卫生设施的机会，并提高对WASH服务的认识，与SDG3目标3和SDG6目标2保持一致。
