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Dissecting Water, Sanitation, and Hygiene (WaSH) to Assess Risk Factors for Cholera in Shashemene, Oromia Region, Ethiopia.


ABSTRACT:

Background

Cholera outbreaks have afflicted Ethiopia, with nearly 100 000 cases and 1030 deaths reported from 2015 to 2023, emphasizing the critical need to understand water, sanitation, and hygiene (WaSH) risk factors.

Methods

We conducted a cross-sectional household (HH) survey among 870 HHs in Shashemene Town and Shashemene Woreda, alongside extracting retrospective cholera case data from the Ethiopian Public Health Institute database. Relationships between WaSH and sociodemographic/economic-levels of HHs were examined. WaSH status and cholera attack rates (ARs) were described at kebele-level using geospatial mapping, and their association was statistically analyzed.

Results

Access to basic drinking water, sanitation, and hygiene facilities was limited, with 67.5% (95% confidence interval, 64.4-70.6), 73.4% (70.3-76.3), and 30.3% (27.3-33.3) of HHs having access, respectively. Better WaSH practices were associated with urban residence (adjusted odds ratio, 1.7, [95% confidence interval, 1.1-2.7]), higher educational levels (2.7 [1.2-5.8]), and wealth (2.5 [1.6-4.0]). The association between cholera ARs and at least basic WaSH status was not statistically significant (multiple R2 = 0.13; P = .36), although localized effects were suggested for sanitation (Moran I = 0.22; P = .024).

Conclusions

Addressing gaps in WaSH access and hygiene practices is crucial for reducing cholera risk. Further analyses with meaningful covariates and increased sample sizes are necessary to understand the association between cholera AR and specific WaSH components.

SUBMITTER: Hailu D 

PROVIDER: S-EPMC11244206 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature

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Publications

Dissecting Water, Sanitation, and Hygiene (WaSH) to Assess Risk Factors for Cholera in Shashemene, Oromia Region, Ethiopia.

Hailu Dejene D   Jeon Yeonji Y   Gedefaw Abel A   Kim Jong-Hoon JH   Mraidi Ramzi R   Getahun Tomas T   Mogeni Ondari D OD   Mesfin Getachew Edlawit E   Jang Geun Hyeog GH   Mukasa David D   Pak Gi Deok GD   Kim Deok Ryun DR   Ayele Abebe Samuyel S   Yeshitela Biruk B   Edosa Moti M   Worku Demlie Yeshambel Y   Park Se Eun SE   Teferi Mekonnen M  

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20240701 Suppl 1


<h4>Background</h4>Cholera outbreaks have afflicted Ethiopia, with nearly 100 000 cases and 1030 deaths reported from 2015 to 2023, emphasizing the critical need to understand water, sanitation, and hygiene (WaSH) risk factors.<h4>Methods</h4>We conducted a cross-sectional household (HH) survey among 870 HHs in Shashemene Town and Shashemene Woreda, alongside extracting retrospective cholera case data from the Ethiopian Public Health Institute database. Relationships between WaSH and sociodemogr  ...[more]

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