Assessment of Face-Cleanliness and Environmental Control Components of Safe Strategy among Model and non-Model Households: a Comparative Cross-sectional Study in Selected Woreda of Lideta sub-city, Addis Ababa, Ethiopia

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Addis Abeba Universty


In Ethiopia SAFE strategy (2002) has been implemented in different region of the country. To adopt better practices, Improvement of the habits of face washing and environmental control among model household as well as the whole community are necessary for sustainable reduction of trachoma in Ethiopia. Therefore, the implementation practice of face washing and environmental control components of SAFE strategy among model and non-model families is important to the reduction of trachoma infection in the country. Objective: The main objective of the study was to compare face-cleanliness and environmental control components of SAFE strategy among model and non-model households in the study area. Method: Quantitative study method in the form of community based comparative cross sectional survey was employed. Multi-stage with systematic random sampling technique was used to select households. Amharic version structure interview questionnaire was pretested and used. The data was entered and analyzed using SPSS-version 20.descriptive analysis was done using percentage and presented using table. Binary and multivariate logistic regression was used to detect the potential difference between the groups. Result: More models (49%) used soap to wash their face regularly compared to non-model (34%) households. The magnitude of proper face washing among model households was 36.4%, but 26.2% among the non-model group [OR, 95 % CI =0.569: (0.4, 0.81]. Model households were about three times more likely to practice face washing per day compared to non-model ones [OR, 95% CI =2.902: (2.04, 4.155)]. Eight two percent of the model households used proper solid waste container while, 64.9% in the non-model [OR, 95%CI =2.25 :( 1.75, 3.65)]. Models were about two times more likely to using functional soaking pit compared to non-model households [ OR, 95% CI =1.659 (1.22-2.234)]. Model households were four times more likely to participate in keeping the cleanness of the compound compare to the non-models [OR, 95%CI =4.455, (2.26 ,8.775)]; and also two times more likely to possess separate kitchen outside the living room [OR, 95% CI =2.26 (1.62, 2.99)]. Conclusion: Model households were better in face washing and environmental improvement components of SAFE strategy compared to the non-model households, and hence, the strategy of making model households has to be expanded to those who are non-model households. Key words: Model household, Non-model household, “F” and “E” component of SAFE strategy.



Model household, Non-model household, “F” and “E” component of SAFE strategy.