SALALE UNIVERSITY COLLEGE OF HEALTH SCIENCE

DEPARTMENT OF PUBLIC HEALTH

ASSESSEMENT OF HEALTH AND HEALTH RELATED PROBLEMS IN
ABA GADA WOREDA, SULULTA SUBCITY, OROMIA, ETHIOPIA, 2024
PREPARED BY: MPH STUDENTS OF SULULTA CAMPUS.
June 2024
Sululta sub city, Shegar, Ethiopia

6/15/2024
S. N Name ID.NO S. N Name ID.NO
1 Dr Bayisa Girma WM0310/15 17 Naol Kelbesa Chibsa WM0302/15
2 Bezabih Debele WM0354/15 18 Nega Gudeta WM 0332/15
3 Dawit Hailu Beyene WM0393/15 19 Samrawit Fitwi Alemu WM0303/15
4 Ebsa Tamene WW0311/15 20 Samson Hailu Fita WM0304/15
5 Gemechu Daba Tato WM0295/15 21 Selamawit Million WM0388/15
6 Genet Beyene Legese WM0296/15 22 Dr Sharew Seyoum WM0389/15
7 Getu Assefa Adera WM0297/15 23 Sintayehu Gadisa WM0320/15
8 Gorgis Tadesse WM0329/15 24 Tadele Sisay WM0330/15
9 Hayimanot Deksisa WM0314/15 25 Tamirat Kumsa WM0322/15
10 Kemal Aliyi WW0313/15 26 Timtu Shewit WM0305/15
11 Kinfu Damtew WM0328/15 27 Umer Zeynu WM0324/15
12 Manyazewal Kiflu WM0298/15 28 Wakjira Fekadu WM0306/15
13 Meaza Bekele Assefa WM0299/15 29 Wendayen Eshete WW0325/15
14 Melisew Kassie Akalu WM0300/15 30 Workineh Shimelis WM0391/15
15 Mintesinot Aseffaa WM0362/15 31 Yashiwork Bayu WM0392/15
16 Mulugeta Ketema WM0301/15 32 Yetimmork Assefa WM0307/15

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 List of Supervisor

1. Tinsa’e Abeya (MPH in Health Education and Promotion)

2. Tamiru Yazew (MSc, Ass’t Prof)

3. Erean Shigign (MPH in Epidemiology)

4. Addisu Walelign (MPH in Epidemiology and Biostatics)

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 Presentation Outline

Introduction
Objectives
Methods and Materials
Result
Discussion
Conclusion and recommendation
Identified Problems

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 CHAPTER ONE: INTRODUCTION

BACKGROUND

 Health should be considered within the broader context of direct and indirect links
between wealth and health, although these relationships are complex.
 When extreme poverty affects a large proportion of the population, health is
predominantly affected by a lack of access to the basic requirements for life — clean
water, adequate nutrition, effective sanitation, reasonable housing conditions, access
to vaccinations, good schooling, and the childhood and adolescent nurturing that,
with the availability of jobs, set the scene for improved health and longevity.
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 INTRODUCTION…

Globally, 2 billion people lack basic sanitation services.

Only 30% of Sub-Saharan Africans used improved latrine facilities.

Poor household latrine utilization increases the risk of transmission of diseases

and it is responsible for about 30% of annual diarrheal deaths in low and middle-
income countries, mainly in under-5 children.

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 INTRODUCTION…

In the African Region, more than 500 million people lacked improved sanitation,
and more than 231 million of them used open defecation.

Communicable disease, nutritional problems, maternal and child health problems

are the major priorities in Ethiopia.

However, non-communicable diseases were less prioritized Ethiopian public

health problems until recently.

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 INTRODUCTION…

Failing to address these issues results in severe welfare losses, time wasted,
decreased productivity, illness, impaired learning, environmental degradation, and
missed opportunities every year.

It also claims the lives of 1.5 million children.

There is scarce of information related to Health related problem in the Aba Geda
woreda so far.

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 Significance of the study

o The study will assist in identifying and providing solution for health-related issue
in the community in Aba Geda Woreda.

o It will also help stakeholders becomes aware of the sub city health related issues
and take necessary action to enhance the community’s overall health.

o It also direct other researchers who are interested in this field to carry out
additional study in order to identify the challenges pertaining to the community
health and to educate the public about various health concern.

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CHAPTER THREE: OBJECTIVES

General objective

• To assess community health and health related problems in Aba Gada

Woreda, Sululta Sub city, Oromia, Ethiopia, 2024

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 Specific objectives

• To identify communicable disease related problems in Aba Gada Woreda, Sululta Subcity,
Oromia, Ethiopia, 2024.

• To identify maternal health related problems Aba Gada Woreda, Sululta Subcity, Oromia,
Ethiopia, 2024.

• To identify child health related problems Aba Gada Woreda, Sululta Subcity, Oromia,
Ethiopia, 2024.

• To assess problem related with substance use in the community of Aba Gada Woreda,
Sululta Subcity, Oromia, Ethiopia, 2024
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 Cont…

• To identify water related problem in Aba Gada Woreda, Sululta Subcity, Oromia,
Ethiopia, 2024.

• To assess environmental sanitation related problems in Aba Gada Woreda, Sululta

Subcity, Oromia, Ethiopia, 2024.

• To assess latrine related problems in Aba Gada Woreda, Sululta Subcity, Oromia,
Ethiopia, 2024.

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 METHODS AND MATERIALS

4.1.1 Study Area

Sululta sub city is located in shaggier, central part of Oromia Regional
state. It is located at a distance of 25 km from Addis Ababa.

Aba Geda woreda is one of the two woreda in the sub city. Aba Geda
woreda has a total of 3382 households and 16,227 populations of which
7951 and 8276 are male and females respectively.

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METHODS AND MATERIALS…

• Study Period: from May 27/2024 to June 3 /2024.

• Study design: Mixed(quantitative and qualitative) Cross -Sectional Study

Design.
Population
Source Population:

All residents and institutions in Aba Geda woreda for qualitative study.

 all households in Aba Geda woreda for quantitative study,.

METHODS AND MATERIALS…
• Study population:
• For qualitative:

• All selected key informants and discussants in Aba Geda woreda

 For quantitative:

• All randomly selected households in Aba Geda woreda

METHODS AND MATERIALS…

Sampling unit:
• For qualitative: individual

• For quantitative: household

Study unit:
• For qualitative: Selected key informant

• For quantitative: household Representative individual

 Eligibility criteria

Inclusion criteria:

 All Households who lived at least six months in Aba Geda woreda.

 Those households with occupants >18 years

Exclusion criteria:
Those who are unable to hear and speak
Those whose age is less than 18y ears
Patients with psychological illnesses

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 Sample size determination

Where: n= the minimum sample size, P=50% P=prevalence of previous

community health status =1.96 (95% confidence level for two side)
• d= margin of error (5%)
• n==384
• By adding 10% non response rate final sample size was 423.

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 Sample size for qualitative data

In-depth interview was conducted for 10 key informants consisting of;

Health extension workers = 4

Religious leaders = 3

Woreda Health office leader = 1

School directors = 2

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 Sample size for qualitative data…

Observation

• Both public schools, food and drink establishments, Latrine utilization and Health
institutions found in the woreda was be observed

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 Sampling technique and procedures

Sampling procedure for quantitative:

 Systematic sampling technique was employed to select study participant from

3382 total households after determining the interval (K value).

The k-value is determined by dividing total households (3382) to the final sample
size (423) that is approximately 8.

The first household was selected randomly from the first k-interval and then the
next participant was chosen every 8 households.
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 Sampling technique and procedures

For qualitative study

o Key informant interviews participants was those who have information about
health from the community.

o The discussion was conducted in each group using open ended questions and the
participants will raise their idea until saturation of the idea.

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RESULTS
 Sociodemographic characteristics

Sex Age

2%

36%

40% Male
Female
62%
60%

<19 19-37 38-64 >64

Sociodemographic…
Marital status Educational status

3%
5% Hiegher Edu 19.1%

21%

Grade 9-12 29.4%

Grade 1-8 28.8%

only read and write 12.5%

72%
illetrate 10.2%

Single Married Divorced Widowed 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%
 Community Practice of Substance

Chart Title
• Among 397(93.9%) respondents on substance 8.0%

7.1%
7.0%

use 107(27%) were on substance use and 6.2%

6.0%

5.0%
40(10%) participants had alcohol 5.0%

3.8% 4.0%
4.0%

consumption followed by 36(9%) khat 3.0%

2.0%
addiction from both males and females.
1.0% 0.8%

0.0%
Khat Cigarette Alcohol
Male Female

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 Environmental Health Study
• Most study respondents 251 (59.3%) live in their
Enviromental Health study
own house, 257 (60.1%) of study participants
house had good ventilation and the individuals who
95.7%

had Pipe in their compound were 361 (85.3%), 247 85.3%

70.4%
(58.7%) households had use open field for liquid 59.3% 60.1% 58.7%

waste disposal and 178(42.1%) respondents use 42.1% 41.6%

Municipal service for solid wastes.

• Estimated distance of latrine from water source ou

se
t io
n
l in
e
osa
l
vi
ce in
e
in
e
en
t s
a pe sp r tr tr d
H il pi ls
e l a l a o
n en
t de t l R
ow ad te
a Pi na nd
<10 m was 62.9%. ve d
V
H as ic
i p
it o a
Li oo w un nc ec
t s
G ld M fu s
f ie i n
n
• 226(54.6%) of house holds hadn’t hand washing pe
O

facility near to the latrine

Environmental Health…

• The majority of respondents had pit • 235(55.4%) respondents were

latrine 298(70.4%) and the slaughter animals for food in their
functionality of latrine that they had home
was 405 (95.7%). Most respondents • House fly 122(28.8%) was the
178(42%) latrine was 6-10 meters far dominant rodent that makes a problem
from their house/kitchen. in most respondents.
 Maternal and Child Health Issues

Family planning Methods

• Proportion of Family planning utilization is
71.4% of which injectables accounted 54%. 0.1%
11.2%
15.3%

• Among pregnant women 76.7% were at

ANC follow up. 0.191

• Home delivery was 9.2%

• Prevalence of pre-lacteal feeding was

54.0%
44.5% and 35.7% children were exclusively
breast fed Pills Implant Injectable IUCD Surgical
 Maternal and Child Health Issues….

Pre-lacteal feeding practice Exclusive BF

<6 month 6 month >6 month
6.00%
13%
18%

35.70%
58.30%
7%

7%

Water Butter Sugar Other

 The Disease Status in Aba Geda Woreda During Our Study

 According to our study Diarrhea Presence of illness

30.0%
331(78.3%) was the most known
25.1%
communicable disease and 25.0%

Hypertension 311 (73.5%) among

20.0%

non-communicable disease in Aba

Geda Woreda population. 15.0%

 140(33.1%) of the respondent have 10.0%

illness currently, of which diarrheal 4.3%

5.0% 3.8%
Disease106 (25.1%) was the most
0.0%
prevalent disease in Aba Geda Woreda Diarrhea AFI Respiratory Disease

population.
 DTTP Intervention Respondents Suggestion

• Among respondents 401(94.8%) DTTP Intervention suggestion

were answered no DTTP

9.5%
has no suggestion
0.305
To improve health
used to engage
community

61.0%
 RESULT OF QUALITATIVE STUDY

Findings from Observational,

IDI, KII:
• Poor liquid and Solid waste
management.

• Most of Adult population group are

vulnerable to Substance use, especially
Alcohol.

• Problem of safe drinking water

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RESULT OF QUALITATIVE STUDY …

The existing Latrine is either non

functional or lack sanitation especially
in Sululta primary school.

Non communicable disease problems

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 DISCUSSION
85.3% of households rely on tap water as their main source of drinking water, which is
slightly lower when compared with findings of Ethiopian Demographic and Health
Survey report of 2016 which states that 57% of rural homes, 97% of urban households
have access to a better source of drinking water. Only 17.1% of households practice
drinking treated water at home, aligning with the findings of the Ethiopian Demographic
and Health Survey report of 2016 revealed that 7% in rural regions and 11% in urban
areas(Boutayeb, et al, 2010).

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 DISCUSSION…
95.7% of respondents in the study reported having latrine, which is higher
than the study conducted in Wolaita Sodo town which suggested that, 91%
of the households had at least one type of latrine in their homes. From
households that have a latrine, the majority 73.6% of them have private pit
latrine, which is consistent with the study conducted in Wolaita Sodo town
which suggested that the most common type of latrine available to
households was pit latrine with superstructure was 75.9% (Gelaw,et al, 2014).

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DISCUSSION…

A notable percentage of households in Aba Geda Woreda use open

fields for both solid and liquid wastes disposal, 29.6% and 58.7%
respectively, which is aligning with the study conducted in Kersa
woreda which revealed that from a total of 439 households whose
responses were obtained, 181 (38.5%) explained that they disposed
wastes in open dump(Mekonnen,et al, 2012).

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DISCUSSION…
• According to our study Diarrhea was the most prevalent disease in Aba Geda Woreda population
106 (25.1%), which was slightly similar with the study done in Kersa district, eastern Ethiopia
reveled the diarrhea burden was 22.5%(Aschale, 2018).

• The most common non-communicable disease in Aba Geda Woreda population was
Hypertension 311 (78.3%) followed by Diabetes Mellitus 65 (15.4%), which was higher than a
population-based cross-sectional survey (STEPS) conducted in Gilgel Gibe in 2009 Prevalence
of hypertension 9.3% for diabetes 3.1% and study conducted in in Kabul City, Afghanistan
showed that the prevalence of hypertension was 19.1% and 45.2 % in men and 46.5% in
women(Yemaneh, et al, 2017).
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DISCUSSION…

• The percent of women received antenatal care from a skilled provider at least once
for their last birth in Aba Geda woreda was 217(76.7%) and 257(90.8%) bring birth
their recent child at health facility, which was higher than EDHS in 2019 percent
of women, received antenatal care from a skilled provider at least once was (74%)
and 48% of mothers delivers with the help of a skilled provider. Among the
productive age group of Aba Geda woreda 215 (71.4 %) of the study participant use
family planning which was higher than EDHS 2019 only 41 percent of women
utilized any method of family planning(Tesfaw, et al, 2023).
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DISCUSSION…

The percentage of children Fully Immunized in Aba Geda woreda were 267 (94.4%)
which was higher than 2019 EDHS 58.5% and 73% of children have received the
BCG, 76% the first dose of pentavalent, 78% the first dose of polio, 73.6% the first
dose of the pneumococcal vaccine, and 72.5% the first dose of rotavirus vaccine.
59% of children have received a measles vaccination. Only 101(35.7%) children
were exclusively breast fed in Aba Geda woreda which was lower than 2019 EDHS
59% of infants under 6 months are exclusively breastfed (Tesfaw,et al, 2023).

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 Conclusion and Recommendations

The results of this survey showed that people had a significant prevalence of health-

related issues.

The Major cause of morbidity and mortality was diarrhea and acute febrile illness,

respectively.

 Majority of people in Aba Geda Woreda dispose their liquid waste in open fields.

Injectables was the most prevalent family planning method and above one fourth of

women were not used any method in the aba Geda community

Aba Geda woreda was not home delivery free.

 Conclusion and Recommendations…

• Due to the poor community awareness, exclusive breastfeeding and adequate complementary
feeding were not common in our study.

• Health practitioners should be required to provide education to the community regarding to

substance use, child feeding practices, Maternal health service, personal and environmental
hygiene and waste disposal.

• Additionally, Aba Geda Woreda should be required to set up locations for efficient waste disposal
in the town and construct community larine at accessible location for those who hadn’t latrine.

• Additional research should be conducted for further findings

Qualitative Report

Introduction
The findings are based on in-depth interviews with key
informants from the community. Thematic Analysis and
Report on Health and Health-Related Problems in Aba
Gada District.
Objective
method
prevalent health issues in Aba Geda
exploring the contributing factors
impacts on the community
actions taken to address these issues,
suggested solutions form respondents
Objective

General objective
 To assess community health and health related problems in Aba Gada Woreda,
Sululta Subcity, Oromia, Ethiopia, 2024
Specific objectives
 Objective….
• To identify communicable disease related problems in Aba
Gada Woreda, Sululta Subcity, Oromia, Ethiopia, 2024.
• To identify maternal health related problems Aba Gada Woreda,
Sululta Subcity, Oromia, Ethiopia, 2024.
• To identify child health related problems in Aba Gada Woreda,
Sululta Subcity, Oromia, Ethiopia, 2024.
• To assess the magnitude of substance use in the
community of Aba Gada Woreda, Sululta Subcity, Oromia,
Ethiopia, 2024
• To identify water related problem in Aba Gada Woreda,
Sululta Subcity, Oromia, Ethiopia, 2024.
• To assess environmental sanitation related problems in
Aba Gada Woreda, Sululta Subcity, Oromia, Ethiopia, 2024.
Methodology

Methodology
 In-depth interviews were conducted with 10 Key informants using
semi-structured questioner.
Observational Checklist were used for MHM
The transcribed and translated
Then coded and thematized to identify key patterns and themes.
 Coding and Thematizing
Codes Category Theme
Diarrhea Communicable disease
Tuberculosis (TB)
HIV
common cold Prevalent Health Issues
typhoid

Hypertension Non-Communicable
bronchial asthma disease
DM
Environmental hygiene Environmental Health
Poor MHM Problems
Water pollution
air pollution

Lack of attention Lack of Awareness Contributing Factors

Insufficient knowledge

Shortage of medical equipment Resource Constraints

skilled manpower
reduces productivity Economic Impact
poverty
Impact on community
poor health Health Impact
poor quality of life
Vulnerable groups Children
Mothers
Elders
Health education campaigns Community
personalized health plans Awareness

Improved accessibility to health Health servies Interventions taken

services
HIV self-testing
Vaccinations.
Home-to-home health screenings
Resource allocation, Government and Suggested Solutions
community participation Community Roles
Community mobilization
Implementing strict regulations
Theme 1: Prevalent Health Issues

The primary health issues in Aba Geda are a mix of

communicable and non-communicable diseases
• Key communicable diseases include Diarrhea, typhoid, and
pneumonia.
• Non-communicable diseases like diabetes and hypertension
are also prevalent.
• Substance addiction, particularly to alcohol and "kchat,“
These issues are compounded by insufficient healthcare
infrastructure, leading to delayed treatments.
 Key Observations:
• High prevalence of communicable diseases due to poor
hygiene.
• Poor MHM.
• Significant levels of substance addiction impacting various
demographics.
• Common health issues include diarrhea and vomiting,
exacerbated by the area's moisture
Theme 2: Contributing Factors
Environmental Challenges

Poverty, low educational

attainment, and insufficient
healthcare infrastructure
further impede health
outcomes by restricting
access to necessary services
 The lack of awareness and and preventive measures.
education on proper health
practices among female
students about MHM and the
community members
exacerbates the health
Theme 3: Impact on Community

• Vulnerable populations, including children, elderly, and

mothers, are disproportionately affected.
• Poor waste management leads to environmental pollution and
disease spread.
• Infectious diseases like TB and HIV impact all social strata but
hit the poor and factory workers hardest
Theme 3: Impact on
Community
Social Impacts
 Theme 4: Actions Taken to Address Health Issues

• Public awareness campaigns on TB and HIV prevention.

• Construction of room for MHM.
• Home-to-home health screenings and immediate treatment for detected cases.
• Sanitation initiatives in collaboration with the city municipality.
• Community mobilization and education to improve waste management.
Collaborative efforts with the city
municipality have been made to
improve sanitation, proper MHM and
waste management practices in the
community
 Theme 5: Suggested and recommendation

Key recommendations
• Enhancing public awareness on hygiene and sanitation practices.
• Increasing the number of healthcare facilities and professionals.
• Implementing strict regulations on waste management.
• Ensuring regular health screenings and vaccinations.
• Collaboration between government authorities, health professionals,
and the community for sustainable health improvements.
 Community Involvement

Strict Regulations

Increase the number

of healthcare facilities
and professionals to
improve access to
quality healthcare
services
 Government Role: Community role
Organize workshops and Foster a sense of responsibility
provide training to engage and discipline within the
the community in maintaining community to maintain
hygiene. cleanliness.
Allocate necessary resources Support health initiatives and
to healthcare facilities and participate actively in public
recruit additional healthcare health education
professionals. Collaborate with government
Implement strict regulations authorities and health
in restaurants and public professionals to ensure the
spaces to improve health success and sustainability of
standards. health initiatives.
 Discussion

Most of the respondents says that infectious disease like Diarrhea, typhoid, and
pneumonia are prevalent and can be attributed to inadequate Hygiene and
environmental sanitation.
Non-communicable diseases like diabetes and hypertension are also prevalent
and they are worsen poor diet and physical.
Also many of the respondent says that substances addiction such as alcohol and
“kchat," are more prevalent.
This finding was supported by our quantitative study part which are Diarrhea
106(25.1%), Respiratory disease 16(3.8%), kchat 40(10%), Alcohol 36(9%)
respectively
Conclusion
 The health issues in Aba Geda are complex and multifaceted,
requiring a coordinated and sustained effort to address.
 Improving health outcomes will involve enhancing
infrastructure, increasing health awareness, and fostering
community involvement.
Collaboration between the government, health professionals,
and the community is crucial to ensure the success and
sustainability of health initiatives.
Some pictures taken during the
observation
Thank You
 Limitation of the Study

• Since data collectors are researcher students, the finding may be vulnerable to
researcher bias

• For exclusive breast feeding, the women that had >1 years old child were included
in the study, recall bias may happened.

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 Challenges

• Being overwhelmed due to other job responsibility

• Lack of time for data collection in working hours

• Lack of vehicle for transportation of data collectors

• Lack of budget for printing materials

• Language barrier.

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 Problem prioritization technique

The findings of both the qualitative assessment and the survey were triangulated

 Assessment Protocol for Excellence in Public Health (APEXPH), ranking

criteria to distinguish public health problems

 The method assists a decision-making group to analyze problems

The problems with the highest scores were given the highest priority

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 List of problems identified
A. High prevalence of diarrheal disease (25.1%)

B. High consumption of alcohol (10%)

C. High prevalence of khat addiction (9%)

D. Drinking unsafe water (82.9%)

E. Inadequate waste disposal (42.1%)

F. Lack of hand washing facility connected to latrine (53.4%)

G. High prevalence of pre-lacteal feeding and exclusive feeding (44.5% and 35.7% respectively)

H. Inappropriate latrine utilization (Qualitative data)

I. Poor of Menstrual hygiene management in Sululta primary school (qualitative)

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 Prioritization criteria

Magnitude

Communit
Feasibility

Governme
Identified problems

Severity

Rank
Total
S. N

nt
y
1 High prevalence of diarrheal disease (25.1%) 4 4 5 4 3 20 5

2 High consumption of alcohol (10%) 5 5 2 3 4 19 6

3 High prevalence of khat addiction (9%) 3 4 3 3 3 16 8

4 Presence of much insects and rodents (flee 28.8% and 3 4 3 3 3 16 8

rat 10.4%)
5 Inadequate waste disposal (42.1%) 4 4 5 5 5 23 2
6 Lack of hand washing facility connected to latrine 4 5 4 4 4 21 4
(53.4%)
7 Inappropriate latrine utilization (Qualitative data) 5 5 4 5 5 24 1

Poor of Menstrual hygiene management (sululta 5 3 4 5 5 22 3

primary school-qualitative)
8 High prevalence of pre-lacteal feeding and exclusive 4 4 2 4 5 17 7
feeding (44.5% and 35.7% respectively)
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 List of problem prioritized

1. Inappropriate latrine utilization (qualitative)- Sululta primary school

2. Inadequate waste disposal

3. Poor Menstrual hygiene management (qualitative)- Sululta primary school

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 Action plan
S/N OBJECTIVES SITE STRATEGY ACTIVITIES BUDGET/ RESPONSIBL INDICA Time
PRIORITIZED
FINANCE E BODY TOR
PROBLEM

1 Inappropriate To Renovate Sululta Number 15/06/24

Sululta Primary 1.Community 1.Purchase materials for 1.DTTP group DTTP group
latrine utilization primary school of up to
latrine School mobilization maintenance. members. members. renovated 15/07/24
2.Fund raising and school
2.Recruit a labor for renewal and 2.Community. -Community
latrine
3. Resource 3.School
conduct the renewing -School
mobilization community
Community.
3.Giving awareness and
education about latrine
utilization.

2 Absence of To Construct Construct 15/06/24

Sululta Primary 1.Community 1. Hiring an expert to build the -DTTP group DTTP group
menstrual menstrual hygiene ed a up to
hygiene management room School mobilization. room. members. members. menstrua 15/05/24
management 2.Funding raising l hygiene
2.Constructing MHM room Community. Community
room and 3. Resource managem
3.Giving awareness and -Other
mobilization -School ent room
education about menstrual stakeholders
Community.
hygiene.

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 Project Proposal on
Identified Problem

09/02/2024 DTTP Mentina

 Action plan for the problem identified…

• Therefor as we can see from above table Poor latrine utilization secondary to non
functionality of existing latrine got 1st rank.

 Re-inovation Of Latrine for Sululta Primary

school set for Intervention and
 Construction room for MHM for female students
of Sululta primary school

6/15/2024
Prioritized problems from quantitative and qualitative assessments

Non functionality of existing/already constructed Latrine

Lack of Menstruation hygeine management (MHM) room.

09/02/2024
 PROJECT OVERVIEW

Project title:
Project 1: Renovation of School Latrines for Enhanced Hygiene and Health in
Sululta primary school, 2024

Project 2:Construction of room for Menstrual Hygiene Management,in Sululta

primary school, 2024

09/02/2024
PROJECT OVERVIEW ...
To contribute to improvement of health through Renovation of School
Goal of the project
Latrines for Enhanced Hygiene and Health and Menstrual Hygiene
Management,in Aba Geda Woreda, 2024.

Implementing body SLU Sululta campus DTTP team members

Project location Aba Geda Woreda, Sululta Subcity, Ethiopia.

Direct beneficiaries Sululta Primary School students.

Indirect beneficiaries The entire Aba Geda Wreda community
Period of Project From June 15 –June 30, 2024
implementation

Financial source Community and stakeholders

Project cost 1,86,000 ETHIOPIAN BIRR

09/02/2024
 INTRODUCTION

Globally, 1.1 billion people are without access to improved water supply, and 2.4
billion are without access to improved sanitation.

The combined effects of inadequate latrine, unsafe management and disposal of

liquid and solid waste, unsafe water and poor personal hygiene are liable for 88 %
of childhood deaths from diarrhea(Tesfaw A, Tiruneh M, Mamuye M, Walle Z,
Teshager W, Teshome F, 21019.).

09/02/2024
 Rationale of the project's

Improving health and awareness have a crucial role in reducing Students of

Sululta primary school and community health-related problems.

 The aim of this project is;

 To improve Female studentsMenstrual hygeine through the construction of a

room for in Sululta primary school.
 Renovation of School Latrines for Enhanced Hygiene and Health in Sululta
primary school, 2024

09/02/2024
 Project goal and objectives

PROJECT ONE

Goal: To renovate and upgrade the existing latrines to ensure they are hygienic,
safe, and conducive to a healthy learning environment.

Objectives:

• To reduce the incidence of sanitation-related diseases among students of Sululta

primary school, Aba Geda woreda, 2024.

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 Objectives:...

• To improve overall school attendance and performance of Sululta primary school,

Aba Geda woreda, 2024.

• To educate students and staff on proper hygiene practices of Sululta primary

school, Aba Geda woreda, 2024.

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 Project goal and objectives...

Project 2 goal and Objectives:

The overarching goal of this project is to improve menstrual hygiene management

for primary school girls in underserved communities.

Specific objectives include:

1. To increase knowledge and awareness about menstruation and MHM among

primary school students, teachers, and parents of Sululta primary school, Aba Geda
woreda, 2024.

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 Specific objectives ...

2. Provide access to affordable, high-quality menstrual hygiene products in Sululta

primary school, Aba Geda woreda, 2024.

3. Reduce stigma and shame associated with menstruation through open dialogue
and education in Sululta primary school, Aba Geda woreda, 2024.

09/02/2024
 Strategies for project implementation

 Discussion with the Students, School staff, community and community leaders

 Closely working with Aba Geda Woreda Admnisration,Aba Geda Woreda

education and health office

 Resource mobilization through Community participation

 Team members involvement on the Renovation of Latrine and construction of

room for MHM.

 Creating a sense of belongingness for sustainability of the project

09/02/2024
 Activities
For renovation of School Latrines;
Site visits, surveys, and analysis

Drafting designs, planning procurement

Construction, installation, and finishing

Workshops, training sessions

Regular inspections

09/02/2024
 Activities...

For construction of room for Menstrual Hygiene:

Facility assessment tools, site visits

Construction funds, materials, labor

Infrastructure development

Sourcing and purchasing menstrual pads

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 Beneficiaries

Directly
Sululta primary school Students.
Staff of the School.
Indirectly
Community of Aba Geda Woreda.

09/02/2024
 Stakeholder Analysis
Stakeholder Role in the project Communication Interest in the Expectation from the project
strategies project
School administration ►Taking part in all project activities at each ►Face to face ►Source of infn  Improved in Latrine and Menstruation
stage ►Letter hygiene.
►use findings
►Timely meeting with decision making roles ►Telephone  Decrease School absctenism

Aba Geda woreda ►Financial contribution ►Face to face ►Source of infn  Improved in Latrine and Menstruation
community ►Active involvement in campaigns hygiene.
►Labor contribution  Decrease School absctenism

DTTP Group ►Identify & prioritize problem, plan ►Face to face ►Plan and ►To alleviate school problems regarding to
intervention, community mobilization, ►Telephone Collect data, latrine unfunctionality and MHM.
implementation and monitoring and analysis, and
evaluation report findings
Aba Geda Woreda Facilitate and direct administrative issues, ►Face to face ►Source of infn & Proper implementation of the project
administration community mobilization, support ►Letter ►facilitate study
implementation, monitoring activity ►Telephone process

Salale University CBE ►Supervision ►Face to face ►Facilitate study ►Proper implementation of the project
►Monitor and evaluate project ►Letter process and source ►Improved community health and health
office implementation ►Telephone of information related problems
►Planning and organizing the project ►Email
implementation

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 SWOT Analysis
STRENGTH WEAKNESS
• The diverse backgrounds and experiences of the dedicated DTTP • Lack of experience
team members
• Dedicated school administration
• Experienced and committed supervisors
• Committed team members

OPPORTUNITY THREATS

• Having supervision from SLU • Inflation of construction material

• Active participation in the community • Resistance of stakeholders to providing financial
• Government concern support
• Presence of urban health extension professionals
• Financial constraints
• Non-governmental organizations
• Time constraints

09/02/2024
 Table: Interventional action plan for prioritized problems at aba gada woreda, sululta
sub city, Oromia, Ethiopia 2024 G.C.
SITE STRATEGY ACTIVITIES INDICATOR TIME
S.NO PRIORITIZE OBJECTI RESOURC RESPONSIBL FRAME
DPROBLE VES E OF E BODY
M FUND

1 Sululta -Lack of - -Community -Purchasing necessary input -DTTP -DTTP group -Number of From june
primary latrine renovate mobilization- materials for maintenance-we group members- re-innovate 15 up to
school utilization of school Funding raising talk contractual agreement with members. Community school june 30,
latrine and resource maintenance an expert for the - - latrine 2024
mobilization. renewal-Giving awareness and Communi SchoolCom
education about latrine ty -Other munity
utilization stakehold
ers

2 Sululta -Lack of - -Community -Providing menstrual hygiene -DTTP -DTTP group -Number of From june
primary menstrual Construc mobilization- materials (pads, mattress etc.)- group members.- constructed 15 up to
school hygiene t of Funding raising Hiring an expert to build the members. Community a menstrual june 30,
managem menstru and resource room.-Giving awareness and Communi - hygiene 2024
ent room al mobilization. education about menstrual ty. -Other SchoolCom manageme
hygiene hygiene. stakehold munity. nt room
manage ers
ment
room

6/15/2024
 Resource mobilization
Sn Projects Identified resource /Support Other source of
resource

1 Renovate and upgrade the • Technical support from Aba Geda Woreda • Coupon
existing latrines education bureau, school administration and • Fund raising
women and children service office
• Donation of items
• Funding from Community mobilization and and cash
stakeholders

2 construction of room for • School community participation

Menstrual Hygiene • Support from education Bureau
• Training material (Town health bureau)

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 Indicators
Type of indicators Indicators
Process ►# of room ready for latrine service
Project

►# of Students using at latrine room.

Outcome ►Proportion of room ready for latrine service.
►Proportion ofStudents using at latrine room
one

Process ►Number of Femalestudent using MHM room

►Number of female students reached by awareness creation about
MHM
Outcome
Project two

►Proportion of Femalestudent using MHM room

►Proportion of female students reached by awareness creation about
MHM
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 Project monitoring and evaluation
For the over all activities in the project different mandates will be shared between the
group members

The project will be monitored by monitoring committee on daily basis

Evaluation will be made at the end of the project

The final achievement will be evaluated using performance monitoring chart

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 Sustainability of projects
Those projects will be done through capacitating human resources and leaders in the
Woreda to run those projects after handover.
Moreover, the project will be linked with the Woreda health office, education office
and urban health extension workers for immediate supervision and follow up.
The team will also discuss with school community regarding sustainability of the
project by giving supportive supervision and necessary support.

09/02/2024
 Budget summary
Project and side activity Total Cost Responsible body Remark

Renovate and upgrade the existing 1,20,000  DTTP Members, Community

latrines  Students of Sululta primary school
ETB
and their staff

construction of room for Menstrual 66,000 ETB DTTP members,Students of Sululta primary
school and their staff
Hygiene

Grand Total Budget 1,86,000

ETB
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 Project exist strategy
All projects will be handed over to the school administration, education office,
community, health office, woreda administration & to ensure sustainability and as an
exit strategy

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Project implementation plan dissemination
The project implementation strategy, usage and sustainability issues will
be presented and submitted as a document to CBE office of SLU and it will
also be shared to Aba Geda Woreda administration, Sululta primary school
and other concerning stakeholders.

09/02/2024
 Acknowledgments
Salale University, CBE office for preparing DTTP program

Our DTTP supervisors

Aba Geda woreda administration office

 Aba Geda woredacommunity

Aba Geda woreda health center

Schools community

All other stakeholders

09/02/2024
 TH
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