Solid fuels are types of fuel that comprise coal, biomass, charcoal, wood, or straw and are used for cooking, heating, lighting, boiling water, and generating revenue at home. Globally, 3 billion of the world’s poorest people continue to rely on inefficient solid fuels, which produce health-damaging contaminants. In Ethiopia, more than 90% of households rely on wood as their primary source of energy. The actual and potential determinants of solid fuel use have not been fully identified, particularly at the national level in Ethiopia. Therefore, this study aimed to determine the magnitude of solid fuel use and its associated factors in Ethiopia. We used the Ethiopian Demographic and Health Survey (EDHS), which was conducted in 2016. The data was conducted using a 2-stage stratified cluster sampling approach. A total of 16 650 weighted samples were taken. Multilevel logistic regression models were fitted to identify factors associated with solid fuel use, and a cluster-level random intercept was introduced in the mixed model. An adjusted odds ratio with a 95% confidence level was reported to show the strength of the association and its significance. The goodness of fit of the model was checked using proportional change deviance (PCV). The magnitude of solid fuel use among households in Ethiopia was 94.03% (95% CI = 93.66, 94.37). Household heads completed in primary school (AOR, 3.09, 95% CI = 2.44, 3.91), outdoor cooking places (AOR, 4.13, 95% CI = 2.96, 5.76), and small peripheral regions (AOR, 14.44, 95% CI = 6.12, 34.04) were all significantly associated with solid fuel use. The intra-cluster correlation coefficient (ICC) showed that about 81% of the variations in the use of solid fuel were attributed to the difference at the 643 cluster level, but the remaining 19% were attributed to individual household factors. The PCV was 90%, which showed that the variation in solid fuel use among study households was explained by factors at both the individual and community levels. The deviation test of the fourth model had the lowest value (3528) and was chosen as the best-fitted model. Due to different influencing factors, the use of solid fuel is still high in Ethiopia. Promoting access to education and raising awareness toward solid fuel impact is very important.

Pesticides are substances that are used to kill, decrease, or repel pests and are used extensively to boost agricultural production. Ethiopian floriculture is one of the pesticide-intensive agricultural production centers and it provides jobs for 1000s of Ethiopians. Despite its significant contribution to the national economy, many issues are raised by the workers. The study aimed to assess the knowledge, attitudes, practices, and factors associated with the practices of workers against pesticide exposure among floriculture workers in Bahirdar city. A cross-sectional occupational study was done. The participants were recruited using a stratified sample technique. The final study participants were chosen using a simple random sampling procedure. The survey received 300 responses, 95.2% response rate from the entire sample size. The mean age of floriculture workers was 20 (SD ± 3.21) years, with a range of 17 to 48 years. The majority of workers (228) were females, and 36 (12.0%) of workers were illiterate. About 259 (86.3%) of floriculture workers did not know the name of the pesticide they were using. More than three-fourth 256 (85.3%) of respondents know at least one type of pesticide-related health problem. In this study, the most known type of pesticide routes of entry into the body were eyes (72.3%), skin (67.3%) followed by ingestion (67.0%). About 100 (33.3%) of the participants had good overall knowledge related to pesticide use and 134 (44.7%) of workers had a positive attitude on safe pesticide application. The level of good practice was 61.3% (N = 184). Knowing the impact of pesticide on environment (AOR, 0.54; 95% CI, 0.30-0.96), Knowing pesticide health problems, (AOR, 0.36; 95% CI, 0.20-0.63), willingness to wear and invest for PPE (AOR, 0.53; 95% CI, 0.28-0.98) and PPE supply (AOR, 0.29; 95% CI, 0.16-0.51) were significantly associated with workers pesticide handling practices. Workers who didn’t know pesticide health problems were 36% less likely to have a good practice. The likelihood of having good practices among works who disagree to wear and invest on PPE 53% lower than those who agree on it. The likelihood of having good practices among workers who didn’t have any PPE supply was lower than their counterparts with (AOR, 0.29; 95% CI, 0.16-0.51). Floriculture workers had poor handling practices therefore continuous pesticide training programs for workers could be implemented.

Introduction: Handwashing is fundamentally an inexpensive means of reducing the spread of communicable diseases. In developing countries, many people die due to infectious diseases that could be prevented by proper hand hygiene. The recent coronavirus (COVID-19) pandemic is a threat to people who are living in resource-limited countries including sub-Saharan Africa (SSA). Effective hand hygiene requires sufficient water from reliable sources, preferably accessible on premises, and access to handwashing facility (water and or soap) that enable hygiene behaviors. Therefore, this study aims to determine the prevalence of limited handwashing facility and its associated factors in sub-Saharan Africa. Methods: Data from the Demographic and Health Surveys (DHS) were used, which have been conducted in 29 sub-Saharan African countries since January 1, 2010. A two-stage stratified random cluster sampling strategy was used to collect the data. This study comprised a total of 237,983 weighted samples. The mixed effect logistic regression model with a cluster-level random intercept was fitted. Meta-analysis and sub-group analysis were performed to establish the pooled prevalence. Results: The pooled prevalence of limited handwashing facility was found to be 66.16% (95% CI; 59.67%—72.65%). Based on the final model, household head with age group between 35 and 60 [AOR = 0.89, 95% CI; 0.86—0.91], households with mobile type of hand washing facility [AOR = 1.73, 95% CI; 1.70—1.77], unimproved sanitation facility [AOR = 1.58, 95% CI; 1.55—1.62], water access more than 30 min round trip [AOR = 1.16, 95% CI; 1.13—1.19], urban residential area [AOR = 2.08, 95% CI; 2.04—2.13], low media exposure [AOR = 1.47, 95% CI; 1.31—1.66], low educational level [AOR = 1.30, 95% CI; 1.14—1.48], low income level [AOR = 2.41, 95% CI; 2.33—2.49] as well as lower middle-income level [AOR = 2.10, 95% CI; 2.14—2.17] and households who had more than three children [AOR = 1.25, 95% CI; 1.20—1.31] were associated with having limited handwashing facility. Conclusion and recommendation: The pooled coverage of limited handwashing facility was high in sub-Saharan Africa. Raising awareness of the community and promoting access to handwashing materials particularly in poorer and rural areas will reduce its coverage.

Background. Solid waste is one type of waste that is released from human day-to-day activities and it is considered useless or unwanted for further use. Population growth, rapid urbanization, a booming economy, and an increase in the standards of living of the community have substantially enhanced the rate of solid waste generation in developing countries. Solid wastes can be used as a resource for industrial production or energy generation. However, it causes environmental and human health problems due to poor management. There is scanty information about on-site solid waste management practice in the study area. Therefore, assessing on-site solid management practices and their associated factors, especially for condominium residents is very important. Objective. To assess on-site solid waste handling practice and its associated factors among condominium residents in Gondar city, northwest Ethiopia, 2021. Methods. A community-based cross-sectional study was conducted from March 1 to June 15/2021 among condominium residents in Gondar city. The study included a total of 450 condominium households, with a 99.3% response rate. A binary logistic regression model was used to assess the association between dependent and independent variables. Those variables which have a value <0.25 in the bivariate analysis were entered into a multivariable logistic regression model. A value of less than 0.05 with 95% CI was considered a statistically significant factor. Result. In this study, 79.8% with 95% CI (76.4%, 83.3%) of condominium residents had poor on-site solid waste handling practices. The finding also showed that 42.2% and 50.2% of study participants have favorable attitudes and good knowledge towards on-site solid waste handling practices, respectively. In multivariable logistic regression analysis, male household heads (AOR = 1.90; 95% CI, 1.11–3.28), large family size (AOR = 1.87; 95% CI, 1.03–3.40), negative attitude towards on-site solid waste handling practices (AOR = 1.79; 95% CI, 1.07–3.00), not receiving training (AOR = 3.40; 95% CI, 1.77–6.55), and not having legal enforcement (AOR = 2.85; 95% CI, 1.39–5.84) were significantly associated with on-site solid waste handling practices. Conclusion. The on-site solid waste handling practice of condominium households was very poor. The provision of training and enforcement of rules regarding solid waste handling is necessary.

For many pregnant women, pelvic girdle pain caused by pregnancy has an impact on their daily living. Women with lumbo-pelvic pain have moderate to severe discomfort that makes daily activities like getting out of a chair, bending, and walking difficult. The aim of this study was to determine the extent of daily activity restrictions and to discover predictors of pregnancy-related pelvic girdle pain. Prospective cross-sectional study. This prospective cross-sectional study was undertaken from January October 2018 to October 29/2019 among 337 gravid mothers with pregnancy-related limbo-pelvic pain. A structured questionnaire adapted from the activity limitation-related pelvic girdle pain questionnaire was used for data collection. Epi-info version 7.1 for data entry and STATA version 14 for statistical analysis were used. Ordinal regression with an odds ratio of 95% confidence interval and p-value < 0.05 were cast-off to assess the association between the outcome and dependent variables. Among 324 pregnant women with pelvic girdle pain 96 (29.6%) had small extent level of activity limitation, 185 (57.1%) had moderate activity limitation, and 43 (13.3%) large extent level of activity limitation. Having previous children (AOR = 0.37, 95% CI:0.14, 0.98), occupation (AOR = 1.77, 95% CI: 1.06, 2.95) and taking alcohol (AOR = 0.43, 95% CI: 0.19, 0.99) were the independent predictors for activity limitation. Nearly one-third of the participants had a modest degree of activity restriction, while more than half of the pregnant women with PPGP had a moderate to high level of restriction. Previous children, occupation, and alcohol consumption were all independent predictors of activity limitation among pregnant women.

Drinking water is one of life’s most basic need, and people all around the developing world confront irregular water supplies. Still, more than one billion people globally do not have secure water supply and these leads to increasing the risk of death and incurring large costs in the prevention of water-borne diseases. There are limited knowledge on actual water availability in Ethiopia. Therefore, this study was aimed determining basic water availability and its associated factors in Ethiopia. This research used 2016 Ethiopian demographic health survey data. Because of the hierarchical and clustering nature of the data, a mixed effect multilevel logistic regression model was used. In this study, the prevalence of basic drinking water availability in Ethiopia is 51.16% (95% CI 50.04–52.27%). Based on the analysis result, the household head age between 46 and 65 [AOR = 4.08, 95% CI 1.64–10.17], household heads having middle-income level (AOR = 1.22, 95% CI 1.00–1.50), being rural communities [AOR = 4.32, 95% CI 3.07–9.57] and large central regions (AOR = 2.08, 95% CI 1.17–3.68) were significant factors. The magnitude of basic drinking water availability among households in Ethiopia is low. Exploring alternative water sources is important to reduce water interruptions.