Proper disposal of human excreta remains a challenge of under developed country like Ethiopia. Poor utilization of latrine or open defecation is a serious health risk practice, which increase risk of communicable disease transmission. In Ethiopia, since country introduced the heath extension program, later community led total sanitation, and hygiene that focused to end open defecation, so that number of households accessed latrine facility were showed good progress. However, Level of latrine

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... lization and associated factors were not well known, which was the same as the study area. Therefore, this study employed to find evidences to show the current situation of latrine utilization and factor affecting in the study area. Objective: To Assess Magnitude of Latrine Utilization and Associated Factors In Open Defecation Free and Non-Open Defecation Free of Rural Communities of Hetosa Woreda, Arsi Zone, Oromia, Ethiopia. Methods:- Methods:- A community based cross-sectional study was conducted on 1170 (522 from ODF and 648 from NODF) households. Participants selected through multistage random sampling technique. Pre-tested interviewer administered structured questionnaire and observational checklist were used to collect data. The collected data were coded and entered using Epi-Info 3.7.3 and analysis was done using SPSS version 21. Bivariate and multivariate logistic regressions used to identify the associated factors for proper utilization of latrine facilities. Result:- Overall latrine utilization was 947 (81%) which was differed by ODF status of kebeles. Household latrine utilization in ODF kebeles was 459 (88%) and 488(75%) at NODF kebeles. Household found in ODF kebeles [AOR: 2.33, 95%CI(3.19-12.59)], Privately owning latrine [AOR: 2.4, 95%CI (1.06-5.44)], presence of latrine wall for privacy [AOR: 3.48, 95%CI (1.96-6.16)], easily cleanable latrine floor [AOR: 2.64, 95%CI (1.53-4.56)], presence of literate mothers/wife [AOR: 2.23, 95%CI (1.33-3.75)], presence of higher level studied student [AOR: 2.2 [...]