by Hassan Ismail Abdi, Faysal Mohamed Bakaal, Sumayo Mohamed Abdi, Mohamed Nur Mohamed, Ahmed Sheik Abdullahi Osman
2024,2(2);
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Abstract
Access to safe water, sanitation, and hygiene is critical for public health, particularly in regions facing infrastructural and environmental challenges. This cross-sectional study assessed the awareness and practices related to water sanitation and hygiene among 150 residents of Marka District, Somalia, between June 2023 and April 2024. A stratified random sampling method was employed, and data were collected using self-administered questionnaires and direct observations. Among 150 respondents in Marka District, Somalia, the majority were young adults aged 21–25 years (73.3%) and male (65.3%). Most participants were illiterate (64.0%), with only 36% having primary, secondary, or university-level education. Residential distribution showed 56.7% lived in host villages and 43.3% in IDP settlements. Employment varied, with 32% employed full-time, 13.3% part-time, 28% students, and 26.7% unemployed. The findings indicate low awareness, with 45% unaware of climate change impacts, 42% unaware of improper water handling effects, 48% not recognizing open defecation risks, and 44–50% unaware of contamination from animal feces and sanitation facilities. Most respondents (78.7%) reported knowing how to use Aqua Tap systems, and groundwater was the preferred water source (53.3%). Education level was significantly associated with sanitation awareness (χ² = 18.64, p = 0.001), and residence type correlated with water source preference (r = 0.46, p = 0.004). Residential income significantly influenced sanitation practices (χ² = 15.8, p = 0.003), with 40% demonstrating good practices, more frequently among IDPs (26.7%) than host village residents (13.3%). Education, residence, and income influence sanitation, with illiterate and low-income groups showing poorer practices, emphasizing the need for targeted education and better WASH facilities.
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