assessment of accessibility, availablity and consumption of drinking water in

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ASSESSMENT OF ACCESSIBILITY, AVAILABLITY AND CONSUMPTION OF DRINKING WATER IN HARAMAYA TOWN , EAST HARARGHE ZONE OF OROMIA NATIONAL REGIONAL STATE, EAST ETHIOPIA BY: HAKIM YUSUF A Research Proposal Submitted to the Department of Environmental Health, Faculty of Continuous and Distance Education, Summer in Service Program, Haramaya University in Partial Fulfillment of the Requirements for

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Page 1: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

ASSESSMENT OF ACCESSIBILITY, AVAILABLITY AND CONSUMPTION OF DRINKING WATER IN

HARAMAYA TOWN , EAST HARARGHE ZONE OF OROMIA NATIONAL REGIONAL STATE, EAST

ETHIOPIA

BY:

HAKIM YUSUF

A Research Proposal Submitted to the Department of Environmental Health, Faculty of Continuous and Distance Education, Summer in Service Program, Haramaya University in Partial Fulfillment of the Requirements for Degree of Bachelor of Science in Environmental Health (BSc)

July 2009

Harar, Ethiopia

Page 2: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

ASSESSMENT OF ACCESSIBILITY, AVAILABLITY AND CONSUPTION OF DRINKING WATER IN HARAMAYA TOWN, EAST HARARGHE ZONE OF OROMIA NATIONAL REGIONAL STATE, EAST ETHIOPIA

BY:

HAKIM YUSUF

Advisor: Binyam Negussie (BSc)

July 2009

Harar, Ethiopia

Page 3: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

Abstract

Background: Water is one of the basic necessities of life. It is impossible to survive

longer with out water. Around 97% of the total water coverage is not immediately

available to human use. Only 0.8% of the total water is useful for domestic purpose of

human life. Globally more than one billion people lack access to clean and safe water.

Due to this problem around five million people are died every year associated with water

related disease & makes it is among one of the leading three of top ten diseases in out

patient department. In Ethiopia, water supply coverage was estimated around 36.7% with

urban coverage of 82.5% and only 24.2% in rural since 2004.

Objective: To assess accessibility of water, its consumption, availability and other

related factors in Haramaya town.

Method: Community based cross-sectional study will be employed in six ketenas out of

fourteen ketena of the town from 10/7/2009 to 30/11/2009. The study will be conducted

in 389 HH which is selected using systematic sampling technique and distributed to each

randomly selected six ketenas proportionally. Interview will be conducted with the head

or spouse of the HH using a structured and pre-tested questionnaire & check list will also

used during observation. Data will be summarized in tables and analyzed manually using

scientific calculators.

Expectation: The study will be expected to find out relevant accessibility, consumption

and other water related findings of the town. Conclusion and recommendation will be

drawn based on the result obtained from the study and help in solving water related

problems of the town through providing scientific data to improve their program.

Budget: A total budget needed for the study is 14962.00. Including, 7620 for personnel

cost, 1140 for transportation cost, 2745 for stationery cost and 712.50 for contingency.

The study will be conducted from 10/7/2009 to 30/11/2009 in two kebeles of Haramaya

town.

Page 4: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

ACKNOWLEDGMENT

I would like to thanks Haramaya University in the first place, I would also thanks my

adviser Ato Biniyam Negussie for his best comment and constructive ideas. I would also

express my deepest gratitude to Haramaya town health office, Haramaya town

municipality and Haramaya health center staffs for supporting me in stationery,

transportation, typing the draft and delivering the town’s information. I will also never

forget my friends and my collegeus who put their efforts and contribute on fruitful ideas

& information for the success of this research proposal.

Page 5: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

TABLE OF CONTENT

Abstract----------------------------------------------------------------------I

Acknowledgement---------------------------------------------------------II

Table of contents-----------------------------------------------------------III

List of tables----------------------------------------------------------------IV

Acronyms--------------------------------------------------------------------V

1. Introduction---------------------------------------------------------------1

1.1Back ground----- --------------------------------------------------------1

1.2 Statement of problem --------------------------------------------------3

1.3 Significance of the study ----------------------------------------------4

2. Literature review----------------------------------------------------------5

3. Objectives------------------------------------------------------------------8

4. Methodology---------------------------------------------------------------9

4.1Study area and population-----------------------------------------------9

4.1.1. Study area--------------------------------------------------------------9

4.1.2. Source population-----------------------------------------------------9

4.1.3. Study population------------------------------------------------------ 9

4.2 Study design and period------------------------------------------------- 9

4.3 Sampling techniques and sample size --------------------------------10

4.4 Data collection method--------------------------------------------------11

4.5. Data processing and analysis-------------------------------------------12

4.6. Data quality management-----------------------------------------------12

4.7. Study variables-----------------------------------------------------------13

4.8. Operational definition---------------------------------------------------14

4.9. Ethical consideration----------------------------------------------------15

5. Plan of utilization of the study--------------------------------------------15

6. Work plan--------------------------------------------------------------------16

7. Budget------------------------------------------------------------------------17

8. Reference--------------------------------------------------------------------19

9. Annexes (Questionnaire) --------------------------------------------------21

(Dummy table)--------------------------------------------------29

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LIST OF TABLES

Table 1 Distribution of the major socio-demographic characteristics of the studied

population on availability of water. July 2009 Haramaya------------------------------------ 29

Table 2. Distribution of the study subject by their number of source, frequency of water supply and other factors. July 2009, Haramaya---------------------------------30

Table 3. Distribution of the accessibility and adequacy of water over the study

subject. July 2009, Haramaya. -----------------------------------------------------------31

Table 4. Distribution of the house hold and personal consumption of water over

the study subject. July 2009, Haramaya. -----------------------------------------------31

Table 5. Distribution of the study subject in terms of their temporary storage and

collecting equipments. July 2009, Haramaya. -----------------------------------------32

Table 6. Distribution of the cost of water over the study subject. July 2009,

Haramaya. ----------------------------------------------------------------------------------32

Table 7. Association of income and family size with having pipe line or well in the

study subject. July 2009, Haramaya. ----------------------------------------------------33

Table 8. Association of type of water source of house hold with level of protection

in the study subject. July 2009, Haramaya. --------------------------------------------33

Table 9. Association of type of water source of house hold with level of protection

in the study subject. July 2009, Haramaya----------------------------------------------34

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Acronyms

ADF ----------------------------------------- African development fund

GOE ---------------------------------------- Government of Ethiopia

HEW ---------------------------------------- Health extension worker

HHC ----------------------------------------- Haramaya Health center

HH ------------------------------------------- House hold

Ho -------------------------------------------- Health officer

Km ------------------------------------------- Kilo meter

Lt -------------------------------------------- Liter

L/c/d ---------------------------------------- Liter per capita par day

MOH --------------------------------------- Ministry of health

MDGs -------------------------------------- Millennium development goals

MWR --------------------------------------- Ministry of water resource

NGO ---------------------------------------- Non government organization

NWSSP ------------------------------------ National water supply & sanitation program

RHB ---------------------------------------- Regional health bureau

SNNPR ------------------------------------ Southern nation and nationality peoples region

UNICEF ----------------------------------- united Nations children’s fund

USA --------------------------------------- United states of America

USD --------------------------------------- United states dollar

WASH ------------------------------------ Water supply, sanitation and hygiene

Page 8: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

1. INTRODUCTION

1.1 Back ground

Water is one of the basic necessities of life with constituting around 60% of the body cell.

It is essential for growth, development and creation of life. Including human being every

life in the earth could not exist longer with out water. Water is the most widely occurring

natural resource occupying over 72% of the earths surface. Regarding its distribution

97% of the total water coverage is not immediately available to human use, including a

polar ice cap which is about 2% of the water body. Useful water of the earth is only about

0.8% of the total which distribute unevenly over the world. (1)

There are four types of water sources which is found to be necessary for human use.

These includes ground water like wells and springs, surface water including rivers,

streams, lakes, dums and ponds which is supplied for the large community by pipe and

other means of transportation after treated for its impurity. The rest source includes rain

water which is collected over impermeable and non-absorbent surfaces for use and sea

water which is suitable for use after removing the salt through desalination and delivered

to public. (2)

Water supply is varying from place to place and defined according to the satisfaction of

the communities. In much of rural Africa, a hand pipe 500 meter from the house hold is a

luxury, but most residents in urban Latin America would not consider them selves served

by a water supply unless they had a house connection. In Asia, urban planners would

consider a community as a served if they were sufficient stand posts on the street corner.

(3)

Globally over one billion people lack access to clean and safe water; due to this

numerous of water related disease in developing countries kills around 5 million people

every year from which 6000 children were died every day. Global warming is

exacerbating these crises as sever, prolonged droughts were also dry up water supplies

and heavy rains causes sewage over flow. In terms of the sheer a number of people

affected and the lack of access to safe water is a massive problem. (4)

In Latin America coverage of water supply were different among countries; in Paraguay

only 37 – 50% of the population has access to potable water. In El Salvador 57% of the

country has access to clean water with 78% of urban population and 46% of rural

Page 9: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

population separately. Concerning treatment only 2% of all municipal and industrial

discharges were receive some kind of treatment before reaching a receiving body of

water. About 90% of the country surface water is contaminated & unsafe for human

consumption. In Nicaragua, Costa Rica, Guatemala and Honduras only 39%, 84%, 78%

and 79% of their rural population had access to water supply respectively. (5)

The demand of water varies from place to place based on their standard of living and

degree of culture. For domestic purpose including; drinking, cooking, bathing washing

hands and HH sanitation is considered as a basic for daily requirements in every society.

In majority of developed nation daily requirements of water were rise more than 150

Lt/c/day, while in developing nations, especially sub-Saharan countries and rural areas of

Asia & South America the daily requirement were felt below these figures. (6)

According to the African development fund (ADF) 2004/2005 report Ethiopia is one of

the least in water supply coverage even compared with sub-Saharan Africa countries. The

report were also mentioned that, the country is planning to develop its water sector by

increasing rural water supply coverage from 24% to 45% in 2010, decrease water born

disease by half in 2015, minimize average distance to the water point from 3 Km to 1 Km

in 2010 and rise average per capita consumption from 10 Lt/c/day to 20 Lt/c/day in 2010

to achieve millennium development goals (MDGs) by the finance of government of

Ethiopia (GOE) and through support of other donors to address reasonable access and an

improved supply of water. (7)

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1.2 Statement of problem

Daily life of human being is highly tied with the supply and utilization of water for

different purpose. It is impossible to have a sanitary environment with out water. Water is

important for cooking, drinking, promoting personal hygiene and in cleaning the

surrounding. Health can not maintained with out adequate and wholesome supply of

water for the community. The provision of clean, safe & adequate supply in the

community is there fore a vital importance in public health service.

Due to shortage and consumption of untreated & contaminated source water numerous

diseases were occurred and endangering human life. Water related disease is among the

leading of out patient morbidity in health institutions. Among these; water born infection

like cholera, typhoid, shigellosis and amoeba are affecting health & leading to

malnutrition. Other disease including skin infection and trachoma are caused due to

shortage of water. Chemical constitution in water either in excess or due to shortage, it

harms human health.

Impurities of water are affected as it goes through its natural cycle and man made

problems. Under ground water is polluted by minerals in the ground & other organic

substances including human excreta. Surface water polluted by organic and inorganic

substances including untreated sewage, factory waste products, animal wastes and others.

Rain water also affected by absorbed dusts & gases as it falls to ward the earth and its

reservoir or collecting equipments. Water also contaminated during collection from

source point, transportation, and handling.

In Ethiopia supply of water varies from place to place with urban residents has better

access when compared to the rural areas. Regarding consumption average daily

consumption per person were about 15 Lt/c/day which is inadequate compared with

standard. In Haramaya town water born disease were among the three leading of top ten

diseases according to 2007/2008 Haramaya health center reports. Haramaya town were

obtained drinking water from Haramaya Lake through municipal pipe previously. But

now due to sweep of the lake the town get water supply from temporary well constructed

apart from the lake through municipal pipe. Concerning supply coverage, access, level of

consumption and status of water collecting & storing equipment in the town there is no

data obtained. Therefore it is crucial to study with this regard.

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1.3 Significance of the study

Disease occurred due to shortage and impurities of water are one of the primary public

health problems in our country and are responsible for increment of gross morbidity and

mortality rate .It also affects economic activity of the community. Women and older

children were spent much of their time in collecting water from distant sources when

shortage occurred. Due to water related illness most of the families in developing

countries spend their saving and capital asset for treating their member. Assessing supply,

consumption, access and method of storing of the community is crucial for the prevention

and control of water related diseases and relief burden of women & children. The studies

conducted at national level indicated that the supply of water varies from place to place

based on residence and consumption was low compared with other countries. However

there was no previous study done in Haramaya town with this regard. This study helps in

designing and modifying the town’s water supply program based on evidence and

contributes to the improvement in prevention & control of water born diseases.

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2. LITERATURE REVIEW

A study conducted in 2002 showed that, around 1.1 billion people have no access to safe

drinking water. According to the united nation report every day more than 6500 children

die from diarrhea illness. Many researches were also showed that, storing water in the

House hold leads to deterioration in quality because of increased recontamination in the

home. Due to poor handling and utilization of drinking water stored water become more

contaminated than the source one. (8)

A study conducted in San Julian, El Salvador South America showed that, most of the

population (96%) has access to the municipal water system; every HH connection is

metered and service is provided 24 hours per day. Similar study conducted in two rural of

Nicaragua showed that, water supply coverage in the area is 35%. Another case study

conducted in Marinilla, North west Colombia indicated that water supply coverage were

reaching 99% of the population with all metered connection & provided service of 24

hours a day. (9)

A study conducted in Honduras, Latin America since 2004 indicated that, 79% of the

people have access to drinking water. According to this study rural population of the

country has supplied with different source points including; piped connection 63.2%,

public tap 6.5%, public well with hand pipe 4%, public well with out hand pipe 4.4%,

purchased from tank 0.6%, and use unprotected source 21.3%. (10)

Studies done in Colombia showed that, potable water coverage were about 76% and

supply has increased significantly over a decades. According to this study around 10

million people (24%) still lack access to water service and only 5% of the population has

access to waste water treatment. It is also estimated that only 60% of water distributed in

urban area meets the standard defined by Colombian ministry of health. Comparing urban

and rural areas there is a difference in water supply coverage; in urban average water

coverage were 90%, while in rural areas average coverage were remains 44% with poor

quality of service. (11)

According to WHO, 1993 census in Saudi Arabia 97% of urban area had covered with

water supply, with an average consumption of 200-280 liter per capita per day, similar

like that of USA and cost of water supply were provided almost for free. In rural area

only 63% of the population had access to improved source of water supply. According to

Page 13: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

a 2004 study of Elie Elhdj from school of oriental and Africa studies, one half of Saudi

Arabia house holders still have no municipal water connection. Discontinuity of the

service was also among the serious problem. (12)

A study conducted in developing community of South Africa to examine the relation ship

between quality of water and health out comes in 300 HH showed that more than one

third of the population used communal tap water and significant contamination occurred

during handling and storage of water compared to the point of source. (13)

A study done in Ethiopia showed that, national water supply coverage in 2004 was

estimated at 36.7% with urban water supply coverage estimated at 82.5% and rural water

supply were at 24.2% which indicates that among the lowest in Sub-Saharan Africa.

Access close to home is also low in urban with only 4% of the urban population having

access to in-house supplies and another 23% having access to water in their own yard,

while the rest depend on communal supplies. Recent studies showed that, water

consumption in urban area is also low with averaging 15 Lt/c/day, due to the price for

collecting it both in terms of the time & money spent. The survey also showed that, the

larger the town, the higher the number of HHs with access to safe supplies of water. (14)

According to the studies conducted in rural part of Ethiopia in 2004 indicated that, an

average per capita water consumption were about 10 Lt/c/day and average distance to the

nearest water point were also 3 km with an average travel time of 3 hrs for women and

children. The study also showed that 33% of the rural water services are established to be

non-functional due to lack of funds for repairing and maintenance. (15)

A study conducted in different region of Ethiopia revealed that rural water supply

coverage is lowest in the smaller, lower capacity and drier low-lying region of Somalia

(7%), Gambella(14%), Benishangul (18%), and Harari (19%) and higher in the large &

higher capacity high land region of Amhara (23%), SNNPR (24%), Oromia (25%) &

Tigrai (25%). The study also showed that, 8 million nomadic people who live in arid &

semi-arid low lands of Afar and Somali region, Borena zone of Oromia region, and

Debub Omo zone of SNNPR were among the worst affected areas. (16)

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A community based cross-sectional study conducted in Nekemte, Western Ethiopia from

October 15 – November 26, 2007 to asses the relation ship between hygienic behavior of

maternal care giving and the occurrence of diarrhea in children. According to these study

from 477 selected HH, majority of them 88.3% used covered container during

transportation of drinking water from the sources & only a small proportion 11.7% did

not cover their drinking water container during transportation to their home. Further

more, 94.1% of them has separate storage container and 94.3% cover their storage

container in the home. Regard drawing method 80.5% draw water by pouring and 19.5%

draw water from the storage container by drawing. (17)

Many studies were conducted in different part of Ethiopia on water handling practice and

sanitation behavior, a study conducted in 2003 at Agaro town of Jimma zone showed

that, 83% of the respondents use cover material during transportation & 83.7% of them

store water at home. Also 75.6% of the HH practice dipping method to draw water from

container. Another study conducted in Jimma town since 1997 showed that, only 58% of

the respondents cover the collection container during transportation to their house, 85%

rinse/wash the container before collection and 52.5% used dipping cup with handle &

42.5% with out handle to draw water from the container. (18)

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3. OBJECTIVES

3.1 General Objective

To assess availability of drinking water, accessibility, its consumption

and other related factors in Haramaya town.

3.2 Specifies objectives

To assess availability of drinking water in the area from 10/7/2009 to

30 /11/2009.

To assess consumption of water in the area.

To assess accessibility of water in the area.

To assess adequacy of drinking water in the area.

To assess water handling practice of the house holds.

To assess cleanliness of temporarily stored drinking water.

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4. METHODOLOGY

4.1 Study area and population

4.1.1 Study area

The study will be conducted in Haramaya town East Hararghe Zone of Oromia national

regional state which is located 485 km from Addis Ababa and 18 km from zonal capital

town, Harar. According to the 1999 popopulation & housing census projection, the

town’s population is estimated to be 27000. There is also 5626 HH in 2 kebeles of the

town. Each kebele divided in to seven ketenas. Majorities of the residents are Oromo and

Muslim. The town is bordering with Haramaya University in North and with Haramaya

woreda kebeles in East, West & South. The main road from Addis Ababa to Harar and

from Dire Dawa to Harar passes through the center of the town. The town is mainly

“weynadega” in its climatic condition with annual average temperature ranging from 10

to 25 degree Celsius and the annual rainfall ranging from 118 to 816 ml. its altitude

ranging 1700 - 2100 meters above sea level. The town has one health centre, seven

private clinics and six rural drug vendors.

4.1.2 Source population

All House holds found in Haramaya town.

4.1.3 Study population

All House holds found in selected ketenas.

4.1.4 Sampling unit

All selected House holds in each six ketenas

.

4.2 Study design and period

A descriptive community based cross-sectional study will be employed from 10/7/2009

to 30/11/2009.

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4.3 Sample size and sampling technique

The sample size is calculated using a single population proportion formula

n = (Zα/2) 2 .Pq , where

d2 n=sample size

P= Proportion

Zα/2 =confidence interval

d= margin of error

n = (1.96) 2 x 0.36 x (1 – 0.36)

(0.05)2

= 3.8416 x 0.36 x 0.64

0.0025

= 354.04 + 35 (10% for non-response) = 389.04

Assuming 95% confidence interval, 5% margin of error and considering the proportion of

36 % from the national water supply coverage in 2004. The final sample size including

10% for non-response is 389 households.

4.4 Sampling procedure

A total of six ketenas (three from each kebele) were selected by lottery method and then

the calculated sample size were distributed to each selected ketenas based on their

proportion showing that; ketena two, three and six with sample size of 54 HH, 66 HH and

58 HH respectively from one kebele and ketena one, four & seven with their sample size

of 70 HH, 67 HH and 74 HH respectively from another kebele. The HH will be selected

using systematic sample technique by selecting the first house randomly and then go

every fixed interval.

4.5 Data collection technique

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4.5.1 Data collection tools

A structured and pre-tested questionnaire will be used to collect quantitative data of

community survey. The question which is initially prepared in English will be translated

to Afan Oromo. The questionnaire are adopted from study on water supply and sanitation

in Jimma area and modified based on local setting. The question has 5 parts including:

socio- demographic, access & water supply related, water consumption related, affecting

factor related and questions filled during observation parts. Check list will also used for

observation parts.

4.5.2. Data Collectors

Six high school completed data collectors who have previous experience in data

collection and knowledge of the local language will collect the quantitative community

survey data. Two environmental health workers who have experience will supervise over

all activities of the data collection. Two days training will be given for each of the group

by senior environmental health worker and statistician regarding this activity.

4.5.3 Data collection process

Quantitative data will be collected by house to house survey. Interview will be conducted

with the spouse or head of the house or above 15 years old female children during the

absence of the spouse in the house. The interview will take 30-40 minutes and conducted

in the respondents preferred language. Temporary water collection equipment and private

water source in the compound will be inspected by data collectors for their cleanness.

Over all data collection process will take ten days.

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4.6 Data processing and analysis

After cleaning & compiling the data, analysis will be performed manually using scientific

calculator. Univariant & bivariant analysis will be used to describe data and examine

association between essential variables. Simple descriptive statistics and other relevant

methods will also used to describe independent variables. Percentage, p-values and chi-

square tests will be determined where appropriate. For the presence or absence of

association between any appropriate variables of the study chi-square test will be

performed at a level of significance of 5% and p-value will used to decide whether the

observed difference is statistically significant or not. Tables & figures which support the

description will also be used.

4.7. Data quality management

The questionnaire developed based on objectives. Pre-test will be conducted in 5% of

sample size in adjacent kebeles. Modification and adjustment will be made on questions

and their responses based on lessons from the pretest. Before data collection three days

training including field practice will be given to data collectors by professionals.

Supervision will be conducted by experienced supervisors and 10% of the collected data

will also counter checked.

4.8 Study Variables

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Dependent Variable

Availability of water

Consumption of water

Adequacy of water

Accessibility of water

Independent Variables

Age

Sex

Knowledge

Income

Cost of water

Type of water source (eg. Pipe, well, bono, etc)

Water storing equipment

Water drawing equipment

Family size

Water handling practice

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4.9 Operational definition

Water: - is a clear colorless liquid, odorless and taste less when pure, that occurs as rain,

snow, and ice. It forms rivers, lakes, and seas and is essential for life. Naturally occurring

water picks up color and taste from substances in its environment.

Source of water: - is defined as the process of water delivery system to an area through

different mechanisms including; reservoirs, pipe, purified plants and etc.

Consumption of water:-is the amount of water used in daily bases per individual for

different purpose.

Adequacy: - is sufficient amount in quality or quantity to meet the need of human life.

Accessibility: - easily available, able to be obtained, used or experienced with out

difficulties.

Income: - is the revenue or benefit that an individual or house hold earns over a period of

time to change their life.

Cost: - is the amount of money to be paid to get some thing or the amount of money

spent in producing some thing.

Temporary storage of water: - is equipment used for storing water temporarily after

collecting from distribution site and before using for different purpose.

Domestic utilized purpose: - is the demand of water used in everyday life with in house

holds. It includes; drinking, cooking, bathing, washing hands and house hold sanitary

purposes. (For the purpose of this study only).

Water drawing equipment: - is equipment used for drawing water from storage

equipment for drinking and other HH purpose. (For the purpose of this study only).

Family size: - is the total number of people who live in the same (one) house hold

regardless of their age and sex.

Water handling practice: - is the way of keeping, using and managing of the daily bases

of house hold water. (for the purpose of this study only).

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4.10 Ethical Considerations

Ethical clearance will obtain from ethical clearance committee of Haramaya University

faculty of hearth science; permission letter will obtain from Haramaya town municipality

and Hearth office. Verbal consent will also obtained from each respondent before

conducting interview and explanation of the purpose of the study will held. The

information obtained from each respondent will be kept confidentially.

5. Plan of utilization of the study

The study result will be used to improve health programs of the study area, there fore it

will be utilized by Haramaya town health office, Haramaya health center, Haramaya town

water office, East Hararghae zonal health office and regional health bureau & water

bureau to understand availability, consumption and access of water in the locality.

Haramaya university faculty of health science may also use this study as a literature and a

base line for further similar studies. Non governmental organization & other concerned

governmental line department will also use this study for planning and implementing

there programs.

The study involves Haramaya town health office, local community and other stake

holders for better applicability and utilization of the research result in the future. The

final result will be presented and distributed to any concerned bodies accordingly.

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6. Work plan

NO. Activities Date (Duration) Responsible body Remark

1 Proposal development 10, July-5 Aug. Research conductor

2 Submission of proposal 7, Aug. Research conductor

3 Getting permission 10.- 15, Aug. Haramaya University

4 Printing questioner 1, Oct.-3, Oct. Research conductor

5 Recruiting and training of

data collector

5, Oct.- 10 Oct. Research conductor

6 Data collection 11, Oct – 18, Oct. Data collectors &

supervisors

7 Data compiling 20, Oct. -25, Oct. Research conductor

8 Data analysis 25 – 29, Oct. Research conductor

9 Report writing 30, Oct – 5, Nov. Research conductor

10 Submission of first draft to

advisor

10, Nov. Research conductor

11 Getting feed back 11–15, Nov. Advisor

12 Cleaning the report 17 – 20, Nov. Research conductor

13 Writing the final report 21 – 28, Nov. Research conductor

14 Submission of final research

paper to the department

30, Nov. Research conductor

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7. Budget break down

I/ Personnel Cost

Category Activities No. of

person

No. of

days

Daily

allowanc

e(Birr)

Total

cost

(Birr)

Remark

Data collectors to collect data 6 10 50 3000

Supervisor to supervise over all activities

of data collection

2 10 100 2000

Trainer(tutor) to conduct training 2 3 200 1200

Driver To facilitate transportation 1 10 70 700

Secretary typing(writing) drafts 1 6 70 420

Other costs

(entertainment)

300

Sub total I 7620

II/ Transportation cost

Item Unit Needed

amount

Unit

price

Total cost Remark

Fuel (Benzene) Liter 100 9 Birr 900 Birr

Lubricants (oil) Kilo gram 4 60 Birr 240 Birr

Sub total II 1140 Birr

Page 25: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

III/ Stationery cost

Item Unit Needed

amount

Unit price Total cost Remark

Duplicating paper Ream 8 60 Birr 480 Birr

Photocopy paper Ream 3 80 Birr 240 Birr

Stenencils Pack 1 200 Birr 200 Birr

Printer (computer) ink Tube 1 1000 Birr 1000 Birr

Duplicating ink Tube 4 70 Birr 280 Birr

Pencils Each 30 0.50 15 Birr

Ball pen Each 30 1 Birr 30 Birr

Clipboard Each 10 25 Birr 250 Birr

Writing pad Each 10 10 Birr 100 Birr

Other stationeries 150 Birr

Sub total III 2745 Birr

IV/ Budget cost breakdown summery

Category Total cost (Birr) Remark

Personnel cost 7620.00

Transportation cost 1140.00

Stationery cost 2745.00

5% Contingency 712.50

Grand total 14962.50

Page 26: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

REFERENCES

1. Baraki N, Mengistu B. Introduction to environmental health and ecology: water

supply. 2007,20-21

2. Baraki N, Mengistu B. Introduction to environmental health and ecology: source

of water. 2007, 26-27

3. Sandy C, Vividan V. Environmental can help to eliminate the worlds biggest

health:water supply, sanitation & hygiene. PP22

4. Verda La. Environmental can help to eliminate the world’s biggest health:

Bringing safe water to the world.

5. Fragano F, Linares C, Lockwood H, Rivera D, Trevett A, Yepes G. Case study on

decentralization of water supply & sanitation service in Latin America.

6. African medical and research foundation (AMREF) what we do.

7. ADB appraisal report: Rural water supply and sanitation program. June 2005.

8. Levy K, Kara L, Alan H, Joseph E. A controlled study of drinking water storage:

Environmental health perspective vol.116, no.11, Nov. 2008

9. Fragano F, Linares C, Lockwood H, Rivera D, Trevett A, Yepes G. Case study

on decentralization of water supply & sanitation service in Latin America.pp 4-5

10. Rivera D, Travet A, Linares C. Case study on water supply and sanitation service in

central and southern America, 2004.

11. Fragano F, Linares C, Lockwood H, Rivera D, Travet A, Yepes G. Environmental

health poject (EPH), pp 11.

12. Wikipedia, Water supply and sanitation in Saudi Arabia. 2009.

13. Genthe B, Strauss N, Vundule C, Maforah F, Seager J. The effect of water supply,

handling and usage on water quality: Urbanization and health news letter, 1995, Sep;

(26): 32 – 6.

14. African development bank appraisal report: Rular water supply and sanitation

program, June 2005.

15. MPDE matrix for short-term water supply and sanitation program: Rural water supply

and sanitation program, June 2005.

Page 27: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

16. ADB appraisal report: Access to rural water supply and sanitation service, June 2005,

12 – 14.

17. Eshete W. A step wise regression analysis on under five diarrhea disease morbidity:

East African journal of public health, vol.5, No.3, Dec., 2008, 193– 8.

18. Eshete W. A stepwise regression analysis on under five diarrhea morbidity in

Western Ethiopia: Maternal care giving & hygiene behavior determinants. African

journal of public health, vol. 5, no. 3, Dec. 2008, 193-198.

Page 28: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

This questioner is developed by Haramaya University, faculty of health science student for

the purpose of community based water supply survey. The information gets from respondent

will kept confidentially and use can quit the interview when ever you like if not comfortable

for you.

Part I. Socio-demographic chacterstics

Respondent information

Age--------- Sex------- Responsibility------------------

101. Total member of the house hold --------

102. Sex distribution of the family member

1. Male

2. Female

103. Age distribution of the family member

1. Under one year

2. 1-4 year

3. 5-14 year

4. 15-49 year

5. above 50 years

104. Educational status

1. Can’t read and write

2. Informal education

3. 1-4 grade

4. 5-8 grade

5. 9-12 grade

6. 12+

105. Occupation of head

1. Farmer

2. Merchants

3. Gov’t employee

4. Other (specify)

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106. House hold income per month

1. Less than 300 Birr

2. 300-800 Birr

3. 801-1200 Birr

4. above 1200 Birr

107. Ethnicity

1. Oromo

2. Amhara

3. Other (specify)

108. Religion

1. Muslim

2. Christian

77. Other (specify)

Part II. Availability of water and access related questions

201. Do you have water source in your compound

1. Yes

2. No

202. If yes, type of source

1. Pipe

2. Well water

3. Rain water

77. Other (specify)

203. If no, where do you get water

1. Buying from other pipe

2. Buying from public stand (bono)

3. Buying well water

77. Other (specify)

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204. How far do you go for searching of water

1. Less than 200 meter

2. 201-500 meter

3. 501-1000 meter

4. Greater than 1000 meter

205. Do you get water supply regularly

1. Yes

2. No

206. If no, how frequent do you get

1. Every other day

2. Twice a week

3. Once a week

4. Once for more than a week

207. During rush out (absence) of water, where do you get

1. Buying from other place

2. Using well water

3. Buying from bono

77. Other (specify)

208. Number of public water stand (Bono) in the ketena

---------------

Part III. Water consumption related questions

301. How much water consumed in your house per day

1. 20 litter

2. 40 liter

3. 60 liter

4. 80 liter

77. Other (specify)

302. Specific consumption per day in your HH

1. For cooking ----------Lt.

2. For hand & face washing ----------Lt.

3. For drinking -----------Lt.

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4. For utensil washing -----------Lt.

5. For HH sanitation -----------Lt.

6. For other -----------Lt.

303. How frequent your HH clothes are washed

1. Twice a week

2. Once a week

3. Once every two weeks

77. Other (specify)

304. Amount of water utilized for HH cloth washing

1. 40 Lt.

2. 60 Lt.

3. 80 Lt.

77. Other (specify)

305. Personal bathing habit

1. Every day

2. Every other day

3. Once a week

77. Other (specify)

306. How much water do you use when bathing

1. 10 Lt.

2. 20 Lt.

3. 30 Lt.

77. Other (specify)

307. Amount used for your daily drinking including for chat chewing

1. Two Lt.

2. Three Lt.

3. Four Lt.

77. Other (specify)

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308. Amount used for your hand & face washing including for praying (salat)

1. Two Lt.

2. Three Lt.

3. Four Lt.

77. Other (specify)

309. More water consumed sex group

1. Male

2. Female

3. Both equal

98. Don’t know

310. More water consumed age group

1. Children

2. School age group

3. Adult

4. Old age

98. Don’t know

311. Do you get adequate water

1. Yes

2. No

Part IV. Water affecting factor related questions

401. Where do you store water temporarily after collection

1. In kitchen

2. In the house

3. Out side

77. Other (specify)

402. Equipment used for temporary storage

1. Plastic jar

2. Bucket

3. Barrel

77. Other (specify)

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403. How frequent do you collect water from distribution site

1. Every other day

2. Once a day

3. Twice a day

77. Other (specify)

404. Do you use separate equipment for pouring/drawing water

1. Yes

2. No

405. Type of equipment used for drawing water

1. with handle

2. without handle

77. Other (specify)

406. Why don’t you have a pipe line (for those not having pipe line)

1. Can’t afford cost

2. Because of long procedure

3. Have access of water in near by

77. Other (specify)

407. How much do you pay for 20 Lt. of water (private pipe, bono, well)

1. 25 cents

2. 50 cents

3. 1 Birr

77. Other (specify)

408. Cost of water service requested by municipality (for pipe water only)

1. Cheep

2. Fair

3. Costy

98. Don’t know

Page 34: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

Part V. Question filled by interviewer observation

501. Does water source in the compound is protected

1. Yes

2. No

502. Distance of well water from latrine

1. Far enough

2. Close

3. Too close

503. Is there leakage or visible contamination surrounding the pipe line

1. Yes

2. No

504. Does temporary water stored equipment is clean

1. Yes

2. No

505. Does temporarily stored water has clean

1. Yes

2. No

THANK YOU FOR YOUR COOPERATION

Page 35: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

Check list used by interviewer during observation

Please use this check list during observation and answer the list by circling yes for positive

result & no for negative result.

1. Type of water source in the compound

A/ Is there pipe water in the compound yes no

B/ Is there well water in the compound yes no

C/ Is there stored rain water in the compound yes no

2. Well water

A/ Is well water had cover during observation yes no

B/ Is drawing equipment hanged in clean place yes no

C/ Is there possibility of interance of flood in the well yes no

D/ Is the latrine constructed on the upper side well yes no

E/ Is distance of the latrine close to the well (< 60 meter) yes no

3. Rain water

A/ Is rain water stored in clean equipment during observation yes no

B/ Does the equipment had cover during observation yes no

C/ Is visible dirty in water during observation yes no

4. Pipe line

A/ Is there leakage of pipe line in the compound yes no

B/ Is there stagnant water around the pipe yes no

C/ Is there dirty in the main stand pipe yes no

5. Water collecting and storing equipment

A/ Does collecting equipment is clean yes no

B/ Does storing equipment is clean yes no

6. Cleanness of temporarily stored water

A/ Is there visible dirty in stored water yes no

B/ Is possibility of contamination during drawing/pouring yes no

C/ Water stored in clean equipment yes no

D/ Is covered during observation yes no

E/ Possibility of contact by domestic animal yes no

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Table 1. Distribution of major socio-demographic characteristics of the study

subject. July 2009, Haramaya.

Socio-demographic characteristics

Age category No. %

< 1 years1-4 years5-14 years15-49 years>50 years

TotalSex

MaleFemale

TotalOccupation

FarmersMerchants

Gov’t employee OtherTotalEducational status

No read and write1 -4 grade5-8 grade9-12 grade

12 +TotalIncome < 300 Birr/month 300-800 Birr/month 801-1200 Birr/month > 1200 Birr/monthTotalReligious group

MuslimsChristians

TotalEthnic group: Oromo Amahara OtherTotal

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Table 2. Distribution of the study subject by their number of supply, frequency of water supply and other factors. July 2009, Haramaya

Variables Number %

Supply:

Private pipe water supply

Public (Bono) water supply

Well water supply

Other supply

Total

Frequency of pipe water supply:

Those who get every day

Those who get twice or more a week

Those who get once a week

Those who did not get even once a week

Total

Cause for not having pipe line:

High cost

Complaining procedure

Other supply option

Other reasons

Total

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Table 3. Distribution of the accessibility and adequacy of water over the study

subject. July 2009, Haramaya.

Variables Number %

Access:

Those who have source in their compound

Those who get water with in 200meter off their

compound

Those who search water beyond 200meter

Total

Adequacy:

Those who get adequate water

Those who did not get adequate water

Total

Table 4. Distribution of the house hold and personal consumption of water

over the study subject. July 2009, Haramaya.

Average HH consumption Liter %

For cooking purpose per day

For hand & face washing per day

For drinking per day

For utensil washing per day

For house & compound sanitation per day

For cloth washing in one session

Total

Average personal consumption

For bathing

For drinking & other related purpose per day

For hand & face washing per day

Total

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Table 5. Distribution of the study subject in terms of their temporary storage

and collecting equipments. July 2009, Haramaya.

Variables Yes No Total

Temporarily stored water:

Stored in good place

Used clean storage equipment

Stored water with cover

Collecting & temporary storing

equipment:

Plastic jar

Bucket

Barrel

Others

Table 6. Distribution of the cost of water over the study subject. July 2009,

Haramaya.

Average cost of water Cents/Birr

20 Lt. of water from private pipe

20 Lt. of water from public stand (Bono)

20 Lt. of water from wells

20 Lt. of water from other source

Page 40: Assessment of Accessibility, Availablity and Consumption of Drinking Water In

Table 7. Association of income and family size with having pipe line or well

in the study subject. July 2009, Haramaya.

Variables Had pipe or

well

No pipe or

well

Total

Income:

High income

Middle income

Low income

Total

Family size:

Large family size

Small family size

Total

Table 8. Association of type of water source of house hold with level of protection

in the study subject. July 2009, Haramaya.

Variables Protected Not protected Total

Pipe water

Wells water

Other source

Total

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Table 9. Association of level of consumption with age, sex and family size

over the study subject. July 2009, Haramaya.

Variables High

consumption

Low

consumption

Total

Age group:

Children

Adolescent

Adult

Old age

Total

Sex group:

Male

Female

Total

Family size:

Large family

Small family

Total

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