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Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia

BACKGROUND: Among the environmental risk factors, household air pollution exposure from traditional cooking practices is one of the biggest killers globally, which mainly impacts developing countries where many families rely on traditional cooking practices. Although improved cookstove adoption is c...

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Autores principales: Adane, Mesafint Molla, Alene, Getu Degu, Mereta, Seid Tiku, Wanyonyi, Kristina Lutomya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229589/
https://www.ncbi.nlm.nih.gov/pubmed/32414323
http://dx.doi.org/10.1186/s12199-020-00851-y
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author Adane, Mesafint Molla
Alene, Getu Degu
Mereta, Seid Tiku
Wanyonyi, Kristina Lutomya
author_facet Adane, Mesafint Molla
Alene, Getu Degu
Mereta, Seid Tiku
Wanyonyi, Kristina Lutomya
author_sort Adane, Mesafint Molla
collection PubMed
description BACKGROUND: Among the environmental risk factors, household air pollution exposure from traditional cooking practices is one of the biggest killers globally, which mainly impacts developing countries where many families rely on traditional cooking practices. Although improved cookstove adoption is central to tackle this public health issue, the efforts to disseminate cookstove technologies have faced challenges, and the adoption rates are reported to be very low in many developing countries including Ethiopia. Therefore, this study aimed to determine the magnitude and identify potential factors that may act as facilitators or barriers to adoption from users’ point of view. METHODS: As part of the wider stove trial project, a cross-sectional study was conducted among a total of 5830 households under randomly selected clusters. The required data were collected through face-to-face interviews, and a backward stepwise logistic regression analysis technique was applied to evaluate the effect of potential predictor variables on adoption using adjusted odds ratio (AOR) as measures of effect. RESULTS: The prevalence of adoption was found to be 12.3% (95% CI 11.5–13.2), and households headed by females (AOR 1.96; 95% CI 1.24–3.10), private house ownership (AOR 4.58; 95% CI 3.89–6.19), separate cooking location (AOR 1.84; 95% CI 1.49–2.78), fuel purchasing (AOR 2.13; 95% CI 1.64–2.76), health benefit (AOR 1.76; 95% CI 1.15–2.70), optimistic social interaction (AOR 1.81; 95% CI 1.46–2.26), traditional suitability (AOR 1.58; 95% CI 1.28–1.95), stove use demonstration experience (AOR 2.47; 95% CI 1.98–3.07), cheap price (AOR 2.48; 95% CI 1.91–3.21), availability (AOR 1.81; 95% CI 1.5–1, 2.17), fuel-saving benefit (AOR 1.63; 95% CI 1.18–2.24), and more durable stove (AOR 1.71; 95% CI 1.30–2.26) of cookstove played a significant role as facilitators to adoption. In addition, lower educational level of head (AOR 0.31; 95% CI 0.23–0.42) and fuel processing requirement (AOR 0.55; 95% CI 0.44–0.70) of cookstove were found to be barriers for adoption. CONCLUSIONS: Extremely lower improved cookstove adoption was observed due to household- and setting-related, cookstove technology-related, user knowledge- and perception-related, and financial- and market development-related factors. Therefore, to gain successful adoption, implementers and policymakers should consider those important factors in the implementation of clean cooking solutions to the community.
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spelling pubmed-72295892020-05-27 Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia Adane, Mesafint Molla Alene, Getu Degu Mereta, Seid Tiku Wanyonyi, Kristina Lutomya Environ Health Prev Med Research Article BACKGROUND: Among the environmental risk factors, household air pollution exposure from traditional cooking practices is one of the biggest killers globally, which mainly impacts developing countries where many families rely on traditional cooking practices. Although improved cookstove adoption is central to tackle this public health issue, the efforts to disseminate cookstove technologies have faced challenges, and the adoption rates are reported to be very low in many developing countries including Ethiopia. Therefore, this study aimed to determine the magnitude and identify potential factors that may act as facilitators or barriers to adoption from users’ point of view. METHODS: As part of the wider stove trial project, a cross-sectional study was conducted among a total of 5830 households under randomly selected clusters. The required data were collected through face-to-face interviews, and a backward stepwise logistic regression analysis technique was applied to evaluate the effect of potential predictor variables on adoption using adjusted odds ratio (AOR) as measures of effect. RESULTS: The prevalence of adoption was found to be 12.3% (95% CI 11.5–13.2), and households headed by females (AOR 1.96; 95% CI 1.24–3.10), private house ownership (AOR 4.58; 95% CI 3.89–6.19), separate cooking location (AOR 1.84; 95% CI 1.49–2.78), fuel purchasing (AOR 2.13; 95% CI 1.64–2.76), health benefit (AOR 1.76; 95% CI 1.15–2.70), optimistic social interaction (AOR 1.81; 95% CI 1.46–2.26), traditional suitability (AOR 1.58; 95% CI 1.28–1.95), stove use demonstration experience (AOR 2.47; 95% CI 1.98–3.07), cheap price (AOR 2.48; 95% CI 1.91–3.21), availability (AOR 1.81; 95% CI 1.5–1, 2.17), fuel-saving benefit (AOR 1.63; 95% CI 1.18–2.24), and more durable stove (AOR 1.71; 95% CI 1.30–2.26) of cookstove played a significant role as facilitators to adoption. In addition, lower educational level of head (AOR 0.31; 95% CI 0.23–0.42) and fuel processing requirement (AOR 0.55; 95% CI 0.44–0.70) of cookstove were found to be barriers for adoption. CONCLUSIONS: Extremely lower improved cookstove adoption was observed due to household- and setting-related, cookstove technology-related, user knowledge- and perception-related, and financial- and market development-related factors. Therefore, to gain successful adoption, implementers and policymakers should consider those important factors in the implementation of clean cooking solutions to the community. BioMed Central 2020-05-15 2020 /pmc/articles/PMC7229589/ /pubmed/32414323 http://dx.doi.org/10.1186/s12199-020-00851-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Adane, Mesafint Molla
Alene, Getu Degu
Mereta, Seid Tiku
Wanyonyi, Kristina Lutomya
Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia
title Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia
title_full Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia
title_fullStr Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia
title_full_unstemmed Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia
title_short Facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in Northwest Ethiopia
title_sort facilitators and barriers to improved cookstove adoption: a community-based cross-sectional study in northwest ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229589/
https://www.ncbi.nlm.nih.gov/pubmed/32414323
http://dx.doi.org/10.1186/s12199-020-00851-y
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