Abstract
Abstract
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.
Funder
Bahir Dar University, “Mecha” Health and Demographic Surveillance system research funding scheme
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,General Medicine
Reference45 articles.
1. Smith K, Bruce N, Balakrishnan K, Adair-Rohani H, Balmes J, Chafe Z, et al. Millions dead: how do we know and what does it mean? Methods used in the comparative risk assessment of household air pollution. Annual review of public health. 2014 Mar 18;35(1). https://doi.org/10.1146/annurev-publhealth-032013-182356.
2. Kammila S, Kappen JF, Rysankova D, Hyseni B, Putti VR. Clean and improved cooking in Sub-Saharan Africa: a landscape report (English). Working Paper, World Bank Group, Washington (DC). 2014. Report Number: 98664.
3. Kumar P, Mehta S. Poverty, gender, and empowerment in sustained adoption of cleaner cooking systems: making the case for refined measurement. Energy Research & Social Science. 2016 Sep;19:48–52. https://doi.org/10.1016/j.erss.2016.05.018.
4. International Energy Agency. World energy outlook special report: from poverty to prosperity. Paris, France: October 2017.
5. Njenga M, Iiyama M, Jamnadass R, Helander H, Larsson L, De Leeuw J, et al. Gasifier as a cleaner cooking system in rural Kenya. Journal of cleaner production. 2016 May 10;121:208–17. https://doi.org/10.1016/j.jclepro.2016.01.039.