scholarly journals The Association Between Diarrheal Morbidity and ODF Status Among Under Five Children in Southeast, Ethiopia

2020 ◽  
Author(s):  
Sintayehu Megersa ◽  
Tomas Benti ◽  
Biniyam Sahiledengle ◽  
Kedir Hussien Abegaz ◽  
Endalkachew Birhanu
Keyword(s):  
Confidence Interval ◽  
Diarrheal Disease ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Study Participant ◽  
Open Defecation ◽  
Under Five ◽  
Under Five Children ◽  
Diarrheal Morbidity ◽  
Free Status

Abstract Background: Diarrheal disease remains one of the leading killers of children around the world. Most cases of diarrhea spread in settings with poor hygiene and lack of access to clean drinking water and sanitation. In Ethiopia, diarrheal disease is more common and kills almost fifteen thousand under-five children in year 2016. Therefore, this study determined diarrheal morbidity among under five children and its association with open defecation free status.Methods: A community-based comparative cross-sectional study was conducted on 732 households that had at least one under-five children. Multistage sampling technique was used to select households. Informed verbal consent was obtained from study participant. Multivariable logistic regression was performed to identify factors associated with diarrheal morbidity among under five children. Odd ratios with 95% confidence interval were reported and p-value of <0.05 was considered as statistical significance. Results: A total of 709 mothers or caregivers of under-five children were interviewed making the response rate 97%. The past two-week diarrhea morbidity in the study area was 20.2%. Multivariable analysis showed that unsanitary disposal of children`s feces (adjusted odds ratio [AOR]= 2.68, 95% confidence interval [CI]: 1.66, 4.30), exclusive breast feeding (AOR=0.43 [0.26, 0.71), mother not attend formal education (AOR=1.93, 95% CI: 1.18, 3.15) and child age (AOR=1.93, 95% CI: 1.04. 3.57) were significantly associated with diarrheal disease. Conversely, there is no association between open defecation free status and childhood diarrhea among under-five children (AOR=0.89, 95% CI: 0.55, 1.44).Conclusions: The prevalence of diarrhea was slightly higher among children from non-open defecation free households when compared to children living in open defecation free households. However, open defecation free status was not significantly associated with diarrhea morbidity during multivariable logistic analysis.

scholarly journals Diarrhea Prevention Practice and Associated Factors among Caregivers of Under-Five Children in Enemay District, Northwest Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Melese Dubie Agegnehu ◽  
Liknaw Bewket Zeleke ◽  
Yitayal Ayalew Goshu ◽  
Yonas Lamore Ortibo ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Family Size ◽  
Associated Factors ◽  
Diarrheal Disease ◽  
Good Practice ◽  
Multivariable Analysis ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Background. Diarrhea is the leading cause of mortality among infants and children younger than 5 years of age in both underdeveloped and developing countries. Factors determining the occurrence of diarrhea in children are complex, and the relative contribution of each factor varies as a function of interaction between socioeconomic, environmental, and behavioral variables. Objectives. To assess diarrhea prevention practice and associated factors of diarrheal disease among caregivers who have under-five children in Enemay district, Ethiopia, 2018. Methods. Community-based cross-sectional study was done from June 1–30, 2018, among 398 caregivers who have under-five children, in the Enemay district that were selected by using the simple random sampling technique. A structured and pretested data collection tool was used to collect the data. Data were entered using EPI DATA version 4.2, and analysis was done using SPSS version 20 statistical package to be cleaned and analyzed. Descriptive analysis was done to describe study participants, and logistic regression (bivariable and multivariable) analysis was done to identify factors that have association with the dependent variable. The P value was less than 0.05. Results. A total of 398 with a response rate of 97% under-five caregivers were participated in this study. Nearly, half (48.7%) of the participants were in the age group 25–34. The study revealed that good practice of diarrhea prevention was 52.8%. This study was also identified that occupation (AOR: 3.922, 95% CI: 1.593, 9.657), family size (AOR: 0.088, 95% CI: 0.009, 0.916), and understanding on diarrhea (AOR: 0.237, 95% CI: 0.091, 0.613) were associated factors of diarrhea prevention practice of under-five children caregivers. Conclusion. This finding showed that diarrhea prevention practice among under-five children caregivers was low and prevention practice was significantly associated with caregivers’ awareness on frequency of diarrhea in a day, occupation, and family size in a house.

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

scholarly journals Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tarikuwa Natnael ◽  
Mistir Lingerew ◽  
Metadel Adane
Keyword(s):  
Acute Diarrhea ◽  
Urban Areas ◽  
Odds Ratio ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Water Sources ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Study Participants

Abstract Background Diarrheal disease is still one of the most common causes of mortality and morbidity in children under five in developing countries, including Ethiopia. Lack of specific data on the prevalence of acute diarrhea and associated factors among under-five children in the semi-urban areas of Gelsha, found in northeastern Ethiopia’s South Wollo zone, remains a major gap. Therefore, this study was designed to provide data that is important for proper planning of intervention measures to reduce the problem in this area. Methods A community-based cross-sectional study was conducted among 340 systematically selected children under five in semi-urban areas of Gelsha from January to March 2019. The data was collected using a structured questionnaire and an observational checklist. Bivariable (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) were employed using binary logistic regression model with 95% CI (confidence interval). Variables with a p-value < 0.05 from the multivariable analysis were declared as factors significantly associated with acute diarrhea. Result The prevalence of acute diarrhea among children under five in the study area was 11% (95%CI: 7.8–14.3%). About two-thirds (63.60%) of study participants used water from improved sources. About half (54.90%) of study participants practiced poor handwashing and 45.10% practiced good handwashing. We found that factors significantly associated with acute diarrhea were a child’s age of 12–23 months (AOR = 4.68, 95% CI: 1.45–1.50), the presence of two or more under-five children in the house (AOR = 2.84, 95% CI: 1.19–6.81), unimproved water sources (AOR = 2.97, 95% CI: 1.28–6.87) and presence of feces around the pit hole/slab/floor of the latrine (AOR = 3.34, 95% CI: 1.34–8.31). Conclusion The prevalence of acute diarrhea among children under five was relatively high. To reduce the problem, various prevention strategies are essential, such as the provision of health education to mothers/caregivers that focuses on keeping sanitation facilities clean and child care, and construction of improved water sources. Furthermore, implementing a strong health extension program, advocating an open defecation-free environment, and practicing a community-led total sanitation and hygiene approach might be helpful to sustainably reduce childhood diarrhea.

scholarly journals Diarrheal Diseases in Under-Five Children and Associated Factors among Farta District Rural Community, Amhara Regional State, North Central Ethiopia: A Comparative Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yilkal Tafere ◽  
Bedilu Abebe Abate ◽  
Habtamu Demelash Enyew ◽  
Amsalu Belete Mekonnen
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Diarrheal Diseases ◽  
Open Defecation ◽  
Cross Sectional ◽  
North Central ◽  
Central Ethiopia ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

Background. Diarrheal diseases are the major cause of morbidity and mortality among under-five children in low- and middle-income countries including Ethiopia. One of the national initiatives to reduce its burden is an implementation of an open-defecation-free program. However, information related to the comparison of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free. Hence, this study assessed the magnitude of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free areas of Farta District, North Central Ethiopia. Methods. A community-based comparative cross-sectional study was conducted among 758 households (378 in open-defecation-free and 380 in non-open-defecation-free kebeles) who have under-five children using a structured questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression was used to analyze factors associated with diarrheal diseases in the district. Results. Overall, 29.9% of children had diarrheal diseases in the last two weeks prior to the study. The magnitude of diarrheal diseases among under-five children living in open-defecation-free and non-open-defecation-free residents was 19.3% and 40.5%, respectively. Lack of functional handwashing facilities (AOR: 11, 95% CI (8.1–29.6)), improper excreta disposal (AOR: 3.84, 95% CI (2.15–5.65)), and residing in non-open-defecation-free areas (AOR: 2.4, 95% CI (1.72–3.23)) were factors associated with diarrheal diseases. Conclusions. The prevalence of diarrhea among children residing in open-defecation-free areas was lower than that among children those who resided in non-open-defecation-free areas. Lack of functional handwashing facilities, residing in non-open-defecation-free areas, and improper excreta disposal were significantly associated with diarrheal diseases in the district. Strengthening health promotion on non-open defecation, maintaining functional handwashing facilities, and preparing additional handwashing facilities are necessary. Continuous engagement of the community health extension workers is recommended, sustaining the implementation of open-defecation-free programs in the district.

scholarly journals Feeding Practice during Diarrheal Episode among Children Aged between 6 to 23 Months in Mirab Abaya District, Gamo Gofa Zone, Southern Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Teshale Fikadu ◽  
Shimels Girma
Keyword(s):  
Maternal Age ◽  
Diarrheal Disease ◽  
Multivariable Analysis ◽  
Feeding Practices ◽  
Fluid Replacement ◽  
Southern Ethiopia ◽  
Feeding Practice ◽  
Under Five ◽  
Diarrheal Episode ◽  
Gamo Gofa

Background. Diarrheal disease is one of the main causes of childhood malnutrition. In developing countries 30% of pediatric beds are occupied with children having diarrheal disease. Fluid replacement, continued feeding, and increasing appropriate fluid at home during the diarrhea episodes are the cornerstone of treatment package. The purpose of this study was to assess feeding practice during diarrheal episodes among children aged 6 to 23 months in Mirab Abaya district, Gamo Gofa Zone, South Ethiopia. Methods. Community-based cross-sectional study design was conducted from February to March 2016 among children aged 6 to 23 months. A multistage sampling technique was used to select the study participants. A total of 661 participants were included in our study. Data were entered into Epi data version 3.1 and exported to SPSS 20.0 statistical software for analysis. Bivariate and multivariable analysis were done to assess factors associated with feeding practices during a diarrheal episode. Odds ratio with 95% CI was used to identify a statistically significant association between independent variables and feeding practice during diarrheal episode. Result. The proportion of proper feeding practice during diarrheal episode was 467 (70.7%). Boy children were about 1.6 times [AOR; 1.62 (95%CI=1.04, 2.50)] more likely to receive increased food and fluid than girl children. Mothers who have one under-five child were 2 times [AOR 2.11 (95% CI =1. 38, 3.23)] more likely to have proper feeding practice during diarrheal episode as compared to those have two and more under-five children. The likelihood of increasing food and fluid during diarrheal episodes was 2 times [AOR 2.46 (95% CI=1. 55, 3.88)] higher among children from maternal age of 30-39 years than those from 20-29 years. Mothers who get information about feeding practices during diarrheal episodes were 2 times [AOR 2.19 (95% CI=1. 43, 3.36)] more likely to increase food and fluid to their child compared to their counterparts. Conclusion. In this study educational status, number of antenatal care visits, sex, number of under-5 children, maternal age, and mothers information about feeding practice were independently associated with feeding practices during a diarrheal episode. Therefore, intensive intervention programme should focus on these determinants to reduce child mortality and morbidity and realize sustainable development goals.

scholarly journals Diarrhea Prevalence and Sociodemographic Factors among Under-Five Children in Rural Areas of North Gondar Zone, Northwest Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Atalay Getachew ◽  
Tadesse Guadu ◽  
Alebachew Tadie ◽  
Zemichael Gizaw ◽  
Mulat Gebrehiwot ◽  
...  
Keyword(s):  
Risk Factors ◽  
Breast Feeding ◽  
Rural Areas ◽  
Diarrheal Disease ◽  
Sociodemographic Factors ◽  
Under Five ◽  
Under Five Children ◽  
Diarrhea Prevalence ◽  
One Year ◽  
North Gondar Zone

Background. Diarrheal disease remains one of the principal causes of morbidity and mortality in infants and children in developing countries, including Ethiopia. Risk factors for diarrhea vary by settings and have important implications for developing intervention strategies to reduce the burden of the disease. Thus, the aim of this study was to assess diarrhea prevalence and sociodemographic factors among under-five children in rural areas of North Gondar Zone. Methods. A community-based cross-sectional study was conducted from April to June 2016 among 736 randomly selected households with one child under five years old. A structured questionnaire was used for collecting information on sociodemographic characteristics and diarrheal occurrence. Data was analyzed using SPSS version 20. The bivariate and multivariable logistic regression analysis were used to determine the association between risk factors and diarrheal occurrence, and a p value < 0.05 was taken as statistically significant. Results. A total of 736 under-five children and their respondents were enrolled during the study period. Almost all respondents were biological mothers 96.4% (709/736), married 94.2% (693/736), and house wives 86% (632/736). The overall prevalence of diarrheal disease among under-five children was 22.1% (163/743). Of these, children with age group of less than one year old, 7.7 % (57/736), were commonly infected with diarrheal diseases. Children less than or equal to one year [AOR=1.82, 95% CI= (1.39, 4.63)], guardians [AOR=4.37, 95% CI= (1.73, 11.1)], and children with no breast feeding practice [AOR=3.13, 95% CI= (1.62, 6.03)] were the major risk factors for the occurrence of diarrhea. Conclusion. Childhood diarrhea remains an important health concern in the study area. Occurrence of diarrhea was statistically associated with child age less than or equal to one year, educational status of mother/guardians, and breast feeding. To minimize the magnitude childhood diarrhea, various designing and implementing strategies, such as health education, child care, breast feeding, and weaning practice, integrated with the existing national health extension are quite essential.

scholarly journals Different features of cholera in malnourished and non-malnourised children: analysis of 10-year surveillance data from a large diarrheal disease hospital in urban Bangladesh

2018 ◽  
Author(s):  
Sharika Nuzhat ◽  
Md Iqbal Hossain ◽  
Nusrat Jahan Shaly ◽  
Rafiqul Islam ◽  
Soroar Hossain Khan ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Case Management ◽  
Surveillance System ◽  
Management Strategy ◽  
Diarrheal Disease ◽  
Policy Makers ◽  
Under Five ◽  
Under Five Children ◽  
Severe Diarrhea ◽  
Malnourished Children

AbstractBackground: Malnourished children are more prone to infectious diseases including severe diarrhea compared to non-malnourished children. Understanding of the differences in the presentation of severe diarrhea such as cholera in children with varying nutritional status may help in the early identification and management these children. However, data are scarce on differences in the presentation in such children. Thus, we aimed to identify the clinical differentials among children with cholera with or without malnutrition.Methods: Data were extracted from diarrheal disease surveillance system (DDSS) of the Dhaka Hospital of icddr,b for the period, January 2008 to December 2017. Among under-five children, cholera positive (culture confirmed) and malnourished children (weight-for-age, weight-for-length or height-for-age Z score (WAZ, WHZ or HAZ) <-2) were considered as the cases (n=305) and children with cholera but non-malnourished (WAZ, HAZ, and WHZ ≥-2.00 to ≤+2.00) were the controls (n=276).Results: A total of 14,403 under-five children were enrolled in the surveillance system during the study period. After adjusting for potential covariates such as maternal illiteracy and slum dwelling, it was revealed that under-five malnourished children with cholera significantly more often presented to the hospital during evening hours (6 pm to 12 mid-night) (OR=1.64, 95% CI=1.16-2.31, P<0.05), had fathers who were illiterate (OR=1.70, 95% CI=1.11-2.62, P<0.05), presented with history of cough within last 7 days (OR=1.64, 95% CI=1.10-2.43, P<0.05), dehydrating diarrhea (OR=1.70, 95% CI=1.15-2.53, P<0.05), and had longer hospitalization (OR=1.50, 95% CI=1.05-2.14, P<0.05).Conclusions: The study results underscore the importance of understanding of the basic differences in the presentation of severe cholera in malnourished children for prompt identification and the subsequent management of these children. These observations may help policy makers in formulating better case management strategy.Author Summary:Malnourished children are more vulnerable to infectious diseases including cholera in comparison to the non-malnourished children. They often have suboptimal immune function, though there is no precise information on whether there is any difference in associated factor(s) or clinical course of cholera in under-five children with varying nutritional status. Therefore, this study was conducted to elucidate these insights by using the surveillance data of the Dhaka hospital of icddr,b. Among all the under-five children with cholera, 305 malnourished (WAZ or WLZ or HAZ <-2) children constituted as the cases (malnourished), and another 276 non-malnourished (WAZ, HAZ, and WHZ ≥-2.00GtoG≤+2.00) cholera children formed the comparison group.In this study we revealed that care seeking at evening time was more common in the malnourished children with cholera compared to those without malnutrition. Dehydrating diarrhea was about two folds higher and prolonged hospitalization was frequent in malnourished children with cholera than their counterparts. These key findings may help policy makers in formulating better case management strategy in the near future.

scholarly journals Knowledge of Malaria and Utilization of Insecticide-Treated Nets amongst Mothers of Under-five Children in selected Rural Communities of Nigeria’s Federal Capital Territory

2021 ◽  
Vol 33 (1) ◽  
pp. 102-114
Author(s):  
S.N. Esomonu ◽  
E.N. Ossai ◽  
A.T. Onajole
Keyword(s):  
Rural Communities ◽  
Tertiary Education ◽  
Statistical Significance ◽  
Good Knowledge ◽  
P Value ◽  
Insecticide Treated Nets ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malaria Burden

Background: Malaria is a life-threatening parasitic disease caused by the plasmodium parasite and women and under-five children are more prone to its adverse consequences. The use of insecticide-treated nets (ITNs) is recommended to reduce malaria burden in endemic communities. The study aimed to determine knowledge of malaria and utilization of insecticide-treated nets (ITNs) amongst mothers of under-five children in rural communities of Nigeria’s Federal Capital Territory, and the predictors.Methods: A community-based cross-sectional design was used. Multi-stage sampling method was used to select 160 mothers of under-five children in two rural communities. A structured questionnaire was used for data collection. Data analysis was done using SPSS statistical software version 22.0 and level of statistical significance was determined by a p value of < 0.05.Results: Mean age of respondents was 29.0±5.4 years, and majority 144 (90%) of the women were married. Lower proportion of respondents had good knowledge of malaria 33 (20.6%). Ninety-four (58.8%) of respondents owned ITNs, but less than half 45 (47.9%) utilized the nets. Predictors of good knowledge of malaria were having attained tertiary education [Adjusted Odds Ratio (AOR); 2.7, 95% Confidence Interval (CI):1.1–8.1], p=0.042, and being self-employed, (AOR; 3.4, 95% CI: 1.1-13.1), p=0.043). Predictor of utilization of ITNs was being aged 30 years and above (AOR; 2.5, 95% CI: 1.1-6.1, p=0.031).Conclusion: Lower proportions of respondents had good knowledge of malaria and utilization of ITNs. Health education of mothers on malaria and benefits of ITNs use should be intensified in the study area.

scholarly journals The Implementation of Community Based on Total Sanitation among Fisherman Families in West Java

2020 ◽  
Vol 16 (2) ◽  
pp. 225-232
Author(s):  
Clara R.P. Ajisuksmo ◽  
Nilla S.D Iustitiani
Keyword(s):  
Drinking Water ◽  
Liquid Water ◽  
Liquid Waste ◽  
Household Survey ◽  
Community Based ◽  
Open Defecation ◽  
West Java ◽  
Under Five ◽  
Under Five Children ◽  
Safe Management

The aim of this study was to obtain a picture on the implementation of Sanitasi Total Berbasis Masyarakat (STBM) the Indonesian term for Community Led Total Sanitation (CLTS) among the families of fisherman in Eretan Kulon, Indramayu West Java. Participants of this Household Survey were categorized into two, namely households that have under-five children and households that have youth. Father or mother or any adult who live with under-five children or youth were purposively chosen as the participants of this study. In total 307 Households (HH Under five 51.14%; HH Youth 48.86%) participated in this study. Five pillars of STBM were used to develop a questionnaire for this HH Survey. The result revealed that among the five pillars of STBM, the highest mean score was in safe management of drinking water and food (Mean=4.08), followed by washing hands with soap (Mean=3.45), management of solid waste (Mean=2.79), management of liquid water (Mean=2.64), and open defecation (Mean=1.90). The result of this study indicated that not all families have latrines so that they still practice of open defecation. The study also showed that solid and liquid waste management is still not considered important to maintain health and environmental hygiene.

Sign in / Sign up

Export Citation Format

Share Document