scholarly journals Water, sanitation, and hygiene risk factors of acute diarrhea among children under five years in the Gaza Strip

2019 ◽  
Vol 10 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Samer Abuzerr ◽  
Simin Nasseri ◽  
Masud Yunesian ◽  
Mahdi Hadi ◽  
Kate Zinszer ◽  
...  

Abstract This cross-sectional community household-based study aims to evaluate the water, sanitation, and hygiene facilities in the Gaza Strip and to investigate their associations with the occurrence of acute diarrhea among children under five years. A survey using a structured questionnaire was conducted on 1,857 households with an child under five years from August 2017 to June 2018. About 69.7% of heads of households reported a diarrheal episode among their children during the two months preceding the survey. Multivariable logistic regression showed that sewage water observed around the households was associated with an increased risk of acute diarrhea (AOR = 2.45; P < 0.001; 95% CI: 1.83–3.27). Nevertheless, the allocation of a special water tank for desalinated drinking water at home (AOR = 0.3; P = 0.02; 95% CI: 0.1–0.8), the connection of households to a closed sewerage system (AOR = 0.56; P < 0.001; 95% CI: 0.43–0.73), and handwashing practices before and after eating (AOR = 0.42; P = 0.003; 95% CI: 0.24–0.74 and AOR = 0.50; P = 0.03; 95% CI: 0.26–0.94, respectively), as well as using desalinated water sources for drinking purposes, were inversely associated with the incidence of acute diarrhea among children under five. Further improvements in the existing sewerage system and the intensification of sanitation and hygiene promotion programs at the household levels may reduce the risk of acute diarrhea among children under five years in the Gaza Strip.

Jurnal GIZIDO ◽  
2019 ◽  
Vol 11 (01) ◽  
pp. 17-22
Author(s):  
Grace K.L. Langi ◽  
I Made Djendra ◽  
Rudolf B. Purba ◽  
Ryan S.P. Todanggene

Nutrition is an important part of growth and development, because there is a connection and is related to health and intelligence, malnutrition. Stunting is a linear growth disorder that can affect the increased risk of illness, death, and impaired late motor development, and stunted mental growth. The type of this research is analytic observational with cross sectional study approach. The population in this study were all children under five in the work area of Kawangkoan Health Center in Minahasa Regency. Children under five 2-5 years. The respondent is mother. The number of samples of this study amounted to 41 people with a sampling technique that is using simple random sampling technique. The results of research on the level of maternal knowledge of 41 respondents were 39.0% who lacked knowledge, and 41.5% had sufficient knowledge, while 19.5% had good knowledge. the rate of exclusive breastfeeding is 41.5% which is less than exclusive breastfeeding, while 39.0% is good, 19.5% is enough to provide exclusive breastfeeding. Toddler respondents who have normal height category are 46%, and category is very short, 31.7%, while the short category is 22.0%. kawangkoan health center.


2015 ◽  
Vol 12 (2) ◽  
pp. 39
Author(s):  
María Del Pilar Gallardo-Lizarazo

Objetivo: determinar las creencias de la madre y del cuidador sobre el manejo de la enfermedad diarreica aguda en menores de 5 años de edad en la ciudad de Bucaramanga en el año 2015. Materiales y Métodos: la investigación se enmarca en el paradigma cuantitativo mediante el desarrollo de estudio descriptivo de corte transversal; se encuestaron 200 madres o cuidadores de menores de cinco años en la ciudad de Bucaramanga, seleccionados mediante muestreo aleatorio estratificado con afijación proporcional, confiabilidad 95% y margen de error de 7%. Para la recolección de la información se empleó una encuesta elaborada por la autora con validación estadística y por expertos. Resultados: se obtiene información sobre conocimientos y tradiciones acerca del manejo de la diarrea y la identificación de los signos de deshidratación por parte de los cuidadores, que son analizados en comparación con sus características sociales y culturales. Conclusiones: en Bucaramanga, madres y cuidadores de menores de cinco años, continúan la tradición familiar en lo referente a identificación de signos de deshidratación y costumbres en el manejo de la diarrea; la mayoría acude a consulta médica para su tratamiento; sin embargo, se encuentra un alto porcentaje que también recurre al tegua–sobandero. Para el manejo de la diarrea, las madres o cuidadores suministran caldos a los menores, aumentan la cantidad de líquidos, les administran sales de rehidratación oral y jugo de guayaba. Se encuentran diferencias acerca de las costumbres y tradiciones entre estratos socioeconómicos y niveles de escolaridad. PALABRAS CLAVE: costumbres, cuidadores, diarrea infantil . Behaviors, attitudes and practices of the mother or caregivers in the management of acute diarrhea in children under five years  ABSTRACT Goal: to determine the beliefs of mothers and caregivers about the management of acute diarrhea in children under 5 years old in Bucaramanga city in the year 2015. Materials and Methods: the research is part of the quantitative paradigm by development of cross-sectional descriptive study; 200 mothers or caregivers of children under five were surveyed in Bucaramanga city,they were selected through stratified random sampling with proportional allocation, reliability and 95% margin of error of 7%. For data collection, a survey was conducted by the author with statistical validation and experts. Results: information on knowledge and traditions about the management of diarrhea and identify signs of dehydration by caregivers, which are analyzed in comparison with their social and cultural characteristics were obtained. Conclusions: in Bucaramanga city , mothers and caregivers of children under five years, continue the family tradition when it comes to checking for signs of dehydration and the old fashioned method in the management of diarrhea; most of them  go to see their doctor for treatment; however, there is a high percentage that also relies `Tegua-sobandero`. For the management of diarrhea, mothers or caregivers provide wines to children, increase the amount of fluids administered them ORS and guava juice.There were some differences concerning to the customs and traditions between socioeconomic and educational levels.KEYWORDS: customs, caregivers, childhood diarrhea.Comportamentos, atitudes e práticas da mãe ou responsável na gestão da diarreia aguda em crianças menores de cinco anos ABSTRACT  Objetivo: para determinar as crenças de mães e cuidadores sobre a gestão da diarreia aguda em crianças menores de 5 anos na cidade de Bucaramanga em 2015. Materiais e Métodos: a pesquisa é parte do paradigma quantitativo por desenvolvimento de estudo descritivo transversal; 200 mães ou cuidadores de crianças menores de cinco anos foram pesquisados na cidade de Bucaramanga, selecionadas por amostragem aleatória estratificada com alocação proporcional, confiabilidade e margem de 95% de erro de 7%. Para pesquisa de coleta de dados realizada pelo autor com validação estatística e os peritos que ele estava acostumado. Resultados: informações sobre o conhecimento e tradições sobre a gestão de diarreia e identificar sinais de desidratação por cuidadores, que são analisadas em comparação com as suas características sociais e culturais é obtido. Conclusões: em Bucaramanga, mães e cuidadores de crianças menores de cinco anos, continuar a tradição da família quando se trata de verificar se há sinais de desidratação e alfândegas na gestão da diarreia; mais ir ver o seu médico para tratamento; no entanto, há uma alta porcentagem que também se baseia Tegua-sobandero. Para a gestão de diarreia, mães ou cuidadores fornecem vinhos a menores, aumentar a quantidade de fluidos administrados los ORS e suco de goiaba. diferenças sobre os costumes e tradições entre os níveis socioeconômicos e educacionais são.PALAVRAS-CHAVE: costumes, cuidadores, diarreia infantil. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weldehawariyat Getahun ◽  
Metadel Adane

Abstract Background Diarrhea among children under five is one of the significant public health concerns in developing countries, such as Ethiopia that is mainly attributed to inadequate water, sanitation and hygiene (WASH) services. Lack of data on the prevalence and factors associated with acute diarrhea in Woldia Town impedes the effectiveness of WASH programs in the area. Therefore, the aim of this study was to investigate the prevalence and WASH-associated factors of acute diarrhea among under-five children in this area. This study will help guide local diarrhea prevention and control programs. Methods A community-based cross-sectional study was conducted among 485 children under age five from March to June 2018. The study participants were allocated proportionally and then households with children of this age group were selected from each kebele (the smallest administrative unit in Ethiopia) using a systematic random sampling technique. Data were collected from mothers/caregivers of the under-five children using a structured questionnaire and on-the-spot observation checklist. A binary logistic regression model with 95 % CI (confidence interval) was used to measure the association between dependent and independent variables. From the multivariable analysis, variables with a p-value < 0.05 were taken as factors significantly associated with acute diarrhea among under-five children. Results The prevalence of acute diarrhea among the children was 17.6 % (95 % CI: 14.2–21.0 %). Almost two-thirds 307 (63.4 %) of study participants' main source of drinking water was a private tap; 320 (66.1 %) of households used less than 20 l per capita per day. About one-fifth 99 (20.5 %) of households used an improved sanitation facility. Only one-fifth (21.1 %) of the latrines had nearby handwashing facilities. Less than half 225 (46.5 %) of mothers/caregivers had good handwashing practice at critical times. Water consumption of less than 20 l per capita per day (adjusted odds ratio [AOR] = 2.45; 95 % CI: 1.36–5.84), unimproved sanitation facility (AOR = 3.57; 95 %CI: 1.64–6.51), practicing unsafe child feces disposal (AOR = 2.51; 95 % CI: 1.69–4.64), poor handwashing practice at critical times (AOR = 1.85; 95 % CI: 1.34–3.56) and having no information about diarrhea being prevented by handwashing with water and soap (AOR = 3.12; 95 % CI: 1.64–6.27) were significantly associated with acute diarrhea. Conclusions More than one in six children under age five had acute diarrhea, a proportion that could be considered relatively high. We recommend that government organizations and concerned stakeholders strengthen urban WASH programs to focus on increasing the availability of sufficient water for adequate daily consumption, and promote safe disposal of child feces and good handwashing practices at critical times. Further effort is needed to sensitize mothers/caregivers about diarrhea prevention through effective WASH activity to reduce the burden of this problem among children under five.


2020 ◽  
Vol 18 (3) ◽  
pp. 488-494
Author(s):  
Rajan Paudel ◽  
Yogendra Bahadur Gurung ◽  
Amod Kumar Poudyal ◽  
Bijay Khatri ◽  
Deepak Raj Bhatta ◽  
...  

Background: Undernutrition is highly prevalent in Nepal, which interferes with physical and mental development among children. It is one of the severe health problems contributing to the significant portion of the disease burden. This study aimed to explore socio-demographic and healthcare-seeking related predictors of undernutrition among children under five years old in Dang, Nepal. Methods: This was a descriptive cross-sectional study. A sample of 426 children was participated through stratified proportionate random sampling to identify socio-demographics and healthcare-seeking predictors of undernutrition. Multivariable regression was applied to identify the independent predictors of undernutrition. Results: This study found that children below 24 months of age were more likely to be undernourished than children aged 24-36 months. Female children (OR=2.32, 95% CI: 1.19-4.54), illiterate or non-formally educated women (OR=4.09, 95% CI: 1.84-9.08), mother’s occupation other than a housewife (OR=13.05, 95% CI: 4.19-40.68), labor work of father (OR=2.40, 95% CI: 1.04-5.57) had increased risk of undernutrition among children. Similarly, food insufficiency from their land, antenatal care visit, postnatal care visit, and delivery place were significantly associated with childhood undernutrition among children.  Conclusions: The study showed that undernutrition among children is associated with age and gender of children, educational attainment of the mother, food sufficiency, health-seeking practices of the mother during pregnancy, delivery, and postnatal. Socio-demographics and health-seeking practices related predictors must be explicitly considered to address undernutrition among children under the age of five years. Keywords: Children; health care seeking; Nepal; socio-demographic factors; undernutrition.   


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Hoyce Amini Mshida ◽  
Neema Kassim ◽  
Martin Epafras Kimanya ◽  
Emmanuel Mpolya

The study aimed at assessing water, sanitation, and hygiene practices and their influence on infectious diseases among under-five children in semipastoral communities of Arusha. The study was cross-sectional in design. Prevalence of infectious diseases among under-five children was derived from patients’ attendance register. Mothers randomly sampled from households were interviewed using questionnaire. Information regarding child morbidity and sociodemographic and WASH characteristics was gathered. Hospital data revealed that 2/3 of under-five patients visited the hospitals annually were suffering from infectious diseases. Mean percentage of diarrhea prevalence for years 2013–2015 in Longido was higher than the mean of the respective years prevalence in Monduli (p=0.02). Households’ survey showed that 15.5% of under-five children were suffering from diarrhea. Children who consumed foods kept inkibuyu(p<0.001) or used unboiled cows’ milk (p=0.01) or were drinking surface water (p=0.04) or born to uneducated mothers (p=0.01) had increased risk of developing diarrhea compared to their counterparts. Storing complementary foods inkibuyuwas strongly associated with diarrhea among under-five children. To address the problem, communities under study need to be motivated through health education on food hygiene, proper handling of food storage containers, and domestic water treatment at the household level.


2021 ◽  
Vol 28 (12) ◽  
pp. 1768-1772
Author(s):  
Muhammad Kamal ◽  
Farrukh Saeed ◽  
Muhammad Anwar ◽  
Sanuaullah Khan ◽  
Seemi Habib ◽  
...  

Objective: To determine the frequency of hypomagnesaemia in children under five year of age having acute diarrhea. Study Design: Descriptive Cross Sectional study. Setting: Department of Pediatric Medicine, Rashid Latif Medical College / Arif Memorial Teaching Hospital, Lahore. Period: August 2019 to January 2020. Material & Methods: A total of 96 children aged between 6 months to five years having acute diarrhea and duration of illness <14 days were enrolled. All the patients were subjected to measurement of serum magnesium level. The proportion of hypomagnesaemia was analyzed in acute diarrhea. The effect modifier and confounding variables were controlled through stratification of data on duration of illness less as < 14 days and more than 14 days, age as < 2 year or > 2 year and weight as < 2SD or > 2SD on weight for age chart. Chi square test was applied considering p value < 0.05 as significant. Results: Our study comprised of 96 patients having acute diarrhea, of these 96 study cases, 62 (64.6%) were boys and 34 (35.4%) were girls. Mean age of our study cases was 19.25±15.71 months. Mean weight of study cases was 9.56±3.01 kg. Mean duration of illness was 5.74 ± 3.26 days. Mean Serum Magnesium level was 1.63 ± 0.32 mg/dl (ranging from 1.0 mg/dl to 2.8 mg/dl). Hypomagnesaemia was present in 47 (49%) cases. Conclusion: High frequency of hypomagnesaemia was observed in children under 5 years of age having acute diarrhea. Duration of illness had significant impact on hypomagnesaemia. Serum magnesium levels must be regularly monitored in children with acute diarrhea.


2006 ◽  
Vol 1 (3) ◽  
pp. 127
Author(s):  
Uyu Wahyudin ◽  
Besral Besral

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pa-da balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan dengan kepatuhan adalah adalah pengetahuan dan sikap bidan terhadap obat rasional dan supervisi dari atasan. Penelitian ini juga menda-patkan hubungan yang bermakna antara pengetahuan dan persepsi orang tua balita terhadap obat rasional dengan kepatuhan bidan dalam penggunaan obat rasional. Dalam rangka mengatasi ketidakrasionalan pengobatan diare akut non spesifik, maka Puskesmas harus berupaya meningkatkan pengetahuanbidan terhadap penggunaan obat rasional, melakukan supervisi, dan meningkatkan penyuluhan kepada pasien tentang penggunaan obat rasional. Kata kunci: Obat rasional, diare, bidanAbstractDiarrhea medication among children under five years old at primary health care, sub-province of Sumedang is performed at Mother and Child Polyclinic which is handled by a midwife everyday. This research purpose to obtain the description of compliance level of midwives and its factors related of midwives compliance in the usage of rational drugs among children with non specific acute diarrhea. Research used cross-sectional design with samples size were 109 midwives which were come from 18 primary health care , which were selected randomly.To measure the compliance, the observation was performed of prescriptions that written by midwives to children with non specific acute diarrhea. This research result showed that compliance level was 69,7%. Result analysis of multiple logistic regression showed that related factors were knowledge and midwives attitude of usage of rational drugs and supervision. This research also showed the association between knowledge and parent’s perception of children under five years old of rational drugs and compliance level of midwives in the usage of rational drugs. It is suggested that primary health care should increase midwives knowledge in usage of rational drugs, doing supervision and improve socialization the usage of rational drugs to patient.Keywords: Rational drugs, diarrhea, midwive


2021 ◽  
Vol 16 (3) ◽  
pp. 331-339
Author(s):  
Demsa Simbolon ◽  
Jumiyati Jumiyati ◽  
Lisma Ningsih ◽  
Frensi Riastuti

Teenage pregnancy has an impact on the outcomes. Teenage pregnancy is at risk of adverse health, an increased risk of domestic violence, poor nutrition, and sexual and reproductive health problems, lower levels of education, and higher levels of poverty compared to women who postpone marriage age. The study aims to determine the relationship between marriage and Adolescent pregnancy with the incidence of stunting in children under five years in Indoneasia.  The study used a cross-sectional approach from 2014 IFLS (Indonesian Family Life Survey) data. The bivariate analysis used the Chi-Square Test when the multivariate analysis used logistic regression. The results found the prevalence of stunting in Indonesia in 2014 was 36.6%. The stunting prevalence is higher in toddlers of married mothers of adolescents (42.4%) compared to mothers of married mature (35%). The stunting prevalence was also higher in children under five years from adolescent pregnant women (44.4%) compared to mothers who were of sufficient age (35.6%). Teenage pregnancy is associated with the incidence of stunting. A married teenage woman is 1.2 times at risk, and a woman who is less than 20 years pregnant is 1.3 times at risk of having a stunting toddler. Teenage pregnancy increases the prevalence of stunting. Cross-sectoral integrated interventioans are needed to prevent adolescent pregnancy. It is required to decrease the prevalence of stunting. The various risks that occur in teenage pregnancy are the basis for the importance of pregnancy prevention efforts in this age group by involving the related sectors.


2016 ◽  
Vol 56 (2) ◽  
pp. 118 ◽  
Author(s):  
Wayan Sulaksmana Sandhi Parwata ◽  
Wayan Sukardi ◽  
Abdul Wahab ◽  
Yati Soenarto

diarrhea and dehydration among children aged <5 years in developed and developing countries, including Indonesia. There have been few studies on the prevalence of rotavirus diarrhea in Mataram.Objective To determine the prevalence and characteristics of rotavirus diarrhea in children under five years of age with acute diarrhea in Mataram.Methods A cross sectional study using the WHO Generic Protocol for Rotavirus Surveillance was conducted in the Nusa Tenggara Barat (NTB) General Hospital, Mataram, as part of a multicenter study by the Indonesian Rotavirus Surveillance Network (IRSN) for children under five years of age. Subjects were diagnosed with rotavirus diarrhea based on stool sample examinations, using RT-PCR for genotyping. They were admitted to the Pediatrics Ward of the NTB Provincial General Hospital from January to December 2010.Results Of 329 children admitted with acute diarrhea, 210 (63.8%) had rotavirus positive stool specimens. For the year 2010, the highest incidence of rotavirus infection was in the month of January (86.4%). Rotavirus infections were found in children less than 2 years of age (65.4%), with the highest prevalence in the age group of 6 to 23 months (68.5%). In addition to clinical symptoms of watery diarrhea, there was a significantly greater percentage of vomiting in rotaviral vs. non-rotaviral diarrhea (67.7% vs. 32.3%, respectively; P<0.05). The majority of G and P genotypes found were G1 (86%), G2 (12%), P[8] (66%), P[4] (12.8%), and P[6] (8%).Conclusion Rotavirus infections are the most common cause of acute diarrhea in children aged <2 years in Mataram, Indonesia.


2021 ◽  
Vol 8 (1) ◽  
pp. 66-72
Author(s):  
Astik Umiyah ◽  
Azizatul Hamidiyah

Indonesia ranks the 5th most stunting in the world. Stunting has long-term impacts both individually and socially, including reduced cognitive & physical development, lower productivity, and increased risk of degenerative diseases such as diabetes. Situbondo is also the district with the third rank of stunting cases in East Java. The purpose of this study was to determine the relationship between child characteristics and the incidence of stunting in children under five in the Banyuputih Health Center, Situbondo Regency. This research was a quantitative study with a cross-sectional design. The sample in the study was 274 children under five in the Banyuputih Health Center working area with inclusion and exclusion criteria. The sampling technique used was proportional random sampling. This research instrument uses an observation sheet in collecting the independent and dependent variables. The results showed that there was a relationship between birth weight and the incidence of stunting with a value of Pvalue = 0.009 (P ≤ 0.05). On the other hand, age (Pvalue 0.095), gender (Pvalue 0.512), and body length (Pvalue 0.334) had no relationship with the incidence of stunting. Keywords: Stunting, Characteristics of Children, Children   ABSTRAK   Indonesia menduduki peringkat ke-5 terbanyak Stunting di dunia. Stunting memberikan dampak jangka panjang baik secara individual maupun sosial, termasuk berkurangnya perkembangan fungsi kognitif & fisik, rendahnya produktivitas, dan meningkatkan risiko penyakit degeneratif seperti diabetes. Situbondo juga merupakan Kabupaten dengan peringkat ketiga kasus stunting di Jawa Timur. Tujuan penelitian ini yaitu untuk mengetahui hubungan karakteristik anak dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Banyuputih Kabupaten Situbondo. Penelitian ini merupakan penelitian kuantitatif dengan desain crossectional. Sampel dalam penelitian yaitu berjumlah 274 balita di Wilayah Kerja Puskesmas Banyuputih dengan kriteria inklusi dan ekslusi. Teknik pengambilan sampel menggunakan  proportional random sampling. Instrumen peneitian ini menggunakan lembar observasi dalam pengumpulan variabel independen dan dependen. Hasil penelitian menunjukkan bahwa ada hubungan antara berat badan lahir  dengan kejadian stunting dengan nilai Pvalue = 0,009 (P ≤ 0,05). Sedangkan sebaliknya  untuk usia (Pvalue 0,095), jenis kelamin  (Pvalue 0,512), dan panjang badan  lahir  (Pvalue 0,334) tidak ada hubungan dengan kejadian stunting.     Kata kunci: Stunting, Karakteristik Anak, Balita


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