scholarly journals BURDEN OF PROLONGED DIARRHOEA AND ITS RISK/ASSOCIATED FACTORS AMONG UNDER-FIVE CHILDREN: A CASE-CONTROL STUDY IN BANGLADESH

2018 ◽  
Author(s):  
Md IQBAL Hossain
Keyword(s):  
Associated Factors ◽  
Case Control Study ◽  
Case Control ◽  
Under Five ◽  
Under Five Children ◽  
Control Study

scholarly journals Behavioral and environmental determinants of acute diarrhea among under-five children from public health facilities of Siyadebirena Wayu district, north Shoa zone, Amhara regional state, Ethiopia: Unmatched case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259828
Author(s):  
Behailu Tariku Derseh ◽  
Natnael Mulushewa Tafese ◽  
Hazaratali Panari ◽  
Awraris Hailu Bilchut ◽  
Abel Fekadu Dadi
Keyword(s):  
Public Health ◽  
Acute Diarrhea ◽  
Room Temperature ◽  
Case Control Study ◽  
Case Control ◽  
Hand Washing ◽  
Childhood Diarrhea ◽  
Under Five ◽  
Under Five Children ◽  
Control Study

Background Acute diarrhea is a major public health problem in the world. Next to pneumonia, it is the leading cause of death in children under five years old. Globally, even though childhood diarrhea disease kills millions, the interaction of socio-demographic, behavioral, and environmental factors of acute diarrhea in children aged 6–59 months is not investigated yet in the current study area. Objective To determine behavioral and environmental predictors of acute diarrhea among under-five children from public health facilities of Siyadebirena Wayu district, North Shoa, Amhara Regional State, Ethiopia, 2019. Methods A facility-based unmatched case-control study was conducted from March 12, 2019, to May 12, 2019. A total of 315 under-five children were included in the study (105 cases and 210 controls). A systematic random sampling technique was used to select study participants. Data were collected by a structured questionnaire and analyzed by using SPSS. To analyze the data, bivariable and multivariable logistic regression analysis was used. Results The study showed that average family monthly income of 12–23 USD (AOR = 6. 22; 95% CI: 1.30, 29.64), hand washing practice of mothers/ care givers with water only (AOR = 3.75; 95% CI: 1.16, 12.13), improper disposal of infant feces (AOR = 11.01; 95% CI: 3.37, 35.96), not treating drinking water at home (AOR = 9.36; 95% CI: 2.73, 32.08), children consuming left-over food stored at room temperature (AOR = 5.52; 95% CI: 1.60, 19.03) and poor knowledge of the respondents about the risk factors for diarrhea were the determinants that significantly associated with acute childhood diarrhea. Conclusion The potential predictors of childhood diarrhea morbidity were improper hand-washing practice, not treating drinking water at home, unsafe disposal of children’s feces, children consuming left-over food stored at room temperature, and having poor knowledge about the major risk factors for diarrhea. Thus, awareness of the community on hygiene and sanitation focusing on proper handling of human excreta, safe water handling, proper hand washing practice, and proper management of leftover food should be enhanced to prevent children from acute diarrhea diseases.

scholarly journals Determinants of Diarrheal Diseases among Under Five Children in Jimma Geneti District, Oromia Region, Ethiopia, 2020: a case-control study

2021 ◽  
Author(s):  
Dejene Mosisa ◽  
Mecha Aboma ◽  
Teka Girma ◽  
Abera Shibru
Keyword(s):  
Waste Disposal ◽  
Case Control Study ◽  
Case Control ◽  
Hand Washing ◽  
Solid Waste Disposal ◽  
Diarrheal Diseases ◽  
Under Five ◽  
Under Five Children ◽  
History Of ◽  
Control Study

Abstract Background: Globally, in 2017, there are nearly 1.7 billion cases of childhood diarrheal diseases and it is the second most important cause of morbidity and mortality among under-five children in low-income countries including Ethiopia. Sanitary conditions, Poor housing, unhygienic environment, inadequate safe water supply, cohabitation with domestic animals that may carry human pathogens, and lack of storage facilities for food combining with socio-economic and behavioral factors are the common determinates of diarrhea diseases and had a large impact on diarrhea incidence in most of the developing countries Methods: A Community-based unmatched case-control study design was conducted on 407 systematically sampled under-five children of Jimma Geneti District (135 with diarrhea and 272 without diarrhea) from May 01 to 30, 2020. Data was collected using an interview administered questionnaire and observational checklist adapted from the WHO/UNICEF core questionnaire and other related literature. Descriptive, bivariate, and multivariate binary logistic regression analysis were done by using SPSS version 20.0 Result: Socio-demographic determinants such as being a child of 12-23 months age (AOR 3.3, 95% CI 1.68-6.46) and parents/legal guardian’s history of diarrheal diseases (AOR 7.38, 95% CI 3.12-17.44) were significantly associated with diarrheal diseases among under-five children. Environmental and Behavioral factors such as unavailability of handwashing facility nearby latrine (AOR 5.22, 95% CI 3.94-26.49), lack of hand-washing practice at critical times (AOR 10.6, 95% CI 3.74-29.81), improper domestic solid waste disposal practice (AOR 2.68, 95% CI 1.39-5.18) and not vaccinated against rotavirus (AOR 2.45, 95% CI 1.25-4.81) were found important determinants of diarrheal diseases among under-five children. Conclusion: Unavailability of hand-washing facility nearby latrine, parent’s/legal guardian’s history of last two weeks diarrheal diseases, improper latrine utilization, lack of hand-washing practice at critical times, improper solid waste disposal practices, and rotavirus vaccination status were the determinants of diarrheal diseases among under-five children identified in this study. Thus, promoting households through the provision of continuous and modified health information on the importance of sanitation, personal hygiene as well as vaccination against rotavirus, which is fundamental to decrease the burden of diarrheal disease among under-five children.

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