scholarly journals Determinate of diarrhea among under-five children in Northwest Ethiopia

Author(s):  
Habtamu Dessie

This study aimed to assess the determinants of diarrhea among children under-five in Jabitehnan district, Northwest Ethiopia. A community-based cross-sectional study was done using a cluster sampling technique. The study was done in the Jabitehnan district from April to July 2019.  The study was done among women who had children under five during the survey who settled in Jabitehnan district. The main outcome measure was the occurrence of diarrhea. A binary logistic regression was used to identify factors associated with diarrhea. The prevalence of diarrhea was found to be 19.8%. The child lived with whose non-biological mothers were 32.44 times more likely to be exposed to diarrhea compared to the child who lived with whose biological mothers. The odds of being diarrheal for a child whose mother does not wash her hand after latrine was 7.91 times higher than its counterpart. A child whose mother pregnant was 5.66 times higher risk of developing diarrhea than whose mother do not pregnant. The likelihood of diarrhea for children drinking unprotected water were14.1times higher than its counterpart. The magnitude of reported diarrhea was high. Child age, residence, drinking water, pregnant mother, toilet facility, washing hand after latrine, and child live with whom were the main determinates of diarrhea. Addressing these factors will help to prevent future morbidity and mortality of children and will assist in alleviating hygiene and refining their quality of life. Moreover, a trend-based sampling design might be considered for a better understanding.

Author(s):  
William Dormechele ◽  
George Pokoanti Wak ◽  
Francis Bruno Zotor

Background: Malaria remains a major killer of children under-five, claiming the life of one child every two minutes globally. Despite the several interventions to reduce malaria and anemia, these diseases remain global public concerns. Aim: This study assessed the prevalence and trend of malaria and anemia in children under-five years from 2012 to 2016. Subjects and methods: We conducted a descriptive cross-sectional study among children under-five with malaria and anemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses. Binary logistic regression was used to determine the strength of association at a 5% significance level (P<0.05). Results: Out of 30,082 malaria cases, 835 were with anemia from 2012 to 2016. This study found an overall proportion of malaria with anemia as 28 per 1,000. The year 2014 recorded the highest proportion of 38 per 1,000 malaria cases of malaria with anemia. Overall, the prevalence rate of malaria and anemia cases were found to be 61.5% and 4.4% respectively. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anemia cases. The majority of malaria with anemia cases 63.6% occurred in the rainy season, between June to July. Conclusion: The proportion of malaria with anemia was high among children under-five and most children having malaria with anemia live in rural areas and during the rainy season. Keywords: Prevalence, Trend, Malaria, Anemia, Under-five, Children, Jasikan, Ghana.


Author(s):  
William Dormechele ◽  
George Pokoanti Wak ◽  
Francis Zotor

Background: Malaria remains a major killer of children under-five, claiming the life of one child every two minutes globally. Despite the several interventions to reduce malaria and anemia, these diseases remain global public concerns. Aim: This study assessed the prevalence and trend of malaria and anemia in children under-five years from 2012 to 2016. Subjects and methods: We conducted a descriptive cross-sectional study among children under-five with malaria and anemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses. Binary logistic regression was used to determine the strength of association at a 5% significance level (P<0.05). Results: Out of 30,082 malaria cases, 835 were with anemia from 2012 to 2016. This study found an overall proportion of malaria with anemia as 28 per 1,000. The year 2014 recorded the highest proportion of 38 per 1,000 malaria cases of malaria with anemia. Overall, the prevalence rate of malaria and anemia cases were found to be 61.5% and 4.4% respectively. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anemia cases. The majority of malaria with anemia cases 63.6% occurred in the rainy season, between June to July. Conclusion: The proportion of malaria with anemia was high among children under-five and most children having malaria with anemia live in rural areas and during the rainy season. Keywords: Prevalence, Trend, Malaria, Anemia, Under-five, Children, Jasikan, Ghana.


2020 ◽  
Vol 2 (4) ◽  
pp. 736-746
Author(s):  
Meinarisa Meinarisa ◽  
Mefrie Puspita ◽  
Jelori Jalal

ABSTRACT: THE RELATIONSHIP OF KNOWLEDGE, MATERNAL BEHAVIOR, AND AGE OF THECHILD TO THE INCIDENCE OF DIAPER FEVER IN CHILDREN UNDER FIVE IN JAMBI CITY Background Toddlers have extensive problems especially with the sjon. Toddlers susceptible to diaper rush to the use of disposible diapers and no treatmenr done by mothers using disposible diapers, mothers just let it go and not given medication becuase of a lack of maternal knwoledge and behavior that is wrong with diaper rush. The purpose of this study was to determine the relationship of knowledge, mother's behavior and age of children to the incidence of diaper rush in children under five at Posyandu Kota Baru Indah Jambi City in 2019.Method : This research method is descriptive quantitative using a cross sectional study design. This research was conductet on june 2019. Puposive sampling technique with a population of 148 toddlers. Respondent in this study were mothers who has children under five who used disposible diapers in teh work area posyandu kota baru indah with amounted to 60 respondent. Data collection methods using a questionnaire. Univariate and bivariate data analysis, statistical test using the chi square test.Result : The study found that there was a significant relationship between maternal behavior with the occurrance of diaper rush in children under five with a p-value 0,002. The results of the study found that respondents who had poor knowledge were 34 respondents (56,7%) children, respondents with bad behavior as many as 13 respondents (55,0%), and description of the age of the child against the occurence of diaper rush is the age between 0-1 years 24 (40%) children, 2-3 years 19 (32%) children, ages between 4-5 years 17 (28) childrenConclution : Mother's knowledge and behavior related to diaper rush events in children under five and age are not related to diaper rush events in children under five in Posyandu Kota Baru Indah Kota Jambi.  Keywords     : Knowledge, Mother's Behavior, Diaper Rush, age of the child.     INTISARI: HUBUNGAN PENGETAHUAN, PERILAKU IBU DAN USIA ANAK TERHADAPKEJADIAN DIAPER RUSH PADA ANAK BALITA DI KOTA JAMBI Latar Belakang : Balita memiliki masalah yang luas terutama pada kulit. Balita rentan terkena Diaper Rush akibat penggunaan disposible diaper dan tidak adanya perawatan yang dilakukan ibu saat menggunakan disposible diaper, ibu hanya membiarkannya saja dan tidak diberi obat karena kurangnya pengetahuan dan prilaku ibu yang salah terhadap kejadian diaper rush Tujuan penelitian ini adalah mengetahui hubungan pengetahuan, perilaku ibu dan usia anak terhadap kejadian diaper rush pada anak balita di Posyandu Kota Baru Indah Kota Jambi Tahun 2019Metode : Metode penelitian ini bersifat deskriptif kuantitatif menggunakan desain studi cross sectional. Penelitian ini dilakukan pada tanggal 3 Juni 2019. Teknik pengambilan sampel purposive sampling dengan jumlah populasi 148 Balita. Responden pada penelitian ini adalah ibu yang memiliki anak balita yang menggunakan diaper disposibel diwilayah kerja posyandu Kota Baru Indah yang berjumlah 60 responden. Metode pengumpulan data menggunakan kuesioner. Analisa data univariat dan bivariat, uji statistik menggunakan uji Chi square.Hasil : Penelitian didapatkan bahwa ada hubungan yang siginifikan antara prilaku ibu  dengan kejadian Diaper rush  pada anak balita dengan nilai p-value  0.002. Hasil penelitian diperoleh bahwa responden yang memiliki pengetahuan kurang baik sebanyak 34 responden (56%,7%). Responden dengan prilaku kurang baik sebanyak 33 responden (55%), dan gambaran usia anak terhadap kejadian diaper rush adalah anak usia antara 0-1 tahun 24 (40%) orang anak, usia 2-3 tahun 19 (32%) orang anak, usia antara 4-5 tahun 17 (28%) orang anak.Kesimpulan : Pengetahuan dan perilaku ibu berhubungan dengan kejadian diaper rush pada anak balita dan umur tidak berhubungan dengan kejadian diaper rush pada anak balita di Posyandu Kota Baru Indah Kota Jambi   Kata Kunci    : Pengetahuan, Perilaku Ibu, Diaper Rush, usia anak


2021 ◽  
Vol 5 (2) ◽  
pp. 761-769
Author(s):  
Hamzah B ◽  
Strahmawati Hamzah

ABSTRACT Diarrhea is still a health problem in the world, there are about 2 million cases of diarrhea worldwide every year, and 1,9 million children under five years die from diarrhea every year. Diarrhea in Indonesia is an endemic disease and it is very potential for Extraordinary Events to occur. Diarrhea was the 3rd highest infectious disease in North Sulawesi in 2016 with a total of 23,881 cases. This study aims to analyze the relationship between the use of clean water and the use of latrines with the incidence of diarrhea in children under five in Gogagoman Village, Kotamobagu City. This study used a cross sectional study design with a total sample of 130 children under five. The subject of this research is the mother/the closest person to the toddler. The sampling technique used is simple random sampling. The data collection instrument used a questionnaire and an observation sheet. The data were then analyzed by univariate and bivariate using chi square test. The results showed that there was a relationship between the use of clean water and the incidence of diarrhea in children under five (p = 0,036


Author(s):  
Peterson M. Njeru ◽  
John M. Kariri ◽  
Mary W. Murigi ◽  
Heuston M. Waweru ◽  
Felister M. Muriithi

Background: Despite much effort and successes in the management of diarrhoea, the disease has remained among the top five causes of mortality and morbidity in Kenya, particularly among infants and children below five years. Advent of HIV/AIDS and the harsh economic situation is Kenya has led to increase in diarrhoea diseases. This study was conducted to determine the mother’s knowledge, attitude and practice in the management of diarrheal diseases among children under five years of age.Methods: This was a cross-sectional study conducted at Lurambi sub-County, Kakamega County. Systematic sampling technique was used to determine the study population. The research instruments were; observational checklists, an in-depth interview schedule, self-administered semi-structured questionnaires and focused group discussions. Quantitative data analysis was conducted using SPSSand involved univariate and bivariate analysis. Qualitative data was analyzed by thematic content analysis.Results: Overall, 88% mothers each with at least one child under five years took part in the study. 84% of the respondents had knowledge of the causes of diarrhoea; however only 31% knew methods of diarrhoea prevention. 41% of the respondents managed diarrhoea cases with non-recommended home remedies such as salt and sugar solutions. The study also established that 37% of the health workers were not trained on diarrhoea management despite them being directly involved in the case management.Conclusions: Overall, the research identified a gap between knowledge and practice. There is need for improving home based case management and implementing a community strategy for diarrhoea management.


Author(s):  
Bilan Sheikh Ali Nor ◽  
Nelson Chengo Menza ◽  
Abednego Moki Musyoki

Globally, shigellosis remains the second leading cause of diarrhea-associated deaths among children under five years of age, and the infections are disproportionately higher in resource-limited settings due to overcrowding, poor sanitation, and inadequate safe drinking water. The emergence and global spread of multidrug-resistant (MDR) Shigella are exacerbating the shigellosis burden. We adopted a cross-sectional study design to determine the distribution and antimicrobial susceptibility (AST) patterns of Shigella serogroups among children aged below five years presenting with diarrhea at Banadir Hospital in Mogadishu, Somalia, from August to October 2019. Stool and rectal swab samples were collected from 180 children consecutively enrolled using a convenient sampling technique and processed following standard bacteriological methods. AST was determined using the Kirby–Bauer disc diffusion method and interpreted as per the Clinical Laboratory Standard Institute (2018) guidelines. Shigellosis prevalence was 20.6% (37/180), and S. flexneri (26/37 (70.3%)) was the predominant serogroup. All the serogroups were 100% resistant to ampicillin (AMP), trimethoprim-sulfamethoxazole (SXT), and tetracycline (TE). Ceftriaxone (CRO) resistance was the highest among S. sonnei (66.7%) isolates. 19.2% of S. flexneri and S. sonnei (50%) serogroups were resistant to ciprofloxacin (CIP), but all S. dysenteriae type 1 isolates remained (100%) susceptible. Forty percent of CIP-susceptible S. dysenteriae type 1 were resistant to CRO. Seven MDR Shigella phenotypes were identified, dominated by those involving resistance to AMP, SXT, and TE (100%). Our findings showed a high prevalence of shigellosis with S. flexneri as the most predominant serogroup among children under five years of age in Banadir Hospital, Somalia. AMP and SXT are no longer appropriate treatments for shigellosis in children under five years in Banadir Hospital. MDR Shigella strains, including those resistant to CIP and CRO, have emerged in Somalia, posing a public health challenge. Therefore, there is an urgent need for AMR surveillance and continuous monitoring to mitigate the further spread of the MDR Shigella strains in Banadir Hospital and beyond.


2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.


2021 ◽  
Vol 9 ◽  
pp. 205031212110343
Author(s):  
Ayele Mamo ◽  
Mesud M Hassen ◽  
Ahmednur Adem ◽  
Zinash Teferu ◽  
Musa Kumbi ◽  
...  

Background: Coronavirus disease is a highly transmittable and pathogenic viral infection caused by severe acute respiratory syndrome coronavirus 2, which poses therapeutic dilemmas. Some suggestions for drug treatment seem problematic. Beliefs about the causes of health problems are determinants of treatment seeking decisions. Hence, one of the alternatives for the solution of health problems is employing traditional medicine to prevent coronavirus disease 19. Objective: To assess the knowledge, attitude, and utilization of drugs toward the coronavirus disease 19 pandemic among Bale zone residents. Methods: Community-based cross-sectional study was conducted among the Bale Zone population from May 30 to June 30, 2020. Eight hundred fifty-four participants were selected using a single population formula, and a multistage sampling technique was employed. Data were analyzed using SPSS version 25.0. Descriptive and binary logistic regression was used to analyze the outcomes. A p value ⩽ 0.05 was considered statistically significant. Results: Out of the total 854 respondents, about 534 (62.5%) got information about coronavirus disease 19 from TV/radio. More than two-thirds (71.9%) of the respondents have known that severe acute respiratory syndrome coronavirus 2 has no curative drugs, and 65.4% had a more appropriate attitude toward overall drug use in coronavirus disease 19. Level of education and, attitude towards drug use were singnificantly associated with knowledge of drugs, source of information about coronavirus disease 19 and having good practice were significantly associated with atittude toward drug utilization. Conclusion: One out of two study participants have good knowledge regarding drugs to the coronavirus disease 19 pandemic. Illiterate people in the community were identified to have poor knowledge about drugs, hence community educuation program is important to improve the knowledge about drugs towards the coronavirus disease 19 pandemic.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


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