Prevalence and Associated Factors of Diarrhea among Under-Five Children in Laelay-Maychew District, Tigray Region, Ethiopia
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Date
2015-06
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Addis Ababa University
Abstract
Introduction: Acute diarrheal diseases are the leading cause of preventable death, especially
among children under-five in developing countries. Worldwide and nationwide (Ethiopia)
diarrheal disease is the second leading cause of death in under-five year children only to
pneumonia.
Objectives: The aim of this study was to determine the magnitude and associated factors of
under-five diarrhea in Laelay-Maychew district.
Methods: A community based Cross sectional study was conducted from February 01- February
15, 2015. A two stage stratified sampling method was done to select the eligible households.
Data was collected by trained data collectors using standard questionnaire and observational
check list tested previously which was prepared based on EDHS and WHO core questionnaires
related to diarrhea. Data was entered in to a computer using Epi Info 3.5.3 software and exported
to SPSS V.21 statistical software for further analysis. Binary Logistic regression analysis was
used to determine OR and 95% CI. Variables with p-value <0.2 in the bivariate analysis were
entered in to multivariate analysis and with p-value <0.05 in the final model were considered as
significant.
Result: The two weeks period magnitude of diarrhea among under-five children was 17.7% with
95% CI (14.5-20.8) which was associated with children being rural residence [AOR: 1.52, 95%
CI(1.26,4.87)], female child [AOR: 3.85, 95% CI(1.8,8.22)], education of mothers [AOR: 0.02,
95% CI(0.01,0.12)], households with improved water source [AOR: 0.18, 95% CI(0.02,0.39)],
households with ≤20L per capita per day water consumption [AOR: 1.53, 95% CI(1.12,1.97)],
and mothers who wash their hand with water and soap/ash [AOR: 0.52, 95% CI(0.24,0.42)].
Conclusion and recommendation: The two weeks period magnitude of acute under-five
diarrhea was relatively high and residence, educational status of the mothers, water source of
the households, per capita water consumption of the households, and hand washing methods
of the mothers/care takers were significant predictors. So, Females’ education at least to
complete primary school, constructing improved water source and giving HE to the community
about hand washing methods to use soap at recommended times were recommended
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Keywords
Acute diarrheal diseases