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

Abstract

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.

Geographical disparities and determinants of childhood diarrheal illness in Ethiopia: further analysis of 2016 Ethiopian Demographic and Health Survey

“…In this study, parental occupational status was more correlated to childhood diarrheal disease occurrence compared to parents with no occupation. This finding is in line with results in sub-Saharan countries [48] and northwest Ethiopia [53]. This could be because mothers/ caregivers without work usually have sufficient time to control children to minimize their exposure.…”

Geographical disparities and determinants of childhood diarrheal illness in Ethiopia: Further Analysis of 2016 Ethiopian Demographic and Health Survey

“…In this study, parental occupational status was correlated with childhood diarrheal disease occurrence compared to parents without occupation. This study nding is in line with the study results in sub-Saharan countries [33] and studies in Northwest Ethiopia [37]. This could be justi ed that mothers/caregivers without work could have su cient time to spend with her child, feed the child, and overall control of the child which could have led to diarrhea.…”

Diarrhoeal diseases and its relation to WaSH practices and MPN count among under-five children residing in Resettlement colony, Delhi

“…Studies suggest that practice of hand washing was low among people belonging to lowsocioeconomic status. Lack of hand washing among mothers with soap and water were associated with increased risk of diarrhoea (15). In our study, the close association of mothers not washing their hands before preparing food and diarrhoea has been observed.…”