Exclusive breastfeeding and rotavirus vaccination are associated with decreased diarrheal morbidity among under-five children in Bahir Dar, northwest Ethiopia

Shumetie, Ghion; Gedefaw, Molla; Kebede, Adane; Derso, Terefe

doi:10.1186/s40985-018-0107-6

Cited by 23 publications

(23 citation statements)

References 19 publications

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“…is study result agreed with the previous study report from India [30]. It is also associated with infectious disease and diarrheal morbidity [31]. is might be preventive effect of the vaccine especially infectious disease and diarrhea which leads to malnutrition.…”

Section: Discussionsupporting

confidence: 91%

Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia

Afework

Mengesha

Wachamo

2021

Journal of Nutrition and Metabolism

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Background. Stunting is one of the most important public health problems in Ethiopia. It remains a problem of greater magnitude particularly in rural and low-income areas. It reflects chronic nutritional deficiencies and illness that occur during the most critical periods for growth and development in early life. It needs proper intervention to save the future, unless it resulted in diminished cognitive and physical development for the rest of their lives. Therefore, this study aimed to assess the prevalence of stunting and associated factors among under-five children in West Guji Zone, Oromia, Ethiopia. Method. A community-based cross-sectional study was conducted among 767 under-five children who were included in this study by using a multistage sampling technique in 12 kebeles from 3 selected districts. Data were collected from a mother/caregiver of the child by using a structured pretested questionnaire. Standardized anthropometric measurements were used to measure length, weight, and height of a child. Data were entered into Epi Info software version 3.5.1 and exported to SPSS version 23 for analysis for descriptive and logistic regression models. Result. The prevalence of stunting was 244 (31.8%) with 95% CI (28.6–35.2) among under-five-age children. The under-five children whose fathers had a polygamous marriage (AOR = 4.92, 95% CI: 3.46, 7.00), being female sex (AOR = 1.74, 95% CI: 1.23, 2.47), having below 4 meal frequencies (AOR = 2.95, 95% CI: 1.56, 5.58), not vaccinated (AOR = 1.75, 95% CI: 1.15, 2.67), and from poor households’ wealth status (AOR = 3.03, 95% CI: 1.63, 5.63) and also from severely food insecure household (AOR = 2.92, 95% CI: 1.36, 6.24) were short for their age compared with their counterparts. Conclusion. Nearly one-third of the under-five children were stunted in the study area which needs intervention on child-feeding practice to avoid sex discrimination in the community. In addition to this health officials in collaboration with other sectors, it is needed to act together to improve enforcement of the law for polygamous marriage, the household’s wealth status, and food security for the better health of a child and future.

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Section: Discussionsupporting

confidence: 91%

Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia

Afework

Mengesha

Wachamo

2021

Journal of Nutrition and Metabolism

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“…The result of our study finding indicated that children who were not received the rotavirus vaccine were 2.5 times more likely to develop diarrheal diseases as compared to those children who were received the rotavirus vaccine. This finding was in line with the studies conducted at Harena Buluk Woreda, Bahir Dar, and Debre Berhan in Ethiopia (31,28,32) and in sub-Saharan Africa, Cameroon, and Madagascar (33,34). These findings were reported that the rotavirus vaccine showed a significant association with the occurrence of diarrheal diseases among under-five children.…”

Section: Hand Washingsupporting

confidence: 89%

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

Mosisa

Aboma

Girma

et al. 2021

Preprint

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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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“…From these 17 articles were excluded due to the inclusion criteria. Among excluded studies, three of the studies were excluded because they didn't report our outcome of interests [73,74,75]. Two studies conducted among HIV infected mothers [76,77].…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Exclusive Breastfeeding Practice in Ethiopia and Its Association with Maternal Employment: A Systematic Review and Meta-analysis, 2019

Wake

Mittiku

2020

Preprint

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Background: Exclusive breastfeeding defined as the practice of providing only breast-milk for an infant for the first 6 months of life without the addition of any other food or water, which recommends initiation of breastfeeding within one hour of life and continued breastfeeding for up to 2 years of age or more. Maternal employment is the most important factor contributing to the low practice of exclusive breastfeeding. However; the effect of maternal employment on exclusive breastfeeding is not investigated in Ethiopia.Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was used in this systematic review and meta-analysis. The databases used were; PubMed, Google Scholar, Science Direct, and Cochrane library were systematically searched. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies.Results: 36 studies were included in the final analysis after reviewing 541 studies in this meta-analysis yielding the pooled prevalence of EBF 59.79% (95% [CI] 54.58, 65.00) in Ethiopia.Those employed mothers were 57% less likely to practice exclusive breastfeeding in comparison to unemployed mothers in Ethiopia [OR] 0.43; 95% CI (0.3, 0.62).Conclusions: The overall prevalence of exclusive breastfeeding in this meta-analysis is low in comparison to the global recommendation of the practice of exclusive breastfeeding. Maternal employment was significantly associated with the practice of exclusive breastfeeding in comparison to their counterparts. Based On our review findings, we recommended that the Ethiopian government should increase legislated paid maternity leave after delivery beyond current paid maternity leave and implement policies that empower women and create a conducive environment for mothers to practice exclusive breastfeeding at workplace.

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Exclusive breastfeeding and rotavirus vaccination are associated with decreased diarrheal morbidity among under-five children in Bahir Dar, northwest Ethiopia

Cited by 23 publications

References 19 publications

Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia

Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia

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

Prevalence of Exclusive Breastfeeding Practice in Ethiopia and Its Association with Maternal Employment: A Systematic Review and Meta-analysis, 2019

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