Magnitude and determinants of diarrhea among 0-6 year’s children: a cohort study from central India

Kumar, Rakesh; Borkar, Rajnish

doi:10.18203/2394-6040.ijcmph20184798

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…26 Similarly, diarrhoea incidence and prevalence were higher among children 6 -23 months old in studies conducted in India and Ethiopia. [27][28][29] A study conducted in Zaria, Nigeria, particularly found the ages between 12-24 months more vulnerable to diarrhoea 30 and this was also corroborated in a Tanzanian study. 16 Water contamination with E. coli was also associated with increased likelihood of diarrhoea in both groups.…”

Section: Discussionmentioning

confidence: 61%

A comparative study on the effect of household water treatment on diarrhoea morbidity among under-fives in Plateau State, Nigeria using two treatment modalities

Okoh¹,

Envuladu²,

Miner³

et al. 2020

int.jour.sci.res.mana.

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Background: Consumption of unsafe water contributes to diarrhoeal burden in sub-Sahara Africa. This burden can be reduced by simple and affordable methods of household water treatment. The study aims at comparing the effect of two of such methods on diarrheal burden among under-fives in rural communities of Plateau State. Methodology: A community-based quasi experimental study was conducted among 202 underfive-caregiver pairs in two selected rural communities of Plateau State, involving household water treatment with flocculant-disinfectant powder in intervention group and sodium hypochlorite solution in control group respectively. History of diarrhoea before intervention, at 2 weekly intervals during the intervention and after intervention was assessed. Data obtained was analyzed using SPSS version 23. Prevalence and incidence of diarrhoea were calculated and compared among the two groups. Result: Diarrhoea prevalence at pre-intervention was 19.6% in flocculant-disinfectant group and 17.0% in sodium hypochlorite group. At post intervention, the prevalence reduced significantly by 94.7% (19.6% to 1%) in intervention group and by 76.5% (17% to 4.2%) in control group. There was no statistical significant difference in the prevalence of diarrhoea between the two groups, however, diarrhoea incidence in the sodium hypochlorite group (1.12 episode per child per year) was significantly higher than the incidence in the flocculant-disinfectant group (0.59 episodes per child per year) with a risk-ratio of 1.93 (95% CI: 1.037 - 3.703). Conclusion: Household water treatment with flocculant-disinfectant reduced diarrhoea burden better than sodium hypochlorite. This technology should be made more available and assessible to rural communities where diarrhea burden is high.

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Section: Discussionmentioning

confidence: 61%

A comparative study on the effect of household water treatment on diarrhoea morbidity among under-fives in Plateau State, Nigeria using two treatment modalities

Okoh¹,

Envuladu²,

Miner³

et al. 2020

int.jour.sci.res.mana.

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“…Temporary 17(12.0) 15(6.4) feeds and trying out new feeds which usually coincides with diarrhea in developing countries [20]. Such a finding agrees with a study by Pintu (2020) [21] Having a vent pipe on the toilet as a cleanliness factor was also associated with 0.503 reduced odds for diarrhea (AOR = 0.503, 95% C.I 0.281-0.900, P = 0.021) compared to having lid cover toilets.…”

Section: Residential Housementioning

confidence: 99%

Prevalence and factors associated with diarrheal diseases among children below five years in selected slum settlements in Entebbe municipality, Wakiso district, Uganda

et al. 2022

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Background Despite global interventions to prevent and control diarrhea, it still remains a public health problem leading to childhood morbidity and mortality majorly in developing countries. In Uganda, diarrhea is amongst the five leading causes of under-five mortality, contributing to more than 140,000 deaths every year and this accounts for 7.1% of all under-five mortalities in Uganda. Efforts to prevent and lower diarrheal diseases need to be informed by data on determinants of diarrhea. The study assessed factors associated with diarrheal diseases among children below five years in selected slum settlements in Entebbe municipality, Wakiso District, Uganda. Methods The study employed a cross-sectional study design covering 384 randomly selected households having children < 5 years old in the study area using quantitative research methods. Data was collected using close-ended questionnaires and diarrhea disease history was captured for the last month before the survey. Bivariate and multivariate logistic regression analyses were used to identify the risk factors associated with childhood diarrhea considering a 95% confidence level. Results The prevalence of Diarrhea disease in children among the selected slum settlements in Entebbe municipality was found to be at 62.4%. Access to water from a protected water source (deep well and borehole), presence of a vent in toilets, age, and child birth weight were found to be significantly associated with diarrheal diseases among children below five years in the selected slum settlements in Entebbe municipality. Conclusion The prevalence of childhood diarrhea among children < 5 years of age in selected slums of Entebbe municipality was found high. Use of water from a protected source, presence of a vent in toilets, age, child birth and weight were identified as predictors of diarrhea occurrence. These findings imply that community health education is urgently needed for fighting childhood diarrhea in the study area to eliminate the predisposing factors to diarrhea.

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“…Kumar et al in their cohort study on 305 children below the age of six years atWardha, Maharashtra concluded provision of safe water supply to decrease diarrhea incidence [18]. Alelign et alreported unsafe household storage of water and lack of hand washing after latrine usage to be main risk factor for diarrhea [16].…”

Section: Original Research Articlementioning

confidence: 99%

Under nutrition in diarrhoea affected under-five children

Manjeeta

Vikramaditya

Joshi

et al. 2019

Public Health Rev: Int J Public Health Res

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Introduction:In India the vicious cycle between diarrhea and undernutrition has not yet been broken. Undernutrition predisposes to infection of gastro-intestinal system. Once the child suffers from undernutrition it is very difficult to come out of this vicious cycle. Objective: The study was done to study the social profile and risk factors of diarrheal diseases in under-five children. Methods: The study was carried out on hundred under five year old diarrhea cases in rural area of Saharanpur from September to December 2018. The social, cultural, economic and environmental factors were recorded along with physical measurements by house to house visits on pretested and suitably modified proforma. The analysis was done using MS Excel software and EPI Info. Results: Among them sixty one children were found to be suffering from undernutrition. The undernourished children had also suffered greater number of times from respiratory tract infections and diarrhea in the past one year. Overcrowding was observed in majority of the houses. Diarrhea was observed to be more in children of illiterate mothers and lower socio-economy groups. The process of giving oral rehydration therapy and home available fluids was found to be faulty in majority of households. Conclusion: Providing additional nutrition to undernourished children, proper use of oral rehydration therapy and home available fluids should be explained to mothers. The risk factors identified for diarrhea like bottle feeding, lack of hand washing and unhealthy food hygiene practices can be avoided by health education of the mothers in resource-poor health care setting.

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Magnitude and determinants of diarrhea among 0-6 year’s children: a cohort study from central India

Cited by 5 publications

References 6 publications

A comparative study on the effect of household water treatment on diarrhoea morbidity among under-fives in Plateau State, Nigeria using two treatment modalities

A comparative study on the effect of household water treatment on diarrhoea morbidity among under-fives in Plateau State, Nigeria using two treatment modalities

Prevalence and factors associated with diarrheal diseases among children below five years in selected slum settlements in Entebbe municipality, Wakiso district, Uganda

Under nutrition in diarrhoea affected under-five children

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