Prevalence of Diarrhea and Associated Factors among Under Five Years Children in Harena Buluk Woreda Oromia Region, South East Ethiopia, 2018

Abstract

Background: Acute diarrheal diseases are the leading cause of preventable childhood death, especially in developing countries. It is the second leading cause of death in under-five year children nest to pneumonia. Objectives: The aim of this study was to determine the magnitude and associated factors of diarrhea in under-five in Harena Buluk district. Methods: A community based Cross sectional study was conducted in February, 2018. A two stage stratified sampling method was done to select the eligible households. Data was collected by trained data collectors using pretested questionnaire list which was prepared based on EDHS and WHO core questionnaires related to diarrhea. Data was entered in to a computer using Epi data 3.1 and exported to SPSS V.20 for further analysis. Logistic regression was used to determine level of association with 95% CI. A 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 28.4% with 95% CI (14.5-20.8) which was associated with households with one under five children (AOR: 0.268, 95% CI(.08,0.90)), living in the home with single room ((AOR = 6.01, 95% CI(1.01,36.01)), clean latrine/faces not seen around the pit or on the floor of latrine(AOR: 0.298, 95% CI(0.097,0.92)), long time take to fetch water from source (AOR: 0.046,95%CI(0.01,0.22)), home based water treatment ((AOR = 0.15, 95% CI: (0.04, 0.62)), living with animal in the same house(AOR: 8.31, 95% CI(2.46,28.06)), children who took gruel type of food(AOR: 0.24, 95% CI(0.07,0.81)), hand washing practice before cooking food (AOR: 0.195(0.066, 0.574)). Conclusion: The two weeks period magnitude of acute under-five diarrhea was relatively high and number of under five children in the household, cleanness latrine, time taking from the source of water, home based water treatment, number of rooms in the home, live with animal in the same house, type of food child take, hand washing before food preparation had significant association with the occurrence of under-five diarrhea. Improve community about home and environmental sanitation and hand practices were recommended.

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

“…The finding of this study indicated that children from parents/legal guardians who did not practice hand washing during the critical time were affected with diarrheal disease 10.6 times more likely compared to those children whose parents/legal guardians have practiced hand washing during a critical time. This finding was in line with the studies conducted in Adama Rural and Harena Buluk woreda in Ethiopia (28,29) and in Zambia (30). This might be indicated that since the parents/legal guardians were the main caregivers for their children they should wash their hands at a critical time to prevent diarrheal diseases.…”

Mind the gap: what explains the rural-nonrural inequality in diarrhoea among under-five children in low and medium-income countries? A decomposition analysis

“…Furthermore, this study shows that unemployment [ 48 ], low economic status, and lack of access to media gadget such as television and radio among mothers are associated with the risk of their children developing diarrhoea [ 49 ]. As affirmed by other studies, an average weighted child at birth [ 41 ] firstborns [ 46 ] and children born to parents with low access to infrastructural facilities such as improved toilet [ 50 ] and improved housing materials have a higher risk of diarrhoea occurrence. Access to improved toilet facilities allows for safer disposal of faeces and limit the risk of contact between diarrhoea causative organism and human host [ 2 ].…”

Prevalence and associated factors of diarrhea among under-five children in Debre Berhan town, Ethiopia 2018: a cross sectional study

“…This finding was congruent with the study done in Dale District, Sidama zone, Southern Ethiopia, 13.9% [11], Yaya Gulele district, Ethiopia 13.5% [15], Serbo town, Southwest, Ethiopia, 14.9% [16], Bahr Dar city, 14.5% [17], and Farta Wereda, Northwest Ethiopia, 16.7% [7]. However, result of this study was lower than the study conducted in Sena'a, Yemen, 29.07% [18], Senegal, 26% [19], Cameroon, 26.1% [20], Sheka zone, southwest Ethiopia, 21.8% [12], Jig-Jiga city, Eastern Ethiopia, 27.3% [21], Bahir Dar Zuria district, Northwest Ethiopia, 20% [22], North Gondar zone, 21.1% [10] and Harena Buluk district, Southeast Ethiopia, 28.4% [23]. In contrast, it was higher than the study conducted in Wolayta Sodo town, Southern Ethiopia, 11.0% [24].…”