Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia

BMC Pediatrics

Alemayehu Shimeka Teferra¹  Getahun Asres Alemie¹  Thomas Sinmegn Mihrete² 

[1] Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Central statistical agency of Ethiopia, Assossa Branch, Benishangul Gumuz, Ethiopia

关键词: Socio-economic determinants;    Environmental;    Benishangul Gumuz Region;    Childhood diarrhea;   

Others  :  1138902
DOI  :  10.1186/1471-2431-14-102

 received in 2013-08-21, accepted in 2014-04-07,  发布年份 2014

【 摘 要 】

Background

Diarrhea is second only to pneumonia as the cause of child mortality worldwide. Developing countries particularly in Sub Saharan Africa including Ethiopia have a high burden of this disease. Studies showed that different factors were associated with the occurrence of childhood diarrhea. Therefore, this study was aimed to identify determinant factors of diarrhea in underfive children in Benishangul Gumuz Regional State, western Ethiopia.

Method

Demographic and Health Survey (DHS) data of 2011 was used for this study. The data was extracted from the National DHS data using data extraction tools. A total of 925 under five children were selected. The logistic regression model was employed to examine the determinants of childhood diarrhoea. Both bivariate and multivariate data analysis was performed using SPSS version 16.0.

Result

The results of this study indicated that low level of maternal education [AOR = 1.81, 95% CI (1.12,2.76)], absence of toilet facility [AOR = 3.5, 95% CI (2.4, 5.2)], improper child stool disposal methods [AOR = 2.05, 95%CI (1.36, 3.10)], having more than two under five children [AOR = 1.73, 95% CI (1.03, 2.93)], higher birth order [AOR = 6.1, 95% CI (3.1,12.2)] and the age of children [AOR = 1.9, 95% CI (1.2, 3.6)] were found to be the risk factors for childhood diarrhea after adjusting for other variables. When toilet facility was stratified by maternal education, it showed that children of mothers who had no education were the most vulnerable in the absence of toilet facilities [OR = 9.16, 95% CI (5.79, 14.48)].

Conclusion

Under poor environmental conditions, mothers with primary education and above protected their children against diarrhea better than mothers with no education. Thus, implementing effective educational programs that emphasize environmental health and sanitation practices and encouraging female school enrolment would reduce childhood diarrheal morbidity in the region.

【 授权许可】

   
2014 Sinmegn Mihrete et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Christa L, Walker L, Perin J, Martin J, Bochi-Pinto C, Robert E: Diarrhea incidence in low- and middle-income countries in 1990 and 2010: a systematic review. BMC Public Health 2012, 12:220. BioMed Central Full Text
• [2]UNICEF/WHO: Diarrhea: Why Children are Still Dying and What can be Done. New York: UNICEF; 2009.
• [3]Mekasha A, Tesfahun A: Determinants of diarrheal diseases: a community based study in urban South Western Ethiopia. East Afr Mediacal J 2003, 80(2):77-82.
• [4]Deribew A, Tessema F, Girma B: Determinants of under five mortality in Gilgel Gibie Field research center South west Ethiopia, Ethiop. J Health Dev 2007, 21(22):117-124.
• [5]MOFED: Ethiopia: 2010 MDGs report: trends and Prospects in meeting MDGs in 2015. Addis Ababa: Federal Ministry of Finance and Economic Development; 2010.
• [6]CSA: Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia and Calverton: Maryland USA Central Statistical Authority; 2011.
• [7]CSA: Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia and Calverton: Maryland USA Central Statistical Authority; 2005.
• [8]Ali M, Asfaw T, Beyene H, Byass P, Shishay M, Karup F: A community based study of childhood morbidity in Tigray, North Ethiopia. Ethiop J Health Dev 2001, 15(13):165-172.
• [9]Shamebo D, Sandstrom A, Muhe L, Freij L, Krantz I, L6nnberg G, Wall S: The Butajira Rural Health Project in Ethiopia: a nested case- control study of under-five mortality and its health and behaviour determinants. Annu Trop Paediatr 1994, 14:201-209.
• [10]MOH: Ethiopia: Maternal and Child Health Package. Addis Ababa: Federal Ministry of Health Ethopia; 2003.
• [11]UNICEF: Pneumonia and Diarrhea: tackling the deadliest diseases in the world. New York: UNICEF; 2012.
• [12]CSA: Annual Statistical Abstract 2011. Addis Ababa: Central Statistical Agency; 2011.
• [13]Hosmer D, Lemeshow S: Applied Logistic Regression. 2nd edition. New York: Wiley; 2000:92-95.
• [14]Raheem A, Sheu A, Segun-Agaboola B: Exploring the social and environmental determinants of child health in llrorin, Nigeria. Ethiop J Environ Stud Manage 2009, 2(3):73-82.
• [15]Desalegn M, Kumie A, Tefera W: Predictors of under-five childhood diarrhea: Mecha District, West Gojjam, Ethiopia. Ethiop. J Health Dev 2011, 25(3):192-200.
• [16]El-Gilany AH, Hammad S: Epidemiology of diarrheal diseases among children under age 5 years in Dakahila, Egypt. East Mediterr Health J 2005, 11(4):762-775.
• [17]Daniels DL, Cousens SN, Makoae LN: A case–control study of the impact of improved sanitation on diarrhea morbidity in Lesotho. Bull WHO 1990, 68:455-463.
• [18]Senyonga R, Muwonge R, Tewbaze FBN, Mutayabule R: Determinants of acute diarrhea in children aged 0–5 in Uganda. East Afr Med J 2009, 86(11):513-519.
• [19]WHO: Water Sanitation and Hygiene: Public Health and The Environment. Geneva: WHO; 2007.
• [20]Avachat SS, Phalke VD, Phalke DB, Syed MMA, Kalakoti P: A cross-sectional study of socio demographic determinants of recurrent diarrhea among children under five of rural area of Western Maharashtra. AMJ 2011, 4(2):72-75.
• [21]Bbaale E: Determinants of diarrhea and acute respiratory infections among under fives in Uganda. Australas Med J 2011, 4(7):400-409.
• [22]Esrey Steven A: Water, waste and well-being: a multi-country study. Am J Epidemiol 1996, 143(6):608-623.
• [23]Root GPM: Sanitation, community environments, and childhood diarrhea in rural Zimbabwe. J Health Popul Nutr 2001, 19(2):73-82.
• [24]Kosek M, Bern C, Richard L: The Global burden of Diarrheal disease as estimated from studies published between1992-2000. Bull World Health Organ 2003, 81:197-204.
• [25]Woldemicael G: Diarrheal morbidity among young children in Eritrea: Environmental and socio-economic determinants. J Health Popul Nutr 2001, 19(2):83-90.
• [26]Rennie M: Housing and environmental factors and their effects on the health of children in the slums of Karachi, Pakistan. J Biosoc Sci 1997, 29:271-281.
• [27]Kandala N-B, Ji C, Stallard N, Stranges S, Cappuccio FP: Morbidity from diarrhoea, cough and fever among young children in Nigeria. Ann Trop Med Parasitol 2008, 102(5):427-445.
• [28]Tesema T, Hailu S, Anberbir S, Mitikie G: Household illness prevalence and its determinants in the under five children. Ethiop J Health Dev 2001, 15(3):173-178.
• [29]Tagoe E: Maternal Education on Infant/Child Morbidity in Ghana. In The Case of Diarrhoea: Evidence from the Ghana DHS. Edited by Paulina M, An-Magritt J. Liege: Women’s position and demographic change in Sub-Saharan Africa; 1995.