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Published in: Italian Journal of Pediatrics 1/2018

Open Access 01-12-2018 | Research

Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia

Authors: Atalay Getachew, Alebachew Tadie, Mulat G.Hiwot, Tadesse Guadu, Daniel Haile, Teklay G.Cherkos, Zemichael Gizaw, Marta Alemayehu

Published in: Italian Journal of Pediatrics | Issue 1/2018

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Abstract

Background

In the sub-Saharan countries, many of the children including found in health facilities are not having sufficient care of diarrhea. Diarrheal disease in these countries is one of the main causes of deaths for under-five children.

Methods

A community-based cross-sectional study design was used to collect data from May–June, 2016 to determine environmental factors of diarrhea prevalence among under five children in North Gondar Zone. Structured interview questionnaire and observational checklist were used to collect data. Using probability proportion to size, number of households was determined in each district. The multivariable binary logistic regression analysis with a 95% confidence interval and p < 0.05.was used to identify environmental factors associated with childhood diarrheal disease.

Results

Of the total 736 individuals surveyed from 736 households, a total of 163 (22.1%) with [95% CI (19.1–25.1)] under –five children had 2 week period diarrhea prevalence. Roof material [AOR: 1.99, 95% CI (1.1–3.82)], hand washing facility [AOR: 0.52, 95%CI (0.33–0.82)], presence of Latrine facility [AOR: 1.65, 95% CI (1.01–2.72)], presence of feces around the pit hole [AOR: 1.65, 95% CI (1.01–2.72)], presence of feces around the house compound [AOR: 1.65, 95% CI (1.01–2.72)] and risk of contamination of household storage had significant associations with diarrheal morbidity.

Conclusion

The prevalence of childhood diarrheal disease among under – five children in rural settings of northwest Ethiopia was high. Type of roof material, hand washing facility, presence of Latrine facility, presence of feces around the pit hole, presence of feces around the house compound and risk of contamination of household storage had significant associations with diarrheal morbidity.
Literature
1.
go back to reference Carvajal-Vélez L, Amouzou A, Perin J, Maïga A, Tarekegn H, Akinyemi A, Shiferaw S, Young M, Bryce J, Newby H. Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis. BMC Public Health. 2016;16(1):830.CrossRefPubMedPubMedCentral Carvajal-Vélez L, Amouzou A, Perin J, Maïga A, Tarekegn H, Akinyemi A, Shiferaw S, Young M, Bryce J, Newby H. Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis. BMC Public Health. 2016;16(1):830.CrossRefPubMedPubMedCentral
2.
go back to reference Barreto ML, Genser B, Strina A, Assis AMO, Rego RF, Teles CA, Prado MS, Matos SM, Santos DN, dos Santos LA. Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in Northeast Brazil: assessment by two cohort studies. Lancet. 2007;370(9599):1622–8.CrossRefPubMedPubMedCentral Barreto ML, Genser B, Strina A, Assis AMO, Rego RF, Teles CA, Prado MS, Matos SM, Santos DN, dos Santos LA. Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in Northeast Brazil: assessment by two cohort studies. Lancet. 2007;370(9599):1622–8.CrossRefPubMedPubMedCentral
3.
go back to reference UNICEF/WHO: Diarrhoea:Why children are still dying and what can be done. 2009. UNICEF/WHO: Diarrhoea:Why children are still dying and what can be done. 2009.
4.
go back to reference Mekasha A, Tesfahun A. Determinants of diarrhoeal diseases: a community based study in urban south western Ethiopia. East Afr Med J. 2003;80(2):77–82.PubMed Mekasha A, Tesfahun A. Determinants of diarrhoeal diseases: a community based study in urban south western Ethiopia. East Afr Med J. 2003;80(2):77–82.PubMed
5.
go back to reference Woldu W, Bitew BD, Gizaw Z. Socioeconomic factors associated with diarrheal diseases among under-five children of the nomadic population in Northeast Ethiopia. Trop Med Health. 2016;44(1):40.CrossRefPubMedPubMedCentral Woldu W, Bitew BD, Gizaw Z. Socioeconomic factors associated with diarrheal diseases among under-five children of the nomadic population in Northeast Ethiopia. Trop Med Health. 2016;44(1):40.CrossRefPubMedPubMedCentral
6.
go back to reference Hailemariam B, Abadi M, Gebre Y. Prevalence of diarrhea and associated factors among children under-five years of age in enderta woreda, Tigray, northern Ethiopia, 2014. Int J Ther Appl. 2016;31:32–7. Hailemariam B, Abadi M, Gebre Y. Prevalence of diarrhea and associated factors among children under-five years of age in enderta woreda, Tigray, northern Ethiopia, 2014. Int J Ther Appl. 2016;31:32–7.
7.
go back to reference Alelign T, Asegidew W, Abera A. A cross sectional study on the incidence and risk factors of diarrheal illness among children under-five years of age in Debre Berhan town, Ethiopia. J Health Med Econ. 2016;2:2. Alelign T, Asegidew W, Abera A. A cross sectional study on the incidence and risk factors of diarrheal illness among children under-five years of age in Debre Berhan town, Ethiopia. J Health Med Econ. 2016;2:2.
8.
go back to reference Mohammeda A, Zungub L. Environmental health factors associated with diarrhoeal diseases among under-five children in the Sebeta town of Ethiopia. South Afr J Infect Dis. 2016;31(4):122–9. Mohammeda A, Zungub L. Environmental health factors associated with diarrhoeal diseases among under-five children in the Sebeta town of Ethiopia. South Afr J Infect Dis. 2016;31(4):122–9.
9.
go back to reference Mengistie B, Berhane Y, Worku A. Prevalence of diarrhea and associated risk factors among children under-five years of age in eastern Ethiopia: a cross-sectional study. Open J Prev Med. 2013;3(07):446.CrossRef Mengistie B, Berhane Y, Worku A. Prevalence of diarrhea and associated risk factors among children under-five years of age in eastern Ethiopia: a cross-sectional study. Open J Prev Med. 2013;3(07):446.CrossRef
10.
go back to reference Regassa G, Birke W, Deboch B. Environmental determinants of diarrhea among under-five children in NEKEMTE town, Western Ethiopia. Ethiop J Health Sci. 2008;18(2):39–45. Regassa G, Birke W, Deboch B. Environmental determinants of diarrhea among under-five children in NEKEMTE town, Western Ethiopia. Ethiop J Health Sci. 2008;18(2):39–45.
11.
go back to reference Dearden KA, Schott W, Crookston BT, Humphries DL, Penny ME, Behrman JR. Children with access to improved sanitation but not improved water are at lower risk of stunting compared to children without access: a cohort study in Ethiopia, India, Peru, and Vietnam. BMC Public Health. 2017;17(1):110.CrossRefPubMedPubMedCentral Dearden KA, Schott W, Crookston BT, Humphries DL, Penny ME, Behrman JR. Children with access to improved sanitation but not improved water are at lower risk of stunting compared to children without access: a cohort study in Ethiopia, India, Peru, and Vietnam. BMC Public Health. 2017;17(1):110.CrossRefPubMedPubMedCentral
12.
go back to reference Hashi A, Kumie A, Gasana J. Prevalence of Diarrhoea and associated factors among under-five children in Jigjiga District, Somali region, eastern Ethiopia. Open J Prev Med. 2016;6(10):233.CrossRef Hashi A, Kumie A, Gasana J. Prevalence of Diarrhoea and associated factors among under-five children in Jigjiga District, Somali region, eastern Ethiopia. Open J Prev Med. 2016;6(10):233.CrossRef
14.
go back to reference Diouf K, Tabatabai P, Rudolph J, Marx M. Diarrhoea prevalence in children under five years of age in rural Burundi: an assessment of social and behavioural factors at the household level. Glob Health Action. 2014;7:1-9. Diouf K, Tabatabai P, Rudolph J, Marx M. Diarrhoea prevalence in children under five years of age in rural Burundi: an assessment of social and behavioural factors at the household level. Glob Health Action. 2014;7:1-9.
15.
go back to reference Mohammed A, Zungu L. Environmental health factors associated with diarrhoeal diseases among under-five children in the Sebeta town of Ethiopia. South Afr J Infect Dis. 2015;31(4):122–9. Mohammed A, Zungu L. Environmental health factors associated with diarrhoeal diseases among under-five children in the Sebeta town of Ethiopia. South Afr J Infect Dis. 2015;31(4):122–9.
16.
go back to reference Regassa W, Lemma S. Assessment of diarrheal disease prevalence and associated risk factors in children of 6-59 months old at Adama District rural Kebeles, eastern Ethiopia, January/2015. Ethiopian Journal of Health Sciences. 2016;26(6):581.CrossRefPubMedPubMedCentral Regassa W, Lemma S. Assessment of diarrheal disease prevalence and associated risk factors in children of 6-59 months old at Adama District rural Kebeles, eastern Ethiopia, January/2015. Ethiopian Journal of Health Sciences. 2016;26(6):581.CrossRefPubMedPubMedCentral
17.
go back to reference Dessalegn M, Kumie A, Tefera W. Predictors of under-five childhood diarrhea: Mecha District, West Gojam, Ethiopia. Ethiop J Health Dev. 2011 25(3):192-200. Dessalegn M, Kumie A, Tefera W. Predictors of under-five childhood diarrhea: Mecha District, West Gojam, Ethiopia. Ethiop J Health Dev. 2011 25(3):192-200.
18.
go back to reference Godana W, Mengiste B. Environmental factors associated with acute diarrhea among children under five years of age in derashe district, southern Ethiopia. Science Journal of Public Health. 2013;1(3):119–24.CrossRef Godana W, Mengiste B. Environmental factors associated with acute diarrhea among children under five years of age in derashe district, southern Ethiopia. Science Journal of Public Health. 2013;1(3):119–24.CrossRef
19.
go back to reference Adane M, Mengistie B, Kloos H, Medhin G, Mulat W. Sanitation facilities, hygienic conditions, and prevalence of acute diarrhea among under-five children in slums of Addis Ababa, Ethiopia: baseline survey of a longitudinal study. PLoS One. 2017;12(8):e0182783. Adane M, Mengistie B, Kloos H, Medhin G, Mulat W. Sanitation facilities, hygienic conditions, and prevalence of acute diarrhea among under-five children in slums of Addis Ababa, Ethiopia: baseline survey of a longitudinal study. PLoS One. 2017;12(8):e0182783.
20.
go back to reference Oyemade A, Omokhodion FO, Olawuyi JF, Sridhar MK, Olaseha IO. Environmental and personal hygiene practices: risk factors for diarrhoea among children of Nigerian market women. J Diarrhoeal Dis Res. 1998;16(4):241–47. Oyemade A, Omokhodion FO, Olawuyi JF, Sridhar MK, Olaseha IO. Environmental and personal hygiene practices: risk factors for diarrhoea among children of Nigerian market women. J Diarrhoeal Dis Res. 1998;16(4):241–47.
21.
go back to reference Moraes LRS, Cancio JA, Cairncross S, Huttly S. Impact of drainage and sewerage on diarrhoea in poor urban areas in Salvador, Brazil. Trans R Soc Trop Med Hyg. 2003;97(2):153–8.CrossRefPubMed Moraes LRS, Cancio JA, Cairncross S, Huttly S. Impact of drainage and sewerage on diarrhoea in poor urban areas in Salvador, Brazil. Trans R Soc Trop Med Hyg. 2003;97(2):153–8.CrossRefPubMed
22.
go back to reference Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet. 2003;361(9376):2226–34.CrossRefPubMed Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet. 2003;361(9376):2226–34.CrossRefPubMed
23.
go back to reference Makoni F, Ndamba J, Mbati P, Manase G. Impact of waste disposal on health of a poor urban community in Zimbambwe. East Afr Med J. 2004;81(8):422–6.CrossRefPubMed Makoni F, Ndamba J, Mbati P, Manase G. Impact of waste disposal on health of a poor urban community in Zimbambwe. East Afr Med J. 2004;81(8):422–6.CrossRefPubMed
24.
go back to reference Oloruntoba EO, Folarin TB, Ayede AI. Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria. Afr Health Sci. 2014;14(4):1001–11.CrossRefPubMedPubMedCentral Oloruntoba EO, Folarin TB, Ayede AI. Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria. Afr Health Sci. 2014;14(4):1001–11.CrossRefPubMedPubMedCentral
25.
go back to reference Banteyerga H. Ethiopia’s health extension program: improving health through community involvement. MEDICC Rev. 2011;13(3):46–9.CrossRefPubMed Banteyerga H. Ethiopia’s health extension program: improving health through community involvement. MEDICC Rev. 2011;13(3):46–9.CrossRefPubMed
Metadata
Title
Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia
Authors
Atalay Getachew
Alebachew Tadie
Mulat G.Hiwot
Tadesse Guadu
Daniel Haile
Teklay G.Cherkos
Zemichael Gizaw
Marta Alemayehu
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2018
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-018-0540-7

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