Font Size:
Diarrheal Disease in Under-Five Children and Associated Factors among Farta District Rural Community, Amhara Regional State ,North West Ethiopia: A Comparative Cross-Sectional Study.
Last modified: 2019-02-18
Abstract
Abstract
Background: Diarrhea is the major cause of morbidity among under-five children in Ethiopia. To decrease the burden of diarrhea; the key initiative identified was the implementation of open defecation free program.
Objective: To determine the prevalence of diarrhea and associated factors among children in open defecation free and non-open defecation free kebeles of Farta district, Ethiopia.
Methods: Community based comparative cross-sectional study was conducted. Data was collected from households living in open defecation free and non-open defecation free kebeles who had at least one under-five child using structured questionnaire. A total of 758 mothers with under-five children (378 in open defecation free and 380 in non-open defecation free kebeles) were interviewed using structured questionnaire. The households were selected by systematic sampling technique. Descriptive analyses and binary logistic regression model were applied to analyze the contribution of predictors of diarrheal diseases.
Results: Over all 227 (29.9%) of children had got diarrheal disease in the last two weeks before the survey. The prevalence of diarrhea among children varies between households in open defecation free and non-open defecation free kebeles (19.3% and 40.5%) respectively. Poor hand washing practice (AOR: 1.6; 95% CI: (1.12-2.03) and lack of hand washing facility (AOR: 11, 95%CI: (8.1-29.6), improper excreta disposal in the compound (AOR: 3.84; 95%CI: (2.15-5.65) and living in non-open defecation free kebele (AOR: 2.4; 95% CI: (1.72-3.23) were predictors of diarrheal disease.
Conclusions: The prevalence of diarrhea among children living in open defecation free kebeles is lower than in its counterpart in non-open defecation free kebeles. Lack of functional hand washing facility, poor hand washing practice after touching infant's faeces, living in non-open defecation free kebeles and improper excreta disposal were significant predictors of diarrhea. Therefore, to Sustain and further strengthen the achievements gained; community and government should accelerate their efforts to maintain the initial open defecation free practices. The risk of diarrhea could be reduced by enhancing latrine access, preparing hand washing facilities near the toilet, hand washing practice at critical time and making residential area open defecation free are important.
Keywords: Open defecation free, Diarrhea, Ethiopia
Background: Diarrhea is the major cause of morbidity among under-five children in Ethiopia. To decrease the burden of diarrhea; the key initiative identified was the implementation of open defecation free program.
Objective: To determine the prevalence of diarrhea and associated factors among children in open defecation free and non-open defecation free kebeles of Farta district, Ethiopia.
Methods: Community based comparative cross-sectional study was conducted. Data was collected from households living in open defecation free and non-open defecation free kebeles who had at least one under-five child using structured questionnaire. A total of 758 mothers with under-five children (378 in open defecation free and 380 in non-open defecation free kebeles) were interviewed using structured questionnaire. The households were selected by systematic sampling technique. Descriptive analyses and binary logistic regression model were applied to analyze the contribution of predictors of diarrheal diseases.
Results: Over all 227 (29.9%) of children had got diarrheal disease in the last two weeks before the survey. The prevalence of diarrhea among children varies between households in open defecation free and non-open defecation free kebeles (19.3% and 40.5%) respectively. Poor hand washing practice (AOR: 1.6; 95% CI: (1.12-2.03) and lack of hand washing facility (AOR: 11, 95%CI: (8.1-29.6), improper excreta disposal in the compound (AOR: 3.84; 95%CI: (2.15-5.65) and living in non-open defecation free kebele (AOR: 2.4; 95% CI: (1.72-3.23) were predictors of diarrheal disease.
Conclusions: The prevalence of diarrhea among children living in open defecation free kebeles is lower than in its counterpart in non-open defecation free kebeles. Lack of functional hand washing facility, poor hand washing practice after touching infant's faeces, living in non-open defecation free kebeles and improper excreta disposal were significant predictors of diarrhea. Therefore, to Sustain and further strengthen the achievements gained; community and government should accelerate their efforts to maintain the initial open defecation free practices. The risk of diarrhea could be reduced by enhancing latrine access, preparing hand washing facilities near the toilet, hand washing practice at critical time and making residential area open defecation free are important.
Keywords: Open defecation free, Diarrhea, Ethiopia