Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia
Abstract Background Globally, diarrhea continues to be the leading cause of morbidity and mortality for children under five, with an annual rate of 149 million cases of illness and 760,000 deaths. This study aimed to assess prevalence and contributing factors of diarrhea among children under-five ye...
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BMC
2024-11-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-024-05191-2 |
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| author | Nigussie Adam Birhan Alene Yirsaw Workineh Zelalem Meraf Emebiet Abich Gedif Mulat Alemayehu Yenew Alemu Atalaye Nigussie Tilahun Yimanu Birhan |
| author_facet | Nigussie Adam Birhan Alene Yirsaw Workineh Zelalem Meraf Emebiet Abich Gedif Mulat Alemayehu Yenew Alemu Atalaye Nigussie Tilahun Yimanu Birhan |
| author_sort | Nigussie Adam Birhan |
| collection | DOAJ |
| description | Abstract Background Globally, diarrhea continues to be the leading cause of morbidity and mortality for children under five, with an annual rate of 149 million cases of illness and 760,000 deaths. This study aimed to assess prevalence and contributing factors of diarrhea among children under-five years in Awi Zone, Northwest Ethiopia. Methods A community based cross-sectional study was conducted on 1387 participants from February to June 2023. A multistage sampling method was conducted. Structured and pretested questionnaires were used to collect the data. Data were entered in to Epi data and exported to STATA for analysis. A multivariable logistic regression was performed to determine factors associated with diarrhea with p-value < 0.05. Results The prevalence of diarrheal disease among children under five was 17.16%. Child’s age 12 to 23 months [AOR = 16.642; 95% CI: (3.119, 88.805)], protected drinking water [AOR: 0.629; 95% CI: (0.840, 0.928)], health insurance [AOR = 0.571;95% CI: (0.386, 0.844)], institutional delivery [AOR = 0.426, 95% CI: (0.256, 0.707)], water shortage [AOR = 1.570, 95% CI: (1.083, 2.277)], and vaccinated for measles [AOR = 0.124, 95% CI: (0.065, 0.236)] were associated with diarrhea. Conclusion Age of children, source of drinking water, health insurance, place of delivery, family size, water shortage, liquid waste disposal, and measles vaccination were significantly associated with diarrhea among under five children. Interventions targeting improvements in drinking water sources, health insurance coverage, sanitation practices, and vaccination rates are crucial for mitigating the impact of diarrheal disease among children under five years in Awi Zone. |
| format | Article |
| id | doaj-art-fe4e727b1ce94d159361222e2f587923 |
| institution | OA Journals |
| issn | 1471-2431 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-fe4e727b1ce94d159361222e2f5879232025-08-20T02:13:40ZengBMCBMC Pediatrics1471-24312024-11-0124111010.1186/s12887-024-05191-2Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest EthiopiaNigussie Adam Birhan0Alene Yirsaw Workineh1Zelalem Meraf2Emebiet Abich3Gedif Mulat Alemayehu4Yenew Alemu5Atalaye Nigussie6Tilahun Yimanu Birhan7Department of Statistics, College of Natural and Computational Science, Injibara UniversityInjibara General HospitalDepartment of Statistics, College of Natural and Computational Science, Injibara UniversityDepartment of Statistics, College of Natural and Computational Science, Injibara UniversityDepartment of Statistics, College of Natural and Computational Science, Injibara UniversityDepartment of Statistics, College of Natural and Computational Science, Injibara UniversityDepartment of Statistics, College of Natural and Computational Science, Injibara UniversityDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of GondarAbstract Background Globally, diarrhea continues to be the leading cause of morbidity and mortality for children under five, with an annual rate of 149 million cases of illness and 760,000 deaths. This study aimed to assess prevalence and contributing factors of diarrhea among children under-five years in Awi Zone, Northwest Ethiopia. Methods A community based cross-sectional study was conducted on 1387 participants from February to June 2023. A multistage sampling method was conducted. Structured and pretested questionnaires were used to collect the data. Data were entered in to Epi data and exported to STATA for analysis. A multivariable logistic regression was performed to determine factors associated with diarrhea with p-value < 0.05. Results The prevalence of diarrheal disease among children under five was 17.16%. Child’s age 12 to 23 months [AOR = 16.642; 95% CI: (3.119, 88.805)], protected drinking water [AOR: 0.629; 95% CI: (0.840, 0.928)], health insurance [AOR = 0.571;95% CI: (0.386, 0.844)], institutional delivery [AOR = 0.426, 95% CI: (0.256, 0.707)], water shortage [AOR = 1.570, 95% CI: (1.083, 2.277)], and vaccinated for measles [AOR = 0.124, 95% CI: (0.065, 0.236)] were associated with diarrhea. Conclusion Age of children, source of drinking water, health insurance, place of delivery, family size, water shortage, liquid waste disposal, and measles vaccination were significantly associated with diarrhea among under five children. Interventions targeting improvements in drinking water sources, health insurance coverage, sanitation practices, and vaccination rates are crucial for mitigating the impact of diarrheal disease among children under five years in Awi Zone.https://doi.org/10.1186/s12887-024-05191-2Associated factorAwi ZoneDiarrheaPrevalenceUnder five children |
| spellingShingle | Nigussie Adam Birhan Alene Yirsaw Workineh Zelalem Meraf Emebiet Abich Gedif Mulat Alemayehu Yenew Alemu Atalaye Nigussie Tilahun Yimanu Birhan Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia BMC Pediatrics Associated factor Awi Zone Diarrhea Prevalence Under five children |
| title | Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia |
| title_full | Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia |
| title_fullStr | Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia |
| title_full_unstemmed | Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia |
| title_short | Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia |
| title_sort | prevalence of diarrhea and its associated factors among children under five years in awi zone northwest ethiopia |
| topic | Associated factor Awi Zone Diarrhea Prevalence Under five children |
| url | https://doi.org/10.1186/s12887-024-05191-2 |
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