Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013

Alemu Tamiso; Mezgebu Yitayal; Akilew Awoke

doi:doi:10.11648/j.sjph.20140203.28

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Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013

Alemu Tamiso, Mezgebu Yitayal, Akilew Awoke

Published in Science Journal of Public Health (Volume 2, Issue 3)

Received: 31 December 2013 Accepted: 30 May 2014 Published: 30 May 2014

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Abstract

Background: Despite dramatic declines in deaths due to diarrheal disease among infants and children in developing countries, diarrhea remains a significant cause of morbidity and mortality. Even though Rota vaccine is not available to decrease morbidity and mortality due to diarrheal disease, Ethiopian government endorsed health extension program at 2004 and through it, the country was increasing latrine coverage and utilization, creating positive behavioral change in household level regarding personal hygiene and environmental sanitation to decrease the morbidity due to diarrhea, even though diarrhea remains second common cause of under-five mortality in the country. So the aim of the study was to assess the prevalence and determinants of childhood diarrhea among graduated households in rural area of Shebedino district, Southern Ethiopia. Methods: A community based cross-sectional study was carried out in April 2013. A multi -stage sampling to reach household and systematic random sampling technique was used to select 769 graduated households that had at least one under-five children. Data were collected using a pre-tested and structured questionnaire by trained nurses. Bivariate and hierarchical logistic regression analyses were undertaken to identify determinant of childhood diarrhea. Results: Seven hundred sixty nine households were enrolled in the study making a response rate of 98.8%. The prevalence of childhood diarrhea was found to be 19.6 %,( 95% CI: (16.8, 22.4). The household graduated before 2003 EC ([AOR: 1.83, 95% CI (1.16, 2.89), two or more under five children [AOR: 1.96, 95% CI (1.23,3.12)], history of maternal diarrheal morbidity [AOR: 5.76, 95% CI:(3.50, 9.47)], mode of feeding by cup[AOR:2.13,95%CI:(1.09, 4.13)], and malnutrition [AOR:4.06,95% CI :(2.54-6.50)]were determinants of childhood diarrhea. Conclusion: Prevalence of childhood diarrhea was high. Time of household graduation, kebeles, and maternal diarrheal illness, mode of feeding and nutritional status were determinants of childhood diarrhea. Refreshing the graduated households on minimum of every two years and health extension program should focus on child care practice to prevent and control childhood diarrhea.

Published in	Science Journal of Public Health (Volume 2, Issue 3)
DOI	10.11648/j.sjph.20140203.28
Page(s)	243-251
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Childhood Diarrhea, Graduated Household, Health Extension Program, Hierarchical Logistic-Model, Ethiopia

References

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[9]	Kedir B, Nejmudin CHH, Feng Zhao et al. Health extension workers in Ethiopia: Improved access and coverage for the rural poor. 2011. p. 434-43.
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[18]	Oni, GA. infant feeding practices, socioeconomic conditions and diarrheal disease in a traditional area of urban Ilorin, Nigeria. Est. Afr. Med. J. 1996; 73(5): 283-288.
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APA Style

Alemu Tamiso, Mezgebu Yitayal, Akilew Awoke. (2014). Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Science Journal of Public Health, 2(3), 243-251. https://doi.org/10.11648/j.sjph.20140203.28

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Alemu Tamiso; Mezgebu Yitayal; Akilew Awoke. Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Sci. J. Public Health 2014, 2(3), 243-251. doi: 10.11648/j.sjph.20140203.28

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AMA Style

Alemu Tamiso, Mezgebu Yitayal, Akilew Awoke. Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Sci J Public Health. 2014;2(3):243-251. doi: 10.11648/j.sjph.20140203.28

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@article{10.11648/j.sjph.20140203.28,
  author = {Alemu Tamiso and Mezgebu Yitayal and Akilew Awoke},
  title = {Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013},
  journal = {Science Journal of Public Health},
  volume = {2},
  number = {3},
  pages = {243-251},
  doi = {10.11648/j.sjph.20140203.28},
  url = {https://doi.org/10.11648/j.sjph.20140203.28},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140203.28},
  abstract = {Background: Despite dramatic declines in deaths due to diarrheal disease among infants and children in developing countries, diarrhea remains a significant cause of morbidity and mortality. Even though Rota vaccine is not available to decrease morbidity and mortality due to diarrheal disease, Ethiopian government endorsed health extension program at 2004 and through it, the country was increasing latrine coverage and utilization, creating positive behavioral change in household level regarding personal hygiene and environmental sanitation to decrease the morbidity due to diarrhea, even though diarrhea remains second common cause of under-five mortality in the country. So the aim of the study was to assess the prevalence and determinants of childhood diarrhea among graduated households in rural area of Shebedino district, Southern Ethiopia. Methods: A community based cross-sectional study was carried out in April 2013. A multi -stage sampling to reach household and systematic random sampling technique was used to select 769 graduated households that had at least one under-five children. Data were collected using a pre-tested and structured questionnaire by trained nurses. Bivariate and hierarchical logistic regression analyses were undertaken to identify determinant of childhood diarrhea. Results: Seven hundred sixty nine households were enrolled in the study making a response rate of 98.8%. The prevalence of childhood diarrhea was found to be 19.6 %,( 95% CI: (16.8, 22.4). The household graduated before 2003 EC ([AOR: 1.83, 95% CI (1.16, 2.89), two or more under five children [AOR: 1.96, 95% CI (1.23,3.12)], history of maternal diarrheal morbidity [AOR: 5.76, 95% CI:(3.50, 9.47)], mode of feeding by cup[AOR:2.13,95%CI:(1.09, 4.13)], and malnutrition [AOR:4.06,95% CI :(2.54-6.50)]were determinants of childhood diarrhea. Conclusion: Prevalence of childhood diarrhea was high. Time of household graduation, kebeles, and maternal diarrheal illness, mode of feeding and nutritional status were determinants of childhood diarrhea. Refreshing the graduated households on minimum of every two years and health extension program should focus on child care practice to prevent and control childhood diarrhea.},
 year = {2014}
}

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TY  - JOUR
T1  - Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013
AU  - Alemu Tamiso
AU  - Mezgebu Yitayal
AU  - Akilew Awoke
Y1  - 2014/05/30
PY  - 2014
N1  - https://doi.org/10.11648/j.sjph.20140203.28
DO  - 10.11648/j.sjph.20140203.28
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 243
EP  - 251
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20140203.28
AB  - Background: Despite dramatic declines in deaths due to diarrheal disease among infants and children in developing countries, diarrhea remains a significant cause of morbidity and mortality. Even though Rota vaccine is not available to decrease morbidity and mortality due to diarrheal disease, Ethiopian government endorsed health extension program at 2004 and through it, the country was increasing latrine coverage and utilization, creating positive behavioral change in household level regarding personal hygiene and environmental sanitation to decrease the morbidity due to diarrhea, even though diarrhea remains second common cause of under-five mortality in the country. So the aim of the study was to assess the prevalence and determinants of childhood diarrhea among graduated households in rural area of Shebedino district, Southern Ethiopia. Methods: A community based cross-sectional study was carried out in April 2013. A multi -stage sampling to reach household and systematic random sampling technique was used to select 769 graduated households that had at least one under-five children. Data were collected using a pre-tested and structured questionnaire by trained nurses. Bivariate and hierarchical logistic regression analyses were undertaken to identify determinant of childhood diarrhea. Results: Seven hundred sixty nine households were enrolled in the study making a response rate of 98.8%. The prevalence of childhood diarrhea was found to be 19.6 %,( 95% CI: (16.8, 22.4). The household graduated before 2003 EC ([AOR: 1.83, 95% CI (1.16, 2.89), two or more under five children [AOR: 1.96, 95% CI (1.23,3.12)], history of maternal diarrheal morbidity [AOR: 5.76, 95% CI:(3.50, 9.47)], mode of feeding by cup[AOR:2.13,95%CI:(1.09, 4.13)], and malnutrition [AOR:4.06,95% CI :(2.54-6.50)]were determinants of childhood diarrhea. Conclusion: Prevalence of childhood diarrhea was high. Time of household graduation, kebeles, and maternal diarrheal illness, mode of feeding and nutritional status were determinants of childhood diarrhea. Refreshing the graduated households on minimum of every two years and health extension program should focus on child care practice to prevent and control childhood diarrhea.
VL  - 2
IS  - 3
ER  -

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Author Information

Alemu Tamiso

Departments of public health, Unit of epidemiology and biostatistics, Arba Minch University, Arba Minch, Ethiopia
Mezgebu Yitayal

Institute of public health, Departments of epidemiology and biostatistics/health management and health economics, University of Gondar, Ethiopia
Akilew Awoke

Institute of public health, Departments of epidemiology and biostatistics/health management and health economics, University of Gondar, Ethiopia

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APA Style

Alemu Tamiso, Mezgebu Yitayal, Akilew Awoke. (2014). Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Science Journal of Public Health, 2(3), 243-251. https://doi.org/10.11648/j.sjph.20140203.28

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ACS Style

Alemu Tamiso; Mezgebu Yitayal; Akilew Awoke. Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Sci. J. Public Health 2014, 2(3), 243-251. doi: 10.11648/j.sjph.20140203.28

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AMA Style

Alemu Tamiso, Mezgebu Yitayal, Akilew Awoke. Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Sci J Public Health. 2014;2(3):243-251. doi: 10.11648/j.sjph.20140203.28

Copy | Download

@article{10.11648/j.sjph.20140203.28,
  author = {Alemu Tamiso and Mezgebu Yitayal and Akilew Awoke},
  title = {Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013},
  journal = {Science Journal of Public Health},
  volume = {2},
  number = {3},
  pages = {243-251},
  doi = {10.11648/j.sjph.20140203.28},
  url = {https://doi.org/10.11648/j.sjph.20140203.28},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140203.28},
  abstract = {Background: Despite dramatic declines in deaths due to diarrheal disease among infants and children in developing countries, diarrhea remains a significant cause of morbidity and mortality. Even though Rota vaccine is not available to decrease morbidity and mortality due to diarrheal disease, Ethiopian government endorsed health extension program at 2004 and through it, the country was increasing latrine coverage and utilization, creating positive behavioral change in household level regarding personal hygiene and environmental sanitation to decrease the morbidity due to diarrhea, even though diarrhea remains second common cause of under-five mortality in the country. So the aim of the study was to assess the prevalence and determinants of childhood diarrhea among graduated households in rural area of Shebedino district, Southern Ethiopia. Methods: A community based cross-sectional study was carried out in April 2013. A multi -stage sampling to reach household and systematic random sampling technique was used to select 769 graduated households that had at least one under-five children. Data were collected using a pre-tested and structured questionnaire by trained nurses. Bivariate and hierarchical logistic regression analyses were undertaken to identify determinant of childhood diarrhea. Results: Seven hundred sixty nine households were enrolled in the study making a response rate of 98.8%. The prevalence of childhood diarrhea was found to be 19.6 %,( 95% CI: (16.8, 22.4). The household graduated before 2003 EC ([AOR: 1.83, 95% CI (1.16, 2.89), two or more under five children [AOR: 1.96, 95% CI (1.23,3.12)], history of maternal diarrheal morbidity [AOR: 5.76, 95% CI:(3.50, 9.47)], mode of feeding by cup[AOR:2.13,95%CI:(1.09, 4.13)], and malnutrition [AOR:4.06,95% CI :(2.54-6.50)]were determinants of childhood diarrhea. Conclusion: Prevalence of childhood diarrhea was high. Time of household graduation, kebeles, and maternal diarrheal illness, mode of feeding and nutritional status were determinants of childhood diarrhea. Refreshing the graduated households on minimum of every two years and health extension program should focus on child care practice to prevent and control childhood diarrhea.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013
AU  - Alemu Tamiso
AU  - Mezgebu Yitayal
AU  - Akilew Awoke
Y1  - 2014/05/30
PY  - 2014
N1  - https://doi.org/10.11648/j.sjph.20140203.28
DO  - 10.11648/j.sjph.20140203.28
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 243
EP  - 251
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20140203.28
AB  - Background: Despite dramatic declines in deaths due to diarrheal disease among infants and children in developing countries, diarrhea remains a significant cause of morbidity and mortality. Even though Rota vaccine is not available to decrease morbidity and mortality due to diarrheal disease, Ethiopian government endorsed health extension program at 2004 and through it, the country was increasing latrine coverage and utilization, creating positive behavioral change in household level regarding personal hygiene and environmental sanitation to decrease the morbidity due to diarrhea, even though diarrhea remains second common cause of under-five mortality in the country. So the aim of the study was to assess the prevalence and determinants of childhood diarrhea among graduated households in rural area of Shebedino district, Southern Ethiopia. Methods: A community based cross-sectional study was carried out in April 2013. A multi -stage sampling to reach household and systematic random sampling technique was used to select 769 graduated households that had at least one under-five children. Data were collected using a pre-tested and structured questionnaire by trained nurses. Bivariate and hierarchical logistic regression analyses were undertaken to identify determinant of childhood diarrhea. Results: Seven hundred sixty nine households were enrolled in the study making a response rate of 98.8%. The prevalence of childhood diarrhea was found to be 19.6 %,( 95% CI: (16.8, 22.4). The household graduated before 2003 EC ([AOR: 1.83, 95% CI (1.16, 2.89), two or more under five children [AOR: 1.96, 95% CI (1.23,3.12)], history of maternal diarrheal morbidity [AOR: 5.76, 95% CI:(3.50, 9.47)], mode of feeding by cup[AOR:2.13,95%CI:(1.09, 4.13)], and malnutrition [AOR:4.06,95% CI :(2.54-6.50)]were determinants of childhood diarrhea. Conclusion: Prevalence of childhood diarrhea was high. Time of household graduation, kebeles, and maternal diarrheal illness, mode of feeding and nutritional status were determinants of childhood diarrhea. Refreshing the graduated households on minimum of every two years and health extension program should focus on child care practice to prevent and control childhood diarrhea.
VL  - 2
IS  - 3
ER  -

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