Abstract
Background Diarrhea is the first cause of illness and the second cause of death in under-five children. Home interventions can prevent 57% of mortality related to diarrhea. However, malpractices were common and the reason for this underutilization was unclear. Thus, this study was aimed at assessing poor home management practice of Diarrhea and associated factors among caregivers of under-five years children in urban and rural residents. Methods The community-based comparative cross-sectional study was conducted in Doba woreda, Ethiopia, from February 25 to March 15, 2017. Multistage cluster sampling technique was used to study 559 caregivers. An interviewer administered pretested structured questionnaire was used to collect data. Collected data were entered into Epi Info version 3.5.1 and exported to statistical package for social sciences (SPSS) version 20.0 for analysis. The binary logistic regression model was used. In bivariate analysis p-value<0.25 was taken into multivariable analysis. Adjusted odds ratios with their corresponding 95% of CI were used to report results with a significance level of p-value<0.05. Result 184 urban and 375 rural caregivers were included in the study. Poor home management practice was 55.8% of urban and 85.6% of rural residents. Knowledge level (AOR=2.7(CI[1.3, 6.5]) and AOR=13.4(CI[5.3, 34.0]) and difficulty in preparing oral rehydration salt (AOR=4.0CI[1.4, 11.0]) and AOR=2.4(1.3, 5.3)) were associated factors for both urban and rural residents, respectively. Caregivers of male index child (AOR=2.3(1.2, 4.7)) and age of the caregivers (AOR=0.26(0.09, 0.8)) were associated with poor home practice for urban residents. In rural residents, inaccessibility to zinc supplementation (AOR=2.4(1.2, 5.0)) was among associated factors. Conclusion Poor home management practice of diarrhea was high in both urban and rural residents. It was higher in rural compared to urban residents. Poor practice was associated with knowledge level, age of the caregivers, sex of the index child, and accessibility of zinc. Health education and community mobilization on home management of diarrhea are important to increase awareness and improve practice level.
Highlights
Diarrhea is the first cause of illness and the second cause of death in under-five children
Diarrhea is the second cause of mortality and the most common cause of illness in childhood and it is accountable for 1.5 billion cases and 2 million deaths per year [5, 6]
How much fluid did give since diarrhea starts? Is oral rehydration salt (ORS)∗ had given for child previously? Is sugar salt solution (SSS)∗ had given to child previously?
Summary
Diarrhea is the first cause of illness and the second cause of death in under-five children. This study was aimed at assessing poor home management practice of Diarrhea and associated factors among caregivers of under-five years children in urban and rural residents. Poor home management practice was 55.8% of urban and 85.6% of rural residents. Caregivers of male index child (AOR=2.3(1.2, 4.7)) and age of the caregivers (AOR=0.26(0.09, 0.8)) were associated with poor home practice for urban residents. Poor home management practice of diarrhea was high in both urban and rural residents. Diarrhea is the unusual frequent passage of three or more loose or watery stools in the 24-hour period It is caused by many types of microorganism and other factors and common in areas where poor access to safe water and consumption of contaminated food are prevalent and practices of personal hygiene are poor [1,2,3,4]. Death due to diarrhea is mostly associated with loss of water and electrolytes [3]
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