Abstract
ObjectiveDiarrheal disease in under-five children among model families is expected to be lower than non-model families. Therefore, this study compared the prevalence and associated factors of diarrheal diseases among under-five children between model and non-model families. A comparative cross-sectional study was conducted from May to June 2017 among 322 children from each model and non-model family. Using multistage sampling technique data were collected through interview and observation. Both bi-variable and multivariable analyses were used to compute the statistical associations. Statistical significances were declared at 95% CI and p value < 0.05.ResultsDiarrheal disease in under-five children for those from model families was 26 (8.1%) and 65 (20.2%) to the non-model families with 95% CI 0.117, 0.168. Being non-model family (AOR = 1.9 and 95% CI 1.004, 3.565), maternal history of diarrhea (AOR = 3.3 and 95% CI 1.975, 5.570), improper waste disposal method (AOR = 2.6 and 95% CI 1.251, 5.578) and not latrine use (AOR = 2.1 and 95% CI 1.128, 3.897) were found determinant factors of diarrhea. Health extension model families training and follow up programs are needed to be expanded for all non-model families.
Highlights
According to different reviews conducted in Ethiopia, basic health services in the rural areas of the country are still with limited access
Diarrheal disease in under-five children for those from model families was 26 (8.1%) and 65 (20.2%) to the non-model families with 95% confidence interval (CI) 0.117, 0.168
Being non-model family (AOR = 1.9 and 95% CI 1.004, 3.565), maternal history of diarrhea (AOR = 3.3 and 95% CI 1.975, 5.570), improper waste disposal method (AOR = 2.6 and 95% CI 1.251, 5.578) and not latrine use (AOR = 2.1 and 95% CI 1.128, 3.897) were found determinant factors of diarrhea
Summary
According to different reviews conducted in Ethiopia, basic health services in the rural areas of the country are still with limited access. To fill this gap, the Ethiopian government is currently implementing an interventional package, the so-called health extension package (HEP), which was first introduced in the country by 2003 [1, 2]. These are tuberculosis, HIV, malaria, maternal and child health, family planning, immunization, adolescent reproductive health, The health extension workers identify and train “model families” that have acceptance and credibility by the community and are early adopters of desirable health practices. The model families, as role models, help practically disseminate health messages which leads the “non-model families” to adopt desire health practices and behaviors [3]
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