Abstract
Background: Acute diarrheal diseases are the leading cause of preventable childhood death, especially in developing countries. It is the second leading cause of death in under-five year children nest to pneumonia. Objectives: The aim of this study was to determine the magnitude and associated factors of diarrhea in under-five in Harena Buluk district. Methods: A community based Cross sectional study was conducted in February, 2018. A two stage stratified sampling method was done to select the eligible households. Data was collected by trained data collectors using pretested questionnaire list which was prepared based on EDHS and WHO core questionnaires related to diarrhea. Data was entered in to a computer using Epi data 3.1 and exported to SPSS V.20 for further analysis. Logistic regression was used to determine level of association with 95% CI. A p-value <0.05 in the final model were considered as significant. Result: The two weeks period magnitude of diarrhea among under-five children was 28.4% with 95% CI (14.5-20.8) which was associated with households with one under five children (AOR: 0.268, 95% CI(.08,0.90)), living in the home with single room ((AOR = 6.01, 95% CI(1.01,36.01)), clean latrine/faces not seen around the pit or on the floor of latrine(AOR: 0.298, 95% CI(0.097,0.92)), long time take to fetch water from source (AOR: 0.046,95%CI(0.01,0.22)), home based water treatment ((AOR = 0.15, 95% CI: (0.04, 0.62)), living with animal in the same house(AOR: 8.31, 95% CI(2.46,28.06)), children who took gruel type of food(AOR: 0.24, 95% CI(0.07,0.81)), hand washing practice before cooking food (AOR: 0.195(0.066, 0.574)). Conclusion: The two weeks period magnitude of acute under-five diarrhea was relatively high and number of under five children in the household, cleanness latrine, time taking from the source of water, home based water treatment, number of rooms in the home, live with animal in the same house, type of food child take, hand washing before food preparation had significant association with the occurrence of under-five diarrhea. Improve community about home and environmental sanitation and hand practices were recommended.
Highlights
Back GroundDiarrhea is defined as a child with loose or watery stool for three or more times during a 24–hours period and caused by a host of bacterial, viral, protozoa and parasitic organisms
The two weeks period magnitude of acute under-five diarrhea was relatively high and number of under five children in the household, cleanness latrine, time taking from the source of water, home based water treatment, number of rooms in the home, live with animal in the same house, type of food child take, hand washing before food preparation had significant association with the occurrence of under-five diarrhea
This study shows that households living together with the cattle in the same house were positively associated with the occurrence of diarrhea morbidity. who live separately from cattle were more than seven times less likely compared to Children from the household who live together with cattle in the same house
Summary
Back GroundDiarrhea is defined as a child with loose or watery stool for three or more times during a 24–hours period and caused by a host of bacterial, viral, protozoa and parasitic organisms. Despite global success in the reduction of all cause and diarrhea specific mortality in the past 30 years, diarrhea remains the second leading cause of death due to infections among children under five years of age worldwide and account for 1,400 children death every day, around 1 in 10 child deaths worldwide due to diarrhea in 2015. It is more than the death of children due to AIDS, malaria, and measles combined [3]. Acute diarrheal diseases are the leading cause of preventable childhood death, especially in developing countries It is the second leading cause of death in under-five year children nest to pneumonia
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