Abstract

BackgroundChildhood morbidities are a major cause of mortality of children in the developing countries particularly in Ethiopia. Regardless of the noticeable improvement in the reduction of under-five death in Ethiopia, childhood diarrhea and fever are still the leading cause of death. In Ethiopia, the burden of child mortality is alarming and calls for determined efforts in combating such health problems. Therefore, this study aimed to investigate the risk factors for childhood morbidity specifically for diarrhea and fever.MethodsTo gain insight into children’s health issues, the 2016 Ethiopian Demographic and Health Survey data were used. Among the marginal models, alternating logistic regression that is an extension of the generalized estimating equation model was used to investigate the risk factors of childhood morbidity explicitly for diarrhea and fever.ResultsThe results show that the child’s sex, child’s age, anemia level, husband education level, mother’s work status, mother’s marital status, breastfeeding status and region are all chosen significant risk factors related with childhood diarrhea disease and fever disease.ConclusionThe study indicated that male children, 0–11 months aged children, 12–23 months aged children, anemic children, husband with a lower education, mothers paid employment, non-breastfed children, regions of Amhara, Afar, Dire Dawa, Benishangul, Gambela, Oromia, SNNPR, Somali and Tigray were significantly associated with higher odds of morbidity in Ethiopia. Therefore, there is a need for children morbidity interventions intended to improve child health outcomes in the country.

Highlights

  • Childhood morbidities are a major cause of mortality of children in the developing countries in Ethiopia

  • It reveals that diarrhea disease (Yes) of children in the country is highly prevalent in Oromia, SNNPR and Tigray followed by Amhara, Afar, Gambela and Somali regions compared to Addis Ababa city

  • Crosstabulation analysis indicates that current age of child, anemia level, husband education level and breastfeeding status associated with childhood diarrheal disease and fever disease at a 5% level of significance

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Summary

Introduction

Childhood morbidities are a major cause of mortality of children in the developing countries in Ethiopia. Regardless of the noticeable improvement in the reduction of under-five death in Ethiopia, childhood diarrhea and fever are still the leading cause of death. According to the UNICEF report in 2016, approximately 5.6 million children under age of five die every year, which is decreased from over 12 million in 1990. About 75% of the under-five deaths are still caused by a handful of Numerous investigations in Africa revealed that infectious diseases as the leading causes of under age of five children death [6,7,8,9]. In Ethiopia, childhood morbidity and mortality remain high due to the burden associated with highly prevalent diseases such as diarrhea, fever, cough, malaria and HIV-AIDS. Diarrhea contributes to more than one in every ten (13%) child deaths in Takele et al BMC Public Health (2019) 19:942

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