Abstract

Background: Diarrhea is one of the leading causes of death and high rates of morbidity in children under five worldwide. In Indonesia, diarrhea is an endemic disease that can increase mortality. The factors can influence the incidence of diarrhea, such as the characteristics of caregivers (education, work, behavior), characteristics of children under five (nutritional status, exclusive breastfeeding), and basic sanitation (clean water facilities, healthy latrines, sewage treatment, waste disposal). Purpose: To know the effect of basic sanitation, caregiver’s behavior, and children’s characteristic factors on the occurrence of diarrhea in children under five. Research Method: This study is an observational analysis with a cross-sectional study design in X Health Center Y city. They were taking a sample using simple random sampling with 450 caregivers and children under five who had diarrhea in the last three months. The caregivers filled out a questionnaire, and the researcher observed the basic sanitation in the respondents’ houses. The data was analyzed by multivariate using a logistic regression test. Result: The multivariate showed that were four independent variables which significantly influenced the incidence of diarrhea, such as exclusive breastfeeding factor p=0,000 (p<0.05) OR 10,1(CI95% 3,64-27,98), latrine facilities p=0.003 (p<0.05) OR 5,1(CI95%1,71-15,17), garbage facilities p=0,000 (p <0.05) OR 23,2(CI95%7,19-74,6), and behavior p=0,000 (p<0.05) OR 188,3(CI95%48,66-729,33), R Square was 89.7%. Conclusions: There is a significant relationship between basic sanitation, caregiver’s behavior, and children’s characteristics with the occurrence of diarrhea in children under five. They should continuously educate the caregiver about clean and healthy behavior, counseling on the importance of exclusive breastfeeding for infants, and intervention for basic sanitation such as closing the waste disposal. It needs a Health Center and caregivers’ support to prevent the occurrence of diarrhea in Children.

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