Determinants of childhood diarrhea in West Gojjam, Northwest Ethiopia: a case control study. Pan Afr Med J 2018;30:234
Date
12/24/2018Pubmed ID
30574253Pubmed Central ID
PMC6295292DOI
10.11604/pamj.2018.30.234.14109Scopus ID
2-s2.0-85058923704 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
INTRODUCTION: Childhood diarrhea is a global public health problem that affects both developed and developing countries including Ethiopia. The objective of this study was to assess determinants of childhood diarrhea among children under-five years of age in West Gojjam Zone, northwest Ethiopia.
METHODS: A community-based case control study was conducted in four districts of West Gojjam in the northwest of Ethiopia from July to August, 2015. A randomly selected sample of 118 cases and 351 controls who met the inclusion criteria were included in this study. Data were collected using a structured questionnaire through face to face interview. Independent variables which had p-value less than 0.2 at an unadjusted model were candidate for the final model. Adjusted odds ratio was used to control confounding effects and to determine predictors of an outcome.
RESULTS: Unimproved water sources (AOR, 1.88; 95 % CI: 1.17-3.03), lack of hand washing at critical times (AOR, 2.38; 95 % CI: 1.42-3.99) and a deepening method to take water from a water storage container (AOR, 2.11; 95 % CI: 1.28-3.47), presence of two or more young siblings (AOR, 4.15; 95 % CI: 2.57-6.70), rural residence (AOR,2.11 95 % CI: 2.21-3.68), and not using latrine for disposal of child feces (AOR, 1.90; 95 % CI: 1.12-3.22) were predictors of diarrhea among children under the age of five.
CONCLUSION: The majority of the causes of childhood diarrhea in the study area were preventable. Thus, health extension workers should give tailored health information to mothers or caregivers on the importance of sanitation, personal and environmental hygiene and drinking water handling methods.
Author List
Girma M, Gobena T, Medhin G, Gasana J, Roba KTAuthor
Janvier Gasana MD, MPH, PhD Adjunct Associate Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Case-Control Studies
Child, Preschool
Diarrhea
Ethiopia
Female
Hand Disinfection
Humans
Hygiene
Infant
Infant, Newborn
Male
Middle Aged
Risk Factors
Sanitation
Surveys and Questionnaires
Toilet Facilities
Young Adult
