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. 2018 Aug 16;44(1):95.
doi: 10.1186/s13052-018-0540-7.

Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia

Atalay Getachew  1 , Alebachew Tadie  2 , Mulat G Hiwot  1 , Tadesse Guadu  1 , Daniel Haile  1 , Teklay G Cherkos  3 , Zemichael Gizaw  1 , Marta Alemayehu  3
Affiliations

Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia

Atalay Getachew et al. Ital J Pediatr. .

Abstract

Background: In the sub-Saharan countries, many of the children including found in health facilities are not having sufficient care of diarrhea. Diarrheal disease in these countries is one of the main causes of deaths for under-five children.

Methods: A community-based cross-sectional study design was used to collect data from May-June, 2016 to determine environmental factors of diarrhea prevalence among under five children in North Gondar Zone. Structured interview questionnaire and observational checklist were used to collect data. Using probability proportion to size, number of households was determined in each district. The multivariable binary logistic regression analysis with a 95% confidence interval and p < 0.05.was used to identify environmental factors associated with childhood diarrheal disease.

Results: Of the total 736 individuals surveyed from 736 households, a total of 163 (22.1%) with [95% CI (19.1-25.1)] under -five children had 2 week period diarrhea prevalence. Roof material [AOR: 1.99, 95% CI (1.1-3.82)], hand washing facility [AOR: 0.52, 95%CI (0.33-0.82)], presence of Latrine facility [AOR: 1.65, 95% CI (1.01-2.72)], presence of feces around the pit hole [AOR: 1.65, 95% CI (1.01-2.72)], presence of feces around the house compound [AOR: 1.65, 95% CI (1.01-2.72)] and risk of contamination of household storage had significant associations with diarrheal morbidity.

Conclusion: The prevalence of childhood diarrheal disease among under - five children in rural settings of northwest Ethiopia was high. Type of roof material, hand washing facility, presence of Latrine facility, presence of feces around the pit hole, presence of feces around the house compound and risk of contamination of household storage had significant associations with diarrheal morbidity.

Keywords: Diarrhea; Environmental factors; North Gondar zone; Under-five children.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical clearance was obtained from University of Gondar. After thoroughly discussing the ultimate purpose and method of the study, a written consent was obtained from Institutional Ethical Committee of University of Gondar. Then, community consent was obtained from the respective community leaders. The privacy and confidentiality were maintained during interview. Therefore, only coding was included in the data collection tools. In addition, participants in the study that were not willing to take part in the study had full right to do so. Children that have diarrheal disease were referred to the near health facilities for treatment.

Consent for publication

This manuscript does not contain any individual person’s data.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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