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. 2018 Sep 12:2018:4271915.
doi: 10.1155/2018/4271915. eCollection 2018.

Assessment of Diarrhea and Its Associated Factors in Under-Five Children among Open Defecation and Open Defecation-Free Rural Settings of Dangla District, Northwest Ethiopia

Abireham Misganaw Ayalew  1 , Worku Tefera Mekonnen  2 , Samson Wakuma Abaya  2 , Zeleke Abebaw Mekonnen  1
Affiliations

Assessment of Diarrhea and Its Associated Factors in Under-Five Children among Open Defecation and Open Defecation-Free Rural Settings of Dangla District, Northwest Ethiopia

Abireham Misganaw Ayalew et al. J Environ Public Health. .

Abstract

Background: Open defecation (OD) is a widespread problem in the developing world. This practice facilitates the transmission of diarrheal diseases. In Ethiopia, still the national open defecation rate in 2014 was 34.1% (37.9% in rural and 8.7% in urban).

Objective: To assess diarrheal morbidity in under-five children and its associated factors in Dangla district, Northwest Ethiopia, 2016.

Methods: A community-based comparative cross-sectional study design with a multistage random sampling technique was applied. The total sample size was 550 (275 ODF and 275 OD). Descriptive and inferential statistics were done.

Results: A total of 525 participants were interviewed making the response rate 95.45%. The prevalence of diarrhea was 9.9% in ODF and 36.1% in OD kebeles. In ODF kebeles, child immunization (AOR = 0.037; 95% CI: 0.006-0.243), latrine presence (AOR = 0.036; 0.006-0.233), water shortage (AOR = 8.756; 95% CI: 1.130-67.831), and solid waste disposal (AOR = 0.143; 95% CI: 0.020-0.998) have statistically significant association with diarrhea occurrence. While in OD kebeles child immunization (AOR = 0.032; 95 CI: 0.008-0.123), water access of 7.5-15 liters/day (AOR = 0.029; 95% CI: 0.006-0.152), water shortage (AOR = 18.478; 95% CI: 4.692-72.760), and proper solid waste disposal (AOR = 0.023; 95% CI: 0.005-0.117) have significant association with diarrhea occurrence.

Conclusions: The overall prevalence of under-five diarrhea was low in ODF kebeles as compared with OD kebeles. The study showed that child immunization, latrine presence, water shortage in household, and solid waste disposal practices had statistically significant association with diarrhea occurrence in ODF kebeles, while water access at the individual level, water shortage in household, child immunization, and solid waste disposal have statistically significant association with diarrhea occurrence in OD kebeles. Integrated efforts are needed from the Ministry of Health together with line ministries and developmental partners in improving latrine utilization at household level, water shortage in households, and solid waste disposal practices.

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Figures

Figure 1
Figure 1
Map of the study area.
Figure 2
Figure 2
Observation result of households that have a latrine in Dangla woreda, Northwest Ethiopia, 2016.
See this image and copyright information in PMC

References

    1. WHO/UNICEF. WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (JMP) New York, NY, USA: WHO/UNICEF; 2012.
    1. Terry C., Christian C., Rita A. W., Pragati P. World Toilet Day, Beyond Infrastructure: Building New Attitudes Also Needed to End OD. New York, NY, USA: Un Press Release; 2014.
    1. Teklemichael G., Mohammed T., Wondwosen K. Risk factors of diarrhoeal disease in under-five children among health extension model and non-model families in Sheko district rural community, Southwest Ethiopia: comparative cross-sectional study. BMC Public Health. 2014;14(395) doi: 10.1186/1471-2458-14-395. - DOI - PMC - PubMed
    1. UNICEF. UNICEF Sanitation Priority Country Factsheet 2014. New York, NY, USA: UNICEF; 2014.
    1. Central Statistical Agency AA. Mini EDHS 2014. Addis Ababa, Ethiopia: Central Statistical Agency; 2014.

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