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. 2024 Nov 6;24(1):701.
doi: 10.1186/s12887-024-05191-2.

Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia

Nigussie Adam Birhan  1 , Alene Yirsaw Workineh  2 , Zelalem Meraf  3 , Emebiet Abich  3 , Gedif Mulat Alemayehu  3 , Yenew Alemu  3 , Atalaye Nigussie  3 , Tilahun Yimanu Birhan  4
Affiliations

Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia

Nigussie Adam Birhan et al. BMC Pediatr. .

Abstract

Background: Globally, diarrhea continues to be the leading cause of morbidity and mortality for children under five, with an annual rate of 149 million cases of illness and 760,000 deaths. This study aimed to assess prevalence and contributing factors of diarrhea among children under-five years in Awi Zone, Northwest Ethiopia.

Methods: A community based cross-sectional study was conducted on 1387 participants from February to June 2023. A multistage sampling method was conducted. Structured and pretested questionnaires were used to collect the data. Data were entered in to Epi data and exported to STATA for analysis. A multivariable logistic regression was performed to determine factors associated with diarrhea with p-value < 0.05.

Results: The prevalence of diarrheal disease among children under five was 17.16%. Child's age 12 to 23 months [AOR = 16.642; 95% CI: (3.119, 88.805)], protected drinking water [AOR: 0.629; 95% CI: (0.840, 0.928)], health insurance [AOR = 0.571;95% CI: (0.386, 0.844)], institutional delivery [AOR = 0.426, 95% CI: (0.256, 0.707)], water shortage [AOR = 1.570, 95% CI: (1.083, 2.277)], and vaccinated for measles [AOR = 0.124, 95% CI: (0.065, 0.236)] were associated with diarrhea.

Conclusion: Age of children, source of drinking water, health insurance, place of delivery, family size, water shortage, liquid waste disposal, and measles vaccination were significantly associated with diarrhea among under five children. Interventions targeting improvements in drinking water sources, health insurance coverage, sanitation practices, and vaccination rates are crucial for mitigating the impact of diarrheal disease among children under five years in Awi Zone.

Keywords: Associated factor; Awi Zone; Diarrhea; Prevalence; Under five children.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Prevalence of diarrhea among under five years of children in Awi zone
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