A cross-sectional study of socio-demographic determinants of recurrent diarrhoea among children under five of rural area of Western Maharashtra,India

Avachat, Shubhada Sunil; Phalke, Vaishali D; Phalke, Deepak B; Aarif, Syed M M; Kalakoti, Piyush

doi:10.4066/amj.2011.524

Cited by 34 publications

(28 citation statements)

References 2 publications

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“…The findings of this study regarding maternal education emphasizes that mothers with lower educational status put their children at higher risk for having diarrhea, which is in line with a community-based cross-sectional study in Ethiopia, Zimbabwe, Uganda, India and in a case control study done in Lesotho [15,17,18,20-23]. Mother’s literacy influences hygienic practice, child feeding, weaning and sanitation practices which in turn were important factors for childhood diarrhea.…”

Section: Discussionsupporting

confidence: 86%

Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia

Mihrete¹,

2014

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BackgroundDiarrhea is second only to pneumonia as the cause of child mortality worldwide. Developing countries particularly in Sub Saharan Africa including Ethiopia have a high burden of this disease. Studies showed that different factors were associated with the occurrence of childhood diarrhea. Therefore, this study was aimed to identify determinant factors of diarrhea in underfive children in Benishangul Gumuz Regional State, western Ethiopia.MethodDemographic and Health Survey (DHS) data of 2011 was used for this study. The data was extracted from the National DHS data using data extraction tools. A total of 925 under five children were selected. The logistic regression model was employed to examine the determinants of childhood diarrhoea. Both bivariate and multivariate data analysis was performed using SPSS version 16.0.ResultThe results of this study indicated that low level of maternal education [AOR = 1.81, 95% CI (1.12,2.76)], absence of toilet facility [AOR = 3.5, 95% CI (2.4, 5.2)], improper child stool disposal methods [AOR = 2.05, 95%CI (1.36, 3.10)], having more than two under five children [AOR = 1.73, 95% CI (1.03, 2.93)], higher birth order [AOR = 6.1, 95% CI (3.1,12.2)] and the age of children [AOR = 1.9, 95% CI (1.2, 3.6)] were found to be the risk factors for childhood diarrhea after adjusting for other variables. When toilet facility was stratified by maternal education, it showed that children of mothers who had no education were the most vulnerable in the absence of toilet facilities [OR = 9.16, 95% CI (5.79, 14.48)].ConclusionUnder poor environmental conditions, mothers with primary education and above protected their children against diarrhea better than mothers with no education. Thus, implementing effective educational programs that emphasize environmental health and sanitation practices and encouraging female school enrolment would reduce childhood diarrheal morbidity in the region.

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Section: Discussionsupporting

confidence: 86%

Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia

Mihrete¹,

2014

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“…This finding is an indication that children of mothers with lower educational attainment have a higher risk of experiencing childhood diarrhea than those whose mothers are better educated. This is in line with community-based studies conducted in Asia and sub-Saharan Africa 28,29,21,22 . The possible reasons for this finding in Nigeria, is that better educated mothers are involved in practices that are of benefit to the health of their children.…”

Section: Discussionsupporting

confidence: 54%

“…Years of formal education are a wellrecognized indicator of social position and have been frequently used in international surveys to explore social inequalities [20][21][22] . These studies show that people with progressively more advanced levels of education have better health and longer lives than those without.…”

Section: African Journal Of Reproductive Health September 2017; 21 (3mentioning

confidence: 99%

Maternal Education and Diarrhea among Children aged 0-24 Months in Nigeria

Desmennu

Oluwasanu

John-Akinola

et al. 2017

Afr J Reprod Health

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Childhood diarrhea remains a problem in countries like Nigeria where access to potable water, good hygiene and sanitation are lacking. Maternal education is an important determinant of health status of under-five children. Very few studies have investigated the relationship between maternal education and diarrhea in children in Nigeria. Therefore, this study was implemented to fill the gap. The study design was cross-sectional and 2013 National Survey was used. Children aged 0-24 months were investigated and the dependent variable was diarrhea status of the index child in the last two weeks prior the survey. The main independent variable was maternal education. Data were analyzed using Chi-square and Logistic regression models (α=0.05). Diarrhea prevalence was 13.7% and higher (15.5%) among children of women who have no formal education, and mothers living in the North East region of Nigeria experienced the highest prevalence (26.4%). Children whose mothers had no formal education were 2.69(CI= 1.800-4.015, p<0.001) more likely to have diarrhea as compared to those who had higher education. Maternal education is an important predictor of diarrhea among children aged 0-24 months in Nigeria. Policies to reduce diarrhea among children in Nigeria should target children of the illiterate, less educated mothers and those living in the North-West. (Afr J Reprod Health 2017; 21[3]: 27-36). Keywords: Maternal Education, Childhood diarrhea, Nigeria RésuméLa diarrhée infantile demeure un problème dans des pays comme le Nigéria où l'accès à l'eau potable, à la bonne hygiène et à l'assainissement manque. L'éducation maternelle est un déterminant important de l'état de santé des enfants de moins de cinq ans. Très peu d'études ont étudié la relation entre l'éducation maternelle et la diarrhée chez les enfants au Nigeria. Par conséquent, cette étude a été mise en oeuvre pour combler l'écart. La conception de l'étude était transversale et l'enquête nationale de 2013 était utilisée. Les enfants âgés de 0 à 24 mois ont été étudiés et la variable dépendante était le statut de diarrhée de l'index chez les deux dernières semaines avant l'enquête. La principale variable indépendante était l'éducation maternelle. Les données ont été analysées à l'aide de modèles de régimes de Chi-carré et de régression logistique (α = 0,05). La prévalence de la diarrhée était de 13,7% et plus élevée (15,5%) chez les enfants des femmes qui n'ont pas reçu l'éducation formelle, et les mères qui habitent dans la région nord-est du Nigeria ont connu la plus forte prévalence (26,4%). Les enfants dont les mères n'ont pas reçu une éducation formelle étaient 2,69 (IC = 1,800-4,015, p <0,001) plus susceptibles d'avoir une diarrhée par rapport à ceux qui avaient fait des études supérieures. L'éducation maternelle est un indice important de la diarrhée chez les enfants âgés de 0 à 24 mois au Nigéria. Les politiques visant à réduire la diarrhée chez les enfants au Nigéria devraient cibler les enfants des analphabètes, des mères moins instruites et des perso...

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“…Use of unimproved toilet facilities and use of an unimproved source of drinking water increase children’s susceptibility to diarrhea [29, 30]. Besides, mother’s illiteracy and lower age (<25 years), the poor economic status of household and rural residence are also found to be associated with childhood diarrhea [19, 20, 28–31]. …”

Section: Introductionmentioning

confidence: 99%

Disposal of children’s stools and its association with childhood diarrhea in India

et al. 2017

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BackgroundChildren’s stool disposal is often overlooked in sanitation programs of any country. Unsafe disposal of children’s stool makes children susceptible to many diseases that transmit through faecal-oral route. Therefore, the study aims to examine the magnitude of unsafe disposal of children’s stools in India, the factors associated with it and finally its association with childhood diarrhea.MethodsData from the third round of the National Family Health Survey (NFHS-3) conducted in 2005–06 is used to carry out the analysis. The binary logistic regression model is used to examine the factors associated with unsafe disposal of children’s stool. Binary logistic regression is also used to examine the association between unsafe disposal of children’s stool and childhood diarrhea.ResultOverall, stools of 79% of children in India were disposed of unsafely. The urban-rural gap in the unsafe disposal of children’s stool was wide. Mother’s illiteracy and lack of exposure to media, the age of the child, religion and caste/tribe of the household head, wealth index, access to toilet facility and urban-rural residence were statistically associated with unsafe disposal of stool. The odds of diarrhea in children whose stools were disposed of unsafely was estimated to be 11% higher (95% CI: 1.01–1.21) than that of children whose stools were disposed of safely. An increase in the unsafe disposal of children’s stool in the community also increased the risk of diarrhea in children.ConclusionWe found significant statistical association between children’s stool disposal and diarrhea. Therefore, gains in reduction of childhood diarrhea can be achieved in India through the complete elimination of unsafe disposal of children’s stools. The sanitation programmes currently being run in India must also focus on safe disposal of children’s stool.

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A cross-sectional study of socio-demographic determinants of recurrent diarrhoea among children under five of rural area of Western Maharashtra,India

Abstract: Low socioeconomic status, bad sanitary practices, nutritional status and weaning practices significantly influence the prevalence of recurrent diarrhoea.

Cited by 34 publications

References 2 publications

Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia

Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia

Maternal Education and Diarrhea among Children aged 0-24 Months in Nigeria

Disposal of children’s stools and its association with childhood diarrhea in India

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