Determinants of diarrhea among young children under the age of five in Kenya, evidence from KDHS 2008-09

Mbugua, Samwel; Eddison, Musikoyo; Faith, Ndungi; Richard, Sang; Ngotho, Douglas

doi:10.11564/28-0-556

Cited by 25 publications

(22 citation statements)

References 16 publications

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“…Our study also showed that the risk of developing diarrhoea in children whose households use protected water sources was 68% lower compared to their counterparts who use unprotected water sources. This finding is similar with a study by [24] in Kenya who found that sources of drinking water was one of the household characteristics that had significant influence on childhood diarrhoea. However, a study conducted in southwest Ethiopia by [25] did not find any significant association of diarrhoeal occurrence and drinking water sources.…”

Section: Discussionsupporting

confidence: 91%

Prevalence of diarrhoea and associated risk factors among children under five years old in Pader District, northern Uganda

et al. 2020

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Background: Diarrhoea remains a major cause of morbidity and mortality in children under 5 years in sub-Saharan Africa. Of the three East African countries, Uganda has the worst mortality rate in children < 5 years, with 22% of these deaths attributed to diarrhoea. For proper planning and implementation of control, an understanding of the prevalence and determinants of the disease is crucial. This study assessed the prevalence of diarrhoea and related risk factors among children < 5 years in Pajule Subcounty, Pader District in northern Uganda. Methods: A cross-sectional survey was conducted in April 2018, covering 244 randomly selected households having children < 5 years old in the study area. A semi-structured questionnaire was used to interview the households about diarrhoeal history in their children in the last 2 weeks preceding the survey, and on the risk factors predisposing children to diarrhoeal infections. Bivariate and multivariate logistic regression analyses with a 95% confidence interval and p < 0.05 was used to identify the risk factors associated with childhood diarrhoeal disease. Results: We found a prevalence of diarrhoea of 29.1% [95% CI (23.7-35.0)] among children < 5 years in Pajule Subcounty during the 2 weeks preceding the survey. Use of unprotected water sources, age of child caretaker, child weaning time and family size had significant associations with diarrhoeal morbidity. Conclusion: The prevalence of childhood diarrhoea among children < 5 years of age in rural settings of Pajule Subcounty was higher than the Ugandan national average. Use of unprotected water sources, age of child caretaker, child weaning time and family size were identified as predictors of diarrhoeal occurrence. These findings underscore the need for improving access to clean water and providing community health education as the best methods for fighting childhood diarrhoea in the study area.

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Section: Discussionsupporting

confidence: 91%

Prevalence of diarrhoea and associated risk factors among children under five years old in Pader District, northern Uganda

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Our study also showed that the risk of developing diarrhoea in children whose households use protected water sources was 68% lower chance compared to their counterparts who use unprotected water sources. This finding is similar with a study by [24] in Kenya who found that sources of drinking water was one of the households' characteristics that had significant influence on childhood diarrhoea. However, a study conducted in southwest Ethiopia by [25] did not find any significant association of diarrhoeal occurrence and drinking water sources.…”

Section: Discussionsupporting

confidence: 90%

Prevalence of diarrhoea and associated risk factors among children under five years old in Pader district, Northern Uganda

Omona¹,

Malinga²,

Opoke³

et al. 2019

Preprint

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Background : Diarrhoea remains a major cause of morbidity and mortality in under-five children in sub-Saharan Africa. Of the three East African countries, Uganda has the worst mortality rate in children < 5 years, with 22% of these deaths attributed to diarrhoea. For proper planning and implementation of control, an understanding of the prevalence and determinants of the disease is crucial. This study assessed the prevalence of diarrhoea and related risk factors among children < 5 years in Pajule sub-county, Pader district in northern Uganda. Methods : A cross-sectional survey was conducted in April 2018, covering 244 randomly selected households having children < 5 years old in the study area. A semi-structured questionnaire was used to interview the households about diarrhoeal history in their children in the last two weeks preceding the survey, and on the risk factors predisposing children to diarrhoeal infections. Bivariate and multivariate logistic regression analyses with a 95% confidence interval and p < 0.05 was used to identify the risk factors associated with childhood diarrhoeal disease. Results : We found a prevalence of diarrhoea of 29.1% [95% CI (23.7–35.0)] among under-five children in Pajule sub-county during the two weeks preceding the survey. Use of unprotected water source, age of child caretaker, child weaning time and family size had significant associations with diarrheal morbidity. Conclusion : The prevalence of childhood diarrhoea among children < 5 years of age in a rural setting of Pajule sub-county was higher than the Ugandan national average. Use of unprotected water sources, age of child caretaker, child weaning time and family size were identified as predictors of diarrhoeal occurrence. These findings underscore the need for improving access to clean water and providing community health education as the best methods for fighting childhood diarrhoea in the study area.

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“…Children born after 24-35, 36-47, and more than 47 months of the preceding birth intervals had a lower risk of child mortality relative to children born less than 24 months. This finding was consistent with a study conducted in Ethiopia (20), Kenya (21) and India (22). This could be shorter birth intervals are associated with maternal nutritional reduction and the child would prone to malnutrition and then end up with death.…”

Section: Analysis Of Multilevel Negative Binomial Regression Modelsupporting

confidence: 92%

Factors affecting under-five mortality in Ethiopia: a multi-level negative binomial model

Geremew

Gelaye

Melesse

et al. 2019

Preprint

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Introduction: Under-five mortality is a key indicator of countries’ developmental status. Even though remarkable declines in under-five mortality rates, nearly 5.6 million children still die annually worldwide before their fifth birthday. The 2016 Ethiopian Demographic and Health Survey (EDHS) report revealed that 67 children per 1,000 live births died before the fifth birthday. This study was aimed at determining factors affecting under-five mortality in Ethiopia using EDHS, 2016.Methods: The data was retrieved from the EDHS 2016. A total weighted number of 11,023 under-five children were included in this study. Descriptive statistics were done and reported using tables, graphs, and texts. The multilevel negative binomial regression model was fitted to identify significant factors of under-five mortality. Adjusted Incidence rate (AIRR) with a 95% confidence interval (CI) and p-value <0.05 in the multivariable model were reported. The goodness of fit was checked using the deviance test.Results: Mother attained higher education (AIRR=0.25, 95% CI: 0.10-0.66); female-headed household (AIRR=1.32, 95%CI:1.05-1.66); age of household head (AIRR=1.07, 95%CI: 1.03,1.11); preceding birth interval ≥48 months (AIRR=0.51, 95%CI: 0.42-0.61); child’s had history of diarrhea (AIRR=1.23, 95% CI:1.08-1.41); multiple birth type (AIRR=1.80, 95% CI:1.34-2.42); mothers delivered in health facility (IRR=0.86, 95% CI:0.73,0.94), residents of Addis Ababa (AIRR=0.52, 95%CI: 0.28-0.98), and Amhara region (AIRR=1.43, 95%CI: 1.09, 1.88) were statistically significant factors to under-five mortality in Ethiopia.Conclusion: In this study, under-five mortality remains a public health problem in Ethiopia. Mothers education level, women delivered at health institution, preceding birth interval 24-35 and ≥48, and residents of Addis Ababa have reduced the incidence of under-five mortality. On the other hand, being a female household head, age of mother at first giving birth, being employment, having multiple births and having childhood diarrhea was associated with a higher incidence of under-five mortality. This finding suggests that enhancing opportunities to female education, addressing regional disparities, and encouraging mothers to deliver at health institutions will help to combat the burden of under-five mortality. Keywords: Under-five mortality, negative binomial, multilevel analysis, Ethiopia

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Determinants of diarrhea among young children under the age of five in Kenya, evidence from KDHS 2008-09

Cited by 25 publications

References 16 publications

Prevalence of diarrhoea and associated risk factors among children under five years old in Pader District, northern Uganda

Prevalence of diarrhoea and associated risk factors among children under five years old in Pader District, northern Uganda

Prevalence of diarrhoea and associated risk factors among children under five years old in Pader district, Northern Uganda

Factors affecting under-five mortality in Ethiopia: a multi-level negative binomial model

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