Exclusive breastfeeding and rotavirus vaccination are associated with decreased diarrheal morbidity among under-five children in Bahir Dar, northwest Ethiopia

Abstract

BackgroundMore than one in every ten (14%) of under-five child deaths is associated with diarrheal morbidity in Ethiopia. Although Ethiopia has implemented different health interventions like its immunization program, childhood diarrhea morbidity, on which literature is limited, continues as a public health problem. Hence, the aim of this study was to assess the prevalence of diarrheal morbidity and associated factors among under-five children in Bahir Dar, northwest Ethiopia.MethodA community based cross-sectional study was carried out from March 05 to April 03/2015 in Bahir Dar in which 553 mother-child pairs participated. A structured questionnaire was adapted from the World Health Organization (WHO) and the Ethiopian Demography and Health Survey (EDHS) to collect the data. Bivariate and multivariate logistic regression analyses were carried out to identify the independent predictors of diarrheal morbidity.ResultThe overall prevalence of diarrheal morbidity was 9.4% [95% Confidence Interval (CI): 4.8, 14.0%]. No receipt of Rotavirus vaccine dose 2 [AOR = 3.96, 95%CI; 2.13, 7.33], non-exclusive breastfeeding [AOR = 2.69, 95%CI; 1.39, 5.19], unavailability of solid waste disposal system [AOR = 2.62, 95%CI; 1.19, 5.77], employed and private business occupational status of mothers [AOR = 2.10, 95%CI; 1.02, 4.31)], and less than Ethiopia Birr (ETB) 600 household monthly income [AOR = 2.10, 95% CI; 1.2, 7.2] were independently associated with diarrheal morbidity.ConclusionIn Bahir Dar, one in every ten of the under-five children surveyed suffered from diarrheal morbidity. Thus, implementing effective rotavirus vaccination programs, encouraging exclusive breastfeeding and emphasizing appropriate solid waste management would reduce childhood diarrheal morbidity in the region. In addition, the finding suggests that improved child care mechanisms, especially for mothers working outside the home, and efforts to increase household income should be intensified to reduce incidence of diarrhea.

Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia

“…is study result agreed with the previous study report from India [30]. It is also associated with infectious disease and diarrheal morbidity [31]. is might be preventive effect of the vaccine especially infectious disease and diarrhea which leads to malnutrition.…”

Determinants of Diarrheal Diseases among Under Five Children in Jimma Geneti District, Oromia Region, Ethiopia, 2020: a case-control study

“…The result of our study finding indicated that children who were not received the rotavirus vaccine were 2.5 times more likely to develop diarrheal diseases as compared to those children who were received the rotavirus vaccine. This finding was in line with the studies conducted at Harena Buluk Woreda, Bahir Dar, and Debre Berhan in Ethiopia (31,28,32) and in sub-Saharan Africa, Cameroon, and Madagascar (33,34). These findings were reported that the rotavirus vaccine showed a significant association with the occurrence of diarrheal diseases among under-five children.…”

Prevalence of Exclusive Breastfeeding Practice in Ethiopia and Its Association with Maternal Employment: A Systematic Review and Meta-analysis, 2019

“…From these 17 articles were excluded due to the inclusion criteria. Among excluded studies, three of the studies were excluded because they didn't report our outcome of interests [73,74,75]. Two studies conducted among HIV infected mothers [76,77].…”