Prevalence of oral rehydration therapy use and associated factors among under-five children with diarrhea in Dangure, Benishangul Gumuz Region, Ethiopia/2018

Misgna, Haftom Gebrehiwot; Ebessa, Biratu; Kassa, Mekuria

doi:10.1186/s13104-019-4078-6

Cited by 13 publications

(20 citation statements)

References 15 publications

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“…11 This could be due to increasing awareness creation on ORT use. This result is in agreement with the study conducted in Dangure, Benishangul Gumuz of Ethiopia 17 and it is lower than the previous study conducted in which 61.8% in Nigeria, 18 61% in Kenya, 19 and 58.2% in Assela Town of Ethiopia. 20 This could be due to socio-demographic differences among study participants, and other health care service-related issues.…”

Section: Discussionsupporting

confidence: 92%

Prevalence of Oral Rehydration Therapy Use During the Diarrheal Episode and Associated Factors Among Mothers of Under-Five Children Visiting Public Health Facilities in North Showa Zone, Oromia Region, Ethiopia

Mekonnen¹,

Bekele²,

Jemal³

et al. 2021

PPA

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Background Oral rehydration therapy reduces mortality and morbidity due to diarrheal diseases. However, Oral rehydration therapy remains to be underused worldwide and particularly in low-income countries. This study aims to assess the prevalence of oral rehydration therapy use during diarrheal episode and associated factors among mothers of under-five children visiting public health facilities in North Showa zone, Oromia region, Ethiopia. Methodology Institutional based cross-sectional study design was employed for one month in June 2020. A structured interview administered questionnaire was used to collect data. Data were entered into EPI-info 3.5.2 then transported to SPSS 21 version. Descriptive statistical analysis was done, and an association between dependent variables and independent variables were examined in logistic regression models. Results The overall prevalence of oral rehydration therapy use during diarrheal episode was 51.5%. Maternal literacy [AOR= 2.175, 95% CI: (1.178, 4.015)], mothers occupation being farmer [AOR= 0.394, 95% CI: (0.203, 0.762)], post natal care visit [AOR= 2.565, 95% CI: (1.468, 4.480)] and good knowledge of oral rehydration therapy [AOR= 1.919, 95% CI: (1.132, 3.253)] were significantly associated with oral rehydration therapy use. Conclusion In this study oral rehydration therapy use was moderate. Maternal literacy, good knowledge of oral rehydration therapy, maternal occupation being a farmer, and postnatal care visit were the independent predictors of oral rehydration therapy use. Therefore, programmers and stakeholders who are working on child health programs should design interventions that focus on factors deterring child oral rehydration therapy use during diarrheal episode morbidity and mortality.

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Section: Discussionsupporting

confidence: 92%

Prevalence of Oral Rehydration Therapy Use During the Diarrheal Episode and Associated Factors Among Mothers of Under-Five Children Visiting Public Health Facilities in North Showa Zone, Oromia Region, Ethiopia

Mekonnen¹,

Bekele²,

Jemal³

et al. 2021

PPA

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“…The finding is supported by other studies. 15 , 16 , 24 , 27 – 29 The possible justification might be that educated mothers presume better about the complication of diarrheal disease and they may seek early health treatment during the episode of diarrhea. 30 – 32 This was a good opportunity for mothers to obtain health education from health professionals and give the appropriate treatment or medication, including ORS, to their sick children.…”

Section: Discussionmentioning

confidence: 99%

“…However, those studies were conducted in specific areas of Ethiopia and were not nationally representative. 15 – 18 Even there is one study conducted nationally in Ethiopia, which is only focused primarily on individual-level factors 19 without considering the community-level factors. But, ORS utilization can be affected by community-level factors, such as the recommended water source for preparation of ORS, 20 enumeration area (region), distance from health institution, 21 and residence.…”

Section: Introductionmentioning

confidence: 99%

Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

et al. 2022

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Background: Oral rehydration salt therapy is a critical intervention to reduce mortality and morbidity of children with diarrheal diseases. However, it remains underused in low- and middle-income countries. In Ethiopia, only less than half of children with diarrheal diseases were treated with oral rehydration salt solution. Therefore, the objective of this study was to identify the determinants of oral rehydration salt utilization among children with diarrhea in Ethiopia. Method: A secondary data analysis was done using the 2016 Ethiopian Demographic and Health Survey. A weighted sample of 1227 children who had diarrhea in the last 2 weeks with their index mothers during the 5 years survey was included in the study. A multilevel mixed logistic regression model was fitted to identify factors associated with oral rehydration salt utilization. Finally, statistical significance was declared at p-value < 0.05. Result: The overall prevalence of oral rehydration salt utilization for children with diarrhea was 29.5%. In this study, age of mother ⩾35 (adjusted odds ratio = 1.66, 95% confidence interval = 1.05, 2.64), mothers with formal education (adjusted odds ratio = 1.52, 95% confidence interval = 1.09, 2.11), media exposure (adjusted odds ratio = 1.72, 95% confidence interval = 1.25, 2.38), living in Metropolitan regions (Addis Ababa and Dire Dawa (adjusted odds ratio = 1.76, 95% confidence interval = 1.14, 2.69)), and small peripheral regions (Afar, Gambela, Somalia, Benishangul-Gumuz (adjusted odds ratio = 1.69, 95% confidence interval = 1.22, 2.34)) were associated with higher odd of oral rehydration salt utilization for children with diarrhea. Conclusion: The study concludes that the age of mothers, educational status of the mother, media exposure, and regions of mothers were determinants of oral rehydration salt utilization for children with diarrhea. Therefore, media advertising regarding diarrhea management should be scaled up to increase oral rehydration salt utilization for children with diarrhea. Special attention to socio-cultural constraints or beliefs regarding diarrhea management should be given to mothers from large to center (Tigray, Amhara, Oromia, Southern Nations Nationalities, and People’s Region, and Harari) regions.

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“…However, the ORS coverage for Zimbabwe of 21.0 in the 1st Period was 1.6 to 3.1 times lower than Uganda, Guinea, Ghana, Eritrea, Mozambique, South Africa, Tanzania, Namibia with coverage ranging from 33.5–61.1% [ 20 ]. A 2018 study of Ethiopian mothers reported a prevalence of ORS of 51%, which was lower than the coverage in Zambia and Malawi but higher than the coverage in Zimbabwe [ 21 ]. .In 12 SSA countries not included in our study the median ORS coverage in the 1st Period was lower 38% (35–41) [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Oral rehydration solution coverage in under 5 children with diarrhea: a tri-country, subnational, cross-sectional comparative analysis of two demographic health surveys cycles

Gona

Chikwasha

et al. 2020

BMC Public Health

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Background More than 3 million children under 5 years in developing countries die from dehydration due to diarrhea, a preventable and treatable disease. We conducted a comparative analysis of two Demographic Health Survey (DHS) cycles to examine changes in ORS coverage in Zimbabwe, Zambia and Malawi. These surveys are cross-sectional conducted on a representative sample of the non-institutionalized individuals. Methods The sample is drawn using a stratified two-stage cluster sampling design with census enumeration areas, typically, selected first as primary sampling units (PSUs) and then a fixed number of households from each PSU. We examined national and sub-regional prevalence of ORS use during a recent episode of diarrhea (within 2 weeks of survey) using DHSs for 2007–2010 (1st Period), and 2013–2016 (2nd Period). Weighted proportions of ORS were obtained and multivariable- design-adjusted logistic regression analysis was used to obtain Odds Ratios (aORs) and 95% confidence intervals (CIs) and weighted proportions of ORS coverage. Results Crude ORS coverage increased from 21.0% (95% CI: 17.4–24.9) in 1st Period to 40.5% (36.5–44.6) in 2nd Period in Zimbabwe; increased from 60.8% (56.1–65.3) to 64.7% (61.8–67.5) in Zambia; and decreased from 72.3% (68.4–75.9) to 64.6% (60.9–68.1) in Malawi. The rates of change in coverage among provinces in Zimbabwe ranged from 10.3% over the three cycles (approximately 10 years) in Midlands to 44.2% in Matabeleland South; in Zambia from − 9.5% in Eastern Province to 24.4% in Luapula; and in Malawi from − 16.5% in the Northern Province to − 3.2% in Southern Province. The aORs for ORS use was 3.95(2.66–5.86) for Zimbabwe, 2.83 (2.35–3.40) for Zambia, and, 0.71(0.59–0.87) for Malawi. Conclusion ORS coverage increased in Zimbabwe, stagnated in Zambia, but declined in Malawi. Monitoring national and province-level trends of ORS use illuminates geographic inequalities and helps identify priority areas for targeting resource allocation.. Provision of safe drinking-water, adequate sanitation and hygiene will help reduce the causes and the incidence of diarrhea. Health policies to strengthen access to appropriate treatments such as vaccines for rotavirus and cholera and promoting use of ORS to reduce the burden of diarrhea should be developed and implemented.

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Prevalence of oral rehydration therapy use and associated factors among under-five children with diarrhea in Dangure, Benishangul Gumuz Region, Ethiopia/2018

Cited by 13 publications

References 15 publications

Prevalence of Oral Rehydration Therapy Use During the Diarrheal Episode and Associated Factors Among Mothers of Under-Five Children Visiting Public Health Facilities in North Showa Zone, Oromia Region, Ethiopia

Prevalence of Oral Rehydration Therapy Use During the Diarrheal Episode and Associated Factors Among Mothers of Under-Five Children Visiting Public Health Facilities in North Showa Zone, Oromia Region, Ethiopia

Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

Oral rehydration solution coverage in under 5 children with diarrhea: a tri-country, subnational, cross-sectional comparative analysis of two demographic health surveys cycles

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