Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14

Hayelom Brhanu; Digsu Negese; Mulat Gebrehiwot

doi:doi:10.11648/j.ajp.20170306.12

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Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14

Hayelom Brhanu, Digsu Negese, Mulat Gebrehiwot

Published in American Journal of Pediatrics (Volume 3, Issue 6)

Received: 24 January 2017 Accepted: 21 February 2017 Published: 3 November 2017

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Abstract

Background: Diarrhea is one of the leading causes of morbidity and mortality among under-five children nationally and globally. This study identified determinants of acute diarrheal disease among under-five children using hierarchical logistic regression. Objective: This study was conducted to identify determinants for hospitalization of children with acute diarrhea in Pawi Hospital, Benishangul Gumuz Region, Northwest Ethiopia, 2013/14. Methods: A hospital-based case-control study was performed on 148 cases and 442 controls. Data were collected using structured questionnaires. Both bivariate and hierarchical logistic multivariate analyses were carried out to identify the determinants of acute diarrheal. Results: Determinants for acute diarrheal disease were identified. Rural residence [AOR=6.8, 95%CI= (3.3, 14)], mothers having a low education [AOR=4.0, 95%CI= (1.5, 11.0)], living in a non-model households [AOR=2, 95%CI= (1.1, 4.0)] were from socioeconomic variables. Improper child stool disposal [AOR=2. 7, 95%CI= (1.5, 4.8)], not treating water at home [AOR=2. 5, 95%CI= (1.3, 4.6)] were among the environmental sanitation factors. Child`s age 6-11 moths [AOR=3.8, 95%CI= (1.7, 8.9)], bottle feeding [AOR=10, 95%CI= (4.6, 21.9)], being malnourished [AOR=2.3, 95% CI= (1.3, 3.91)], and maternal diarrhea [AOR=8. 8, 95%CI= (4.0, 19.0)] were determinants of acute diarrheal disease in under fives. Conclusions: Acute diarrhea is influenced by factors from all hierarchical levels. Therefore, Avoiding bottle feeding and interpersonal transmission, strengthening women’s education, improving child nutrition; maximizing the health extension package model households and treating water at home are recommended with more emphasis on rural living children.

Published in	American Journal of Pediatrics (Volume 3, Issue 6)
DOI	10.11648/j.ajp.20170306.12
Page(s)	68-75
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Determinants, Acute Diarrhea, Children, Case-Control, Pawi Hospital, Ethiopia

References

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APA Style

Hayelom Brhanu, Digsu Negese, Mulat Gebrehiwot. (2017). Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14. American Journal of Pediatrics, 3(6), 68-75. https://doi.org/10.11648/j.ajp.20170306.12

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ACS Style

Hayelom Brhanu; Digsu Negese; Mulat Gebrehiwot. Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14. Am. J. Pediatr. 2017, 3(6), 68-75. doi: 10.11648/j.ajp.20170306.12

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AMA Style

Hayelom Brhanu, Digsu Negese, Mulat Gebrehiwot. Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14. Am J Pediatr. 2017;3(6):68-75. doi: 10.11648/j.ajp.20170306.12

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@article{10.11648/j.ajp.20170306.12,
  author = {Hayelom Brhanu and Digsu Negese and Mulat Gebrehiwot},
  title = {Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14},
  journal = {American Journal of Pediatrics},
  volume = {3},
  number = {6},
  pages = {68-75},
  doi = {10.11648/j.ajp.20170306.12},
  url = {https://doi.org/10.11648/j.ajp.20170306.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170306.12},
  abstract = {Background: Diarrhea is one of the leading causes of morbidity and mortality among under-five children nationally and globally. This study identified determinants of acute diarrheal disease among under-five children using hierarchical logistic regression. Objective: This study was conducted to identify determinants for hospitalization of children with acute diarrhea in Pawi Hospital, Benishangul Gumuz Region, Northwest Ethiopia, 2013/14. Methods: A hospital-based case-control study was performed on 148 cases and 442 controls. Data were collected using structured questionnaires. Both bivariate and hierarchical logistic multivariate analyses were carried out to identify the determinants of acute diarrheal. Results: Determinants for acute diarrheal disease were identified. Rural residence [AOR=6.8, 95%CI= (3.3, 14)], mothers having a low education [AOR=4.0, 95%CI= (1.5, 11.0)], living in a non-model households [AOR=2, 95%CI= (1.1, 4.0)] were from socioeconomic variables. Improper child stool disposal [AOR=2. 7, 95%CI= (1.5, 4.8)], not treating water at home [AOR=2. 5, 95%CI= (1.3, 4.6)] were among the environmental sanitation factors. Child`s age 6-11 moths [AOR=3.8, 95%CI= (1.7, 8.9)], bottle feeding [AOR=10, 95%CI= (4.6, 21.9)], being malnourished [AOR=2.3, 95% CI= (1.3, 3.91)], and maternal diarrhea [AOR=8. 8, 95%CI= (4.0, 19.0)] were determinants of acute diarrheal disease in under fives. Conclusions: Acute diarrhea is influenced by factors from all hierarchical levels. Therefore, Avoiding bottle feeding and interpersonal transmission, strengthening women’s education, improving child nutrition; maximizing the health extension package model households and treating water at home are recommended with more emphasis on rural living children.},
 year = {2017}
}

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TY  - JOUR
T1  - Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14
AU  - Hayelom Brhanu
AU  - Digsu Negese
AU  - Mulat Gebrehiwot
Y1  - 2017/11/03
PY  - 2017
N1  - https://doi.org/10.11648/j.ajp.20170306.12
DO  - 10.11648/j.ajp.20170306.12
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 68
EP  - 75
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20170306.12
AB  - Background: Diarrhea is one of the leading causes of morbidity and mortality among under-five children nationally and globally. This study identified determinants of acute diarrheal disease among under-five children using hierarchical logistic regression. Objective: This study was conducted to identify determinants for hospitalization of children with acute diarrhea in Pawi Hospital, Benishangul Gumuz Region, Northwest Ethiopia, 2013/14. Methods: A hospital-based case-control study was performed on 148 cases and 442 controls. Data were collected using structured questionnaires. Both bivariate and hierarchical logistic multivariate analyses were carried out to identify the determinants of acute diarrheal. Results: Determinants for acute diarrheal disease were identified. Rural residence [AOR=6.8, 95%CI= (3.3, 14)], mothers having a low education [AOR=4.0, 95%CI= (1.5, 11.0)], living in a non-model households [AOR=2, 95%CI= (1.1, 4.0)] were from socioeconomic variables. Improper child stool disposal [AOR=2. 7, 95%CI= (1.5, 4.8)], not treating water at home [AOR=2. 5, 95%CI= (1.3, 4.6)] were among the environmental sanitation factors. Child`s age 6-11 moths [AOR=3.8, 95%CI= (1.7, 8.9)], bottle feeding [AOR=10, 95%CI= (4.6, 21.9)], being malnourished [AOR=2.3, 95% CI= (1.3, 3.91)], and maternal diarrhea [AOR=8. 8, 95%CI= (4.0, 19.0)] were determinants of acute diarrheal disease in under fives. Conclusions: Acute diarrhea is influenced by factors from all hierarchical levels. Therefore, Avoiding bottle feeding and interpersonal transmission, strengthening women’s education, improving child nutrition; maximizing the health extension package model households and treating water at home are recommended with more emphasis on rural living children.
VL  - 3
IS  - 6
ER  -

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Author Information

Hayelom Brhanu

Department of Environmental Health and Health Extension Service, Pawi Health Science College, Pawi, Ethiopia
Digsu Negese

Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
Mulat Gebrehiwot

Department of Environmental and Occupational Health and Safety, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

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APA Style

Hayelom Brhanu, Digsu Negese, Mulat Gebrehiwot. (2017). Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14. American Journal of Pediatrics, 3(6), 68-75. https://doi.org/10.11648/j.ajp.20170306.12

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ACS Style

Hayelom Brhanu; Digsu Negese; Mulat Gebrehiwot. Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14. Am. J. Pediatr. 2017, 3(6), 68-75. doi: 10.11648/j.ajp.20170306.12

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AMA Style

Hayelom Brhanu, Digsu Negese, Mulat Gebrehiwot. Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14. Am J Pediatr. 2017;3(6):68-75. doi: 10.11648/j.ajp.20170306.12

Copy | Download

@article{10.11648/j.ajp.20170306.12,
  author = {Hayelom Brhanu and Digsu Negese and Mulat Gebrehiwot},
  title = {Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14},
  journal = {American Journal of Pediatrics},
  volume = {3},
  number = {6},
  pages = {68-75},
  doi = {10.11648/j.ajp.20170306.12},
  url = {https://doi.org/10.11648/j.ajp.20170306.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170306.12},
  abstract = {Background: Diarrhea is one of the leading causes of morbidity and mortality among under-five children nationally and globally. This study identified determinants of acute diarrheal disease among under-five children using hierarchical logistic regression. Objective: This study was conducted to identify determinants for hospitalization of children with acute diarrhea in Pawi Hospital, Benishangul Gumuz Region, Northwest Ethiopia, 2013/14. Methods: A hospital-based case-control study was performed on 148 cases and 442 controls. Data were collected using structured questionnaires. Both bivariate and hierarchical logistic multivariate analyses were carried out to identify the determinants of acute diarrheal. Results: Determinants for acute diarrheal disease were identified. Rural residence [AOR=6.8, 95%CI= (3.3, 14)], mothers having a low education [AOR=4.0, 95%CI= (1.5, 11.0)], living in a non-model households [AOR=2, 95%CI= (1.1, 4.0)] were from socioeconomic variables. Improper child stool disposal [AOR=2. 7, 95%CI= (1.5, 4.8)], not treating water at home [AOR=2. 5, 95%CI= (1.3, 4.6)] were among the environmental sanitation factors. Child`s age 6-11 moths [AOR=3.8, 95%CI= (1.7, 8.9)], bottle feeding [AOR=10, 95%CI= (4.6, 21.9)], being malnourished [AOR=2.3, 95% CI= (1.3, 3.91)], and maternal diarrhea [AOR=8. 8, 95%CI= (4.0, 19.0)] were determinants of acute diarrheal disease in under fives. Conclusions: Acute diarrhea is influenced by factors from all hierarchical levels. Therefore, Avoiding bottle feeding and interpersonal transmission, strengthening women’s education, improving child nutrition; maximizing the health extension package model households and treating water at home are recommended with more emphasis on rural living children.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Determinants of Acute Diarrheal Disease Among Under-Five Children in Pawi Hospital, Northwest Ethiopia, 2013/14
AU  - Hayelom Brhanu
AU  - Digsu Negese
AU  - Mulat Gebrehiwot
Y1  - 2017/11/03
PY  - 2017
N1  - https://doi.org/10.11648/j.ajp.20170306.12
DO  - 10.11648/j.ajp.20170306.12
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 68
EP  - 75
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20170306.12
AB  - Background: Diarrhea is one of the leading causes of morbidity and mortality among under-five children nationally and globally. This study identified determinants of acute diarrheal disease among under-five children using hierarchical logistic regression. Objective: This study was conducted to identify determinants for hospitalization of children with acute diarrhea in Pawi Hospital, Benishangul Gumuz Region, Northwest Ethiopia, 2013/14. Methods: A hospital-based case-control study was performed on 148 cases and 442 controls. Data were collected using structured questionnaires. Both bivariate and hierarchical logistic multivariate analyses were carried out to identify the determinants of acute diarrheal. Results: Determinants for acute diarrheal disease were identified. Rural residence [AOR=6.8, 95%CI= (3.3, 14)], mothers having a low education [AOR=4.0, 95%CI= (1.5, 11.0)], living in a non-model households [AOR=2, 95%CI= (1.1, 4.0)] were from socioeconomic variables. Improper child stool disposal [AOR=2. 7, 95%CI= (1.5, 4.8)], not treating water at home [AOR=2. 5, 95%CI= (1.3, 4.6)] were among the environmental sanitation factors. Child`s age 6-11 moths [AOR=3.8, 95%CI= (1.7, 8.9)], bottle feeding [AOR=10, 95%CI= (4.6, 21.9)], being malnourished [AOR=2.3, 95% CI= (1.3, 3.91)], and maternal diarrhea [AOR=8. 8, 95%CI= (4.0, 19.0)] were determinants of acute diarrheal disease in under fives. Conclusions: Acute diarrhea is influenced by factors from all hierarchical levels. Therefore, Avoiding bottle feeding and interpersonal transmission, strengthening women’s education, improving child nutrition; maximizing the health extension package model households and treating water at home are recommended with more emphasis on rural living children.
VL  - 3
IS  - 6
ER  -

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