DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20214468

Analysis of risk-factors associated with diarrhea prevalence among underfive children in Galkayo District Puntland State, Somalia

Mustaf A. Isack, Juma J. Nyamai, Atei Kerochi

Abstract


Background: The study analysed risk factors associated with diarrhea prevalence among underfive children in Galkayo District Puntland State, Somalia.

Methods: The study used analytical cross-sectional survey conducted in Galkayo, from February to March 2020. The inclusion criteria were caregivers with underfive children, and exclusion criteria were children over five years, caregivers who have no underfive children and children with chronic diarrhea. Sample of 385 was calculated using Yamane formula. Caregivers were randomly selected using simple random sampling after cluster sampling. The researcher administered structured questionnaires, collected data from eligible caregivers using interview guide and elicited on diarrhea perceptions. Quantitative data was analysed using SPSS, qualitative data was identified common and sub-themes.

Results: The study found diarrhea was affecting 30% of underfive children. The presence of two under-fives in the household was associated with high diarrhea prevalence [OR=1.93, 95% CI= (1.21, 3.08)]. Low educational level of underfive caregivers were associated with high diarrhea occurrence [OR=1.36, 95% CI= (0.68, 2.66)]. Households headed by non-biological mothers, diarrhea prevalence was high [OR=0.06, 95% CI= (0.00, 0.50) and OR=0.17, 95% CI= (0.03, 0.79)] respectively. Those children under the care of employed caregivers, diarrhea occurrence was high [OR=2.41 (0.99, 5.80)]. Poor personal hygiene (32%), sanitation (28%), and water quality (28%) were attributed to the cause of diarrhea among children.

Conclusions: The study recommends, practice of child spacing, improve caregivers’ basic education to better understand risk factors and seek treatment, establish routine water quality surveillance at source and at household level, conduct awareness behaviour change by promotion of handwashing.


Keywords


Diarrhea prevalence, Galkayo district, Risk factors, Under-five children

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References


Troeger C, Forouzanfar M, Rao PC, Khalil I, Brown A, Reiner Jr RC, et al. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Infect Dis. 2017;17(9), 909-48.

Farthing M, Salam MA, Lindberg G, Dite P, Khalif I, Salazar-Lindo E, et al. Acute diarrhea in adults and children: a global perspective. J Clin Gastroenterol. 2013;47(1):12-20.

Walker CLF, Rudan I, Liu L, Nair H, Theodoratou E, Bhutta ZA, et al. Global burden of childhood pneumonia and diarrhoea. Lancet. 2013;381(9875):1405-16.

Khalil IA, Troeger C, Blacker BF, Rao PC, Brown A, Atherly DE, et al. Morbidity, and mortality due to shigella and enterotoxigenic Escherichia coli diarrhoea: The Global Burden of Disease Study 1990–2016. Lancet Infect Dis. 2018;18(11):1229-40.

Troeger C, Blacker BF, Khalil IA, Rao PC, Cao S, Zimsen SR, et al. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18(11):1211-28.

Bowen A, Agboatwalla M, Luby S, Tobery T, Ayers T, Hoekstra RM. Association between intensive handwashing promotion and child development in Karachi, Pakistan: a cluster randomized controlled trial. Arch Pediatr Adolesc Med. 2012;166(11):1037-44.

Gedamu G, Kumie A, Haftu D. Magnitude and associated factors of diarrhea among under five children in Farta wereda, North West Ethiopia. Qual Prim Care. 2017;25(4):199-207.

Mengistie BB. Prevalence of diarrhea and associated risk factors among children under-five years of age in Eastern Ethiopia: A cross-sectional study. Open J Prevent Med. 2013;3(07):446.

WHO Fact sheet: rotavirus commonest cause of diarrhea in children worldwide, 2013. Available from: https://www.paho.org/en/topics/rotavirus. Accessed on 25 July 2021.

Elmi OE, Dioso RIP. Prevalence of diarrhoeal diseases among children under five years in east African Countries from 2012-2017. ASEAN J Sci Technol Develop. 2017;34(1):51-5.

UNICEF. Situation analysis of children in Somalia, 2016. Available at: https://www.unicef.org/ somalia/media/981/file/Somalia-situation-analysis-of-children-in-Somalia-2016-full.pdf. Accessed on 20 August 2021.

Kalid M, Omar E, Ibrahim A, Said S, Farah DA. Factors related to the occurrence of diarrheal disease in under-five children of IDP’s in Bosaso, Puntland-Somalia. World J Med Sci. 2016;13(1):54-9.

Warsame HA. Morbidity of diarrheal disease among children aged under five years living in internally displaced population camps of Hodan District, Mogadishu-Somalia. 2016.

Hashi A, Kumie A, Gasana J. Prevalence of diarrhoea and associated factors among under-five children in Jigjiga District, Somali Region, Eastern Ethiopia. Open J Prevent Med. 2016;6(10):233-46.

Turyare MD, Mativo JN, Kerich M, Ndiritu AK. Prevalence and socio-demographic determinants of diarrhea among children below 5 years in Bondhere district Somalia. The Pan African Med J. 2021:38.

Alebel A, Tesema C, Temesgen B, Gebrie A, Petrucka P, Kibret GD. Prevalence and determinants of diarrhea among under-five children in Ethiopia: a systematic review and meta-analysis. PloS one, 2018;13(6):e0199684.

Mengistie B, Berhane Y Worku A. Household water chlorination reduces incidence of diarrhea among under-five children in rural Ethiopia: a cluster randomized controlled trial. PloS one, 2013;8(10): e77887.

Mihrete TS, Alemie GA, Teferra AS. Determinants of childhood diarrhea among underfive children in Benishangul Gumuz regional state, north West Ethiopia. BMC Pediatr. 2014;14(1):1-9.

Godana W, Mengistie B. Determinants of acute diarrhoea among children under five years of age in Derashe District, Southern Ethiopia, 2013.

Asfaha KF, Tesfamichael FA, Fisseha GK, Misgina KH, Weldu MG, Welehaweria NB, et al. Determinants of childhood diarrhea in Medebay Zana District, Northwest Tigray, Ethiopia: a community based unmatched case–control study. BMC Pediatr. 2018;18(1):1-9.

Natnael T, Lingerew M, Adane M. Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia. BMC Pediatr. 2021:21(1):1-11.

Memirie ST, Metaferia ZS, Norheim OF, Levin CE, Verguet S, Johansson KA. Household expenditures on pneumonia and diarrhoea treatment in Ethiopia: a facility-based study. BMJ Glob Health. 2017;2(1):e000166.

Ghasemi AA, Talebian A, Masoudi Alavi N, Moosavi GA. Knowledge of mothers in management of diarrhea in under-five children, in kashan, iran. Nurs Midwife Stud. 2013;1(3):158-62.

Getachew A, Tadie A, Hiwot M, Guadu T, Haile D, Cherkos T, et al. Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia. Italian J Pediatr. 2018:44(1):1-7.