Socioeconomic factors associated with diarrheal diseases among under-five children of the nomadic population in northeast EthiopiaReportar como inadecuado

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Tropical Medicine and Health

, 44:40

First Online: 09 December 2016Received: 03 September 2016Accepted: 24 November 2016DOI: 10.1186-s41182-016-0040-7

Cite this article as: Woldu, W., Bitew, B.D. & Gizaw, Z. Trop Med Health 2016 44: 40. doi:10.1186-s41182-016-0040-7


BackgroundDiarrheal disease remains the leading cause of morbidity and mortality among under-five children worldwide. Every day, more than 4000 children lose their lives due to diarrhea. In Ethiopia, diarrhea is the second killer of under-five children next to pneumonia.

MethodsA cross-sectional study was conducted to assess the prevalence of under-five diarrhea and socioeconomic factors among the nomadic people in Hadaleala District. A total of 704 under-five children were included in this study, and subjects were recruited by the multistage cluster sampling technique. Data were collected by a pre-tested questionnaire. The multivariable logistic regression analysis was used to identify socioeconomic variables associated with childhood diarrhea.

ResultsThe 2-week period prevalence of diarrhea among under-five children was 26.1% 95% CI 22.9, 29.3%. The highest prevalence 37.5% of diarrhea occurred among children aged between 12.0 and 23.0 months. The occurrence of diarrheal disease was associated with the presence of two AOR = 4.3, p < 0.001 and three AOR = 22.4, p < 0.001 under-five children in each household. The age of the children ranged between 6.0 and 11.0 months AOR = 4.8, p < 0.001, 12.0 and 23.0 months AOR = 6.0, p < 0.001, and 24.0 and 35.0 months AOR = 2.5, p < 0.05, illiterate mothers AOR = 2.5, p < 0.05, and poor households AOR = 1.6, p < 0.05.

ConclusionsDiarrhea prevalence was quite high among under-five children in Hadaleala District, and it was significantly concentrated among children aged between 12.0 and 23.0 months. The number of under-five children, age of children, mothers’ education, and household economic status were significantly associated with childhood diarrhea. To minimize the magnitude of childhood diarrhea, implementing various prevention strategies such as health education, child care, personal hygiene, and household sanitation which can be integrated with the existing national health extension program are essential.

KeywordsChildhood diarrhea Under-five children Socioeconomic factors Nomads Afar Region AbbreviationsAORAdjusted odds ratio

CIConfidence interval

CORCrude odds ratio

EDHSEthiopian Demographic and Health Survey

IQRInterquartile range


kmKilometer square

MOFEDMinistry of Finance and Economic Developments

SDStandard deviation

SPSSStatistical Package for Social Sciences

TLUTropical livestock holding

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Autor: Wondwoson Woldu - Bikes Destaw Bitew - Zemichael Gizaw


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