Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments

Ephrem Mamo Gebrehiwot; Tezera Moshago Berheto; Alemayehu Worku; Tadele Dana Darebo; Ephrem Lejore Sibamo

doi:doi:10.11648/j.sjcm.20150401.12

| Peer-Reviewed

Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments

Ephrem Mamo Gebrehiwot, Tezera Moshago Berheto, Alemayehu Worku, Tadele Dana Darebo, Ephrem Lejore Sibamo

Published in Science Journal of Clinical Medicine (Volume 4, Issue 1)

Received: 20 January 2015 Accepted: 29 January 2015 Published: 3 February 2015

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: Diarrhea remains one of the principal causes of morbidity and mortality in children in developing countries. A major contributing factor is the treatment provided by the mother. The current study was carried out to assess the behavior of mothers in seeking modern health care and its impact on childhood diarrhea in the Central Ethiopia. Methods: A comparative cross-sectional study was conducted in randomly selected mothers or care providers who had at least one child under five years who had experienced diarrhea within the previous two weeks. Descriptive statistics, bivariate, and multiple regression analyses were performed. P-values less than 0.05 and 95% confidence intervals were used to determine an association between independent and dependent variables. Results: Ninety-five percent (413/434) mothers or care-providers completed the survey. Seventy-seven percent of urban and 54.4% of rural women sought care at a health institution. Mothers who lived in urban areas were four and half times more likely to seek modern treatment than rural dwellers [OR (95%CIs)=4.49(2.07, 9.7)], while mothers with grade 9-12 levels of literacy were nine times more likely to seek modern treatment than illiterate mothers [8.88 (1.15, 68.6)]. Households using latrines and with income greater than 30USD per month were 4.6 and 3.3 times more likely to seek modern treatment than who used open fields and who earned less than 30USD per month, respectively [4.62 (1.84, 11.60) and 3.31(1.45, 7.54)]. Increased fluids were given to only 50.8% urban and 26% rural children with diarrhea. Notably, fluids were stopped in 3.8% and 11.4% of urban and rural children, respectively, while fluid intake was reduced in 6.8% urban and 19.2% rural children. Conclusion: Socioeconomic factors such as the educational status of the women, the distance of health care facilities, and the method of disposing of excreta were significantly associated with the behavior of the mother in seeking modern treatment. An urgent requirement for improved health education and infrastructure for women is needed.

Published in	Science Journal of Clinical Medicine (Volume 4, Issue 1)
DOI	10.11648/j.sjcm.20150401.12
Page(s)	4-9
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), 2024. Published by Science Publishing Group

Keywords

Health Care Seeking Behavior, Diarrhea, Childhood, Central Ethiopia

References

[1]	Umesh DP, Joseph SB, Roger IG: The global burden of diarrhoeal disease in children. Bulletin of the World Health Organization 2003, 81(4):236.
[2]	The United Nations Children’s Fund (UNICEF)/World Health Organization (WHO): Diarrhea: Why children are still dying and what can be done. In.: WHO Press; 2009.
[3]	Rishi P, Feleke A, Lawrence H, Yifru S, R.Bradley S: Risk Factors and Case Management of Acute Diarrhea. J Health Population Nutr 2010, 28(3):253-263.
[4]	Merita B, Sanije H.G, Musli G, Naser. R: Maternal Practice on Management of Acute Diarrhea. TAF Prev Med Bull 2009, 8(5):369-372.
[5]	CSA: Ethiopian demographic and health survey2005,Addis Ababa,. In.; 2006.
[6]	Assefa T, Belachew T, Tegegn A, Deribew A: Mothers’ health care seeking behavior forchildhood illnesses in Derra District, North ShoaZone. Ethiopian Journal of Health Science 2008, 18(3):87-93.
[7]	World Gastroenterology Organisation: World Gastroenterology Organisation Global Guidelines: Acute diarrhea in adults and children: a global perspective. 2012.
[8]	Semba R, Bloem M: Nutrition and Health in Developing Countries. Totowa, NJ: Humana Press 2000.
[9]	Negussie T, Chepngeno G: Determinants of health care seeking for childhood illnesses in Nairobi slums. Tropical Medicine and International Health 2005, 10(3):240–245.
[10]	Sodamann M, Jakobsen MS, Molbak K, Martins C: Aaby P.managment of childhood diarrhea and use of oral rehydration salts. Am J Trop Med Hyg 1999, 60(1):167-171.168.
[11]	Federal Democratic Republic of Ethiopia Population Census Commission: Summary and Statically Report of the 2007 Population and Housing Census. In. Edited by CSA. Addis Ababa; 2008.
[12]	Kaur A, Chowdhury S, Kumar R: Mothers' Beliefs and Practices Regarding Prevention and Management of Diarrheal Diseases. Indian Pediatrics January 1994, 31.
[13]	Doreen M, Othero A S, Orago S, Groenewegen T, Kaseje O, A OP: Home Management of Diarrhea among Under fives in a Rural Community in Kenya: Household Perceptions and Practices. East African Journal of Public Heath 2008, 5(3):142-146.
[14]	Tang Kim H, Michael JD, Tran T: Factors affecting utilization of health care services by mothers of children ill with diarrhea in rural Vietnam. South East Asian j trop med public health 2003, 34(1).
[15]	Deshmu k , Dongre AR, Sinha N, Garg B: Acute childhood morbidities in rural Wardha. 2009, 63(8):345-354.
[16]	2006 NDaHS: Ministry of Health and Population. New ERA, and Macro International Inc Kathmandu, Nepal 2007.
[17]	Ansari M, Palaian S, M II: The role of mothers in the management of child hood diarrhea in Nepal. Australia medical journal 2009, 1(14):235-238.
[18]	WHO: The World Health report, shaping the future. In. Geneva; 2003.
[19]	Nielsen M, Hoogvorst A, Konradsen F, Mudasser1 M, Hoek3 Wvd: cause of childhood diarrhea as perceived by mother. South East Asian J Trop Med Public Health June 2003, 34(2).

Cite This Article

Plain Text BibTeX RIS

APA Style

Ephrem Mamo Gebrehiwot, Tezera Moshago Berheto, Alemayehu Worku, Tadele Dana Darebo, Ephrem Lejore Sibamo. (2015). Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments. Science Journal of Clinical Medicine, 4(1), 4-9. https://doi.org/10.11648/j.sjcm.20150401.12

Copy | Download

ACS Style

Ephrem Mamo Gebrehiwot; Tezera Moshago Berheto; Alemayehu Worku; Tadele Dana Darebo; Ephrem Lejore Sibamo. Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments. Sci. J. Clin. Med. 2015, 4(1), 4-9. doi: 10.11648/j.sjcm.20150401.12

Copy | Download

AMA Style

Ephrem Mamo Gebrehiwot, Tezera Moshago Berheto, Alemayehu Worku, Tadele Dana Darebo, Ephrem Lejore Sibamo. Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments. Sci J Clin Med. 2015;4(1):4-9. doi: 10.11648/j.sjcm.20150401.12

Copy | Download

@article{10.11648/j.sjcm.20150401.12,
  author = {Ephrem Mamo Gebrehiwot and Tezera Moshago Berheto and Alemayehu Worku and Tadele Dana Darebo and Ephrem Lejore Sibamo},
  title = {Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments},
  journal = {Science Journal of Clinical Medicine},
  volume = {4},
  number = {1},
  pages = {4-9},
  doi = {10.11648/j.sjcm.20150401.12},
  url = {https://doi.org/10.11648/j.sjcm.20150401.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20150401.12},
  abstract = {Background: Diarrhea remains one of the principal causes of morbidity and mortality in children in developing countries. A major contributing factor is the treatment provided by the mother. The current study was carried out to assess the behavior of mothers in seeking modern health care and its impact on childhood diarrhea in the Central Ethiopia. Methods: A comparative cross-sectional study was conducted in randomly selected mothers or care providers who had at least one child under five years who had experienced diarrhea within the previous two weeks. Descriptive statistics, bivariate, and multiple regression analyses were performed. P-values less than 0.05 and 95% confidence intervals were used to determine an association between independent and dependent variables. Results: Ninety-five percent (413/434) mothers or care-providers completed the survey. Seventy-seven percent of urban and 54.4% of rural women sought care at a health institution. Mothers who lived in urban areas were four and half times more likely to seek modern treatment than rural dwellers [OR (95%CIs)=4.49(2.07, 9.7)], while mothers with grade 9-12 levels of literacy were nine times more likely to seek modern treatment than illiterate mothers [8.88 (1.15, 68.6)]. Households using latrines and with income greater than 30USD per month were 4.6 and 3.3 times more likely to seek modern treatment than who used open fields and who earned less than 30USD per month, respectively [4.62 (1.84, 11.60) and 3.31(1.45, 7.54)]. Increased fluids were given to only 50.8% urban and 26% rural children with diarrhea. Notably, fluids were stopped in 3.8% and 11.4% of urban and rural children, respectively, while fluid intake was reduced in 6.8% urban and 19.2% rural children. Conclusion: Socioeconomic factors such as the educational status of the women, the distance of health care facilities, and the method of disposing of excreta were significantly associated with the behavior of the mother in seeking modern treatment. An urgent requirement for improved health education and infrastructure for women is needed.},
 year = {2015}
}

Copy | Download

TY - JOUR
T1 - Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments
AU - Ephrem Mamo Gebrehiwot
AU - Tezera Moshago Berheto
AU - Alemayehu Worku
AU - Tadele Dana Darebo
AU - Ephrem Lejore Sibamo
Y1 - 2015/02/03
PY - 2015
N1 - https://doi.org/10.11648/j.sjcm.20150401.12
DO - 10.11648/j.sjcm.20150401.12
T2 - Science Journal of Clinical Medicine
JF - Science Journal of Clinical Medicine
JO - Science Journal of Clinical Medicine
SP - 4
EP - 9
PB - Science Publishing Group
SN - 2327-2732
UR - https://doi.org/10.11648/j.sjcm.20150401.12
AB - Background: Diarrhea remains one of the principal causes of morbidity and mortality in children in developing countries. A major contributing factor is the treatment provided by the mother. The current study was carried out to assess the behavior of mothers in seeking modern health care and its impact on childhood diarrhea in the Central Ethiopia. Methods: A comparative cross-sectional study was conducted in randomly selected mothers or care providers who had at least one child under five years who had experienced diarrhea within the previous two weeks. Descriptive statistics, bivariate, and multiple regression analyses were performed. P-values less than 0.05 and 95% confidence intervals were used to determine an association between independent and dependent variables. Results: Ninety-five percent (413/434) mothers or care-providers completed the survey. Seventy-seven percent of urban and 54.4% of rural women sought care at a health institution. Mothers who lived in urban areas were four and half times more likely to seek modern treatment than rural dwellers [OR (95%CIs)=4.49(2.07, 9.7)], while mothers with grade 9-12 levels of literacy were nine times more likely to seek modern treatment than illiterate mothers [8.88 (1.15, 68.6)]. Households using latrines and with income greater than 30USD per month were 4.6 and 3.3 times more likely to seek modern treatment than who used open fields and who earned less than 30USD per month, respectively [4.62 (1.84, 11.60) and 3.31(1.45, 7.54)]. Increased fluids were given to only 50.8% urban and 26% rural children with diarrhea. Notably, fluids were stopped in 3.8% and 11.4% of urban and rural children, respectively, while fluid intake was reduced in 6.8% urban and 19.2% rural children. Conclusion: Socioeconomic factors such as the educational status of the women, the distance of health care facilities, and the method of disposing of excreta were significantly associated with the behavior of the mother in seeking modern treatment. An urgent requirement for improved health education and infrastructure for women is needed.
VL - 4
IS - 1
ER -

Copy | Download

Author Information

Ephrem Mamo Gebrehiwot

Department of Public Health, Faculty of Health Sciences, Assosa University, Assosa, Ethiopia
Tezera Moshago Berheto

School of Public Health, College of Health Sciences, Wolaita Soddo University, Soddo, Ethiopia
Alemayehu Worku

School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Tadele Dana Darebo

School of Public Health, College of Health Sciences, Wolaita Soddo University, Soddo, Ethiopia
Ephrem Lejore Sibamo

Hadiya Zonal Health Department, Hossana, Ethiopia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Ephrem Mamo Gebrehiwot, Tezera Moshago Berheto, Alemayehu Worku, Tadele Dana Darebo, Ephrem Lejore Sibamo. (2015). Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments. Science Journal of Clinical Medicine, 4(1), 4-9. https://doi.org/10.11648/j.sjcm.20150401.12

Copy | Download

ACS Style

Ephrem Mamo Gebrehiwot; Tezera Moshago Berheto; Alemayehu Worku; Tadele Dana Darebo; Ephrem Lejore Sibamo. Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments. Sci. J. Clin. Med. 2015, 4(1), 4-9. doi: 10.11648/j.sjcm.20150401.12

Copy | Download

AMA Style

Ephrem Mamo Gebrehiwot, Tezera Moshago Berheto, Alemayehu Worku, Tadele Dana Darebo, Ephrem Lejore Sibamo. Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments. Sci J Clin Med. 2015;4(1):4-9. doi: 10.11648/j.sjcm.20150401.12

Copy | Download

@article{10.11648/j.sjcm.20150401.12,
  author = {Ephrem Mamo Gebrehiwot and Tezera Moshago Berheto and Alemayehu Worku and Tadele Dana Darebo and Ephrem Lejore Sibamo},
  title = {Childhood Diarrhea in Central Ethiopia: Determining Factors for Mothers in Seeking Modern Health Treatments},
  journal = {Science Journal of Clinical Medicine},
  volume = {4},
  number = {1},
  pages = {4-9},
  doi = {10.11648/j.sjcm.20150401.12},
  url = {https://doi.org/10.11648/j.sjcm.20150401.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20150401.12},
  abstract = {Background: Diarrhea remains one of the principal causes of morbidity and mortality in children in developing countries. A major contributing factor is the treatment provided by the mother. The current study was carried out to assess the behavior of mothers in seeking modern health care and its impact on childhood diarrhea in the Central Ethiopia. Methods: A comparative cross-sectional study was conducted in randomly selected mothers or care providers who had at least one child under five years who had experienced diarrhea within the previous two weeks. Descriptive statistics, bivariate, and multiple regression analyses were performed. P-values less than 0.05 and 95% confidence intervals were used to determine an association between independent and dependent variables. Results: Ninety-five percent (413/434) mothers or care-providers completed the survey. Seventy-seven percent of urban and 54.4% of rural women sought care at a health institution. Mothers who lived in urban areas were four and half times more likely to seek modern treatment than rural dwellers [OR (95%CIs)=4.49(2.07, 9.7)], while mothers with grade 9-12 levels of literacy were nine times more likely to seek modern treatment than illiterate mothers [8.88 (1.15, 68.6)]. Households using latrines and with income greater than 30USD per month were 4.6 and 3.3 times more likely to seek modern treatment than who used open fields and who earned less than 30USD per month, respectively [4.62 (1.84, 11.60) and 3.31(1.45, 7.54)]. Increased fluids were given to only 50.8% urban and 26% rural children with diarrhea. Notably, fluids were stopped in 3.8% and 11.4% of urban and rural children, respectively, while fluid intake was reduced in 6.8% urban and 19.2% rural children. Conclusion: Socioeconomic factors such as the educational status of the women, the distance of health care facilities, and the method of disposing of excreta were significantly associated with the behavior of the mother in seeking modern treatment. An urgent requirement for improved health education and infrastructure for women is needed.},
 year = {2015}
}

Copy | Download