Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia
Science Journal of Public Health
Volume 1, Issue 5, November 2013, Pages: 230-234
Received: Oct. 25, 2013;
Published: Nov. 30, 2013
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Teklemichael Gebru, Department of Public Health, Aman Health Science College, Mizan, Ethiopia
Mohammed Taha, Department of Epidemiology, Jimma University, Jimma, Ethiopia
Wondwosen Kassahun, Department of Biostatistics, Jimma University, Jimma, Ethiopia
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Background: Childhood mortality rates reduction by two-thirds is one of the Millennium Development Goals target. Worldwide diarrheal disease is the second leading cause of death in under-five year’schildren.It is responsible for 1.7 million morbidity and 760, 000 mortality of children every year. In Ethiopia diarrhea kills half million under-five children annually.Around 90% of diarrheal disease occurs due to poor sanitation, lack of access to clean water supply and inadequate personal hygiene. In Ethiopia healthcare, those factors are included in health extension programme as intervention package, which is introduced in 2002/03. As a strategy of the programme households have been graduated as Model Families by the 16 interventional packages.Objective: To assess prevalence of diarrheal disease in under-five children among health extension model and non-model families in Sheko district rural community, Southwest Ethiopia.Methods: a community based comparative cross-sectional study design was employed from January 31 to February29/2012 in Sheko district. A stratified multi-stage simple random sampling technique was used to select 825 (275 model and 550 non-model) households that had at least one under-five children. Data was collected using pre-tested questionnaire by trained data collectors. A summery descriptive summery statistics and chi-square test was computed to describe the data.Result:In the study 265 model and 529 non-modelhouseholds with at least one under-five childrenwere enrolled the interview, which makes a response rate of 96.2%. Almost all of the respondents were the real mothers of the index child for both groups [264 (99.6%) model and 528 (99.8%) non-model households]. Regarding to religion Orthodox was shared more than half of the total study population for both group [167 (63.0%), model and 332 (62.8%), non-model households]. Among the study participants 74 (27.9%) model and 188 (35.5%) non-model households was Bench by ethnicity.The two weeks diarrhea prevalence in under-fives among model and non-model household were 6.4% and 25.5%, respectively, which is statistically significant different [x2 = 41.63, P< 0.01].Conclusion: there is significant difference of diarrheal prevalence was observed among children’s whose families were model and non-model for health extension programme. Thus encouraging households being model families should be strengthening to reduce childhood diarrhea.
Prevalence, Childhood, Health Extension, Model and Non-Model Family
To cite this article
Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia, Science Journal of Public Health.
Vol. 1, No. 5,
2013, pp. 230-234.
John J, Richard T. Health for all beyond 2000:The Demise of the Alma-Ata Declaration and Primary Health Care in Developing countries. Global health. 2003 Jan 6;178:17 – 19.
WHO. Global strategy for health for all by the year 2000. 1981.
Kitaw Y, Teka E, Meche H. The Evolution of Public Health in Ethiopia. 2005;
Argaw H. The Health Extension Programme of Ethiopia: Summary of Concepts, progress, Achievements and Challenges. WHO; 2007.
UNICEF. Ethiopia Newsletter, sanitation issue July-September 2004 Vol. 6, No3. World Vision-UNICEF. 2004;6(3).
Argaw H. The Health Extension Programme of Ethiopia: Summary of Concepts, Progress, Achievements and Challenges. WHO; 2007.
Central Statistical Agency. Children’s Health and Nutritional Status. Children’s Health aEthiopia Demographic and Health Survey. Addis Ababa, Ethiopia; 2012. p. 3–24.
WHO. Diarrheal disease key facts [http://www.who.int/mediacentre/factsheets/fs330/en/].
MOH.Health sector development program IV, 2010 - 2014. 2010; 59.
UNICEF. Sanitation issue. Ethiopian Newsletter. 6th ed. Addis Ababa; 2004;
Health office. Sheko district Annual report. Sheko; 2011.
Central Statistical Agency. Ethiopia Demographic and Health Survey Addis Ababa, Ethiopia; 2005
WHO/UNICEF. Core questions on drinking water and sanitation for household surveys. Geneva, Switzerland: WHO Press; 2006.
MOH. Report on the Assessment of Factors Contributing to and Affecting Performance of Health Extension Workers in Selected Woredas of Amhara National Regional State and Southern Nation, Nationalities and People’s Region [http://isearch.avg.com/search?q=MOH+AND+Report+on+the+Assessment+of+Factors+Contributing+to+and+Affecting+Performance+of+Health+Extension+Workers+in+Selected+Woredas+&sap=hp&snd=hdr&sap_acp=0]. Addis Ababa, Ethiopia; 2008].
Teklemariam S, Getaneh T, & Bekele F. Environmental determinants of diarrhoea morbidity in under-five children, Keffa-Sheka Zone, Southwest Ethiopia. Medical journal. 2000;38(1):27 –34.
Getaneh T. Diarrhoea morbidity in urban area of Southwest Ethiopia. East African Medical Journal. 1997;74(8):491 – 494.