Journal of Gynecology and Obstetrics

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Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study

Received: 23 February 2018    Accepted: 13 March 2018    Published: 09 May 2018
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Abstract

Background: Acute diarrhoea is a major global health problem, and the developing countries like Ethiopia bear the huge share of the burden. As of 2015, Ethiopia stands sixth among fifteen high diarrhoea death occurring countries in the world. Chire district is one of the affected areas in South Ethiopia despite the absence of scientific evidences of driving factors. Thus, this study was aimed to assess the determinants of acute diarrhoea among under-five year aged children in Chire district of Southern Ethiopia. Methods: Facility based unmatched case-control study was conducted in three purposely selected health centers. Five hundred twelve children were included into two groups, 256 cases and 256 controls. Simple random sampling technique was used to select the study subjects. Standardized structured questionnaire was used for data collection and SPSS version 20.0 for data analysis. Descriptive analysis, bivariate and multivariate logistic regression model were used to identify the associated factors. Results: The study showed that age of 6-11 months [AOR: 2.43, 95% CI, (1.28, 4.61)], five or more persons in the house-hold [AOR: 2.69, 95%CI, (1.50, 4.83)], inappropriate disposal of infant feces [AOR: 3.69, 95%CI, (1.13, 6.49)], lack of vitamin-A supplementation [AOR: 3.44, 95%CI, (1.82, 6.49)], maternal history of recent diarrhoea [AOR: 1.68, 95%CI, (1.07, 2.65)] and poor knowledge of respondents about risk factors were significantly associated with acute diarrhoea. Conclusion: Majorities of identified findings have strong association with the maternal or care-takers behavior. Thus, the responsible bodies, especially the district health office and the health extension workers are highly required to provide the intensive and regular health education on the causes and consequences of disease. In addition, vitamin-A should be supplemented as per national guideline.

DOI 10.11648/j.jgo.20180602.11
Published in Journal of Gynecology and Obstetrics (Volume 6, Issue 2, March 2018)
Page(s) 15-25
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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

Acute Diarrhoea, Determinants, Children Aged 6-59 Months

References
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Author Information
  • Chire Hospital, Hawassa, Ethiopia

  • Faculty of Health Sciences, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia

  • Department of Social and Population Health, Yirgalem Hospital Medical College, Yirgalem, Ethiopia

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    Gorfu Geremew Gunsa, Kaleb Mayisso Rodamo, Desalegn Dabaro Dangiso. (2018). Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study. Journal of Gynecology and Obstetrics, 6(2), 15-25. https://doi.org/10.11648/j.jgo.20180602.11

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    ACS Style

    Gorfu Geremew Gunsa; Kaleb Mayisso Rodamo; Desalegn Dabaro Dangiso. Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study. J. Gynecol. Obstet. 2018, 6(2), 15-25. doi: 10.11648/j.jgo.20180602.11

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    AMA Style

    Gorfu Geremew Gunsa, Kaleb Mayisso Rodamo, Desalegn Dabaro Dangiso. Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study. J Gynecol Obstet. 2018;6(2):15-25. doi: 10.11648/j.jgo.20180602.11

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  • @article{10.11648/j.jgo.20180602.11,
      author = {Gorfu Geremew Gunsa and Kaleb Mayisso Rodamo and Desalegn Dabaro Dangiso},
      title = {Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {6},
      number = {2},
      pages = {15-25},
      doi = {10.11648/j.jgo.20180602.11},
      url = {https://doi.org/10.11648/j.jgo.20180602.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jgo.20180602.11},
      abstract = {Background: Acute diarrhoea is a major global health problem, and the developing countries like Ethiopia bear the huge share of the burden. As of 2015, Ethiopia stands sixth among fifteen high diarrhoea death occurring countries in the world. Chire district is one of the affected areas in South Ethiopia despite the absence of scientific evidences of driving factors. Thus, this study was aimed to assess the determinants of acute diarrhoea among under-five year aged children in Chire district of Southern Ethiopia. Methods: Facility based unmatched case-control study was conducted in three purposely selected health centers. Five hundred twelve children were included into two groups, 256 cases and 256 controls. Simple random sampling technique was used to select the study subjects. Standardized structured questionnaire was used for data collection and SPSS version 20.0 for data analysis. Descriptive analysis, bivariate and multivariate logistic regression model were used to identify the associated factors. Results: The study showed that age of 6-11 months [AOR: 2.43, 95% CI, (1.28, 4.61)], five or more persons in the house-hold [AOR: 2.69, 95%CI, (1.50, 4.83)], inappropriate disposal of infant feces [AOR: 3.69, 95%CI, (1.13, 6.49)], lack of vitamin-A supplementation [AOR: 3.44, 95%CI, (1.82, 6.49)], maternal history of recent diarrhoea [AOR: 1.68, 95%CI, (1.07, 2.65)] and poor knowledge of respondents about risk factors were significantly associated with acute diarrhoea. Conclusion: Majorities of identified findings have strong association with the maternal or care-takers behavior. Thus, the responsible bodies, especially the district health office and the health extension workers are highly required to provide the intensive and regular health education on the causes and consequences of disease. In addition, vitamin-A should be supplemented as per national guideline.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study
    AU  - Gorfu Geremew Gunsa
    AU  - Kaleb Mayisso Rodamo
    AU  - Desalegn Dabaro Dangiso
    Y1  - 2018/05/09
    PY  - 2018
    N1  - https://doi.org/10.11648/j.jgo.20180602.11
    DO  - 10.11648/j.jgo.20180602.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 15
    EP  - 25
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20180602.11
    AB  - Background: Acute diarrhoea is a major global health problem, and the developing countries like Ethiopia bear the huge share of the burden. As of 2015, Ethiopia stands sixth among fifteen high diarrhoea death occurring countries in the world. Chire district is one of the affected areas in South Ethiopia despite the absence of scientific evidences of driving factors. Thus, this study was aimed to assess the determinants of acute diarrhoea among under-five year aged children in Chire district of Southern Ethiopia. Methods: Facility based unmatched case-control study was conducted in three purposely selected health centers. Five hundred twelve children were included into two groups, 256 cases and 256 controls. Simple random sampling technique was used to select the study subjects. Standardized structured questionnaire was used for data collection and SPSS version 20.0 for data analysis. Descriptive analysis, bivariate and multivariate logistic regression model were used to identify the associated factors. Results: The study showed that age of 6-11 months [AOR: 2.43, 95% CI, (1.28, 4.61)], five or more persons in the house-hold [AOR: 2.69, 95%CI, (1.50, 4.83)], inappropriate disposal of infant feces [AOR: 3.69, 95%CI, (1.13, 6.49)], lack of vitamin-A supplementation [AOR: 3.44, 95%CI, (1.82, 6.49)], maternal history of recent diarrhoea [AOR: 1.68, 95%CI, (1.07, 2.65)] and poor knowledge of respondents about risk factors were significantly associated with acute diarrhoea. Conclusion: Majorities of identified findings have strong association with the maternal or care-takers behavior. Thus, the responsible bodies, especially the district health office and the health extension workers are highly required to provide the intensive and regular health education on the causes and consequences of disease. In addition, vitamin-A should be supplemented as per national guideline.
    VL  - 6
    IS  - 2
    ER  - 

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