Factors influencing diarrheal prevalence among children under five years in Mathare Informal Settlement, Nairobi,

Djounfoune A Guillaume1, Osero O S Justus1, Kabiru W Ephantus1

  • 1Department of Community Health and Epidemiology, Kenyatta University, Nairobi, Kenya.

Insights

Diarrhoea prevalence in children under five is linked to caregiver education, household conditions, and sanitation practices in Kenya. Addressing these factors is crucial for reducing child mortality from diarrhoea.

Area of Science:

  • Public Health
  • Epidemiology
  • Environmental Health

Background:

  • Diarrhoea remains a leading cause of mortality in children under five globally.
  • Informal settlements often present unique challenges to child health due to socioeconomic and environmental factors.

Purpose of the Study:

  • To identify factors associated with diarrhoeal prevalence among children under five in Mathare Informal Settlement, Nairobi, Kenya.
  • To inform targeted interventions for diarrhoea prevention in vulnerable urban populations.

Main Methods:

  • A cross-sectional survey was conducted among 324 primary caregivers of children under five.
  • Data collection occurred between July 1st and August 1st, 2019, using simple random sampling.
  • Statistical significance was determined using p<0.05.

Main Results:

  • Diarrhoea prevalence was 18.7%. Significant factors included caregiver's sex, relationship, household size, and number of children (p<0.008).
  • Low caregiver education (52.78% had none), improper faeces disposal (38.89% in garbage), presence of flies, open garbage, and renting were associated with higher prevalence (p<0.001).

Conclusions:

  • Childhood diarrhoea in Mathare is significantly influenced by socioeconomic status, educational background, and environmental sanitation.
  • Interventions should focus on improving caregiver education, waste management, and housing conditions to reduce diarrhoeal disease burden.

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