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Published on: August 22, 2012
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.
Abstract:
Globally, diarrhoea is the second major cause of death among children under five years. The aim of the study was to establish factors influencing diarrhoeal prevalence among children under five years in Mathare Informal Settlement. Cross-sectional survey was used. Data was collected from 1st July to 1st August 2019 among primary caregivers (PCGs) of children under five years in Mathare Informal Settlement, in Nairobi, Kenya. This urban informal settlement in Kenya was purposively sampled. Simple random sampling was used to select the households and the respondents. P<0.05 was considered as statistically significant. A total of 324 primary caregivers selected from 324 households were included in the study. Fifty six point seventeen percent of the respondents were aged 25-31 years old. Prevalence of diarrhoea among children was 18.7%. Sex, relationship of the primary caregivers, number of people and children in the households were found to be statistically significant with diarrhoea prevalence with p=0.008, p<0.001, p<0.001, p<0.001 respectively. One hundred and seventy one (52.78%) primary caregivers had no formal education. primary caregivers disposed of the child's faeces in garbage in 38.89% of the cases. Education level of the primary caregivers, renting, presence of flies, faeces, and open garbage near or within the compound were found to be associated with diarrhoea prevalence with p<0.001, p=0.024, p<0.001, p<0.001 respectively. Several factors were found to be associated with diarrhoeal prevalence among children under five years.
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