Prevalence of Diarrhea Disease and Associated Factors Among Children Under 5 Years in Geshiyaro Project

Zinabu Assefa Alemu1, Aderajew Mekonnen Girmay1, Kirubel Tesfaye Teklu1

  • 1Nutrition and Environmental Health Research Directorate Ethiopian Public Health Institute Addis Ababa Ethiopia.

Health Science Reports
|January 27, 2025
PubMed

Insights

Diarrheal disease affects 11.8% of children under five in Geshiyaro, Ethiopia. Key predictors include child sex, age, water access, hygiene knowledge, open defecation, and rotavirus vaccination status.

Area of Science:

  • Public Health
  • Epidemiology
  • Pediatrics

Background:

  • Diarrheal diseases are a leading cause of mortality in children under five globally.
  • Ethiopia faces an alarming prevalence of childhood diarrhea, with limited research in specific project areas.
  • This study addresses the knowledge gap on diarrhea predictors in Geshiyaro project sites.

Purpose of the Study:

  • To identify the key predictors of diarrheal disease among children under five in Geshiyaro, Ethiopia.
  • To provide data for targeted public health interventions to reduce childhood diarrhea.
  • To highlight the association between vaccination status and diarrheal disease occurrence.

Main Methods:

  • A community-based cross-sectional study was conducted from June to July 2023.
  • Data from 2937 participants were analyzed using descriptive and multivariate logistic regression (STATA v16).

Main Results:

  • The 2-week prevalence of diarrhea was 11.8% among children under five.
  • Significant predictors included child's sex, age, drinking water service, diarrhea prevention knowledge, open defecation, and rotavirus vaccination (p < 0.05).
  • Factors like open defecation and inadequate water services increased diarrhea risk, while rotavirus vaccination showed a protective effect.

Conclusions:

  • Childhood diarrhea in the study area is associated with modifiable factors like water access, sanitation, and vaccination coverage.
  • A significant proportion of children lacked basic vaccinations, underscoring a need for improved immunization programs.
  • Interventions should focus on enhancing vaccine uptake and improving water, sanitation, and hygiene (WASH) practices to combat childhood diarrhea.
Abstract

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