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Mapping paediatric acute gastroenteritis in Talavera, Nueva Ecija, Philippines: a cross-sectional study on prevalence

Gernan Santiago Alejandro1,2, Takao Suzuki1, Yuichi Chigusa3

  • 1Graduate School of Public Health, St. Luke's International University, Tokyo, Japan.

BMJ Paediatrics Open
|April 16, 2026
PubMed

Insights

Paediatric acute gastroenteritis (AGE) shows significant geographic variation in Talavera, Philippines. High-risk areas are linked to poverty and population density, requiring targeted health interventions.

Area of Science:

  • Epidemiology
  • Spatial Analysis
  • Public Health

Background:

  • Paediatric acute gastroenteritis (AGE) is a significant health concern globally.
  • Understanding the spatial distribution of AGE is crucial for effective public health interventions.
  • Previous studies have not fully explored the spatial epidemiology of AGE in Talavera, Philippines.

Purpose of the Study:

  • To map the prevalence of paediatric AGE in Talavera, Nueva Ecija, Philippines.
  • To identify and analyze community-level risk factors influencing the spatial distribution of paediatric AGE.
  • To inform targeted public health strategies for AGE control.

Main Methods:

  • A cross-sectional study was conducted at Talavera General Hospital in 2023.
  • Spatial analysis techniques, including Moran's I and geographically weighted regression (GWR), were employed.
  • Data on paediatric AGE cases and community risk factors were collected and analyzed.

Main Results:

  • A total of 398 paediatric AGE cases were analyzed, with prevalence varying geographically.
  • Significant spatial clustering of AGE was identified, with high-risk clusters in southwestern barangays.
  • Household income below the poverty line and population density were positively associated with AGE prevalence, while distance to the hospital showed a negative association.

Conclusions:

  • There is significant spatial heterogeneity in paediatric AGE burden in Talavera.
  • Geographically targeted interventions addressing poverty, population density, and healthcare access are recommended.
  • Findings support localized strategies to improve case detection and reduce under-reporting of paediatric AGE.
Abstract

Keywords:
Child HealthEpidemiologyGastroenterologyLow and Middle Income Countries

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