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Prevalence and Factors Associated With Diarrhoea among Children under Five in Murambi Sector, Gatsibo District,

Alex Manzi1,2, Monica Mochama3, Rosemary Okova4

  • 1Public Health, College of Health Sciences, Mount Kenya University, Thika 1000, Kenya.

Rwanda Journal of Medicine and Health Sciences
|May 14, 2026
PubMed

Insights

Improved sanitation and hand hygiene significantly reduce childhood diarrhoea in Rwanda. This study highlights the importance of toilets and handwashing facilities in preventing this major public health issue.

Area of Science:

  • Public Health
  • Environmental Health
  • Pediatrics

Background:

  • Diarrhoea is a critical public health issue for children under five in developing nations.
  • Inadequate sanitation and limited clean water access exacerbate the problem.
  • Specific contributing factors in Rwanda's Murambi Sector remain under-researched.

Purpose of the Study:

  • To assess the prevalence of diarrhoea in children under five in Murambi Sector, Gatsibo District, Rwanda.
  • To identify factors associated with childhood diarrhoea in the study area.

Main Methods:

  • A cross-sectional study involving 339 children under five.
  • Data analysis using SPSS version 21.0 with bivariate and multivariable logistic regression.
  • Statistical significance determined at p < 0.05.

Main Results:

  • The prevalence of diarrhoea was 14%.
  • Key associated factors included access to improved toilet facilities.
  • Presence of handwashing facilities and proper hand hygiene practices (e.g., before feeding) were significant.
  • Female participants constituted 56.6% of the study group.

Conclusions:

  • Enhanced sanitation and hand hygiene are crucial for reducing diarrhoea in young children in Murambi Sector.
  • Findings support targeted interventions for household hygiene promotion.
  • Improving access to sanitation facilities is recommended to mitigate diarrhoea prevalence.
Abstract

Keywords:
Children under FiveDiarrhoeaFactor Associated with DiarrhoeaPrevalence of diarrhea

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