Tamiru, Bilutkenaw (2013) Predictors of Child Diarrheal Diseases in Cltsh and Phast Approach Implemented Areas in Shebedino District, Sidama Zone, South Ethiopia. Masters thesis, Addis Ababa University.
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PDF (Predictors of Child Diarrheal Diseases in Cltsh and Phast Approach Implemented Areas in Shebedino District, Sidama Zone, South Ethiopia)
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Abstract
Background: Diarrhea is mainly caused by poor water, sanitation and hygiene (WASH). It is the second largest single cause of death in sub-Saharan Africa. It kills more young children than AIDS, malaria, and measles combined. Direct consequences of diarrhea on children include growth faltering, malnutrition, and impaired cognitive development in resource-limited countries. Objective: To identify predictors of diarrheal diseases among children in CLTSH and PHAST approaches implemented areas in Shebedino district, Sidama zone, south Ethiopia. Methods: Unmatched case control study was conducted in ten Kebeles of Shebedino district. Census was done to identify all cases and controls. From 14,463 households a total of 294 samples (147 cases and 147 controls) were selected by simple random sampling technique. Cases were children in the age group of 6 to 24 months and who had three or more loose or watery stools in the last six months prior to survey. Pre-tested structured questionnaires were used for data collection. Collected data were entered in to Epi-info and transferred to SPSS version 16.0. Bivariate and multivariate stepwise logistic regression analyses were employed. Results: Children in households with none out of five latrine components [Adj. OR: 3.79, 95% CI: 1.25, 9.46)] and one out of five components [Adj. OR: 4.58, 95% CI: 1.65, 12.75)] were more likely to develop diarrhea compared to counterparts. Hand washing practice showed a significant odds [Adj. OR: 4.78, 95% CI: (2.14, 8.94)] of developing diarrhea. Attitude of mothers showed a significant odds [Adj. OR=2.12, 95% CI: (1.93, 5.10) of developing diarrhea. Similarly, diarrheal diseases were higher among children fed with hand compared to those fed using cap and spoon [Adj. OR: 4.37, 95% CI: 1.54, 12.42)]. Conclusion: poor latrine components, poor practice of hand washing, negative attitude and poor child feeding practice were strongly associated with the occurrence of diarrheal disease among children in the age group of 6 to 24 months in CLTSH and PHAST approaches implemented areas. Affordable simple designs of latrines construction with entire components should be included in the approaches; the approaches should also give strong emphasis on hygiene components, and provide simple and "easy to understand" information to the mothers or caretakers on how to prevent child diarrheal diseases.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 04 Jul 2018 15:35 |
| Last Modified: | 04 Jul 2018 15:35 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6651 |
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