Determinants of childhood diarrhea among under-five year old children in Nigeria: A population-based study using the 2013 demographic and health survey data

The study aims to identify socioeconomic, demographic, environmental andchild baseline factors associated with Childhood Diarrhea (CD) among underfive year old children in Nigeria. We utilized cross-sectional data from the2013 Nigerian Demographic and Health Survey (NDHS). The study covered18,047 mother-baby pairs. The key outcome variable was CD. Chi-square testsand binary logistic regression were used to test for association between CDand related factors. The prevalence of CD was 12.6%. In the multivariateanalysis, the following factors were significantly associated with increasedrisk of CD; younger mother’s age, household size of seven and above, unsafedisposal of child’s last fecal matter and younger child’s age. Also, childrenliving in all geopolitical zones as compared to the South South geopoliticalzone had significantly higher risk of CD. Interventions such as information,education and communication programs on hygiene and sanitation aimedat reducing CD in Nigeria should focus more on groups at risk for CDhighlighted in our study.

___

1. World Health Organization. Diarrhoeal disease, 2017 Available at: http://www.who.int/mediacentre/ factsheets/fs330/en/ (Accessed October 9, 2018).

2. UNICEF/WHO. Diarrhea: Why Children are Still Dying and What Can be Done. Geneva: UNICEF/WHO, 2009.

3. Bryce J, Boschi-Pinto C, Shibuya K, Black RE. WHO estimates of the causes of death in children. Lancet 2005; 365: 1147–1152

4. Lorntz B, Soares AM, Moore SR, et al. Early childhood diarrhea predicts impaired school performance. Pediatr Infect Dis J 2006; 25: 513-520.

5. Niehaus MD, Moore SR, Patrick PD, et al. Early childhood diarrhea is associated with diminished cognitive function 4 to 7 years later in children in a northeast Brazilian shantytown. Am J Trop Med Hyg 2002; 66: 590-593.

6. Pruss-Ustun A, Bos R, Gore F, Bartram J. Safer water, better health: costs, benefits and sustainability of interventions to protect and promote health. Geneva: World Health Organization, 2008.

7. UNICEF. One is too many: Ending child deaths from pneumonia and diarrhea. New York: UNICEF, 2016

8. WHO/UNICEF. Ending preventable child deaths from pneumonia and diarrhoea by 2025: the integrated global action plan for pneumonia and diarrhoea (GAPPD). Geneva: WHO/UNICEF, 2013.

9. Godana W, Mengistie B. Determinants of acute diarrhoea among children under five years of age in Derashe District, Southern Ethiopia. Rural Remote Health 2013;13: 2329.

10. Mbugua S, Musikoyo E, Ndungi F et al. Determinants of diarrhea among young children under the age of five in Kenya, evidence from KDHS 2008-09. Etude de la population Africaine 2014; 28: 1046-1056.

11. Sinmegn Mihrete T, Asres Alemie G, Shimeka Teferra A. Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia. BMC Pediatrics 2014; 14: 102.

12. National Population Commission (NPC) [Nigeria] and ICF International. 2014. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland: NPC and ICF International, 2014.

13. Kandala NB, Ji C, Stallard N, Stranges S, Cappuccio FP. Spatial analysis of risk factors for childhood morbidity in Nigeria. Am J Trop Med Hyg 2007; 77: 770-779.

14. Ansari, M, Ibrahim MIM, Shankar PR. Mothers’ Knowledge, Attitude and Practice Regarding Diarrhea and its Management in Morang Nepal: An Interventional Study. Trop J Pharm Res 2012; 11: 847-854.

15. El-Gilany AH, Hammad S. Epidemiology of diarrhoeal diseases among children under age 5 years in Dakahlia, Egypt. East Mediterr Health J 2005; 11: 762-775.

16. Cronin AA, Sebayang SK, Torlesse H, Nandy R. Association of Safe Disposal of Child Feces and Reported Diarrhea in Indonesia: Need for Stronger Focus on a Neglected Risk. Int J Environ Res Public Health 2016; 13: 310.

17. Bawankule R, Singh A, Kumar K, Pedgaonkar S. Disposal of children’s stools and its association with childhood diarrhea in India. BMC Public Health. 2017; 17: 12.

18. Gil A, Lanata C, Kleinau E, Penny M. Children’s Feces Disposal Practices in Developing Countries and Interventions to Prevent Diarrheoal Diseases: A Literature Review.Washington, DC: USAID, 2004.

19. Moya J, Bearer CF, Etzel RA. Children's behavior and11. Sinmegn Mihrete T, Asres Alemie G, Shimeka Teferra A. Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia. BMC Pediatrics 2014; 14: 102. physiology and how it affects exposure to environmental contaminants. Pediatrics 2004; 113: 996-1006.

20. Majorin F, Freeman MC, Barnard S, Routray P, Boisson S, Clasen T. Child feces disposal practices in rural Orissa: a cross sectional study. PLoS One 2014; e89551.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: 6
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
Sayıdaki Diğer Makaleler

A rare cause of facial nerve palsy in a young infant: Kawasaki disease

Ali ORGUN, Cüneyt KARAGÖL, Utku PAMUK, Hazım Alper GÜRSU, İlker ÇETİN

Measuring awareness about child abuse and neglect: Validity and reliability of a newly developed tool-child abuse and neglect awareness scale

Hüsniye ALTAN, Işıl İrem BUDAKOĞLU, Figen ŞAHİN DAĞLI, Resmiye ORAL

Radiological nodule behavior: A critical parameter in the surgical management of pediatric pulmonary metastases

Emre DİVARCI, Serkan ARSLAN, Zafer DÖKÜMCÜ, Mehmet KANTAR, Bengü DEMİRAĞ, Haldun ÖNİZ, Yeşim ERTAN, Hüdaver ALPER, Ata ERDENER, Coşkun ÖZCAN

Aluminum exposure in premature babies related to total parenteral nutrition and treatments

Hilal Özkan, Bayram Ali Dorum, Nilgün Köksal, Emre Aşut

Venous thromboembolism in two adolescents with Down syndrome

Kei Takasawa, Masato Nishioka, Masayuki Shimohira, Reiko Takasawa, Sayaka Takeda, Masashi Kurobe, Tsunehiko Kurokami

Focusing on the clinical diagnosis and risk of hairy polyp: A report of 7 cases

Haibo Wang, Zhaoyan Yu, Zhixin Cao, Haiyan Fu

Foot hexadactyly, social implications and management in the African setting: Case report

Komla Sena Amouzou, Elodie Lucrece Joyce Malonga-Loukoula, Tete Edem Kouevi-Koko, Batarabadja Bakriga, Anani Abalo

Determinants of childhood diarrhea among under-five year old children in Nigeria: A population-based study using the 2013 demographic and health survey data

Anselm S. BERDE, Sıddika Songül YALÇIN, Hilal ÖZCEBE, Sarp ÜNER, Özge KARADAĞ ÇAMAN

A novel Y160C mutation of Keratin 10 gene in a Chinese male infant with epidermolytic hyperkeratosis

Chenyu ZHAO, Yonggui LI, Gaoxing SHI, Xiaoliu SHI, Guiying ZHANG

An asthmatic child with allergic bronchopulmonary aspergillosis (ABPA)

Öner ÖZDEMİR