College of Medicine and Health Sciences, Institute of Public Health, Department of Environmental & Occupational Health & Safety, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
Department of Ecological and Systematic Zoology, College of Natural and Computational Science, University of Gondar, Gondar, Ethiopia.
Ital J Pediatr. 2018 Aug 16;44(1):95. doi: 10.1186/s13052-018-0540-7.
In the sub-Saharan countries, many of the children including found in health facilities are not having sufficient care of diarrhea. Diarrheal disease in these countries is one of the main causes of deaths for under-five children.
A community-based cross-sectional study design was used to collect data from May-June, 2016 to determine environmental factors of diarrhea prevalence among under five children in North Gondar Zone. Structured interview questionnaire and observational checklist were used to collect data. Using probability proportion to size, number of households was determined in each district. The multivariable binary logistic regression analysis with a 95% confidence interval and p < 0.05.was used to identify environmental factors associated with childhood diarrheal disease.
Of the total 736 individuals surveyed from 736 households, a total of 163 (22.1%) with [95% CI (19.1-25.1)] under -five children had 2 week period diarrhea prevalence. Roof material [AOR: 1.99, 95% CI (1.1-3.82)], hand washing facility [AOR: 0.52, 95%CI (0.33-0.82)], presence of Latrine facility [AOR: 1.65, 95% CI (1.01-2.72)], presence of feces around the pit hole [AOR: 1.65, 95% CI (1.01-2.72)], presence of feces around the house compound [AOR: 1.65, 95% CI (1.01-2.72)] and risk of contamination of household storage had significant associations with diarrheal morbidity.
The prevalence of childhood diarrheal disease among under - five children in rural settings of northwest Ethiopia was high. Type of roof material, hand washing facility, presence of Latrine facility, presence of feces around the pit hole, presence of feces around the house compound and risk of contamination of household storage had significant associations with diarrheal morbidity.
在撒哈拉以南的非洲国家，许多在卫生机构中发现的儿童没有得到足够的腹泻护理。腹泻病是这些国家五岁以下儿童死亡的主要原因之一。
采用基于社区的横断面研究设计，于 2016 年 5 月至 6 月期间收集北贡德尔地区五岁以下儿童腹泻流行的环境因素数据。采用结构化访谈问卷和观察检查表收集数据。采用概率比例规模法确定每个区的家庭数量。采用多变量二项逻辑回归分析，置信区间为 95%，p<0.05，确定与儿童腹泻病相关的环境因素。
在对来自 736 个家庭的 736 名受访者进行的总调查中，共有 163 名（22.1%）五岁以下儿童在两周期间出现腹泻流行。屋顶材料（AOR：1.99，95%CI（1.1-3.82））、洗手设施（AOR：0.52，95%CI（0.33-0.82））、存在厕所设施（AOR：1.65，95%CI（1.01-2.72））、坑洞周围有粪便（AOR：1.65，95%CI（1.01-2.72））、房屋周围有粪便（AOR：1.65，95%CI（1.01-2.72））和家庭储存物污染的风险与腹泻发病率有显著关联。
在埃塞俄比亚西北部农村地区，五岁以下儿童腹泻病的流行率很高。屋顶材料类型、洗手设施、厕所设施的存在、坑洞周围的粪便、房屋周围的粪便以及家庭储存物污染的风险与腹泻发病率有显著关联。
