School of Health Science, Department of Public Health, Madda Walabu University Goba Referral hospital, Bale-Goba, Ethiopia.
BMC Public Health. 2020 May 27;20(1):800. doi: 10.1186/s12889-020-08945-6.
The only safest way to dispose of a child's feces is to help the child use a toilet or, for very young children, to put or rinse their feces into a toilet, whereas other methods are considered unsafe. This study aimed to determine the magnitude and factors associated with unsafe child feces disposal in Ethiopia.
This was a cross-sectional study using pooled data from the four rounds of Demographic and Health Surveys (DHS) conducted in Ethiopia (2000, 2005, 2011, and 2016). Data on child feces disposal practice was collected for all children born during the 5 years preceding survey. Mothers were asked for the youngest child born, "The last time child passed stools, what was done to dispose of the stools?".Descriptive statistics were computed to illustrate the given data. Multivariable logistic regression was performed to identify factors associated with unsafe child feces disposal.
The pooled dataset contains data for 40,520 children younger than 5 years, male accounts 20,629 (50.9%). Overall, 77.7% (95%CI: 76.3-79.0) of children feces disposed of unsafely. In the multivariable logistic regression model, those mothers whose child was 13-24 months [AOR: 0.68, 95% CI: (0.60-0.78)] and ≥ 25 months [AOR: 0.66, 95% CI: (0.60-0.72)] were lower odds of unsafe child's feces disposal. Children born into households having two or fewer children were 33% lower [AOR: 0.67, 95% CI: (0.56-0.79)] odds of unsafe child's feces disposal than their counterparts. The odds of disposing of feces unsafely among households having improved toilet facility was 76% lower [AOR: 0.24, 95% CI: (0.19-0.29)] that of households lacking such facilities. Further, being an urban resident, having improved drinking water facility, a high level of maternal and paternal education, paternal occupational status (work in non-agriculture), and maternal age (25-34 and ≥ 35 years) were factors that associated with lower odds of unsafe child's feces disposal.
Three in four Ethiopian children feces disposed of unsafely. Household and socio-demographic factors, such as access to improved toilet facility, the child's age (older age), and both higher maternal and paternal education levels were important factors that significantly associated with lower odds of unsafe child feces disposal.
处理儿童粪便的唯一最安全的方法是帮助儿童使用厕所，或者对于非常年幼的儿童，将其粪便放入或冲洗到厕所中，而其他方法则被认为是不安全的。本研究旨在确定埃塞俄比亚不安全儿童粪便处理的规模和相关因素。
这是一项使用在埃塞俄比亚进行的四轮人口与健康调查（DHS）的汇总数据进行的横断面研究（2000 年、2005 年、2011 年和 2016 年）。在调查前的 5 年内，对所有出生的儿童收集了有关儿童粪便处理做法的数据。母亲被问到最小的孩子，“上次孩子排便时，是如何处理粪便的？”。计算描述性统计数据来说明给定的数据。进行多变量逻辑回归分析，以确定与不安全的儿童粪便处理相关的因素。
汇总数据集包含 40520 名年龄在 5 岁以下的儿童，其中男性为 20629 名（50.9%）。总体而言，77.7%（95%CI：76.3-79.0）的儿童粪便处理不安全。在多变量逻辑回归模型中，那些孩子在 13-24 个月[AOR：0.68，95%CI：（0.60-0.78）]和≥25 个月[AOR：0.66，95%CI：（0.60-0.72）]的母亲，其孩子粪便处理不安全的可能性较低。家中有两个或更少孩子的儿童粪便处理不安全的可能性降低了 33%[AOR：0.67，95%CI：（0.56-0.79）]。与没有此类设施的家庭相比，家中有改良厕所设施的儿童粪便处理不安全的可能性降低了 76%[AOR：0.24，95%CI：（0.19-0.29）]。此外，城市居民、饮用水设施改善、母亲和父亲受教育程度较高、父亲职业状况（非农业工作）和母亲年龄（25-34 岁和≥35 岁）是与不安全儿童粪便处理相关的较低可能性的因素。
四分之三的埃塞俄比亚儿童粪便处理不安全。家庭和社会人口因素，如获得改良厕所设施、儿童年龄（较大年龄）以及较高的母亲和父亲教育水平等，是与不安全儿童粪便处理显著相关的重要因素。
