Incidence and Determinants of Diarrheal Cases in Children Under Five Admitted at Kampala International University Teaching Hospital, IshakaBushenyi District, Western Uganda

Halongo Denis
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Abstract

Diarrhoea stands as a significant global public health issue, with the WHO reporting approximately 2.5 billion cases annually among children below five years old. This study aimed to ascertain the prevalence of diarrhoea and its influencing factors in children under five admitted to Kampala International University Teaching Hospital (KIU-TH). Employing a cross-sectional and descriptive approach, quantitative data was gathered through selfadministered and investigator-led questionnaires, utilizing digital tools such as Google Sheets for data collection. A total of 238 mothers, randomly selected using convenience sampling, whose children were admitted at KIU-TH constituted the study's sample. The results, presented through 95% Confidence Intervals (C.I), Odd Ratios (OR), and P-values, were computed using Binary Logistic Regression with Pearson’s correlation in SPSS Version 26, and graphically represented using Microsoft Excel Software. At the time of data collection, the prevalence of diarrhoea among children under five admitted at KIU-TH stood at 24.4% based on maternal responses. This high prevalence was found to be influenced by several factors, including the child's vaccination status, the early introduction of supplementary foods, premature weaning practices, and the child's age. Notably, exclusive breastfeeding practices were not adhered to, with mothers introducing other foods at a young age and initiating early weaning practices. Keywords: Diarrhoea, Children under five years of age, Vaccination status, early weaning.
乌干达西部伊沙卡-布舍尼地区坎帕拉国际大学教学医院收治的五岁以下儿童腹泻病例的发病率和决定因素
腹泻是一个重大的全球公共卫生问题,据世界卫生组织报告,每年约有 25 亿例腹泻发生在五岁以下儿童身上。本研究旨在确定在坎帕拉国际大学教学医院(KIU-TH)住院的五岁以下儿童的腹泻发病率及其影响因素。该研究采用横断面描述性方法,通过自填问卷和调查人员引导问卷收集定量数据,并利用谷歌工作表等数字工具进行数据收集。研究采用便利抽样法随机选取了 238 名母亲,她们的孩子都住在 KIU-TH,这些母亲构成了研究样本。研究结果通过 95% 置信区间 (C.I)、奇数比 (OR) 和 P 值呈现,使用 SPSS 26 版中的二元逻辑回归和皮尔逊相关性进行计算,并使用 Microsoft Excel 软件进行图形表示。在收集数据时,根据产妇的回答,KIU-TH 接收的五岁以下儿童腹泻患病率为 24.4%。这一高发病率受多种因素的影响,包括儿童的疫苗接种情况、过早添加辅食、过早断奶的做法以及儿童的年龄。值得注意的是,纯母乳喂养的做法没有得到坚持,母亲在孩子很小的时候就开始添加其他食物,并开始过早断奶。关键词腹泻 五岁以下儿童 疫苗接种情况 早期断奶
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