Prevalence of diarrhoea and treatment-seeking practices among children <2 years of age in the Birhan cohort, Ethiopia, 2018-19.

IF 4.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gedefaw Abeje Fekadu, Damen Hailemariam, Muluemebet Abera, Firmaye Bogale Woldie, Bezawit Mesfin Hunegnaw, Clara Pons-Duran, Robera Olana Fite, Kassahun Alemu, Lisanu Taddesse, Delayehu Bekele, Getachew Tolera, Grace J Chan
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Abstract

Background: Estimating the proportion of children with diarrhoea and those who are taken in as inpatients or outpatients is important for policy planning, resource allocation, and to evaluate the effectiveness of diarrhoea prevention and control interventions. We aimed to estimate the proportion of children <2 years of age with diarrhoea, explore their treatment-seeking practices, and identify factors associated with both diarrhoea and treatment seeking.

Methods: We designed a longitudinal study based on a sample of children <2 years of age in the Birhan field site from September 2018 to September 2019. The study site collected data on child mortality and morbidity and treatment-seeking practice for those with a history of illness every three months. Mothers/caregivers were asked about signs or symptoms of illnesses for a two-week period prior to each study visit. We estimated the proportion of children <2 years of age with diarrhoea and treatment-seeking practices for each of the four rounds of data collection and identified associated factors through bivariable and multivariable logistic regression.

Results: We enrolled 4678 children <2 years of age. The proportion of children with diarrhoea was the highest from 11 September 2018 to 9 December 2018 (4.47%; 95% confidence interval (CI) = 3.70-5.35) and the lowest from 10 December 2018 to 9 March 2019 (2.48%; 95% CI = 1.90-3.19). Children from households with chlorinated drinking water had a 50% (adjusted odds ratio (aOR) = 0.50; 95% CI = 0.28-0.88) lower odds of developing diarrhoea compared to those who did not. Among 339 children with diarrhoea, 275 (81.12%; 95% CI = 76.54-85.15) were taken to health facilities for treatment. Female children had lower odds of being taken to health facilities for treatment (aOR = 0.37; 95% CI = 0.17-0.80) compared to males.

Conclusions: While the proportion of children with diarrhoea in our study was lower than that observed in prior research conducted in Ethiopia, treatment-seeking practices were higher. Female children and children from the poorest families had lower odds of treatment. We recommend more studies to explore gender-based and socioeconomic differences affecting treatment-seeking practices.

2018-19年埃塞俄比亚比尔汗队列中2岁以下儿童腹泻患病率和寻求治疗的做法。
背景:估算腹泻患儿和住院或门诊患者的比例对于政策规划、资源分配以及评估腹泻预防和控制干预措施的效果非常重要。我们的目的是估算腹泻儿童的比例:我们设计了一项基于儿童样本的纵向研究:我们招募了 4678 名儿童在我们的研究中,患腹泻儿童的比例低于在埃塞俄比亚进行的先前研究中观察到的比例,但寻求治疗的比例较高。女性儿童和来自最贫困家庭的儿童接受治疗的几率较低。我们建议开展更多研究,探讨影响寻求治疗做法的性别差异和社会经济差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Global Health
Journal of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.10
自引率
2.80%
发文量
240
审稿时长
6 weeks
期刊介绍: Journal of Global Health is a peer-reviewed journal published by the Edinburgh University Global Health Society, a not-for-profit organization registered in the UK. We publish editorials, news, viewpoints, original research and review articles in two issues per year.
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