scholarly journals Individual- and Community-Level Risk Factors Associated with Childhood Diarrhea in Ethiopia: A Multilevel Analysis of 2016 Ethiopia Demographic and Health Survey

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Setegn Muche Fenta ◽  
Teshager Zerihun Nigussie

Background. Diarrhea is the second cause of child deaths globally. According to World Health Organization reports, in each year, it kills more than 525,000 children under 5 years. More than half of these deaths occur in five countries including Ethiopia. This study is aimed at identifying both individual- and community-level risk factors of childhood diarrhea in Ethiopia. Methods. Ethiopian demography and health survey of 2016 data were used for the analysis. A total of 10,641 children aged 0–59 months were included in the analysis. A multilevel mixed-effects logistic regression model was used to identify both individual- and community-level risk factors associated with childhood diarrhea. Result. The incidence of childhood diarrhea was 12% (95% CI: 11.39, 12.63). The random-effects model revealed that 67% of the variability of childhood diarrhea was explained by individual- and community-level factors. From the individual-level factors, children aged 36–59 months ( AOR = 3.166 ; 95% CI: 2.569, 3.900), twin child ( AOR = 1.871 ; 95% CI: 1.390, 2.527), birth order 5 and above ( AOR = 2.210 , 95% CI: 1.721, 2.839), not received any vaccination ( AOR = 1.197 ; 95% CI: 1.190, 1.527), smaller size of child at birth ( AOR = 1.303 ; 95% CI: 1.130, 1.504), and never breastfed children ( AOR = 2.91 ; 95% CI: 2.380, 3.567) associated with the higher incidence of childhood diarrhea. From the community-level factors, living in a rural area ( AOR = 1.505 ; 95% CI: 1.233, 1.836)), unprotected source of drinking water ( AOR = 1.289 ; 95% CI: 1.060, 1.567), and availability of unimproved latrine facilities (OR: 1.289; 95% CI: 1.239, 1.759) associated with the higher incidence of childhood diarrhea. Besides, children who live in Afar, Amhara, Benishangul-Gumuz, Gambella, SNNPR, and Dire Dawa regions had higher incidence of childhood diarrhea. Conclusion. The incidence of childhood diarrhea was different from cluster to cluster in Ethiopia. Therefore, integrated child health intervention programs including provisions of toilet facility, access to a clean source of drinking water, educate parents about the importance of breastfeeding, and vaccination have to be strongly implemented in order to reduce the high incidence of childhood diarrhea among children in Ethiopia.

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Setegn Muche Fenta ◽  
Teshager Zerihun Nigussie

Abstract Background Diarrhea is the second cause of child deaths globally. According to World Health Organization reports, in each year it kills more than 525,000 children under-5 years. More than half of these deaths occur in five countries including Ethiopia. This study aimed to identify both individual and community-level risk factors of childhood diarrheal in Ethiopia. Methods Ethiopian demography and health survey of 2016 data were used for the analysis. A total of 10,641 children aged 0–59 months were included in the analysis. A multi-level mixed-effect logistic regression model was used to identify both individual and community-level risk factors associated with childhood diarrheal. Result The incidence of childhood diarrheal was 12% (95%CI: 11.39, 12.63). The random effect model revealed that 67% of the variability of childhood diarrhea explained by individual and community level factors. From the individual-level factors, children aged 36–59 month (AOR = 3.166; 95% CI: 2.569, 3.900), twin child (AOR = 1.871; 95% CI: 1.390, 2.527), birth order 5 and above (AOR = 2.210, 95% CI: 1.721, 2.839), not received any vaccination (AOR = 1.197; 95% CI: 1.190,1.527), smaller size of child at birth (AOR = 1.303;95% CI: 1.130,1.504) and never breastfed children (AOR = 2.91;95%CI:2.380,3.567) associated with the higher incidence of childhood diarrhea. From the community-level factors, living in a rural area ((AOR = 1.505; 95%CI: 1.233, 1.836)), unprotected source of drinking water (AOR: 1.289; 95% CI: 1.060, 1.567) and availability of unimproved latrine facilities (OR: 1.289; 95% CI: 1.239, 1.759) associated with the higher incidence of childhood diarrhea. Besides, Children live in Afar, Amhara, Benishangul-Gumuz, Gambella, SNNPR and Dire Dawa regions had higher incidence of childhood diarrhea. Conclusion The incidence of childhood diarrhea was different from cluster to clusters in Ethiopia. Therefore, integrated child health intervention programs including provisions of toilet facility, access to a clean source of drinking water, educate parents about the importance of breastfeeding and vaccination have to be strongly implemented in order to reduce the high incidence of childhood diarrhea among children in Ethiopia.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Demiss Mulatu Geberu ◽  
Asmamaw Atnafu

Abstract Background The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF practices in Ethiopia is low, the practices in the pastoral communities, in particular, are significantly low and affected by individual and community-level factors. Besides, its adverse outcomes are mostly unrecognised. Therefore, this study aimed to assess the individual and community-level factors of low coverage of EBF practices in the emerging regions of Ethiopia. Methods In this analysis, data from 2016 Ethiopian Demographic and Health Survey (EDHS) were used. A two-stage stratified sampling technique was used to identify 1406 children aged 0 to 23 months in the emerging regions of Ethiopia. A multilevel mixed-effect binary logistic regression analysis was used to determine the individual and community level factors associated with exclusive breastfeeding practices. In the final model, variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were found to be statistically significant factors that affect exclusive breastfeeding practices. Results Overall, 17.6% (95% CI: 15.6–19.6) of the children aged 0 to 23 months have received exclusive breastfeeding. Employed mothers (AOR: 0.33, 95% CI: 0.21–0.53), richer household wealth status (AOR: 0.39, 95% CI: 0.16–0.96), mothers undecided to have more children (AOR: 2.29, 95% CI: 1.21–4.29), a child with a history of diarrhoea (AOR: 0.31, 95% CI: 0.16–0.61) were the individual-level factors, whereas Benishangul region (AOR: 2.63, 95% CI: 1.44–4.82) was the community-level factors associated with the exclusive breastfeeding practices. Conclusions Less than one-fifth of the mothers have practised exclusive breastfeeding in the emerging regions of Ethiopia. The individual-level factors such as mother’s employment status, household wealth status, desire for more children, presence of diarrhoea and community-level factors such as region have contributed to the low coverage of exclusive breastfeeding. Therefore, the federal and regional health bureaus and other implementers should emphasise to those emerging regions by creating awareness and strengthening the existing community-based health extension program to enhance exclusive breastfeeding practices.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emiru Merdassa Atomssa ◽  
Araya Abrha Medhanyie ◽  
Girmatsion Fisseha

Abstract Background The prevalence of Intimate partner violence (IPV) is higher in societies with higher acceptance of norms that support IPV. In Ethiopia, the proportion of women’s acceptance of IPV was 69%, posing a central challenge in preventing IPV. The main objective of this study was to assess the individual and community-level factors associated with women’s acceptance of IPV. Methods Two-level mixed-effects logistic regression was applied to the 2011 Ethiopia Demographic and Health Survey data. A total of 16,366 women nested in the 596 clusters were included in the analysis. Results The acceptability of the IPV was estimated to be 69%. Among the individual-level factors: women’s education with secondary and above (AOR = 0.38; 95% CI 0.29–0.52), partner’s education secondary and above (AOR = 0.71; 95% CI 0.54–0.82), women aged 35–49 years (AOR = 0.67; 95% CI 0.54–0.82), fully empowered in household level decision making (AOR = 0.67; 95% CI0.54–0.81), literate (AOR = 0.76; 95% CI 0.62–0.92), and perceived existence of law that prevents IPV (AOR = 0.56; 95% CI 0.50–0.63) were significantly associated with women’s acceptance of IPV. Similarly, rural residence (AOR = 1.93; 95% CI 1.53–2.43) and living in the State region (AOR = 2.37; 95% CI 1.81–3.10) were significantly associated with the women’s acceptance of IPV among the community-level factors. Conclusion Both individual and community-level factors were significant risk factors for the acceptability of intimate partner violence. Women's education, women's age, women’s empowerment, partner education level, perceived existence of the law, and literacy were among individual factors. State region and residence were among community-level risk factors significantly associated women’s acceptance of IPV.


2015 ◽  
Vol 36 (10) ◽  
pp. 2036-2060 ◽  
Author(s):  
JULIA MENICHETTI ◽  
PIETRO CIPRESSO ◽  
DARIO BUSSOLIN ◽  
GUENDALINA GRAFFIGNA

ABSTRACTIn 2002, the World Health Organization emphasised the concept of active ageing to manage and increase the last third of life. Although many efforts have been made to optimise treatment management, less attention has been paid to health promotion initiatives. To date, few shared guidelines exist that promote an active life in healthy older targets. To fill this gap, we conducted a systematic review to map health promotion interventions that targeted an active and healthy ageing among older citizens. Articles containing the key term active ageing and seven synonyms were searched for in the electronic databases. Because we were interested in actions aimed to promote healthier lifestyles, we connected the string with the term health. A total of 3,918 titles were retrieved and 20 articles were extracted. Twelve of the 20 studies used group interventions, five interventions targeted the individual level and three interventions targeted the community level. Interventions differed for the health focus of the programmes, which ranged from physical activity interventions to social participation or cognitive functioning. Most of the studies aimed to act on psychological components. The review suggests that different interventions promoted for active ageing are effective in improving specific healthy and active lifestyles; however, no studies were concerned directly with a holistic process of citizen health engagement to improve long-term outcomes.


2021 ◽  
pp. 1-14
Author(s):  
Md Mokbul Hossain ◽  
Fahmida Akter ◽  
Abu Abdullah Mohammad Hanif ◽  
Md Showkat Ali Khan ◽  
Abu Ahmed Shamim ◽  
...  

Abstract The World Health Organization set a target of a 15% relative reduction in the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there are no national estimates of the prevalence of IPA among adolescents. The aim of this study was to estimate the prevalence of and risk factors associated with IPA among adolescent girls and boys. Data for 4865 adolescent girls and 4907 adolescent boys, collected as a part of a National Nutrition Surveillance in 2018–19, were analysed for this study. A modified version of the Global Physical Activity Questionnaire (GPAQ) was used to collect physical activity data. The World Health Organization recommended cut-off points were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression was performed to identify factors associated with IPA. Prevalences of IPA among adolescent girls and boys were 50.3% and 29.0%, respectively, and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents (15–19 years) among both boys and girls. The IPA prevalence was highest among adolescents living in non-slum urban areas (girls: 77.7%; boys: 64.1%). For both boys and girls, younger age, non-slum urban residence, higher paternal education and increased television viewing time were significantly associated with IPA. Additionally, residing in slums was significantly associated with IPA only among the boys. Higher maternal education was associated with IPA only among the girls. This study identified several modifiable risk factors associated with IPA among adolescent boys and girls in Bangladesh. These factors should be addressed through comprehensive public health interventions to promote physical activity among adolescent girls and boys.


2013 ◽  
Vol 25 (2) ◽  
Author(s):  
Setunggal Agung Nugroho Harahap ◽  
Sri Susilawati ◽  
Dede Sutardjo

Introduction: Many factors associated with poor health habits are initiated during adolescence. This is because as a teenager they have the feeling that they are unique and invulnerable that makes them think that the disease or disorder will not enter into their lives. Based on this, teenagers can have a bad habit for their oral health, thus increasing the level of caries in their mouths. The purpose of this study was to get data on the caries experience (DMF-T index) with D1-D2 scale on students. Method: This type of research is descriptive. The technique used in this sampling is simple random sampling, the sample is 266 students consisting of 109 men and 157 women. Prevalence rate of caries adjusted with 2004 Household Health Survey and DMFT category based on World Health Organization. Result: The results showed that the prevalence of caries in college students of Al-Ihsan Islamic boarding school is 90.6%. DMF-T index in college students of Al-Ihsan Islamic boarding school is 4.18. D1 scale that was found was 280 cases. D2 is the scale found 335 cases. and dental caries were found at 949 cases. Conclusion: Prevalence of caries and DMF-T index with D1-D2 scale on students are prevalence of dental caries is higher than prevalence in 2004 Household Health Survey. DMF-T index is  moderate, while the D1 scale found 280 cases and the D2 scale found 335 cases.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241720
Author(s):  
Menaseb Gebrehaweria Gebremeskel ◽  
Afework Mulugeta ◽  
Abate Bekele ◽  
Lire Lemma ◽  
Muzey Gebremichael ◽  
...  

Background Anemia is a global public health problem; but its burden is disproportionately borne among children in the African Regions. The 2016 Ethiopia Demographic and Health Survey report showed that the prevalence of anemia among children 6–59 months of age was 57%; far exceeding the national target of 25% set for 2015. Although studies have been conducted in Ethiopia, multilevel analysis has rarely been used to identify factors associated with anemia among children. Therefore, this study aimed to identify individual and community-level factors associated with anemia among children 6–59 months of age by fitting a multilevel logistic regression model. Methods The data was obtained from the 2016 Ethiopia Demographic and Health Survey, conducted from January to June 2016, and downloaded from the website http://www.DHSprogram.com. The sample was taken using two-stage stratified sampling. In stage one, 645 Enumeration Areas and in stage two 28 households per Enumeration Area were selected. A sample of 7790 children 6–59 months of age was included. Data were analyzed using STATA version 14. A multilevel logistic regression model was fitted and an adjusted odds ratio with a 95% confidence interval was obtained. Result From the individual-level factors, anemia was associated most strongly with child age, wealth index, maternal anemia and child stunting followed by child underweight, child fever and birth order whereas from the community-level, the strongest odds of anemia occurred among children from Somali, Harari, Dire Dawa and Afar region followed by Oromia and Addis Ababa. Low community-poverty is a protective factor for anemia. The odds of anemia were 0.81 (95% CI: 0.66, 0.99) times lower for children who were living in communities of lower poverty status than children who were living in communities of higher poverty status. Children from Somali and Dire Dawa had 3.38 (95% CI: 3.25, 5.07) and 2.22 (95% CI: 1.42, 3.48) times higher odds of anemia, respectively than children from the Tigray region. Conclusions This study shows that anemia among children 6–59 months of age is affected both by the individual and community level factors. It is better to strengthen the strategies of early detection and management of stunted and underweight children. At the same time, interventions should be strengthened to address maternal anemia, child fever and poverty, specifically targeting regions identified to have a high risk of anemia.


2018 ◽  
Author(s):  
Aberash abay ◽  
Dejen Yemane ◽  
Abate Bekele ◽  
Beyene Meressa

AbstractBackgroundThough infant and young children should be fed according to a minimum acceptable diet to ensure appropriate growth and development, only 7% of Ethiopian 6-23 months age children meet the minimum acceptable dietary standards, which is lower than the national target of 11% set for 2016. Therefore, this study aims to assess the individual and community level determinants of minimum acceptable diet among 6–23 months age children in Ethiopia.MethodsThis study analyzed retrospectively a cross-sectional data on a weighted sample of 2919 children aged 6-23 months nested within 617 clusters after extracting from Ethiopian Demographic and Health Survey 2016 via the link www.measuredhs.com. By employing bi-variate multilevel logistic regression model, variables which were significant at the p-value < 25 were included in multivariable multilevel logistic regression analysis. Finally, variables with p-value < 0.05 were considered as significant predictors of minimum acceptable diet.ResultsOnly 6.1% of 6-23 months age children feed minimum acceptable diet in Ethiopia. Children 18-23 months age (AOR=3.7, 95%CI 1.9, 7.2), father’s with secondary or higher education (AOR=2.1, 95%CI 1.2, 3.6), Employed mothers (AOR=1.7, 95%CI 1.2, 2.5), mothers have access to drinking water (AOR=1.9, 95%CI 1.2, 2.9), mothers with media exposure (AOR=2.1 95%CI 1.1, 2.7) were positive individual level predictors. Urban mothers (AOR=4.8, 95%CI 1.7, 13.2)) and agrarian dominant region (AOR=5.6, 95%CI 2.2, 14.5) were community level factors that significantly associated with minimum acceptable diet of 6–23 months age children.ConclusionBoth individual and community level factors were significantly associated with minimum acceptable diet of 6-23 months age children in Ethiopia, suggesting that nutritional interventions designed to improve child health should not only be implemented at the individual level but tailored to community context as well.


Author(s):  
Martina Astari Martina Astari

ABSTRACT Dysmenorrhea, or menstrual pain is a common complaint experienced by women in the lower abdomen. Some teenage girls are often felt in the lower back, hips, pelvis, thigh muscle on, until the calf. According to the World Health Organization (WHO), adolescence is a period in which the individual develops from the first time showed signs of secondary sexual until when it reaches sexual maturity. This study was descriptive survey with cross sectional approach where the independent variable (Knowledge on definitions, etiology, frequency, symptoms, risk factors, pathophysiology, treatment disminore) and the dependent variable was collected in the same time, Knowledgeable picture of the knowledge of young women about disminore in high school East OKU year 2016. the population in this study, that all high school female students of class XII East OKU samples taken in 2016 were all female students of class XII OKU East High School in 2016. Results of univariate analysis showed respondents know understanding disminore good category 104 people (64.60%), while the less category as many as 57 people (35.40%), respondents of the etiology disminore with less category as many as 126 people (78.26%), whereas in both categories as many as 35 people (21.74 %), respondents of both categories Classification disminore with as many as 82 people (50.94%), while the less category as many as 79 people (49.06%), respondents about disminore symptoms with both categories as many as 94 people (53.38%) , whereas with less category as many as 67 people (41.61%), respondents about the risk factors for both categories disminore with as many as 101 people (62.73%), while the category of less than 60 people (37.26%), respondents' knowledge about pathophysiology disminore with both categories as many as 81 people (50.31%), while the category of less than 80 people (49.69%), respondents of the Management disminore with less category as many as 100 people (62.11%), while the good category as many as 61 people (37.89%). From the research, the researchers suggest counseling efforts with the approach according to the students, so as to provide optimum service.     ABSTRAK   Disminore atau nyeri haid adalah keluhan yang sering dialami wanita pada bagian perut bawah.Beberapa perempuan remaja sering merasakannya pada punggung bagian bawah, pinggang, panggul, otot paha atas, hingga betis.Menurut World Health Organization (WHO), remaja adalah masa di mana individu berkembang dari saat pertama kali menunjukkan tanda-tanda seksual sekundernya sampai saat mencapai kematangan seksual. Desain penelitian ini adalah survey deskriptif dengan pendekatan cross sectional dimana variabel independen (pengertahuan tentang definisi, etiologi, frekuensi, gejala, factor resiko, patofisiologi, penatalaksanaan disminore) maupun variabel dependen dikumpulkan dalam waktu yang sama, Diketahuinya gambaran pengetahuan remaja putri tentang disminore di SMA OKU Timur Tahun 2016. Populasi dalam penelitian ini, yakni semua murid perempuan kelas XII SMA OKU Timur tahun 2016.sampel yang diambil adalah semua murid perempuan kelas XII SMA OKU Timur tahun 2016. Hasil analisis univariat menunjukkan responden mengetahui pengertian disminore dengan kategori baik sebanyak 104 orang (64,60%), sedangkan dengan kategori kurang sebanyak 57 orang (35,40%), responden tentang etiologi disminore dengan kategori kurang sebanyak 126 orang (78,26%), sedangkan dengan kategori baik sebanyak 35 orang (21,74%), responden tentang Klasifikasi disminore dengan kategori baik sebanyak 82 orang (50,94%), sedangkan dengan kategori kurang sebanyak 79 orang (49,06%), responden tentang Gejala disminore dengan kategori baik sebanyak 94 orang (53,38%), sedangkan dengan kategori kurang sebanyak 67 orang (41,61%), responden tentang Faktor resiko disminore dengan kategori baik sebanyak 101 orang (62,73%), sedangkan dengan kategori kurang sebanyak 60 orang (37,26%), responden pengetahuan tentang Patofisiologi disminore dengan kategori baik sebanyak 81 orang (50,31%), sedangkan dengan kategori kurang sebanyak 80 orang (49,69%), responden tentang Penatalaksanaan disminore dengan kategori kurang sebanyak 100 orang (62,11%), sedangkan dengan kategori baik sebanyak 61 orang (37,89%). Dari hasil penelitian, peneliti menyarankan upaya penyuluhan dengan pendekatan yang sesuai dengan siswa, sehingga dapat memberikan pelayanan yang optimal.    


Author(s):  
Rose-Angélique Belot ◽  
Marie-Christine Pheulpin ◽  
Pacal Roman ◽  
Margaux Bouteloup ◽  
Mathilde Pointurier ◽  
...  

Abstract. Motherhood, listed by the World Health Organization as a period of fragility and vulnerability, involves significant changes at the individual, family and social level. Becoming a mother entails a number of risk factors to take into account. It is therefore necessary to carry out studies on general populations not suffering from psychopathological disorders to better understand these risk factors linked to motherhood. This study was carried out in France with a nonconsulting population in the postnatal phase ( N = 30) using the Rorschach test, as it presents numerous advantages to appreciate the psychic and corporeal transformations linked to birth. The quantitative results of the test were compared with recently updated norms ( De Tychey et al., 2012 ). Eight values of the psychogram remained normative (F%, F+%, W%, Dd%, M, C, H%, P) reflecting the characteristics of a general population; conversely, eight other values of the psychogram (R, D%, S%, A%, RC%, m, E, Anguish Index%) differed significantly from general population norms. These results increase knowledge to help appreciate the complexity of the psychic processes at work during the postnatal period, and to prevent psychopathological disorders. It is thus possible to distinguish these disorders from those that are transitory and classically linked to the upheaval caused by the onset of motherhood.


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