Observational studyJournal of health, population, and nutrition2016
Childhood diarrhea in high and low hotspot districts of Amhara Region, northwest Ethiopia: a multilevel modeling.
Observational study in Journal of health, population, and nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Comparative analysis of burden of topmost disorders requiring rehabilitation services: a systematic review and meta-analysis.Journal of translational medicine · 2025Pooled it
- Mapping spatial hotspots and location specific associated factor of diarrhea-wasting multimorbidity among children aged 6-24 months in East Africa: a geographically weighted regression analysis.Scientific reports · 2026Article
- A mixed-effects multilevel Poisson regression analysis of diarrhea prevalence among under-five children in Indonesia.Journal of health, population, and nutrition · 2026Article
- Temporal variations and spatial clusters of diarrheal diseases before and during the COVID-19 pandemic in Jakarta province, Indonesia.BMC public health · 2025Article
- Trends and seasonal variation in gastrointestinal infections in Tanzania: Analysis of 5-year DHIS2 data toward implementing the sampling cycles and metagenomic analyses.IJID regions · 2025Article
- Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia.BMC pediatrics · 2024Article
- Article
- Characteristics of PathogenicTropical medicine and infectious disease · 2024Article
- Knowledge and Behavioral Practice of Mothers About Childhood Diarrhea in Arar City, Saudi Arabia.Cureus · 2024Article
- Diarrhea Prevalence and Associated Factors among Children in Azezo Sub-City, Northwest Ethiopia: A Community-Based Cross-Sectional Study.The American journal of tropical medicine and hygiene · 2023Article
- Demographic dynamics of waterborne disease and perceived associated WASH factors in Bushenyi and Sheema districts of South-Western Uganda.Environmental monitoring and assessment · 2023Article
- Identifying spatial clustering of diarrhoea among children under 5 years across 707 districts in India: a cross sectional study.BMC pediatrics · 2023Article
- Article
- Review of Medicinal Plants Traditionally Used to Treat Diarrhea by the People in the Amhara Region of Ethiopia.Evidence-based complementary and alternative medicine : eCAM · 2023Review
- Gastrointestinal Infection in South African Children under the Age of 5 years: A Mini Review.Gastroenterology research and practice · 2023Review
- Prevalence of diarrheal disease and associated factors among under-five children in flood-prone settlements of Northwest Ethiopia: A cross-sectional community-based study.Frontiers in pediatrics · 2023Article
- Occurrence of Diarrheal Disease among Under-Five Children and Associated Sociodemographic and Household Environmental Factors: An Investigation Based on National Family Health Survey-4 in Rural India.Children (Basel, Switzerland) · 2022Article
- Understanding the context of healthcare utilisation for children under-five with diarrhoea in the DRC: based on Andersen behavioural model.BMC health services research · 2022Article
- Article
- Molecular Detection of Enteric Viruses in Under-Five Children with Diarrhea in Debre Tabor, Northwest Ethiopia.Infection and drug resistance · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildhood diarrhea is one of the major public health problems in Ethiopia. Multiple factors at different levels contribute to the occurrence of childhood diarrhea. The objective of the study was to identify the factors affecting childhood diarrhea at individual and community level.
methodsA cross-sectional study design was employed from February to March 2015 in high and low hotspot districts of Awi and West and East Gojjam zones in Amhara Region, northwest Ethiopia. Districts with high and low hotspots with childhood diarrhea were identified using SaTScan spatial statistical analysis. A total of 2495 households from ten (five high and five low hotspot) randomly selected districts were included in the study. A semi-structured questionnaire was used to collect data. Data were entered and cleaned in Epi Info 3.5.2 version and analyzed using Stata version 12. A multilevel logistic regression was used to identify factors associated with childhood diarrhea.
resultsThe prevalence of childhood diarrhea was 13.5 % and did not show significant variation between high [14.3 % (95 % CI 12.3-16.2 %)] and low [12.7 % (95 % CI 10.9-14.6 %)] hotspot districts. Individual- and community-level factors accounted for 35 % of childhood diarrhea variation across the communities in the full model. Age of children (6-35 months), complementary feeding initiation below 6 months, inadequate hand washing practices, limited knowledge of mothers on diarrhea, lowest wealth status of households, and longer time interval to visit households by health extension workers were factors for increasing the odds of childhood diarrhea at the individual level. At the community level, lack of improved water supply and sanitation and unvaccinated children with measles and rotavirus vaccine were the factors associated with childhood diarrhea.
conclusionsIn this study, childhood diarrhea occurrences remained high. Both individual- and community-level factors determined the occurrence of diarrhea. Interventions should consider both individual- and community-level factors to reduce the occurrence of childhood diarrhea.
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