SynthesisPloS one2018
Prevalence and determinants of diarrhea among under-five children in Ethiopia: A systematic review and meta-analysis.
Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 6 of them syntheses that pooled it.
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Who cites it
95 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Global epidemiology of diarrhea among internally displaced populations and refugee camp populations an evidence-based systematic review and meta-analysis.BMC public health · 2025Pooled it
- Prevalence and risk factors of diarrhea among under-five children in Ethiopia: A systematic review and meta-analysis.BMC public health · 2025Pooled it
- Prevalence of diarrheal diseases and associated factors among under five children in Africa: A meta-analysis.PloS one · 2025Pooled it
- Diarrheal diseases prevalence among children of Sudan and socio cultural risks related; systematic review and meta analysis.BMC infectious diseases · 2024Pooled it
- Burden of Childhood Diarrhea and Its Associated Factors in Ethiopia: A Review of Observational Studies.International journal of public health · 2024Pooled it
- Pooled it
- Effect of household water treatment with chlorine on diarrhea among children under the age of five years in rural areas of Dire Dawa, eastern Ethiopia: a cluster randomized controlled trial.Infectious diseases of poverty · 2020Trial
- Prevalence and Associated Factors of Diarrhea Among Under-Five Children in Maraki Health Center, Gondar Zone, Amhara Region, Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- Bacterial and parasitic etiologies of diarrhea and the emerging role ofIJID regions · 2026Article
- Revealing Sex Disparities in the Burden of Diarrheal Diseases Among Children Under 5: Global and Asian Trends and Projections, 1990-2050 - A Population-Based Observational Analysis Using GBD 2021 Data.Health science reports · 2026Article
- Article
- Prevalence and determinants of fever, diarrhea, and acute respiratory infection among children aged 5-59 months in Somaliland, 2020: insights from a nationwide survey.Frontiers in pediatrics · 2026Article
- Determinants and geographic distribution of unimproved sanitation facilities in sub-Saharan Africa, spatial and multilevel analysis using demographic and health survey (DHS) data.BMC public health · 2025Article
- Prevalence of paediatric diarrhoea in Arba minch government health institutions, Southern Ethiopia and associated factors.Scientific reports · 2025Article
- Cryptosporidium infection and associated factors among diarrheic children under five years of age in Eastern Ethiopia.PLoS neglected tropical diseases · 2025Article
- Relationship Between Domestic Animals, Environmental and Behavioral Factors, and Under-Five Diarrhea in Sidama Region, Ethiopia: A Matched Case-Control Study.Journal of epidemiology and global health · 2025Article
- Prevalence of acute diarrhea and its risk factors among under five children in flood affected Dasenech District, Southern Ethiopia: a cross-sectional study.Scientific reports · 2025Article
- The epidemiology of acute gastrointestinal illness in Ethiopia, Mozambique, Nigeria, and Tanzania: a population survey.Epidemiology and infection · 2025Article
- Multilevel analysis of prevalence and determinants of diarrhea among under-five children in Somalia: insights from the Somalia demographic and health survey 2020.BMC public health · 2025Article
- Global and regional trends in under-five diarrheal disease burden: impact of human development index and geographic disparities, 1990-2021.Gastroenterology and hepatology from bed to bench · 2025Article
35 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite remarkable progress in the reduction of under-five mortality, childhood diarrhea is still the leading cause of mortality and morbidity in this highly susceptible and vulnerable population. In Ethiopia, study findings regarding prevalence and determinants of diarrhea amongst under-five children have been inconsistent. Therefore, this systematic review and meta-analysis estimates the pooled prevalence of diarrhea and its determinants among under-five children in Ethiopia.
methodsInternational databases, including PubMed, Web of Science, EMBASE, CINAHL, Google Scholar, Science Direct, and the Cochrane Library, were systematically searched. All identified observational studies reporting the prevalence and determinants of diarrhea among under-five children in Ethiopia were included. Two authors independently extracted all necessary data using a standardized data extraction format. STATA Version 13 statistical software was used. The Cochrane Q test statistics and I2 test were used to assess the heterogeneity of the studies. A random effects model was computed to estimate the pooled prevalence of diarrhea. Moreover, the associations between determinant factors and childhood diarrhea were examined using the random effect model.
resultsAfter reviewing of 535 studies, 31studies fulfilled the inclusion criteria and were included in the meta-analysis. The findings from the 31 studies revealed that the pooled prevalence of diarrhea among under-five children in Ethiopia was 22% (95%CI: 19, 25%). Subgroup analysis of this study revealed that the highest prevalence was observed in Afar region (27%), followed by Somali and Dire Dawa regions (26%), then Addis Abeba (24%). Lack of maternal education (OR: 2.5, 95% CI: 1.3, 2.1), lack of availability of latrine (OR: 2.0, 95%CI: 1.3, 3.2), urban residence (OR: 1.9, 95%CI: 1.2, 3.0), and maternal hand washing (OR: 2.2, 95%CI: 2.0, 2.6) were significantly associated with childhood diarrhea.
conclusionIn this study, diarrhea among under-five children in Ethiopia was significantly high. Lack of maternal education, lack of availability of latrine, urban residence, and lack of maternal hand washing were significantly associated with childhood diarrhea.
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