ArticleTropical medicine and health2018
Spatial, temporal, and spatiotemporal analysis of under-five diarrhea in Southern Ethiopia.
Article in Tropical medicine and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using routine health information data for research in low- and middle-income countries: a systematic review.BMC health services research · 2020Pooled it
- Spatiotemporal clustering, socioeconomic drivers and policy evaluation of mumps in Hunan Province, China, 2015-2024.Preventive medicine reports · 2026Article
- Spatio-Temporal Dynamics of Bloody Diarrhea Syndrome in Iran: A County-Level Identification of Clusters, Hot Spots, Outliers, and Seasonal Trends (2015-2019).Medical journal of the Islamic Republic of Iran · 2026Article
- Meteorological factors association with under-five children diarrhea incidence in central Gondar zone, Northwest Ethiopia. A time series study.BMC research notes · 2025Article
- Spatiotemporal variation of under-5 children diarrhea incidence and associated meteorological factors in central Gondar zone, Northwest Ethiopia. A retrospective time series study.BMC infectious diseases · 2025Article
- Detection of spatial, temporal and spatiotemporal distribution of diarrhea incidence among under-five children in Central Gondar zone, Northwest Ethiopia: a time-series study (2019-2022).BMC pediatrics · 2024Article
- Article
- Spatial, temporal, and spatiotemporal cluster detection of malaria incidence in Southwest Ethiopia.Frontiers in public health · 2024Article
- Spatio-temporal distributions and determinants of diarrhea among under-five children in Ethiopia.Frontiers in public health · 2024Article
- Space-time distribution of intestinal infectious diseases and their association with socioeconomic variables in Ecuador.Frontiers in public health · 2024Article
- One size does not fit all: an application of stochastic modeling to estimating primary healthcare needs in Ethiopia at the sub-national level.BMC health services research · 2023Article
- Effects of Ambient Temperature, Relative Humidity, and Precipitation on Diarrhea Incidence in Surabaya.International journal of environmental research and public health · 2023Article
- Joint effect of water and sanitation practices on childhood diarrhoea in sub-Saharan Africa.PloS one · 2023Article
- Article
- The effects of seasonal variations on household water security and burden of diarrheal diseases among under 5 children in an urban community, Southwest Nigeria.BMC public health · 2022Article
- Understanding Domestic Food Safety: An Investigation into Self-Reported Food Safety Practice and Associated Factors in Southern Ethiopian Households.Environmental health insights · 2022Article
- Human distribution and spatial-temporal clustering analysis of human brucellosis in China from 2012 to 2016.Infectious diseases of poverty · 2020Article
- Spatiotemporal and hotspot detection of U5-children diarrhea in resource-limited areas of Ethiopia.Scientific reports · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite improvements in prevention efforts, childhood diarrhea remains a public health concern. However, there may be substantial variation influenced by place, time, and season. Description of diarrheal clusters in time and space and understanding seasonal patterns can improve surveillance and management. The present study investigated the spatial and seasonal distribution and purely spatial, purely temporal, and space-time clusters of childhood diarrhea in Southern Ethiopia.
methodsThe study was a retrospective analysis of data from the Health Management Information System (HMIS) under-five diarrheal morbidity reports from July 2011 to June 2017 in Sidama Zone. Annual diarrhea incidence at district level was calculated. Incidence rate calculation and seasonal trend analysis were performed. The Kulldorff SaTScan software with a discrete Poisson model was used to identify statistically significant special, temporal, and space-time diarrhea clusters. ArcGIS 10.1 was used to plot the maps.
resultsA total of 202,406 under-five diarrheal cases with an annual case of 5822 per 100,000 under-five population were reported. An increasing trend of diarrhea incidence was observed over the 6 years with seasonal variation picking between February and May. The highest incidence rate (135.8/1000) was observed in the year 2016/17 in Boricha district. One statistically significant most likely spatial cluster (Boricha district) and six secondary clusters (Malga, Hulla, Aleta Wondo, Shebedino, Loka Abaya, Dale, and Wondogenet) were identified. One statistically significant temporal cluster (LLR = 2109.93,
conclusionChildhood diarrhea was not distributed randomly over space and time and showed an overall increasing trend of seasonal variation peaking between February and May. The health department and other stakeholders at various levels need to plan targeted interventional activities at hotspot seasons and areas to reduce morbidity and mortality.
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