ArticlePediatric health, medicine and therapeutics2018
Diarrheal status and associated factors in under five years old children in relation to implemented and unimplemented community-led total sanitation and hygiene in Yaya Gulele in 2017.
Article in Pediatric health, medicine and therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Burden of Childhood Diarrhea and Its Associated Factors in Ethiopia: A Review of Observational Studies.International journal of public health · 2024Pooled it
- Open defecation-free slippage and its associated factors in Ethiopia: a systematic review.Systematic reviews · 2020Pooled it
- Prevalence and associated factors of acute diarrhea among under-five children in community-led total sanitation and hygiene implemented and non-implemented kebeles in Chiro Woreda, Eastern Ethiopia.Journal of health, population, and nutrition · 2026Article
- 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
- Undernutrition and associated factors among incarcerated people in Bahir Dar and Finote Selam prison sites, Northwest Ethiopia: a cross-sectional study.BMJ public health · 2025Article
- Latrine Utilization and Associated Factors Among Households in East Africa: A Systematic Review and Meta-Analysis.Environmental health insights · 2025Review
- Article
- Water sanitation and hygiene at households and its implications on diarrhoea among under-five children of slums at field practice area of a Peripheral Medical College of West Bengal.Journal of family medicine and primary care · 2024Article
- Magnitude of enteric pathogens associated with diarrhea and antibiotic resistance of enteric bacterial pathogens isolated among children under 5 years of age in Bule Hora town, West Guji, Ethiopia.Frontiers in public health · 2024Article
- Diarrhea and associated factors among under-five children in open defecation free and open defecation rural households of Degem district, Oromia, Ethiopia.Frontiers in public health · 2024Article
- The effect of a health extension program on improving water, sanitation, and hygiene practices in rural Ethiopia.BMC health services research · 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
- Prevalence of and factors associated with acute diarrhea among children under five in rural areas in Ethiopia with and without implementation of community-led total sanitation and hygiene.BMC pediatrics · 2022Article
- Article
- Frameworks for mitigating the risk of waterborne diarrheal diseases: A scoping review.PloS one · 2022Article
- Review
- Determinants of diarrheal diseases among under five children in Jimma Geneti District, Oromia region, Ethiopia, 2020: a case-control study.BMC pediatrics · 2021Article
- Clean water, sanitation and under-five children diarrhea incidence: Empirical evidence from the South Africa's General Household Survey.Environmental science and pollution research international · 2021Article
- Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia.BMC pediatrics · 2021Article
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3 authors.
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Abstract
purposeThe aim of this study was to assess the diarrheal status and associated factors of under five-years old children among implemented and unimplemented community-led total sanitation and hygiene (CLTSH) in Yaya Gulele district, Ethiopia, in 2017.
methodsCommunity-based comparative cross-sectional study involving 380 households from each implemented and unimplemented CLTSH area was conducted from December 1 to June 30, 2017. Pretested structured questionnaire and a complete observational checklist were used to collect data. Qualitative data were collected via focused group discussions and analyzed manually. Data were checked and entered to Epi-info 3.5.4 and analyzed by SPSS version 20. Bivariate and multivariable logistic regression analyses were computed.
resultsIn this study, 88% implemented and 66% unimplemented CLTSH had latrine. Of households owning latrine, 85% in implemented and 75% in unimplemented CLTSH utilize latrine properly. In the study area, 12% in implemented and 34% in unimplemented CLTSH area practice open defecation. Two weeks period diarrhea prevalence was 13.4% (95% CI: 10.2-17.3%) in implemented CLTSH and 36.3% (95% CI: 31.7-41.6%) in unimplemented CLTSH. Having two or more children under five years old (adjusted odds ratio [AOR] = 2.33; 95% CI: 1.09-4.96), lack of clean water storage (AOR = 2.36; 95% CI: 1.16-4.80), negative attitude of mothers/caregivers toward diarrhea (AOR = 2.07; 95% CI: 1.06-4.04), presence of feces in the compound (AOR = 1.88; 95% CI: 1.10-3.22), and lack of hand washing facility in the compound (AOR = 2.64; 95% CI: 1.47-4.74) were associated factors of the outcome.
conclusionImplementation of CLTSH is the applicable tool to reduce diarrhea prevalence. Having two or more children under five years old, unclean water storage, negative attitude of mothers toward diarrhea, existence of feces in the compound, and lack of hand washing facility in the compound were associated factors to the diarrheal status of children under five years old. Health workers and local authorities inspire the community to clean water-storage facilities and the environment, to change mothers' behavior toward diarrhea, as well as construct hand washing facility in the compound.
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