Two-week prevalence of acute diarrhea and associated factors among under five years' children in Simada Woreda, South Gondar Zone, Northwest Ethiopia, 2021: a multi-central community based cross-sectional study.

Introduction: even if there were different control and prevention strategies were implemented in worldwide in general and in Ethiopia in particular. Diarrheal disease was still one of the top ten leading causes of morbidity. Hence, this study aims to assess prevalence and associated factors of acute diarrhea among under five years' children in Simada District, Ethiopia, 2021. Methods: community based cross-sectional study design, simple and systematic random sampling technique was used to select 8 kebeles and 717 study unit respectively from August 1-15 /2021 in Simada District. Data were analyzed by Statistical Package for Social Science (SPSS), version 25. Binary logistic regression model was used to measure the association between dependent and independent variables. Bi-variables analysis at P < 0.05 was used to select independent variable to multi variable analysis. Results: two-week prevalence of acute diarrhea was 14.5% (CI: 12.3%-17.3%). Mothers/caregivers child whose latrine was not clean (AOR=11.48(5.64-23.35)). Mothers/caregivers who had not handwashing facility (AOR=7.07(3.84-13.03)), mothers/caregivers who did not practice handwashing at critical time (AOR=5.92(2.58-13.70), mothers/caregivers who store water at home by jerican (AOR=8.6 (1.51-48.84)), and mothers/caregivers child who start supplementary feeding before six months (AOR=6.49(2.01-20.96)) had significant association with acute diarrhea morbidity. Conclusion: two-week prevalence of acute diarrhea was low. Latrine cleanness, availability of handwashing facilities around latrine, handwashing practice at critical time for handwashing, knowledge on diarrhea transmission and prevention methods, storage of water by jerican and time of initiation of supplementary food had determinant factor of diarrheal disease's occurrence.