ArticlePloS one2023
Predictors of diarrhea among children under 24 months in Nepal: A multilevel analysis of multiple indicator cluster survey 2019.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Parenting under the triple burden of violence, depression, and poor diet quality: An intergenerational mother-child syndemic in Nepal.PLOS global public health · 2026Article
- Diarrhea in Yemeni children under five: A multi-level analysis of population-based surveys, 1991-2022.PLoS neglected tropical diseases · 2025Article
- Women wash practices and household diarrhea among rural indigenous Kumal community of Nepal: a cross-sectional study.BMC public health · 2025Article
- Childhood diarrhoeal disease in South Asian countries: a population-based analysis.BMJ public health · 2025Article
- Increasing childhood illnesses (diarrhea and fever) and decreasing care-seeking practices in Nepal: Insights from three most recent Demographic and Health Surveys (2011, 2016 and 2022).PLOS global public health · 2025Article
- Health matters: a statistical approach to understand childhood illnesses in the North-East States of India, 2019-2021.BMC public health · 2024Article
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3 authors.
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Abstract
backgroundDiarrhea has remained an unmet challenge in global child health. Its severity may be worse than reported in resource-limited settings. Understanding changing epidemiology is critical to combat diarrheal morbidity. Therefore, this study aimed to understand factors associated with diarrhea among under two years children in Nepal.
methodsA total of 2,348 samples from Multiple Indicator Cluster Survey 2019 were used to estimate the significant child, maternal, household and external environmental predictors of diarrhea using multilevel analysis.
resultsThe prevalence of diarrhea was 11.9% (95% CI: 10.2%-13.6%). Children residing in Koshi Province [AOR (Adjusted Odds Ratio): 2.23, 95% CI: 1.22-4.08], Karnali Province (AOR: 2.28, 95% CI: 1.11-4.70), and Sudurpaschim Province (AOR: 4.49, 95% CI: 2.39-8.42) were at higher risk of diarrhea. Children aged 7-23 months (AOR: 1.56, 95% CI: 1.10-2.20), children with ARI symptoms (AOR: 4.14, 95% CI: 2.21-7.72) and children whose mothers had no access to prenatal care (AOR: 1.87, 95% CI: 1.01-3.45) had a higher risk of diarrhea. Children from below the richest household wealth group (AOR: 1.76, 95% CI: 1.01-3.08) and those from households practicing open defecation, with unimproved or limited sanitation facilities (AOR: 1.52, 95% CI: 1.09-2.11) were more likely to have diarrhea.
conclusionThe findings underscore the need for public health policy-makers to improve sanitation facilities, especially focusing on poor households from Karnali and Sudurpaschim Provinces practicing open defecation to protect the children from the life risk of diarrhea in Nepal.
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