Evidence map›Paper›PMID 38755544›Full record

ArticleBMC public health2024

Factors associated with the co-utilization of oral rehydration solution and zinc for treating diarrhea among under-five children in 35 sub-saharan Africa countries: a generalized linear mixed effect modeling with robust error variance.

Beminate Lemma Seifu, Bruck Tesfaye Legesse, Tirualem Zeleke Yehuala, Bizunesh Fantahun Kase, Zufan Alamrie Asmare, Getahun Fentaw Mulaw, Tsion Mulat Tebeje, Kusse Urmale Mare

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Beminate Lemma SeifuDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia. beminetlemma1915@gmail.com.
Bruck Tesfaye LegesseDepartment of Pediatrics and Neonatal Nursing, School of Nursing and Midwifery, Institutes of Health Science, Wollega University, Nekemte, Ethiopia.
Tirualem Zeleke YehualaDepartment of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Bizunesh Fantahun KaseDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia.
Zufan Alamrie AsmareDepartment of Ophthalmology, School of Medicine and Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
Getahun Fentaw MulawSchool of Public Health, College of Medicine and Health Sciences, Woldia University, Woldia, Ethiopia.
Tsion Mulat TebejeSchool of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Kusse Urmale MareDepartment of Nursing, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEven though childhood diarrhea is treated with a simple treatment solution, it continues to be one of the leading causes of under-five child mortality and malnutrition globally. In resource-limited settings such as Sub-Saharan Africa (SSA), the combination of oral rehydration salts (ORS) and zinc is regarded as an effective treatment for diarrhea; however, its utilization is very low. The purpose of this study was to determine the proportion and associated factors of co-utilization of ORS and zinc among under-five children with diarrhea in SSA.

methodsThe proportion and associated factors of co-utilization of ORS and zinc among under-five children with diarrhea in SSA were determined using secondary data analysis of recent Demographic and Health Surveys (DHS) of 35 SSA countries. The study included a total of 44,341 under-five children with diarrhea in weighted samples. A generalized linear mixed-effects model with robust error variance was used. For the variables included in the final model, adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) were estimated. A model with the lowest deviance value were considered as the best-fitted model.

resultThe pooled proportion of co-utilization of ORS and zinc for the treatment of diarrhea among under five children in SSA countries was 43.58% with a 95% CI (43.15%, 44.01%). Sex of the child, maternal age, residence, maternal educational and employment status, wealth index, media exposure, perceived distance to health facility and insurance coverage were statistically significant determinants of ORS and Zinc co-utilization for treating diarrhea among under five children in SSA.

conclusionOnly less than half of under-five children with diarrhea in SSA were treated with a combination of ORS and zinc. Thus, strengthening information dissemination through mass media, and community-level health education programs are important to scale up the utilization of the recommended combination treatment. Furthermore, increasing health insurance coverage, and establishing strategies to address the community with difficulty in accessing health facilities is also crucial in improving the use of the treatment.

Indexed as

DiarrheaFluid TherapyZincAfrica South of the SaharaChild, PreschoolFemaleHumansInfantInfant, NewbornLinear ModelsMaleRehydration SolutionsRehydration SolutionsZincDiarrheaMultilevel analysisORS and zinc co-utilizationSub-saharan AfricaUnder-five children

Identifiers

PMID38755544
PMCPMC11100298

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.