ArticleBMJ paediatrics open2025
Trends in preventive practices against diarrhoeal disease among under-five children: experience from the largest diarrhoeal disease hospital in Bangladesh.
Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Trends and Associated Factors of Malnutrition Among Adolescents With Diarrhoea in Bangladesh: A Retrospective Cross-Sectional Surveillance Study Using Adaptive LASSO.Health science reports · 2026Article
- Burden of diarrheal diseases among children under five in East Africa, 2000-2023: insights from the global burden of disease 2023 study.BMC infectious diseases · 2026Article
- Machine learning algorithms to predict feeding practices during diarrheal disease and its determinants among under-five children in East Africa.Frontiers in public health · 2025Article
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10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe burden of childhood diarrhoea remains one of the most important public health problems in countries like Bangladesh, which can be reduced by effective preventive measures. We aimed to investigate the trends in preventive measures practised among under five children with diarrhoea over the last 12 years.
methodsData was extracted from the Diarrhoeal Disease Surveillance System at Dhaka Hospital for the period 2012-2023. STATA 15 was used for analysis. We used the Joncheere-Terpstra trend test to examine the trend in preventive measures against diarrhoea and the slope index of inequality (SII) to determine their association with the wealth index.
resultAmong 20 373 participants, 61.0% were male, with a median (IQR) age of 11 months (8.0-16.0). Most (88.3%) had access to sanitary latrines, and 40.3% of households consumed boiled or filtered water. We found that 50.3% children aged 6-59 months received vitamin A, and 88.4% of children >9 months had measles vaccination. Breastfeeding practices were observed in 17.8% of the children. Significant upward trends were observed for sanitary latrine use and measles vaccination (p<0.001). Receiving vitamin A supplementation and boiled/filtered water consumption showed a declining trend (p<0.001). Parental education and maternal media exposure were found to be significantly associated with the preventive measures (p<0.05). The wealth index showed a significant association with vitamin A supplementation (p<0.01). However, SII does not indicate inequality between the groups. We found that children from wealthier quintile families had a significantly higher rate of measles immunisation, as indicated by the SII (p value=0.039).
conclusionImproving practices of preventive measures can significantly reduce diarrhoeal diseases among children under five. Emphasis should be placed on vitamin A supplementation and the consumption of boiled or filtered water. A targeted approach is essential, including promoting health education, enhancing health awareness, and increasing media exposure for mothers.
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