Determinate of diarrhea among under-five children in Northwest Ethiopia




Diarrhea, under-five children, Jabitehnan district, Ethiopia


This study aimed to assess the determinants of diarrhea among children under-five in Jabitehnan district, Northwest Ethiopia. A community-based cross-sectional study was done using a cluster sampling technique. The study was done in the Jabitehnan district from April to July 2019.  The study was done among women who had children under five during the survey who settled in Jabitehnan district. The main outcome measure was the occurrence of diarrhea. A binary logistic regression was used to identify factors associated with diarrhea. The prevalence of diarrhea was found to be 19.8%. The child lived with whose non-biological mothers were 32.44 times more likely to be exposed to diarrhea compared to the child who lived with whose biological mothers. The odds of being diarrheal for a child whose mother does not wash her hand after latrine was 7.91 times higher than its counterpart. A child whose mother pregnant was 5.66 times higher risk of developing diarrhea than whose mother do not pregnant. The likelihood of diarrhea for children drinking unprotected water were14.1times higher than its counterpart. The magnitude of reported diarrhea was high. Child age, residence, drinking water, pregnant mother, toilet facility, washing hand after latrine, and child live with whom were the main determinates of diarrhea. Addressing these factors will help to prevent future morbidity and mortality of children and will assist in alleviating hygiene and refining their quality of life. Moreover, a trend-based sampling design might be considered for a better understanding.


Download data is not yet available.

Author Biography

Habtamu Dessie, Woldia University

Department of Statistics, Faculty of Natural and Computational Science


Organization., W.H., Diarrhoeal disease: . May 02, 2017.

Farthing M, S.M., Lindberg G, et al. , Acute diarrhea in adults and children: a global perspective. J Clin Gastroenterol. , 2013. 47(1): p. 12-20.

Gidudu J, e.a., Diarrhea:case definition and guidelines for collection,analysis, and presentation of immunization safety data. Vaccine., 2011. 29(5): p. 1053.

UNICEF/WHO., Why children are still dying and what can be done?. . 2009.

Fenta, A.A., Kassahun Angaw, Dessie Abebaw, Prevalence and associated factors of acute diarrhea among under-five children in Kamashi district, western Ethiopia: community-based study. BMC pediatrics, 2020. 20(1): p. 236-236.

Mokomane, M., et al., The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management. Therapeutic advances in infectious disease, 2018. 5(1): p. 29-43.

Tambe AB, N.L., Nicoline NA. , Childhood diarrhea determinants in subSaharan Africa: a cross sectional study of Tiko-Cameroon.Challenges. 2015. 6(2): p. 229-43.

Module., C.D., General Features of Faeco-Orally Transmitted Diseases. . 2018.

Kasye DG, G.N., Kassa MA. , Assessment of the prevalence of diarrheal disease under-five children Serbo town, Jimma Zone South West Ethiopia. Clinics Mother Child Health., 2018. 15(28): p. 2.

UNICEF., One is too many: ending child deaths from pneumonia and diarrhoea. In: Every breath count;, 2016.

Genet Gedamu, A.K., Desta Haftu, Magnitude and Associated Factors of Diarrhea among Under Five Children in Farta Wereda, North West Ethiopia. Quality in Primary Care 2017. 25(4): p. 199-207.

Habtu, M., J. Nsabimana, and C. Mureithi, Factors Contributing to Diarrheal Diseases among Children Less than Five Years in Nyarugenge District, Rwanda. Journal of Tropical Disease, 2017. 5: p. 3.

Kotloff, K.L., et al., The incidence, aetiology, and adverse clinical consequences of less severe diarrhoeal episodes among infants and children residing in low-income and middle-income countries: a 12-month case-control study as a follow-on to the Global Enteric Multicenter Study (GEMS). The Lancet Global Health, 2019. 7(5): p. e568-e584.

Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, E., and Rockville, Maryland, USA: CSA and ICF; , 2016.

Ferede, M.M., Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey. BMC pediatrics, 2020. 20(1): p. 239-239.

Getachew, A., et al., Diarrhea Prevalence and Sociodemographic Factors among Under-Five Children in Rural Areas of North Gondar Zone, Northwest Ethiopia. International Journal of Pediatrics, 2018. 2018: p. 6031594.

WHO, Progress on sanitation and drinking water: 2015 update and MDG assessment.2015. World Health Organization, Accessed October 2017.

Jean N, e.a., Factors contributing to diarrheal diseases among children less than five years in Nyarugenge District, Rwanda. J Trop Dis., Feburary 12/2018. 5(3).

Melese, B., et al., Prevalence of diarrheal diseases and associated factors among under-five children in Dale District, Sidama zone, Southern Ethiopia: a cross-sectional study. BMC Public Health, 2019. 19(1): p. 1235.

Girma, M., et al., Determinants of childhood diarrhea in West Gojjam, Northwest Ethiopia: a case control study. Pan Afr Med J, 2018. 30: p. 234.

Gashaw D, W.K., Shewanew T, Yitbarek K. , What Factors Aggravate Prevalence of Diarrhea among Infants of 7-12 Months in Southern Ethiopia?. . Quality in Primary Care., 2017. 25(5): p. 321-5.

Degebasa MZ, W.D., Marama MT. , 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. Pediatric Health Med Ther, 2018. 9: p. 109-121.

D. Amare, B.D., B. Kassie et al., “Maternal knowledge and practice towards diarrhoea management in under five children in fenote Selam town, West Gojjam Zone, Amhara regional State, Northwest Ethiopia,” Journal of Infectious Diseases and Berapy, , 2014. 2(6): p. 398-403.

Xu Zhiwei., e.a., Exploration of diarrhoea seasonality and its drivers in China. Scientific reports, 2015. 5: p. 8241.

Gong, X.-H., et al., “Epidemiology, aetiology and seasonality of infectious diarrhoea in adult outpatients through active surveillance in Shanghai, China, 2012–2016: a cross-sectional study”. BMJ open, 2018. 8(9): p. e019699.

Giribabu Dandabathula, P.B., Mithilesh Burra, Peddineni VV Prasada Rao, Srinivasa S Rao, Sudhakar C Reddy, Seasonal Variations of Acute Diarrheal Disease Outbreaks in India(2010-2018). 2019. 3(7).

Bizuahu H, e.a., Factors associated with diarrheal morbidity among underfive children in Jigjiga town, Somali Regional State, eastern Ethiopia. . BMC Pediatrics., 2018. 17: p. 182.

CSA, Summary and statistical report of the 2007 population and housing census. Population size by age and sex 2008: Addis Abeba, Ethiopia.

Dagnew, A.B., et al., Prevalence of diarrhea and associated factors among under-five children in Bahir Dar city, Northwest Ethiopia, 2016: a cross-sectional study. BMC Infectious Diseases, 2019. 19(1): p. 417.




How to Cite

Dessie, H. (2021). Determinate of diarrhea among under-five children in Northwest Ethiopia. International Journal for Innovation Education and Research, 9(5), 92–103.