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Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia

Received: 25 October 2013     Published: 30 November 2013
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Abstract

Background: Childhood mortality rates reduction by two-thirds is one of the Millennium Development Goals target. Worldwide diarrheal disease is the second leading cause of death in under-five year’schildren.It is responsible for 1.7 million morbidity and 760, 000 mortality of children every year. In Ethiopia diarrhea kills half million under-five children annually.Around 90% of diarrheal disease occurs due to poor sanitation, lack of access to clean water supply and inadequate personal hygiene. In Ethiopia healthcare, those factors are included in health extension programme as intervention package, which is introduced in 2002/03. As a strategy of the programme households have been graduated as Model Families by the 16 interventional packages.Objective: To assess prevalence of diarrheal disease in under-five children among health extension model and non-model families in Sheko district rural community, Southwest Ethiopia.Methods: a community based comparative cross-sectional study design was employed from January 31 to February29/2012 in Sheko district. A stratified multi-stage simple random sampling technique was used to select 825 (275 model and 550 non-model) households that had at least one under-five children. Data was collected using pre-tested questionnaire by trained data collectors. A summery descriptive summery statistics and chi-square test was computed to describe the data.Result:In the study 265 model and 529 non-modelhouseholds with at least one under-five childrenwere enrolled the interview, which makes a response rate of 96.2%. Almost all of the respondents were the real mothers of the index child for both groups [264 (99.6%) model and 528 (99.8%) non-model households]. Regarding to religion Orthodox was shared more than half of the total study population for both group [167 (63.0%), model and 332 (62.8%), non-model households]. Among the study participants 74 (27.9%) model and 188 (35.5%) non-model households was Bench by ethnicity.The two weeks diarrhea prevalence in under-fives among model and non-model household were 6.4% and 25.5%, respectively, which is statistically significant different [x2 = 41.63, P< 0.01].Conclusion: there is significant difference of diarrheal prevalence was observed among children’s whose families were model and non-model for health extension programme. Thus encouraging households being model families should be strengthening to reduce childhood diarrhea.

Published in Science Journal of Public Health (Volume 1, Issue 5)
DOI 10.11648/j.sjph.20130105.18
Page(s) 230-234
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Prevalence, Childhood, Health Extension, Model and Non-Model Family

References
[1] John J, Richard T. Health for all beyond 2000:The Demise of the Alma-Ata Declaration and Primary Health Care in Developing countries. Global health. 2003 Jan 6;178:17 – 19.
[2] WHO. Global strategy for health for all by the year 2000. 1981.
[3] Kitaw Y, Teka E, Meche H. The Evolution of Public Health in Ethiopia. 2005;
[4] Argaw H. The Health Extension Programme of Ethiopia: Summary of Concepts, progress, Achievements and Challenges. WHO; 2007.
[5] UNICEF. Ethiopia Newsletter, sanitation issue July-September 2004 Vol. 6, No3. World Vision-UNICEF. 2004;6(3).
[6] Argaw H. The Health Extension Programme of Ethiopia: Summary of Concepts, Progress, Achievements and Challenges. WHO; 2007.
[7] Central Statistical Agency. Children’s Health and Nutritional Status. Children’s Health aEthiopia Demographic and Health Survey. Addis Ababa, Ethiopia; 2012. p. 3–24.
[8] WHO. Diarrheal disease key facts [http://www.who.int/mediacentre/factsheets/fs330/en/].
[9] MOH.Health sector development program IV, 2010 - 2014. 2010; 59.
[10] UNICEF. Sanitation issue. Ethiopian Newsletter. 6th ed. Addis Ababa; 2004;
[11] Health office. Sheko district Annual report. Sheko; 2011.
[12] Central Statistical Agency. Ethiopia Demographic and Health Survey Addis Ababa, Ethiopia; 2005
[13] WHO/UNICEF. Core questions on drinking water and sanitation for household surveys. Geneva, Switzerland: WHO Press; 2006.
[14] MOH. Report on the Assessment of Factors Contributing to and Affecting Performance of Health Extension Workers in Selected Woredas of Amhara National Regional State and Southern Nation, Nationalities and People’s Region [http://isearch.avg.com/search?q=MOH+AND+Report+on+the+Assessment+of+Factors+Contributing+to+and+Affecting+Performance+of+Health+Extension+Workers+in+Selected+Woredas+&sap=hp&snd=hdr&sap_acp=0]. Addis Ababa, Ethiopia; 2008].
[15] Teklemariam S, Getaneh T, & Bekele F. Environmental determinants of diarrhoea morbidity in under-five children, Keffa-Sheka Zone, Southwest Ethiopia. Medical journal. 2000;38(1):27 –34.
[16] Getaneh T. Diarrhoea morbidity in urban area of Southwest Ethiopia. East African Medical Journal. 1997;74(8):491 – 494.
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    Teklemichael Gebru, Mohammed Taha, Wondwosen Kassahun. (2013). Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia. Science Journal of Public Health, 1(5), 230-234. https://doi.org/10.11648/j.sjph.20130105.18

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    ACS Style

    Teklemichael Gebru; Mohammed Taha; Wondwosen Kassahun. Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia. Sci. J. Public Health 2013, 1(5), 230-234. doi: 10.11648/j.sjph.20130105.18

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    AMA Style

    Teklemichael Gebru, Mohammed Taha, Wondwosen Kassahun. Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia. Sci J Public Health. 2013;1(5):230-234. doi: 10.11648/j.sjph.20130105.18

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  • @article{10.11648/j.sjph.20130105.18,
      author = {Teklemichael Gebru and Mohammed Taha and Wondwosen Kassahun},
      title = {Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {1},
      number = {5},
      pages = {230-234},
      doi = {10.11648/j.sjph.20130105.18},
      url = {https://doi.org/10.11648/j.sjph.20130105.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20130105.18},
      abstract = {Background: Childhood mortality rates reduction by two-thirds is one of the Millennium Development Goals target. Worldwide diarrheal disease is the second leading cause of death in under-five year’schildren.It is responsible for 1.7 million morbidity and 760, 000 mortality of children every year. In Ethiopia diarrhea kills half million under-five children annually.Around 90% of diarrheal disease occurs due to poor sanitation, lack of access to clean water supply and inadequate personal hygiene. In Ethiopia healthcare, those factors are included in health extension programme as intervention package, which is introduced in 2002/03. As a strategy of the programme households have been graduated as Model Families by the 16 interventional packages.Objective: To assess prevalence of diarrheal disease in under-five children among health extension model and non-model families in Sheko district rural community, Southwest Ethiopia.Methods: a community based comparative cross-sectional study design was employed from January 31 to February29/2012 in Sheko district. A stratified multi-stage simple random sampling technique was used to select 825 (275 model and 550 non-model) households that had at least one under-five children. Data was collected using pre-tested questionnaire by trained data collectors. A summery descriptive summery statistics and chi-square test was computed to describe the data.Result:In the study 265 model and 529 non-modelhouseholds with at least one under-five childrenwere enrolled the interview, which makes a response rate of 96.2%.  Almost all of the respondents were the real mothers of the index child for both groups [264 (99.6%) model and 528 (99.8%) non-model households]. Regarding to religion Orthodox was shared more than half of the total study population for both group [167 (63.0%), model and 332 (62.8%), non-model households]. Among the study participants 74 (27.9%) model and 188 (35.5%) non-model households was Bench by ethnicity.The two weeks diarrhea prevalence in under-fives among model and non-model household were 6.4% and 25.5%, respectively, which is statistically significant different [x2 = 41.63, P< 0.01].Conclusion: there is significant difference of diarrheal prevalence was observed among children’s whose families were model and non-model for health extension programme. Thus encouraging households being model families should be strengthening to reduce childhood diarrhea.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Diarrheain Under-Five Children among Health Extension Model and Non-Model Households in Sheko District Rural Community, Southwest Ethiopia
    AU  - Teklemichael Gebru
    AU  - Mohammed Taha
    AU  - Wondwosen Kassahun
    Y1  - 2013/11/30
    PY  - 2013
    N1  - https://doi.org/10.11648/j.sjph.20130105.18
    DO  - 10.11648/j.sjph.20130105.18
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 230
    EP  - 234
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20130105.18
    AB  - Background: Childhood mortality rates reduction by two-thirds is one of the Millennium Development Goals target. Worldwide diarrheal disease is the second leading cause of death in under-five year’schildren.It is responsible for 1.7 million morbidity and 760, 000 mortality of children every year. In Ethiopia diarrhea kills half million under-five children annually.Around 90% of diarrheal disease occurs due to poor sanitation, lack of access to clean water supply and inadequate personal hygiene. In Ethiopia healthcare, those factors are included in health extension programme as intervention package, which is introduced in 2002/03. As a strategy of the programme households have been graduated as Model Families by the 16 interventional packages.Objective: To assess prevalence of diarrheal disease in under-five children among health extension model and non-model families in Sheko district rural community, Southwest Ethiopia.Methods: a community based comparative cross-sectional study design was employed from January 31 to February29/2012 in Sheko district. A stratified multi-stage simple random sampling technique was used to select 825 (275 model and 550 non-model) households that had at least one under-five children. Data was collected using pre-tested questionnaire by trained data collectors. A summery descriptive summery statistics and chi-square test was computed to describe the data.Result:In the study 265 model and 529 non-modelhouseholds with at least one under-five childrenwere enrolled the interview, which makes a response rate of 96.2%.  Almost all of the respondents were the real mothers of the index child for both groups [264 (99.6%) model and 528 (99.8%) non-model households]. Regarding to religion Orthodox was shared more than half of the total study population for both group [167 (63.0%), model and 332 (62.8%), non-model households]. Among the study participants 74 (27.9%) model and 188 (35.5%) non-model households was Bench by ethnicity.The two weeks diarrhea prevalence in under-fives among model and non-model household were 6.4% and 25.5%, respectively, which is statistically significant different [x2 = 41.63, P< 0.01].Conclusion: there is significant difference of diarrheal prevalence was observed among children’s whose families were model and non-model for health extension programme. Thus encouraging households being model families should be strengthening to reduce childhood diarrhea.
    VL  - 1
    IS  - 5
    ER  - 

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Author Information
  • Department of Public Health, Aman Health Science College, Mizan, Ethiopia

  • Department of Epidemiology, Jimma University, Jimma, Ethiopia

  • Department of Biostatistics, Jimma University, Jimma, Ethiopia

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