Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study

Objective: To determine the associations of WHO/UNICEF Joint Monitoring Program Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia. Design: A community-based cross-sectional...

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Autores principales: Girmay, A.M., Weldetinsae, A., Mengesha, S.D., Adugna, E.A., Alemu, Z.A., Wagari, B., Serte, M.G., Awoke, K.S., Bedada, T.L., Weldegebriel, M.G., Dinssa, D.A., Alemayehu, T.A., Kenea, M.A., Tekulu, K.T., Gobena, W., Fikresilassie, G., Wube, W., Melese, A.W., Redwan, E., Hoffmann, Vivian, Tessema, M., Tollera, G.
Formato: Journal Article
Lenguaje:Inglés
Publicado: BMJ 2023
Materias:
Acceso en línea:https://hdl.handle.net/10568/138051
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author Girmay, A.M.
Weldetinsae, A.
Mengesha, S.D.
Adugna, E.A.
Alemu, Z.A.
Wagari, B.
Serte, M.G.
Awoke, K.S.
Bedada, T.L.
Weldegebriel, M.G.
Dinssa, D.A.
Alemayehu, T.A.
Kenea, M.A.
Tekulu, K.T.
Gobena, W.
Fikresilassie, G.
Wube, W.
Melese, A.W.
Redwan, E.
Hoffmann, Vivian
Tessema, M.
Tollera, G.
author_browse Adugna, E.A.
Alemayehu, T.A.
Alemu, Z.A.
Awoke, K.S.
Bedada, T.L.
Dinssa, D.A.
Fikresilassie, G.
Girmay, A.M.
Gobena, W.
Hoffmann, Vivian
Kenea, M.A.
Melese, A.W.
Mengesha, S.D.
Redwan, E.
Serte, M.G.
Tekulu, K.T.
Tessema, M.
Tollera, G.
Wagari, B.
Weldegebriel, M.G.
Weldetinsae, A.
Wube, W.
author_facet Girmay, A.M.
Weldetinsae, A.
Mengesha, S.D.
Adugna, E.A.
Alemu, Z.A.
Wagari, B.
Serte, M.G.
Awoke, K.S.
Bedada, T.L.
Weldegebriel, M.G.
Dinssa, D.A.
Alemayehu, T.A.
Kenea, M.A.
Tekulu, K.T.
Gobena, W.
Fikresilassie, G.
Wube, W.
Melese, A.W.
Redwan, E.
Hoffmann, Vivian
Tessema, M.
Tollera, G.
author_sort Girmay, A.M.
collection Repository of Agricultural Research Outputs (CGSpace)
description Objective: To determine the associations of WHO/UNICEF Joint Monitoring Program Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia. Design: A community-based cross-sectional study. Setting: Bishoftu town, Ethiopia, January–February 2022. Participants: A total of 1807 mothers with at least one child under 5 years were included. Sociodemographic and WASH variables were collected using a structured questionnaire. 378 drinking water samples were collected. Outcome: The response variable was diarrhoeal disease among children under 5 years. Results: The 2-week prevalence of diarrhoeal disease among children under 5 years was 14.8%. Illiteracy (adjusted OR 3.15; 95% CI 1.54 to 6.47), occupation (0.35; 0.20 to 0.62), mother’s age (1.63; 1.15 to 2.31), family size (2.38; 1.68 to 3.39), wealth index (5.91; 3.01 to 11.59), residence type (1.98; 1.35 to 2.90), sex of the child (1.62; 1.17 to 2.24), child’s age (3.52; 2.51 to 4.93), breastfeeding status (2.83; 1.74 to 4.59), food storage practice (3.49; 1.74 to 8.26), unimproved drinking water source (8.16; 1.69 to 39.46), limited drinking water service (4.68; 1.47 to 14.95), open defecation practice (5.17; 1.95 to 13.70), unimproved sanitation service (2.74; 1.60 to 4.67), limited sanitation service (1.71; 1.10 to 2.65), no hygiene service (3.43; 1.91 to 6.16) and limited hygiene service (2.13; 1.17 to 3.86) were significantly associated with diarrhoeal disease. Conclusion: In this study, diarrhoea among children is a significant health issue. Child’s age, drinking water service, residence type and hygiene service were the largest contributors with respect to the prevalence of diarrhoeal disease. This investigation provides information that could help to inform interventions to reduce childhood diarrhoea. The findings suggest that state authorities should initiate robust WASH strategies to achieve the Sustainable Development Goal 3 agenda.
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spelling CGSpace1380512025-10-26T12:56:24Z Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study Girmay, A.M. Weldetinsae, A. Mengesha, S.D. Adugna, E.A. Alemu, Z.A. Wagari, B. Serte, M.G. Awoke, K.S. Bedada, T.L. Weldegebriel, M.G. Dinssa, D.A. Alemayehu, T.A. Kenea, M.A. Tekulu, K.T. Gobena, W. Fikresilassie, G. Wube, W. Melese, A.W. Redwan, E. Hoffmann, Vivian Tessema, M. Tollera, G. water hygiene health Objective: To determine the associations of WHO/UNICEF Joint Monitoring Program Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia. Design: A community-based cross-sectional study. Setting: Bishoftu town, Ethiopia, January–February 2022. Participants: A total of 1807 mothers with at least one child under 5 years were included. Sociodemographic and WASH variables were collected using a structured questionnaire. 378 drinking water samples were collected. Outcome: The response variable was diarrhoeal disease among children under 5 years. Results: The 2-week prevalence of diarrhoeal disease among children under 5 years was 14.8%. Illiteracy (adjusted OR 3.15; 95% CI 1.54 to 6.47), occupation (0.35; 0.20 to 0.62), mother’s age (1.63; 1.15 to 2.31), family size (2.38; 1.68 to 3.39), wealth index (5.91; 3.01 to 11.59), residence type (1.98; 1.35 to 2.90), sex of the child (1.62; 1.17 to 2.24), child’s age (3.52; 2.51 to 4.93), breastfeeding status (2.83; 1.74 to 4.59), food storage practice (3.49; 1.74 to 8.26), unimproved drinking water source (8.16; 1.69 to 39.46), limited drinking water service (4.68; 1.47 to 14.95), open defecation practice (5.17; 1.95 to 13.70), unimproved sanitation service (2.74; 1.60 to 4.67), limited sanitation service (1.71; 1.10 to 2.65), no hygiene service (3.43; 1.91 to 6.16) and limited hygiene service (2.13; 1.17 to 3.86) were significantly associated with diarrhoeal disease. Conclusion: In this study, diarrhoea among children is a significant health issue. Child’s age, drinking water service, residence type and hygiene service were the largest contributors with respect to the prevalence of diarrhoeal disease. This investigation provides information that could help to inform interventions to reduce childhood diarrhoea. The findings suggest that state authorities should initiate robust WASH strategies to achieve the Sustainable Development Goal 3 agenda. 2023-07 2024-01-18T18:29:42Z 2024-01-18T18:29:42Z Journal Article https://hdl.handle.net/10568/138051 en https://doi.org/10.1002/hsr2.1662 Open Access BMJ Girmay, A.M., Weldetinsae, A., Mengesha, S.D., Adugna, E.A., Alemu, Z.A., Wagari, B., Serte, M.G., Awoke, K.S., Bedada, T.L., Weldegebriel, M.G., Dinssa, D.A., Alemayehu, T.A., Kenea, M.A., Tekulu, K.T., Gobena, W., Fikresilassie, G., Wube, W., Melese, A.W., Redwan, E., Hoffmann, V., Tessema, M. and Tollera, G. 2023. Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study. BMJ Open 13(7): e071296.
spellingShingle water
hygiene
health
Girmay, A.M.
Weldetinsae, A.
Mengesha, S.D.
Adugna, E.A.
Alemu, Z.A.
Wagari, B.
Serte, M.G.
Awoke, K.S.
Bedada, T.L.
Weldegebriel, M.G.
Dinssa, D.A.
Alemayehu, T.A.
Kenea, M.A.
Tekulu, K.T.
Gobena, W.
Fikresilassie, G.
Wube, W.
Melese, A.W.
Redwan, E.
Hoffmann, Vivian
Tessema, M.
Tollera, G.
Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study
title Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study
title_full Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study
title_fullStr Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study
title_full_unstemmed Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study
title_short Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study
title_sort associations of who unicef joint monitoring program jmp water sanitation and hygiene wash service ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in bishoftu town ethiopia a cross sectional study
topic water
hygiene
health
url https://hdl.handle.net/10568/138051
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