A multilevel analysis of individual, household and community level predictors of child diarrhea in Eswatini

Authors

  • Maswati Simelane University of Eswatini. Department of Statistics and Demography, Faculty of Social Sciences https://orcid.org/0000-0002-4931-9026
  • Kerry Vermaak University KwaZulu-Natal. The School of Built Environment and Development Studies

DOI:

https://doi.org/10.4081/jphia.2023.1149

Abstract

The aim of the study was to investigate the effect of individual, household and community level factors on child diarrhea. The study used a pooled secondary data analysis approach from the 2010 and 2014 Eswatini Multiple Indicator Cluster Survey (MICS). Multilevel logistic regression was used for data analysis. Compared to children aged under 6 months, the odds of having diarrhea were higher for children aged 6-11 months, adjusted odds ratio, AOR 5.34(95% Confidence interval):2.39-11.90) and 12-23 months AOR. 3.90 (1.76-8.64).  Reduced odds of diarrhea were observed among children with a normal height for age (AOR0.09(0.01-0.93) and above normal height for age (AOR: 0.07 (0.01-0.85) compared to those with a growth deficit. Children from households with no toilet facility at all had 283% increased risk of having diarrhea compared to those with flush toilets. Regionally, the risk was higher in the Hhohho region (AOR2.59 (1.08-2.65), reference: Lubombo region. Higher odds were observed among communities with a higher and medium proportion of diarrhea AOR9.77(4.59-20.80), AOR 3.60 (2.26-6.20) respectively, compared to communities with a low proportion of diarrhea

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Published

02-11-2023

How to Cite

Simelane, M., & Vermaak, K. (2023). A multilevel analysis of individual, household and community level predictors of child diarrhea in Eswatini. Journal of Public Health in Africa, 14(12). https://doi.org/10.4081/jphia.2023.1149

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Original Articles