Factors influencing diarrheal prevalence among children under five years in Mathare Informal Settlement, Nairobi, Kenya

Authors

  • Djounfoune A. Guillaume Department of Community Health and Epidemiology, Kenyatta University https://orcid.org/0000-0001-9566-9265
  • Osero O.S. Justus Department of Community Health and Epidemiology, Kenyatta University, Nairobi
  • Kabiru W. Ephantus Department of Community Health and Epidemiology, Kenyatta University, Nairobi

DOI:

https://doi.org/10.4081/jphia.2020.1312

Keywords:

Diarrhoea, caregivers, children

Abstract

Globally, diarrhoea is the second major cause of death among children under five years. The aim of the study was to establish factors influencing diarrhoeal prevalence among children under five years in Mathare Informal Settlement. Cross-sectional survey was used. Data was collected from 1st July to 1st August 2019 among primary care- givers (PCGs) of children under five years in Mathare Informal Settlement, in Nairobi, Kenya. This urban informal settlement in Kenya was purposively sampled. Simple random sampling was used to select the households and the respondents. P<0.05 was considered as statistically significant. A total of 324 primary caregivers selected from 324 households were included in the study. Fifty six point seventeen percent of the respondents were aged 25-31 years old. Prevalence of diarrhoea among children was 18.7%. Sex, relationship of the primary caregivers, number of people and children in the households were found to be statisti- cally significant with diarrhoea prevalence with p=0.008, p<0.001, p<0.001, p<0.001 respectively. One hundred and seventy one (52.78%) primary caregivers had no formal education. primary caregivers disposed of the child’s faeces in garbage in 38.89% of the cases. Education level of the primary caregivers, renting, presence of flies, fae- ces, and open garbage near or within the compound were found to be associated with diarrhoea prevalence with p<0.001, p=0.024, p<0.001, p<0.001 respectively. Several factors were found to be associated with diarrhoeal prevalence among children under five years.

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References

WHO. Key facts scope of diarrhoeal disease [Internet]. 2018 [cited 2018 Oct 14]. p. 1–5. Available from: http://www.who.int/topics/diarrhoea/en/

The District Health Information Software. Diarrhea among under five children. Nairobi: DHIS; 2019.

Concern Worldwide. Nutrition survey conducted in the slums of Nairobi, Kenya. Nairobi; 2017.

Fischer, H., Werner, M., Wagenbach, D., Schwager, M., Thorsteinnson, T., Wilhelms, F., Kipfstuhl, J. and Sommer S. Little ice age clearly recorded in northern Greenland ice cores. Geophys Res Lett. 1998;25(10):1749–52. DOI: https://doi.org/10.1029/98GL01177

KNBS. 2009 Kenya population and housing census. Nairobi; 2009.

Meningistie B, Berhane Y, Worku A. Prevalence of diarrhea and associated risk factors among children under five years of age in eastern Ethiopia: A cross-sectional study. J Prev Med. 2013;3(7):446–53. https://m.scirp.org/papers/38203 DOI: https://doi.org/10.4236/ojpm.2013.37060

Wanjiru AM. Caregiver’s knowledge, perceptions and practices on diarrheoal diseases among children under five years in Turkana County, Kenya. Kenyatta University; 2018.

Ansari M, Izham M, Ibrahim M, Ravi P. Mothers’ knowledge , attitude and practice regarding diarrhea and its management in Morang Nepal : an interventional study. Trop J Pharm Res. 2012;11(5):847–54. http://www.bioline.org.br/pdf?pr12100 DOI: https://doi.org/10.4314/tjpr.v11i5.19

Hillow HS. Caregivers Knowledge and Practices in Management of diarrhoea among children aged 6-59 months in Ceelafweyn District, Sanag Region, Somaliland. Kenyatta University; 2018.

Woldu W, Bitew BD, Gizaw Z. Socioeconomic factors associated with diarrheal diseases among under-five children of the nomadic population in northeast Ethiopia. Trop Med Health. 2016;44(1):7–14. DOI: 10.1186/s41182-016-0040-7 DOI: https://doi.org/10.1186/s41182-016-0040-7

Corburn J, Karanja I. Informal settlements and a relational view of health in Nairobi, Kenya: sanitation, gender and dignity. Health Promot Int. 2014;31(2):258–69. DOI: https://doi.org/10.1093/heapro/dau100

County Government. Nairobi city county health sector strategic and investment plan. Nairobi; 2017.

Gupta A, Sarker G, Rout AJ, Mondal T, Pal R. Risk correlates of diarrhea in children under 5 years of age in slums of Bankura , west Bengal. J Glob Infect Dis. 2015;7(1):23–9. DOI: https://doi.org/10.4103/0974-777X.150887

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Published

29-10-2020

How to Cite

Guillaume, D. A. ., Justus, O. O. ., & Ephantus, K. W. . (2020). Factors influencing diarrheal prevalence among children under five years in Mathare Informal Settlement, Nairobi, Kenya. Journal of Public Health in Africa, 11(1). https://doi.org/10.4081/jphia.2020.1312

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Original Articles