Frequency and Factors of Mortality Due to Diarrhea Under 5 Years Child at Hayatabad Medical Complex Peshawar
DOI:
https://doi.org/10.37762/jgnahs.118Keywords:
Diarrhea, Mortality, Hygiene, Immunized, MaternalAbstract
OBJECTIVES
To determine the mortality rate due to diarrhoea in children under 5 years at Hayatabad Medical Complex Peshawar.
METHODOLOGY
A cross-sectional study was conducted in Hayatabad Medical Complex, Peshawar. The duration of the study was six months. Data was collected from 100 patients using a convenient sampling technique and then calculated using Raosoft software. The study was conducted for a time duration of 6 months. Only patients under 5 years of age admitted for more than 12 hours were examined, and patients with any comorbidity were excluded The data was analysed using SPSS.
RESULTS
Diarrhoea was prevalent in approximately 69% of cases. Risk factors included a higher proportion of literate individuals (72%) compared to illiterate (28%) for maternal education, and a majority (87%) earning less than 20,000 for household income. Breastfeeding was predominant (51%), but only 17% consistently washed hands before feeding. However, 85% washed hands after using the toilet, mostly with plain water (52%). Family systems were divided between joint (58%) and nuclear (42%), and immunization status was nearly equal, with 46% immunized and 54% not fully immunized. Boring water (65%) was the primary water source, outnumbering piped water (35%). These findings highlight the complex factors contributing to diarrhoea, suggesting targeted interventions for improved hygiene and healthcare access among vulnerable populations.
CONCLUSION
The diarrhoea was common among under 5 years of children with poor hygiene conditions are the key factors of it.
References
Demissie GD, Yeshaw Y, Aleminew W, Akalu Y. Diarrhea and associated factors among under-five children in sub-Saharan Africa: Evidence from demographic and health surveys of 34 sub-Saharan countries. PLoS One. 2021;16(9 September):1-13
Terefe G, Murugan R, Bedada T, Bacha G, Bekele G. Home-based management practice of Diarrhea in under 5 years old children and associated factors among caregivers in Ginchi town, Oromia region, west Ethiopia. SAGE Open Med. 2022;10
Hartman RM, Cohen AL, Antoni S, Mwenda J, Weldegebriel G, Biey J, et al. Risk Factors for Mortality Among Children Younger Than Age 5 Years With Severe Diarrhea in Low- and Middle-income Countries: Findings From the World Health Organization-coordinated Global Rotavirus and Pediatric Diarrhea Surveillance Networks. Clin Infect Dis. 2022;76(3):1047–53
Mosisa D, Aboma M, Girma T, Shibru A. Determinants of diarrheal diseases among under five children in Jimma Geneti District, Oromia region, Ethiopia, 2020: a case-control study. BMC Pediatr. 2021;21(1):1-13
Gashe F, Mulisa E, Mekonnen M, Zeleke G. Antimicrobial resistance profile of different clinical isolates against third-generation cephalosporins. Journal of pharmaceutics. 2018;2018
De R. Metagenomics: aid to combat antimicrobial resistance in Diarrhea. Gut Pathogens. 2019 Dec;11(1):1-9
Abbas J, Chandra Pandey D, Verma A, Kumar V. Management of acute Diarrhea in children: Is the treatment guidelines is really implemented. International Journal of Research in Medical Sciences. 2018 Feb;6(2):539
Shah MP, Tate JE, Mwenda JM, Steele AD, Parashar UD. Estimated reductions in hospitalizations and deaths from childhood diarrhea following implementation of rotavirus vaccination in Africa. Expert review of vaccines. 2017 Oct 3;16(10):987-95
Troeger C, Khalil IA, Rao PC, Cao S, Blacker BF, Ahmed T, Armah G, Bines JE, Brewer TG, Colombara DV, Kang G. Rotavirus vaccination and the global burden of rotavirus diarrhea among children younger than 5 years. JAMA pediatrics. 2018 Oct 1;172(10):958-65
Charoenwat B, Suwannaying K, Paibool W, Laoaroon N, Sutra S, Thepsuthammarat K. Burden and pattern of acute diarrhea in Thai children under 5 years of age: a 5-year descriptive analysis based on Thailand National Health Coverage (NHC) data. BMC Public Health. 2022;22(1):1–14
Degebasa M, Dawit Z, Marama M. 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. Pediatr Heal Med Ther. 2018;Volume 9:109–21
Mandal K, Lu H. Zinc deficiency in children. IJSIT. 2017;6(1):9-19
Agarwal A, Gupta NK, Upadhyay A, Soni RK, Shah D, Jaiswal V. Serum zinc levels as a predictor of severity of acute Diarrhea. The Indian Journal of Pediatrics. 2018 Mar;85:179-83
Talbert A, Ngari M, Bauni E, Mwangome M, Mturi N, Otiende M, Maitland K, Walson J, Berkley JA. Mortality after inpatient treatment for Diarrhea in children: a cohort study. BMC medicine. 2019 Dec;17:1-1
Melese B, Paulos W, Astawesegn FH, Gelgelu TB. 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 Dec;19(1):1-0
Musa N, Gul R, Mehmood Y. Frequency of Diarrhoea and its Risk Factors among Children Under-Five Years of Age in Three Teaching Hospitals of Peshawar. Journal of Gandhara Medical and Dental Science. 2016 Mar 1;2(2)
Beyene SG, Melku AT. Prevalence of diarrhea and associated factors among under five years children in Harena Buluk Woreda Oromia region, south East Ethiopia, 2018. Journal of Public Health International. 2018 Dec 5;1(2):9-26
Ganguly E, Sharma PK, Bunker CH. Prevalence and risk factors of diarrhea morbidity among under-five children in India: A systematic review and meta-analysis. Indian journal of child health. 2015 Oct;2(4):152
Berhe H, Mihret A, Yitayih G. Prevalence of diarrhea and associated factors among children under-five years of age in enderta woreda, tigray, northern ethiopia, 2014. International Journal of Therapeutic Applications. 2016 Jun;31:32-7
Omona S, Malinga GM, Opoke R, Openy G, Opiro R. Prevalence of diarrhoea and associated risk factors among children under five years old in Pader District, northern Uganda. BMC Infectious Diseases. 2020 Dec;20:1-9
Acharya D, Singh JK, Adhikari M, Gautam S, Pandey P, Dayal V. Association of water handling and child feeding practice with childhood diarrhoea in rural community of Southern Nepal. Journal of infection and public health. 2018 Jan 1;11(1):69-74
Cohen A, Colford JJ. Effects of boiling drinking water on diarrhea and pathogen-specific infections in low-and middle-income countries: a systematic review and meta-analysis. The American journal of tropical medicine and hygiene. 2017 Nov 11;97(5):1362
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