Risk Factors of Childhood Diarrhoeal Diseases in Bangladesh: Evidence from a Nationwide Cross-sectional Survey

Year 2021, Volume: 3 Issue: 2, 97 - 109, 06.09.2021

Md. Nure Alam Siddiqi , Abdul Muyeed

https://doi.org/10.52675/jhesp.893192

Abstract

          Globally, different episodes of diarrhoeal diseases are one of the leading causes of childhood morbidity and mortality, especially in developing countries. Diarrhoeal diseases among children under five years of age have been considered as the major causes of morbidity and mortality in Bangladesh although it has declined recently. In this study, the most recently published Multiple Indicator Cluster Survey 2019 (MICS 2019) data were used to observe the prevalence of childhood diarrhoea and to identify the socio-economic and demographic risk factors of childhood diarrhoea in Bangladesh. The chi-square test was used in this study to identify the risk factors of childhood diarrhoeal diseases in Bangladesh. The overall prevalence of diarrhoea among children under five years of age in Bangladesh was found 6.9% in the last two weeks preceding the survey. The findings of the study identified that child age less than two years, an unimproved facility of toilet or source of drinking water, floor material made of earth/sand, no handwashing place observed in dwelling/ yard/plot, lower or no education of mothers and household heads, lower economic status, three or more under-five children living in the family are the most potential risk factors of childhood diarrhea in Bangladesh. Improved source of drinking water supply, better sanitation, hygiene practice, mother’s knowledge and consciousness about diarrhoea and, timely treatment and can reduce the burden of childhood diarrhoea in Bangladesh. The quality of existing child healthcare services like oral rehydration therapy (ORT) during diarrhoea, rotavirus vaccination programs should be improved at all stages without any discrimination which will contribute to a reduction in childhood morbidity and mortality due to diarrhoea in Bangladesh.

Keywords

Childhood Diarrhoea, Risk Factors, Multiple Indicator Cluster Survey (MICS), Bangladesh

References

• Ahmed, M., Abedin, J., Alam, K. F., Al Mamun, A., Paul, R. C., Rahman, M., Luliano, A. D., Sturm Ramirez, K., Parashar, U., Luby, S. P., Gurley, E. S. (2018). Incidence of acute diarrhea-associated death among children <5 years of age in Bangladesh, 2010–12. The American Journal of Tropical Medicine and Hygiene, 98,281-286.
• Alemayehu, M., Alemu, T., Astatkie, A. (2020). Prevalence and determinants of diarrhea among under-five children in Benna Tsemay District, South Omo Zone, Southern Ethiopia: A community-based cross-sectional study in pastoralist and agropastoralist context. Advances in Public Health.
• Billah, S. M., Raihana, S., Ali, N. B., Iqbal, A., Rahman, M. M., Khan, A. N. S., Karim, F., Karım, M. A., Hasan, A., Jackson, B., Walker, N., Hossain, M. A., Sarker, S., Black, R. E., El Arifeen, S. (2019). Bangladesh: A success case in combating childhood diarrhoea. Journal of Global Health, 9,20803.
• Boadi, K. O., Kuitunen, M. (2005). Childhood diarrheal morbidity in the Accra Metropolitan Area, Ghana: Socio-economic, environmental and behavioral risk determinants. Journal of Health and Population in Developing Countries, 7,15-22.
• Dessalegn, M., Kumie, A., Tefera, W. (2011). Predictors of under-five childhood diarrhea: Mecha District, West Gojam, Ethiopia. Ethiopian Journal of Health Development, 25,192-200.
• Hashi, A., Kumie, A., Gasana, J. (2017). Hand washing with soap and WASH educational intervention reduces under-five childhood diarrhoea incidence in Jigjiga District, Eastern Ethiopia: A community-based cluster randomized controlled trial. Preventive Medicine Reports, 6,361-368.
• Islam, M. R., Nuzhat, S., Fahim, S. M., Palit, P., Flannery, R. L., Kyle, D. J., Mahfuz, M., Islam, M. M., Sarker, S. A., Ahmed, T. (2020). Antibiotic exposure among young infants suffering from diarrhoea in Bangladesh. Journal of Paediatrics and Child Health. 57,395-402.
• Johns Hopkins Bloomberg School of Public Health, International Vaccine Access Center. (2020). Pneumonia and Diarrhea Progress Report 2020. https://www.jhsph.edu/ivac/resources/pdpr/
• Julian, T. R. (2016). Environmental transmission of diarrheal pathogens in low and middle income countries. Environmental Science: Processes and Impacts, 18,944-955.
• Li, R., Lai, Y., Feng, C., Dev, R., Wang, Y., Hao, Y. (2020). Diarrhea in under five year-old children in Nepal: A spatiotemporal analysis based on demographic and health survey data. International Journal of Environmental Research and Public Health, 17,2140.
• Mihrshahi, S., Ichikawa, N., Shuaib, M., Oddy, W., Ampon, R., Dibley, M. J., Kabir, A. K. M. I., Peat, J. K. (2007). Prevalence of exclusive breastfeeding in Bangladesh and its association with diarrhoea and acute respiratory infection: Results of the multiple indicator cluster survey 2003. Journal of Health, Population, and Nutrition, 25,195-204.
• Moharana, S. S., Panda, R. K., Dash, M., Chayani, N., Bokade, P., Pati, S., Bhattacharya, D. (2019). Etiology of childhood diarrhoea among under five children and molecular analysis of antibiotic resistance in isolated enteric bacterial pathogens from a tertiary care hospital, Eastern Odisha, India. BMC Infectious Diseases, 19,1-9.
• National Institute of Population Research and Training and ICF. (2020). Bangladesh Demographic and Health Survey 2017-18. https://dhsprogram.com/pubs/pdf/FR344/FR344.pdf
• Nirwati, H., Wibawa, T., Aman, A. T., Wahab, A., Soenarto, Y. (2016). Detection of group a rotavirus strains circulating among children with acute diarrhea in Indonesia. Springerplus, 5,1-6.
• Peter, A. K., Umar, U. (2018). Combating diarrhoea in Nigeria: The way forward. Journal of Microbiology and Experimentation, 6,191-197.
• Piechulek, H., Al-Sabbir, A., Mendoza-Aldana, J. (2003). Diarrhea and ARI in rural areas of Bangladesh. Southeast Asian Journal of Tropical Medicine and Public Health, 34,337-342.
• Sanyaolu, A., Okorie, C., Marinkovic, A., Jaferi, U., Prakash, S., Jan, A., Mangat, J. (2020). Global epidemiology and management of acute diarrhea in children from developing countries. Annals of Pediatrics and Child Health, 8,1205.
• Sarker, A. R., Sultana, M., Mahumud, R. A., Sheikh, N., Van Der Meer, R., Morton, A. (2016). Prevalence and health care–seeking behavior for childhood diarrheal disease in Bangladesh. Global Pediatric Health, 3,1-12.
• Siziya, S., Muula, A. S., Rudatsikira, E. (2009). Diarrhoea and acute respiratory infections prevalence and risk factors among under-five children in Iraq in 2000. Italian Journal of Pediatrics, 35,1-9.
• UNICEF Bangladesh Bureau of Statistics (2019). Progotir Pathey Bangladesh, Multiple Indicator Cluster Survey. https://www.unicef.org/bangladesh/media/3281/file/Bangladesh%202019%20MICS%20Report_English.pdf
• United Nations Children's Fund. (2019). The Bangladesh Multiple Indicator Cluster Survey 2019. https://mics.unicef.org/surveys
• Victora, C. G., Huttly S. R., Fuchs, S. C., Barros, F. C., Garnne, M., Leroy, O., Fontaine, O., Beau, J. P., Fauveau, V., Chowdhury, H. R., Yunus, M., Chakraborty, J., Sarder, A. M., Kapoor, S. K., Bhan, M. K., Nath, L. M., Martines, J. C. (1993). International differences in clinical patterns of diarrheal deaths: A comparison of children from Brazil, Senegal, Bangladesh, and India. Journal of Diarrhoeal Diseases Research, 11,25-29.
• Wasihun, A. G., Dejene, T. A., Teferi, M., Marugán, J., Negash, L., Yemane, D., McGuigan, K. G. (2018). Risk factors for diarrhoea and malnutrition among children under the age of 5 years in the Tigray Region of Northern Ethiopia, PLoS One, 13,e0207743.
• Workie, G. Y., Akalu, T. Y., Baraki, A. G. (2019). Environmental factors affecting childhood diarrheal disease among under-five children in Jamma district, South Wello zone, Northeast Ethiopia. BMC Infectious Diseases, 19,1-7.
• Workie, H. M., Sharifabdilahi, A. S., Addis, E. M. (2018). Mothers’ knowledge, attitude and practice towards the prevention and home-based management of diarrheal disease among under-five children in Diredawa, Eastern Ethiopia, 2016: A cross-sectional study. BMC Pediatrics, 18,1-9.
• World Health Organization (2017). https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease#:~:text=A%20significant%20proportion%20of%20diarrhoeal,children%20under%20five%20years%20old.