Prévalence des maladies diarrhéiques et facteurs associés dans les ménages de la ville d’Isiro en Province du Haut-Uélé
Abstract
INTRODUCTION
This study was conducted to determine the prevalence of diarrheal diseases and associated factors in households in the Isiro health zone.
METHOD
An analytical cross-sectional study was conducted in 384 households from December 1 to 14, 2020. Data were collected through guided interviews of mothers and caregivers of children under 5 years old. Data analysis was done using SPSS 20 and STATA 13 software. The prevalence of diarrhea was calculated, the analysis of factors associated with diarrhea was done using step-by-step logistic regression. not descending and the strength of association was estimated using the adjusted ORs.
RESULTS
The overall prevalence of diarrhea was 6.54 (95% CI: 5.7-7.4); in children under 5, it was 14.57 (95% CI: 12.1-17). This prevalence was higher in rural areas (p <0.05). Care in the health facility was higher in rural areas (78.8%) and home treatment in urban areas (92.2%) (p <0.05). Home water treatment (aOR = 0.206; p <0.05) and improved source use (aOR = 0.435; p <0.05) protect against diarrhea. Long access to water and lack of awareness about diarrhea increased the risk of diarrhea more than twice (p <0.05).
CONCLUSION
Diarrheal diseases are frequent in households and higher in rural areas. They are taken care of differently depending on the place of residence. The treatment of water, the use of improved water sources, the reduction of access times and the sensitization of mothers are actions to be promoted.
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References
Sanyaolu A., “Global Trends of Diarrhea Diseases in Children,” Ann. Microbiol. Infect. Dis., vol. 1, no. 1, pp. 24–38, 2018.
Coulibaly K., “Etude de la qualité Physico-Chimique Et Bacteriologique de l ’eau des puits de certains quartiers du district de Bamako.,” p. 69, 2005.
Wardlaw T C. M., Salama P, Brocklehurst C and M. E., “Diarrhoea: why children are still dying and what can be done.,” Lanc, vol. 375, no. 9718, pp. 870–2, 2010.
Center for Diseases Control.(CDC), “Preventation. 2015. Diarrhea: Common Illness, Global Killer. . Available from: http://www.cdc.gov/healthywater/ global/diarrhea-burden.html,” 2015.
Groopman E. E. , Carmody R. N., and Wrangham R. W., “Cooking Increases Net Energy Gain From a Lipid-Rich Food,” vol. 18, no. September 2014, pp. 11–18, 2015, doi: 10.1002/ajpa.22622.
Omona S., Malinga G. M., Opoke R., Openy G., and Opiro R., “Prevalence of diarrhoea and associated risk factors among children under five years old in Pader District, northern Uganda,” BMC Infect. Dis., vol. 20, no. 1, pp. 1–9, 2020, doi: 10.1186/s12879-020-4770-0.
Somé S. O., Yelezouomin Stéphane Corentin, Thomas Domegnon SORO, “Étude de la prévalence des maladies liées à l’eau et influences des facteurs environnementaux dans l’arrondissement de Nomgr-Masson : cas du quartier Tanghin (Ouagadougou-Burkina Faso),” Int. J. Biol. Chem. Sci., vol. 8:, no. 1, pp. 289–303, 2014.
OMS/UNICEF, “Stratégie de l’OMS sur l’eau, l’assainissement et l’hygiène https://apps.who.int/iris/bitstream/handle/10665/311284/WHO-CED-PHE-WSH-18.03-fre. pdf?ua=1,” 2018.
MICS-Palu, “Principaux résultats de l’enquête MICS-Palu 2017-2018 https://www.unicef. org/drcongo/rapports/resume-mics-palu-2017-2018.”
Plan d'action operationnelle (PAO) de la division provinciale du Haut-Uélé, 2020,” p. 9, 2020.
El-Gilany A. H. and Hammad S., “Epidemiology of diarrhoeal diseases among children under age 5 years in Dakahlia, Egypt,” East. Mediterr. Heal. J., vol. 11, no. 4, pp. 762–775, 2005.
Dairo M. D., Ibrahim T. F., and Salawu A. T., “Prevalence and determinants of diarrhoea among infants in selected primary health centres in kaduna north local government area, nigeria,” Pan Afr. Med. J., vol. 28, pp. 1–9, 2017, doi: 10.11604/pamj.2017.28.109.8152.
Emina J. B. O. and Kandala N. B., “Accounting for recent trends in the prevalence of diarrhoea in the Democratic Republic of Congo (DRC): Results from consecutive cross-sectional surveys,” BMJ Open, vol. 2, no. 6, pp. 1–7, 2012,
Jinadu M. K., Olusi S. O., Agun J. I., and Fabiyi A. K., Childhood Diarrhoea in Rural Nigeria . I . Studies on Prevalence , Mortality and Socio-Environmental Factors,” vol. 9, no. 4, pp. 323–327, 2016.
Kosek R. L., Bern, M.C., & Guerrant R, “The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000.,” Bull. world Heal. Organ., vol. 81, pp. 197–204, 2003.
Pison G., Ftrape J., Lefebvre M., and Enel C., “Rapid decline in child mortality in a rural area of senegal,” Int. J. Epidemiol., vol. 22, no. 1, pp. 72–80, 1993
King C. K., Glass R., Bresee J. S., and Duggan C., “Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy.,” MMWR. Recomm. Rep., vol. 52, no. RR-16, pp. 1–16, 2003, doi: 10.1542/peds.114.2.507.
Ekanem E Ekanem B., Charlotte O Akitoye and Olufunke T Adedeji “Food Hygiene Behaviour and Childhood Diarrhoea in Lagos , Nigeria : a Case — Control Study Author vol. 9, no. 3, pp. 219–226, 2014.
Curtis V, “Effect of washing hands with soap on diarrhea risk in the community: A systematic review.,” Lancet Infect Dis., vol. 3, no. 5, pp. 275–281, 2003.
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