Under five diarrhea among model household and non model households in Hawassa, South Ethiopia: a comparative cross-sectional community based survey
Under five diarrhea among model household and non model households in Hawassa, South Ethiopia: a comparative cross-sectional community based survey
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DOI：
10.1186/1471-2458-14-187
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发表时间：
2014-02-20
影响因子：
4.5
通讯作者：
Berhane, Yemane
中科院分区：
文献类型：
--
作者：
Berhe, Fekadeselassie;Berhane, Yemane
背景：埃塞俄比亚一直在实施一项社区一级的健康干预方案(简称“健康推广计划”)，以改善儿童的健康状况，但其对埃塞俄比亚主要儿童疾病的影响尚未得到研究。本研究旨在确定全面实施的健康推广计划是否能减少5岁以下儿童的腹泻。方法：通过比较典型家庭(即全面实施健康推广计划的家庭)和非示范家庭(即未全面实施健康推广计划的家庭)，进行基于社区的横断面比较研究。研究参与者是有五岁以下孩子的母亲。数据是通过家庭调查收集的。结果：在控制了潜在的混杂因素后，居住在非模式家庭的5岁以下儿童在调查前两周发生腹泻的可能性高于居住在模式家庭的儿童[AOR：2.65，95%CI(1.11，6.27)]。结论：在全面实施基本健康方案的家庭中，5岁以下儿童的腹泻明显减少。这一发现表明，作为HH的典范，可以对五岁以下儿童的腹泻发病率产生积极影响。
Background: Ethiopia has been implementing a community-level health intervention package (referred to as "Health Extension Program") to improve the health of children in particular.However, its effect on the major childhood illnesses in Ethiopia has not been studied. This study was conducted to determine whether a fully-implemented health extension program reduces diarrhea in children under the age of five.Method: A Community-based comparative cross-sectional study was carried out by comparing model households (i.e. households that fully implemented the health extension package) with non-model households (i.e. households that did not fully implement the health extension package). The study participants were mothers having children under the age of five. Data were collected through a household survey. A multiple logistic regression model was used to control known confounders.Result: After controlling potential confounding factors using a logistic regression model, under five year children residing in non-model households, were more likely to have diarrhea in the two weeks preceding the survey compared to those residing in model households [AOR: 2.65, 95%CI (1.11, 6.27)].Conclusion: Diarrhea among under five children significantly reduced among families who fully implemented basic health packages. The finding suggests that being a model HH can have a positive impact on diarrhea morbidity among under five children.