Publication: Environmental and Nutritional Determinants of Diarrhoea Disease Among Children Under Five Years in Rwanda: A Secondary Data Analysis of the Rwanda Demographic and Health Survey 2014-15
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2020-12-30
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Rwanda Journal of Medicine and Health Sciences
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Abstract
Background
Diarrhoea remains one of the leading of causes of deaths in children under
five years old globally. Children under five years are more vulnerable to
diarrhea especially those from low and middle countries. The aim of this
study was to explore the environmental and nuttitional factors associated
with diarrhea among children underfive years in Rwanda.
Methods
A secondary data analysis of the Rwanda Demographic and Heralth Survey
2014-2015 (RDHS 2014-2015) was used. A total sample of 7,558 children
under five years old was included. The data were analysed using Stata 13.
Bivariate with Chi-square test and multivariable logistic regression analysis
were performed to assess the relashionship of factors associsted with
diarreha. A 95% confidence interval and a significance level of 0.05 were set.
Results
Two environmental factors (Source of drinking water and shared toilets
facilities with other households) were associated with child diarrhea. Pvalues: 0.029, OR:1.79, CI [1.06-3.01]; 0.019, OR:1.26, CI: [1.04-1.53]
respectively. None of the selected nutritional factors was associated with
childhood diarrhea.
Conclusion
Based on the findings, drinking borehole water and shared toilet facilities
were associated with diarrhea. The study therefore recommends the
provision of potable water and supporting/enabling the households to own
toilets.
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Keywords
Under five children, environmental and nutritional determinants, diarrhea, Rwanda