Prevalence and determinants of diarrhea among under-five children in Bangladesh: A Nationwide survey
Md. Mehedi Hasan
Dehydration from diarrhea one of the contributing causes of childhood morbidity and mortality problems despite of the administration of oral rehydration therapy (ORT) in the low and middle income countries like Bangladesh. Therefore, the national data of the prevalence of diarrhea in children is crucial to understand the severity and likelihood of future episode of diarrhea. The present study aimed to identify the major factors in which prevalence of diarrhea acutely exists. Data and necessary information of 485 women were extracted from 6384 women from the Bangladesh Demographic and Health Survey (BDHS), 2014 whose children had experienced an episode of diarrhea. Bivariate analysis and multivariable logistic regression have applied to identify the significant socio-demographic determinants associated with diarrhea. The prevalence of diarrhea was 7.6% (95% CI: 6.9-8.3%). Maternal lower educational status, occupation of spouse, poorer socioeconomic positions of families were significantly associated with the status of diarrhea in children under five years old. The odds of diarrhea in children was higher among the families where father were businessman (OR: 1.4, 95% CI: 1.01-1.98), children living in the poorer socio-economic status (OR: 1.53, 95% CI: 1.12-2.43). We found that of diarrhea in children under the age of five is substantial in Bangladesh, with the highest prevalence occurring in the families of lower socioeconomic status. These findings underline that proper public health interventions are crucial to reduce the burden of diarrhea among disadvantage groups.