Diarrhea and Careseeking

 

Percentage of children under age 5 with diarrhea, and percentage for whom advice or treatment was sought

 

Definition

 

1)      Percentage of children under age 5 with diarrhea at any time in the 2 weeks preceding the survey.

2)      Percentage of children under age 5 with diarrhea at any time in the 2 weeks preceding the survey for whom advice or treatment was sought.

 

Coverage:

Population base: Living children under age 5 years (KR file)

Time period: 2 weeks preceding the interview

 

Numerators:

1)      Number of living children under age 5 with diarrhea in the 2 weeks preceding the survey (b5 = 1 & b19 < 60 & h11 in 1,2)

2)      Number of living children under age 5 with diarrhea in the 2 weeks preceding the survey for whom advice or treatment was sought (b5 = 1 & b19 < 60 & h11 in 1,2 & any of h12a – x = 1, excluding advice or treatment from a traditional practitioner)

 

Denominators:

a)       Number of living children under age 5 (b5 = 1 & b19 < 60)

b)      Number of living children under age 5 with diarrhea in the 2 weeks preceding the survey (b5 = 1 & b19 < 60 & h11 in 1,2)

 

Variables: KR file.

b5

Child is alive

b19

Current age of child in months

h11

Had diarrhea recently

h12a

Diarrhea: government hospital

h12b-i

Diarrhea: CS public sector

h12j

Diarrhea: private hospital/clinic

h12k

Diarrhea: private pharmacy

h12l

Diarrhea: private doctor

h12na-ne

Diarrhea: NGO medical sector

h12m-r

Diarrhea: CS private medical

h12s-w

Diarrhea: CS other sector

h12x

Diarrhea: other

v005

Women’s individual sample weight

 

Calculation

 

Numerator divided by the denominator, multiplied by 100.

 

Handling of Missing Values

 

Missing data or “don’t know” responses on the question on fever are excluded from numerator 1, and from numerator and denominator 2, assuming no illness.

 

Missing data or “don’t know” responses for whether sought advice or treatment and from whom are excluded from numerator 2, assuming no treatment sought from a health facility or provider.

 

Notes and Considerations

 

Indicator 2 includes advice or treatment from the public sector, private medical sector, NGO medical sector, shops, markets, and itinerant drug sellers, but excludes advice or treatment from a traditional practitioner.

 

Changes over Time

 

For surveys prior to DHS-7, care seeking was defined differently. The indicator measured care seeking from a medical source or provider, and excluded pharmacy, shop, market, itinerant drug seller and traditional practitioner.

 

In DHS-8, NGO medical sector was added as a separate source category. Previously, it was lumped in with private medical sector.

 

References

 

Rutstein, S.O., S. Staveteig, R. Winter, and J. Yourkavitch. 2016. Urban child poverty, health, and survival in low- and middle-income countries. DHS Comparative Reports No. 40. Rockville, Maryland, USA: ICF International. https://www.dhsprogram.com/publications/publication-CR40-Comparative-Reports.cfm

 

WHO and UNICEF. 2013. Ending preventable child deaths from Pneumonia and Diarrhoea by 2025: The integrated Global Action Plan for Pneumonia and Diarrhoea (GAPPD). Geneva: WHO https://apps.who.int/iris/bitstream/handle/10665/79207/WHO_FWC_MCA_13_01_eng.pdf

 

UNICEF. 2012. Pneumonia and diarrhea: Tackling the deadliest diseases for the world’s poorest children. New York, New York, USA:UNICEF https://data.unicef.org/resources/pneumonia-and-diarrhoea-tackling-the-deadliest-diseases-for-the-worlds-poorest-children/

 

Resources

 

DHS-8 Tabulation plan: Table 10.9

 

API Indicator IDs:

CH_DIAR_C_DIA

(API link, STATcompiler link)

 

MICS6 Indicator TC.12: Care-seeking for diarrhoea