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Prevalence and determinants of diarrhea among under-five children in five Southeast Asian countries: Evidence from the demographic health survey
Authors: Hidayat Arifin, Windy Rakhmawati, Yulia Kurniawati, Rifky Octavia Pradipta, Ferry Efendi, Gusmaniarti Gusmaniarti, Iqbal Pramukti, Joel Rey U Acob, Agoestina Soares, Nyein Moh Moh Myint, Setyowati Setyowati, Rosnani Rosnani, Devi Mediarti, Kuei-Ru Chou
Source: Journal of Pediatric Nursing, DOI:10.1016/j.pedn.2022.06.005
Topic(s): Children under five
Environmental health
Country: More than one region
  Multiple Regions
Published: JUN 2022
Abstract: Purpose: To describe the prevalence and the correlation between individual, environmental and household, health behavior, and source of information factors with diarrhea among under-five children in five Southeast Asian countries based on the National Health Survey. Design and methods: Cross-sectional design conducted in five countries in Southeast Asia. Datasets from Demographic and Health Surveys and Multiple Indicator Cluster Surveys in five countries were analyzed. Results: A total of 12,447 children under 5 years of age from five countries in Southeast Asia (Indonesia 1807, Cambodia 2650, Myanmar 1717, the Philippines 3669, and Timor-Leste 2614) were included in this study. Binary logistic regression was performed to analyze the data. A total of 12,447 under-five children were included in the study. Overall, in five Southeast Asian countries, the prevalence of diarrhea is known from 8.39% in the Philippines to 18.21% in Indonesia. Several factors related to diarrhea are individual; environmental and household; health behavior such as stool disposal, breastfeeding mothers, and children's food history; and source of information factors. Conclusion: The findings of this study indicate that diarrhea is a serious public health problem in the Southeast Asian region that must be addressed using preventive and curative approaches. Practice implication: The results indicate the need for cross-collaboration among nurses, medical doctor, and sanitarian is needed to tackle the childhood diarrhea and minimize the severity based on those determinants.