Factors Associated with The Risk of Diarrhea in Children under Five in Bandung, West Java

Fuad Hilmi Sudasman1, Adang Bachtiar1, Ela Laelasari2, Ratri Ciptaningtyas2


1)Faculty of Public Health, Universitas Indonesia

2)Study Program of Public Health, Universitas Islam Negeri Syarif Hidayatullah, Jakarta



Background: Diarrhea cases account for 1 in 9 child deaths worldwide, making it the second leading cause of death among children under five. About 88% of diarrhea-associa­ted deaths are attributable to unsafe water, inadequate sanitation, and insuffici­ent hygiene. This study aimed to determine the factors associated with the risk of diarrhea in children under five in Bandung, West Java.

Subjects and Method: This was a case-control study conducted in Bandung, West Java. A total of 244 children under five was selected for this study. The dependent variable was diarrhea. The independent variables were household clean water facility, latrine, lavatory, piped sewer system, and waste management. The data were collected by questionnaire and analyzed using odds ratio as a measure of association.

Results: Of 244 households, 75.8% had clean water facility, 45.9%% had household lavatory, 41.0% had piped sewer system, and 32.4% had household waste management. Household la­vatory (OR= 4.59; 95% CI= 2.68 to 7.89; p ≤0.001), piped sewer system (OR= 2.13; 95% CI= 1.27 to 3.58; p= 0.006), and household waste management (OR= 0.35; 95% CI= 0.20 to 0.62) were associated with diarrhea case.

Conclusion: Household latrine, piped sewer system, and household waste manage­ment are associated with the risk of diarrhea among children under five.

Keywords: basic sanitation facility, household, diarrhea, children under five

Correspondence: Fuad Hilmi Sudasman. Faculty of Public Health, Universitas Indonesia, Depok, Indo­ne­sia. Email: fuad.hilmi@gmail.com. Mobile: 081809141357.

DOI: https://doi.org/10.26911/theicph.2019.01.50

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