Host and Environment Influences on the Occurrence of Diarrhea in Children Under Five at Naioni Community Health Center, Kupang, East Nusa Tenggara


Kurnia Bend Yunita Pellondou, Anderias Umbu Roga, Pius Weraman

 

Masters Program in Public Health, Universitas Nusa Cendana

 

ABSTRACT

Background: Diarrhea is a common problem in children under five. It may be accompanied by anorexia, vomiting, acute weight loss, abdominal pain, fever, or passage of blood. Multiple episodes of diarrhea can lead to serious problems such as malnutrition. This study aimed to investigate host and environment influences on the occurrence of diarrhea in children under five at Naioni Community Health Center, Kupang, East Nusa Tenggara.

Subjects and Method: This was cross sectional study conducted at Naioni Community Health Center, Kupang, East Nusa Tenggara. A sample of  92 children under five was selected for this study by cluster random sampling. The dependent variable was diarrhea incidence. The independent variables were breastfeeding, nutritional status, clean water use, hand washing behavior, food management, latrine use, and waste management. The final model related to diarrhea is clean water use, food processing, and latrine conditions. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: The risk of diarrhea increased with lack of breastfeeding (OR=3.77; 95% CI= 1.45 to 9.83; p=0.005), poor use of clean water (OR =13.60; 95% CI= 4.13 to 44.77; p<0.001), hand washing without soap (OR=3.42; 95% CI= 1.33 to 8.81; p=0.009), poor food management (OR=7.35; 95% CI= 2.45 to 22.00; p<0.001), low latrine use (OR=7.23; 95% CI= 2.60 to 20.11; p<0.001), poor waste management (OR=7.21; 95% CI= 1.97 to 26.38; p=0.001).

Conclusion: The risk of diarrhea increases with poor of breastfeeding, poor use of clean water, hand washing without soap, poor food management, poor use of latrine, and poor waste management.

Keywords: diarrhea, personal hygiene, sanitation

Correspondence: Kurnia Bend Yunita Pellondou. Masters Program in Public Health, Universitas Nusa Cendana, Kupang, East Nusa Tenggara. Email: yunitapellondou57@gmail.com. Mobile: 085337803098.

DOI: https://doi.org/10.26911/the6thicph.01.31

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