Prevalence of diarrhoea and its associated factors in children under five years of age in Baghdad, Iraq

Harith Alaa, Shamsul Azhar Shah, Abdul Rashid Khan

Epidemiology and Public Health, Department of Community Health Medicine, Penang Medical College, Pulau Penang, Malay-sia.
Epidemiology and Statistics, Department of Community Health, UKM Medical Centre, Kuala Lumpur, Malaysia.
Public Health Medicine Department, Penang Medical College, Pulau Penang, Malaysia.

DOI: 10.4236/ojpm.2014.41004                

Abstract

Introduction: Diarrhoeal disease is one of the principal causes of morbidity and mortality among children in developing countries. Poor nutrition leads to ill health and it contributes to further deterioration in nutritional status. Methodology: A cross-sectional study was conducted in Baghdad, Iraq. The study was conducted in three paediatric hospitals and from paediatric departments in other three general hospitals in Baghdad, Iraq. Sample was drawn conveniently, three paediatric hospitals from Baghdad hospital list. 150 respondents were chosen from these paediatric hospitals and 50 respondents were chosen from the paediatric departments in three general hospitals. Results: males had twice the risk of diarrhoea (OR 1.9, 95% CI 1.1; 3.5). The risk of diarrhoea was 3 times higher among children with mothers who had lower level of education (OR 3.5 95% CI 1.3; 10.1), 5 times higher with unemployed mothers (OR 4.7 95% CI 2.1; 10.4) and 2 times higher with mothers who had poor nutritional knowledge (OR 2.5 95% CI 1.4; 4.9). The risk of diarrhoea was three times higher among children with fathers who had lower level of education (OR 3.3 95% CI 1.7; 6.6). The binomial logistics regression, Mothers’ level of education and employment status, fathers’ level of education, mothers’ nutritional knowledge were used as possible independent associated factors. Conclusion: Children in Baghdad remain at risk of frequent diarrhoea episodes and other complications which might affect their development status. It is becoming increasingly important to focus on improving the underlying factors by increasing the mother nutritional knowledge through special antenatal classes, and improving family economic status.

Keywords

Diarrhoea; Children; Iraq

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Alam, N.H., Meier, R., Schneider, H., Sarker, S.A., Bardhan, P.K., Mahalanabis, D., Fuchs, G.J. and Gyr, N. (2000) Partially hydrolyzed guar gum-supplemented oral rehydration solution in the treatment of acute diarrhea in children. Journal of Pediatric Gastroenterology and Nutrition, 31, 503-507.
[2]	Black, R.E., Allen, L.H., Bhutta, Z.A., Caulfield, L.E., de Onis, M., Ezati, M. Mathers, C. and Rivera, J. (2008) Maternal and child under nutrition global and regional exposures and health consequences. The Lancet, 371, 243-260.
[3]	Mittal, A, Singh, J. and Ahluwalia, S.K. (2007) Effect of maternal factors on nutritional status of 1-4 years children in urban slum population. Indian Journal of Community Medicine, 32, 239-307.
[4]	Yip, R. and Sharp, T.W. (1993) Acute malnutrition and high childhood mortality related to diarrhea, lessons from the 1991 Kurdish Refugee Crisis. Journal of American Medical Association, 270.
[5]	Checkley, W., Epstein, L.D., Gilman, R.H., Cabrera, L. and Black, R.E. (2003) Effects of acute diarrhea on linear growth in Peruvian. American Journal of Epidemiology, 157, 166-175. http://dx.doi.org/10.1093/aje/kwf179
[6]	WHO, (2003) Potential impact of conflict on health in Iraq. World Health Organization, Geneva.
[7]	Siziya, S., Muula, A.S. and E. Rudatsikira, (2009) Diarrhoea and acute respiratory infections prevalence and risk factors among under-five children in Iraq in 2000. Italian Journal of Pediatric, 35, 8. http://dx.doi.org/10.1186/1824-7288-35-8
[8]	WHO and UNICEF. (2005) Water for life. World Health Organization and The United Nations Children’s Fund.
[9]	Mittal, S.K., Aggarwal, V. and Karla, K.K. (1994) Chronic diarrhoea in children of tropics, Indian journal of paediatrics, 61, 635-642.
[10]	Olwedo, M.A., Mworozi, E., Bachou, H. and Orach, C.G. (2008) Factors associated with malnutrition among children in internally displaced person’s camps, northern Uganda. African Health Sciences, 8.
[11]	Faruque, A.S., Ahmed, A.M., Ahmed, T., Islam, M.M., Hossain, M.I., Roy, S.K., Alam, N., Kabir, I. and Sack, D.A. (2008) Basis for healthy children and mothers in Bangladesh. Journal of Health, Population and Nutrition, 26, 325-339.
[12]	Mahalanabis, D. Faruque, A.S.G., Islam, A. and Hoque, S.S. (1996) International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B). Journal of Biological Science, 28.
[13]	Arif, G.M. and Ibrahim, D.S. (1998) Morbidity differentials among children in Pakistan. The Pakistan Development Review, 37, 205-230
[14]	El-Gilany, A.H. and Hammad, S. (2005) Epidemiology of diarrhoeal diseases among children under age 5 years in Dakahlia, Egypt. Eastern Mediterranean Health Journal, 11, 762-775.