FACTORS ASSOCIATED WITH ACUTE DIARRHOEA AMONG ROTAVIRUS VACCINATED CHILDREN AGED 11-23 MONTHS IN KISUMU EAST SUB-COUNTY

Authors

  • Jane Achieng' Ochogo Graduate Student: School of Nursing, Midwifery and paramedical sciences Masinde Muliro University of science and Technology, Kenya
  • Mr. John Arudo School of Nursing, Midwifery and Paramedical sciences: Masinde Muliro University of Science and Technology, Kenya
  • Mr. Gregory Sakwa Nursing Department of community health and Extension, school of Nursing, Midwifery and Paramedical sciences

DOI:

https://doi.org/10.47604/jhmn.1554

Keywords:

Diarrhea, vaccine, Immunization

Abstract

Purpose: To investigate the relationship between behavioral factors and acute diarrhea among rotavirus vaccinated children aged 11-23 months in Kisumu East sub-County

Materials and Methods: An observational cross-sectional sample design was used to carry out a study in Kisumu East Sub-County. Data was collected by  trained field workers and community health volunteers who were residents of the 3 identified  sub locations in Kisumu East Sub- County that was Nyalenda A, Manyatta B and Kolwa Central which included Nyalunya and Kasule. For quantitative results Multivariate logistic regression analysis was used to determine association between behavioral factors and acute diarrhea among rotavirus vaccinated aged 11-23 months in Kisumu East Sub-County. Data on Participants regarding behavioral factors influencing acute diarrhea among rotavirus vaccinated children aged 11-23 months in Kisumu East Sub-County, were collected with structured questions using Stata version 14 computer software. Data entry analysis was performed. Logistic regression analysis was conducted and the odds ratio was used in Kisumu East Sub-County to assess the relationship between behavioral factors and acute diarrhea among rotavirus vaccinated children aged 11-23 months. The multivariate analysis considered all variables with P values <0.05 was used to establish statistical significance.

Findings: Bivariate analysis on behavioral factors and caregiver practices influencing diarrhea in children. Having soap for hand washing (OR: 20; 95% CI: 1.2 -3.4 p = 0.008), having piped water as the main source of drinking water ( OR: 2.6, 95% CI: 1.5 - 4.6; p = 0.0006 ), using pit without slab where child's feaces are disposed were all associated with increased likelihood of cases of diarrhea among children (OR: 2.6; 95% CI: 1.2 -5.4; p= 0.01). It is worth noting that respondents who had pot without tap for water storage were upto 14.5 times more likely to have reported their children having diarrhea, the result however not statistically significant (p = 0.09). The chances of children presenting with diarrhea in the past 14 days prior to the survey was likely in the following situations: Washed hands after handling child's feaces, napkins or diapers,  (OR: 0.6; 95% CI: 0.4 -1.0; p= 0.030) or washing hands after visiting toilet/before preparing food or drink/before meals/after handling child`s feaces, napkins or diapers (OR: 0.4; 95% CI: 0.2 - 0.9; p= 0.02). Equally, of caregivers whose main source of water was lake (OR: 0.3 95% CI: 0.1- 1.0; p= 0.04 ) , those who were using filtration or not treating their water to make it safe ( OR: 0.2; 95% CI; 0.1 -0.8 p= 0.01 ), or respondents who were using flush toilet to dispose the child`s feaces ( OR: 0.2 ; 95% CI: 0.3- 0.9; p=0.02 ) , all with statistically significant results.

Unique contribution to theory practices and policy: Socio-economic factors, environmental and behavioral factors and knowledge factors all influence acute diarrhea among rotavirus vaccinated children aged 11-23 months in Kisumu East sub-County. The relevant stakeholders should enlighten and educate the parents/guardians of the children on the factors associated with diarrhea among rotavirus vaccinated children aged 11-23 months in Kisumu East sub-County.

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References

Agutu, M.-T., Ongus, J., Kombich, J., Kamenwa, R., Nyangao, J., Kagira, J., . . . Bitek, A. Prevalence and genetic diversity of rotavirus infection in children with acute gastroenteritis in a hospital setting, Nairobi Kenya in post vaccination era: a cross-sectional study. Pan African Medical Journal 2017;26(1), 1-12.

Budhathoki, S. S., Bhattachan, M., Yadav, A. K., Upadhyaya, P., & Pokharel, P. K. (2016). Eco-social and behavioural determinants of diarrhoea in under-five children of Nepal: a framework analysis of the existing literature. Tropical medicine and health, 44(1), 7.

Drossman, D. A. (2016). Functional gastrointestinal disorders: history, pathophysiology, clinical features, and Rome IV. Gastroenterology, 150(6), 1262-1279. e1262.

Getachew, A., Tadie, A., G Hiwot, M., Guadu, T., Haile, D., G Cherkos, T., ... & Alemayehu, M. (2018). Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia. Italian journal of pediatrics, 44(1), 1-7.

John, J., Sarkar, R., Muliyil, J., Bhandari, N., Bhan, M. K., & Kang, G. (2014). Rotavirus gastroenteritis in India, 2011-2013: revised estimates of disease burden and potential impact of vaccines. Vaccine, 32, A5-A9.

Jha N, Singh R, Baral D. (2006). Knowledge, attitude and practices of mothers regarding home management of acute diarrhoea in Sunsari, Nepal. Nepal Med Coll J ; 8(1):27-30.

Kumar, R. Research methodology: A step-by-step guide for beginners: Sage Publications Limited 2019.

Luby SP, H. A., Huda T, Unicomb L, &Johnston R.B. (2011). The effect of handwashing at recommended times with water alone and with soap on child diarrhea in rural Bangladesh: an observational study. PLoS Med. doi:10.1371/journal.pmed.1001052

McCollum, R., Otiso, L., Mireku, M., Theobald, S., de Koning, K., Hussein, S., & Taegtmeyer, M. (2015). Exploring perceptions of community health policy in Kenya and identifying implications for policy change. Health policy and planning 2015; 31(1), 10-20.

National Bureau of Statistics. (2015). Kenya Demographic Health Survey Retrieved from https://doi.org/10.5261/2013.GEN1.04.

Njuguna, J. Effect of eliminating open defecation on diarrhoeal morbidity: an ecological study of Nyando and Nambale sub-counties, Kenya. BMC Public Health 2016; 16(1), 712.

Odhiambo, F. O., Laserson, K. F., Sewe, M., Hamel, M. J., Feikin, D. R., Adazu, K., . . . &Bayoh, N. Profile: the KEMRI/CDC health and demographic surveillance system"”Western Kenya. International journal of epidemiology 2012;41(4), 977-987.

Otieno, G. P., Bottomley, C., Khagayi, S., Adetifa, I., Ngama, M., Omore, R., ... & Nokes, D. J. (2020). Impact of the introduction of rotavirus vaccine on hospital admissions for diarrhea among children in Kenya: a controlled interrupted time-series analysis. Clinical Infectious Diseases, 70(11), 2306-2313.

Oloruntoba, E. O., Folarin, T. B., & Ayede, A. I. Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria. African health sciences, 2014;14(4), 1001-1011.

Seo, J. K., & Sim, J. G. (2000). Overview of rotavirus infections in Korea. Pediatrics International, 42(4), 406-410.

Takanashi, K., Chonan, Y., Quyen, D. T., Khan, N. C., Poudel, K. C., & Jimba, M. (2009). Survey of food-hygiene practices at home and childhood diarrhoea in Hanoi, Viet Nam. Journal of health, population, and nutrition, 27(5), 602.

Parashar, U. D., Hummelman, E. G., Bresee, J. S., Miller, M. A., & Glass, R. I. (2003). Global illness and deaths caused by rotavirus disease in children. Emerging infectious diseases, 9(5), 565.

WHO. (2022, 05 27). World Health Organization. Retrieved from Rotavirus: https://www.who.int/teams/health-product-policy-and-standards/standards-and-specifications/vaccines-quality/rotavirus

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Published

2022-06-03

How to Cite

Ochogo, J., Arudo, J., & Sakwa, G. (2022). FACTORS ASSOCIATED WITH ACUTE DIARRHOEA AMONG ROTAVIRUS VACCINATED CHILDREN AGED 11-23 MONTHS IN KISUMU EAST SUB-COUNTY. Journal of Health, Medicine and Nursing, 8(1), 42 – 53. https://doi.org/10.47604/jhmn.1554

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