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Zinc Utilization and Associated Factors Among Under-five Children Having Acute Diarrhea in Kebri-dehar Town, Somali Region, Ethiopia-2017

Received: 30 September 2019    Accepted: 14 October 2019    Published: 23 April 2020
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Abstract

Introduction: Zinc with Oral Rehydration Solution was recommended for the management of children’s with acute diarrhea. Zinc can resist subsequent episodes of diarrhea for up to 2 - 3 months and decrease 23% mortality due to diarrhea. Therefore, zinc is one strategy to decrease child mortality in developing countries like Ethiopia. However, there is limited evidence regarding utilization of zinc and associated factors in the eastern part of Ethiopia, Somali region. Objective: To assess the magnitude of zinc utilization and associated factors in Somali region, eastern Ethiopia. Method: Community based cross-sectional study design in 2017 was applied. Simple random sampling was applied. Total sample size of 376 randomly selected under-five children who have been acute diarrheal were selected. Data was collected by face-to-face inter-viewer administered questionnaire by ten data collectors. The collected data was entered into EpiData3.1and then exported and analysed using SPSS20. Bivariate & multivariate logistic regression analysis was done to identify factors associated with zinc utilization at confidence level of 95% and P-value less than 5% significant. Frequencies, proportion, summary statistics were used for presenting the result of the study. Result: Nearly all 374 (99.4%) mothers with children pairs were participated in the study. The magnitudes of zinc utilization were found to be 29.1% (95% CI, 24.49%-33.71%). zinc was less utilized by mothers who were having no formal education [(AOR=0.181, 95% CI: (.056,.591)], child age 6-11 months [(AOR=0.130, 95% CI: (.025,.683)], Mothers withhold food and fluid during acute diarrhea [(AOR=.185, 95%: CI: (.068,.502)] and no husband formal education [(AOR=0.050, 95% CI: (.020,.128)]. conclusion: In this study zinc tablet where utilized by the child with diarrhea, that is Less than the magnitude of national utilization. Mothers having no formal education, child age 6-11 months, Mothers withhold food and fluid during acute diarrhea and husband formal education, were significant associated factors.

Published in Pathology and Laboratory Medicine (Volume 4, Issue 1)
DOI 10.11648/j.plm.20200401.13
Page(s) 15-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Utilization, Zinc, Acute Diarrhea, Kebri-dehar

References
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[2] Ambler G, Berry J, Co-founder C, Berry S, Castle B, Clarence C, et al. Proposal to include an additional listing of copackaged ORS and zinc for management of diarrhea in children on the WHO Model List of Essential Medicines for Children. November 12, 2018.
[3] Larson CP, Roy S, Khan AI, Rahman AS, Qadri F. Zinc treatment to under-five children: applications to improve child survival and reduce burden of disease. Journal of health, population, and nutrition. 2008; 26 (3): 356.
[4] DKT/E. DKT/E and micronutrient initiative team up to provide ors - zinc combo product. available at https://www.dktethiopia.org/news/dkte-and-micronutrient-initiative-team-provide-ors-zinc-combo-product. 2013.
[5] CL W, RE B. Zinc for the treatment of diarrhoea: effect on diarrhoea morbidity, mortality and incidence of future episodes. International Journal of Epidemiology. 2010; 39: i63-i9.
[6] Walker CL, Fontaine O, Young MW, Roble. Zinc and low osmolarity oral rehydration salts for diarrhoea: a renewed call to action 2009; 780-78 (87).
[7] CSA., ICF. Ethiopia Demographic and Health Survey Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF. Indicators Report. 2016.
[8] MacDonald., Vicki., Banke K. Toolkit for the Collection of Survey Data on the Correct Use of Pediatric Zinc as a Treatment for Diarrhea. Bethesda, MD: Strengthening Health Outcomes through the Private Sector (SHOPS) Project, Abt Associates Inc.. January 2011..
[9] Organization WH. Diarrhoeal disease Fact sheet. WHO library. 2017.
[10] Carvajal-Vélez L, Amouzou A, Perin J, Maïga A, Tarekegn H, Akinyemi A, et al. Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis. BMC Public Health. 2016; 16 (1): 830.
[11] Larson CP, Saha UR, Nazrul H. Impact monitoring of the national scale up of zinc treatment for childhood diarrhea in Bangladesh: repeat ecologic surveys. PLoS medicine. 2009; 6 (11): e1000175.
[12] Lamberti LM, Walker CLF, Taneja S, Mazumder S, Black RE. Adherence to zinc supplementation guidelines for the treatment of diarrhea among children under–five in Uttar Pradesh, India. Journal of global health. 2015; 5 (2).
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[14] Hassen S. Assessment of Utilization of Zinc Tablet and ORS among Under 5 Children with Acute Diarrhea in Akaki Kality Sub-City, Addis Ababa, Ethiopia,; 2016. avilable at http://etd.aau.edu.et/handle/123456789/12397?show=full: Addis Ababa University; 2016.
[15] Akhter S, Larson CP. Willingness to pay for zinc treatment of childhood diarrhoea in a rural population of Bangladesh. Health policy and planning. 2009; 25 (3): 230-6.
[16] Simpson E, Zwisler G, Moodley M. Survey of caregivers in Kenya to assess perceptions of zinc as a treatment for diarrhea in young children and adherence to recommended treatment behaviors. Journal of global health. 2013; 3 (1).
[17] Mukiira CK, Ibisomi L. Healthcare-seeking practices of caregivers of under-five children with diarrheal diseases in two informal settlements in Nairobi, Kenya: University of the Witwatersrand, Faculty of Humanities (Demography and …; 2012.
[18] Njeri G, Muriithi M. Household Choice of Diarrhea Treatments for Children Under The Age of Five In Kenya: Evidence From The Kenya Demographic And Health Survey 2008-09. European Scientific Journal, ESJ. 2013; 9 (6).
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  • APA Style

    Ebud Ayele, Hagos Tasew, Teklewoini Mariye, Girmay Teklay, Tadesse Alemayhu, et al. (2020). Zinc Utilization and Associated Factors Among Under-five Children Having Acute Diarrhea in Kebri-dehar Town, Somali Region, Ethiopia-2017. Pathology and Laboratory Medicine, 4(1), 15-19. https://doi.org/10.11648/j.plm.20200401.13

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    ACS Style

    Ebud Ayele; Hagos Tasew; Teklewoini Mariye; Girmay Teklay; Tadesse Alemayhu, et al. Zinc Utilization and Associated Factors Among Under-five Children Having Acute Diarrhea in Kebri-dehar Town, Somali Region, Ethiopia-2017. Pathol. Lab. Med. 2020, 4(1), 15-19. doi: 10.11648/j.plm.20200401.13

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    AMA Style

    Ebud Ayele, Hagos Tasew, Teklewoini Mariye, Girmay Teklay, Tadesse Alemayhu, et al. Zinc Utilization and Associated Factors Among Under-five Children Having Acute Diarrhea in Kebri-dehar Town, Somali Region, Ethiopia-2017. Pathol Lab Med. 2020;4(1):15-19. doi: 10.11648/j.plm.20200401.13

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  • @article{10.11648/j.plm.20200401.13,
      author = {Ebud Ayele and Hagos Tasew and Teklewoini Mariye and Girmay Teklay and Tadesse Alemayhu and Frehiwot Mesfin},
      title = {Zinc Utilization and Associated Factors Among Under-five Children Having Acute Diarrhea in Kebri-dehar Town, Somali Region, Ethiopia-2017},
      journal = {Pathology and Laboratory Medicine},
      volume = {4},
      number = {1},
      pages = {15-19},
      doi = {10.11648/j.plm.20200401.13},
      url = {https://doi.org/10.11648/j.plm.20200401.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.plm.20200401.13},
      abstract = {Introduction: Zinc with Oral Rehydration Solution was recommended for the management of children’s with acute diarrhea. Zinc can resist subsequent episodes of diarrhea for up to 2 - 3 months and decrease 23% mortality due to diarrhea. Therefore, zinc is one strategy to decrease child mortality in developing countries like Ethiopia. However, there is limited evidence regarding utilization of zinc and associated factors in the eastern part of Ethiopia, Somali region. Objective: To assess the magnitude of zinc utilization and associated factors in Somali region, eastern Ethiopia. Method: Community based cross-sectional study design in 2017 was applied. Simple random sampling was applied. Total sample size of 376 randomly selected under-five children who have been acute diarrheal were selected. Data was collected by face-to-face inter-viewer administered questionnaire by ten data collectors. The collected data was entered into EpiData3.1and then exported and analysed using SPSS20. Bivariate & multivariate logistic regression analysis was done to identify factors associated with zinc utilization at confidence level of 95% and P-value less than 5% significant. Frequencies, proportion, summary statistics were used for presenting the result of the study. Result: Nearly all 374 (99.4%) mothers with children pairs were participated in the study. The magnitudes of zinc utilization were found to be 29.1% (95% CI, 24.49%-33.71%). zinc was less utilized by mothers who were having no formal education [(AOR=0.181, 95% CI: (.056,.591)], child age 6-11 months [(AOR=0.130, 95% CI: (.025,.683)], Mothers withhold food and fluid during acute diarrhea [(AOR=.185, 95%: CI: (.068,.502)] and no husband formal education [(AOR=0.050, 95% CI: (.020,.128)]. conclusion: In this study zinc tablet where utilized by the child with diarrhea, that is Less than the magnitude of national utilization. Mothers having no formal education, child age 6-11 months, Mothers withhold food and fluid during acute diarrhea and husband formal education, were significant associated factors.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Zinc Utilization and Associated Factors Among Under-five Children Having Acute Diarrhea in Kebri-dehar Town, Somali Region, Ethiopia-2017
    AU  - Ebud Ayele
    AU  - Hagos Tasew
    AU  - Teklewoini Mariye
    AU  - Girmay Teklay
    AU  - Tadesse Alemayhu
    AU  - Frehiwot Mesfin
    Y1  - 2020/04/23
    PY  - 2020
    N1  - https://doi.org/10.11648/j.plm.20200401.13
    DO  - 10.11648/j.plm.20200401.13
    T2  - Pathology and Laboratory Medicine
    JF  - Pathology and Laboratory Medicine
    JO  - Pathology and Laboratory Medicine
    SP  - 15
    EP  - 19
    PB  - Science Publishing Group
    SN  - 2640-4478
    UR  - https://doi.org/10.11648/j.plm.20200401.13
    AB  - Introduction: Zinc with Oral Rehydration Solution was recommended for the management of children’s with acute diarrhea. Zinc can resist subsequent episodes of diarrhea for up to 2 - 3 months and decrease 23% mortality due to diarrhea. Therefore, zinc is one strategy to decrease child mortality in developing countries like Ethiopia. However, there is limited evidence regarding utilization of zinc and associated factors in the eastern part of Ethiopia, Somali region. Objective: To assess the magnitude of zinc utilization and associated factors in Somali region, eastern Ethiopia. Method: Community based cross-sectional study design in 2017 was applied. Simple random sampling was applied. Total sample size of 376 randomly selected under-five children who have been acute diarrheal were selected. Data was collected by face-to-face inter-viewer administered questionnaire by ten data collectors. The collected data was entered into EpiData3.1and then exported and analysed using SPSS20. Bivariate & multivariate logistic regression analysis was done to identify factors associated with zinc utilization at confidence level of 95% and P-value less than 5% significant. Frequencies, proportion, summary statistics were used for presenting the result of the study. Result: Nearly all 374 (99.4%) mothers with children pairs were participated in the study. The magnitudes of zinc utilization were found to be 29.1% (95% CI, 24.49%-33.71%). zinc was less utilized by mothers who were having no formal education [(AOR=0.181, 95% CI: (.056,.591)], child age 6-11 months [(AOR=0.130, 95% CI: (.025,.683)], Mothers withhold food and fluid during acute diarrhea [(AOR=.185, 95%: CI: (.068,.502)] and no husband formal education [(AOR=0.050, 95% CI: (.020,.128)]. conclusion: In this study zinc tablet where utilized by the child with diarrhea, that is Less than the magnitude of national utilization. Mothers having no formal education, child age 6-11 months, Mothers withhold food and fluid during acute diarrhea and husband formal education, were significant associated factors.
    VL  - 4
    IS  - 1
    ER  - 

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Author Information
  • Department of Public Health Nutrition, College of Medicine and Health Sciences, Axum University, Axum, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Axum University, Axum, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Axum University, Axum, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Axum University, Axum, Ethiopia

  • Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia

  • Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia

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