Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression
Objective This study aimed to assess the coutilisation of oral rehydration solution (ORS) and zinc for treating diarrhoea and its associated factors among under-5 children in East Africa.Design Cross-sectional study design. Multilevel Poisson regression analysis with robust variance was fitted to id...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e079618.full |
| _version_ | 1826804175909945344 |
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| author | Wubet Tazeb Wondie Bruck Tesfaye Legesse Gezahagn Demsu Gedefaw Beminate Lemma Seifu Yakob Tadese Workineh |
| author_facet | Wubet Tazeb Wondie Bruck Tesfaye Legesse Gezahagn Demsu Gedefaw Beminate Lemma Seifu Yakob Tadese Workineh |
| author_sort | Wubet Tazeb Wondie |
| collection | DOAJ |
| description | Objective This study aimed to assess the coutilisation of oral rehydration solution (ORS) and zinc for treating diarrhoea and its associated factors among under-5 children in East Africa.Design Cross-sectional study design. Multilevel Poisson regression analysis with robust variance was fitted to identify predictors of zinc and ORS coutilisation. An adjusted prevalence ratio (aPR) with a 95% CI was reported to declare the statistical significance.Setting Twelve East African countries.Participants 16 850 under-5 children who had diarrhoea were included in the study.Result In East African nations, the coutilisation of ORS and zinc for the treatment of diarrhoea in children under 5 was 53.27% with a 95% CI (52.54% to 54.01%). Children of mothers with primary education (aPR 1.15, 95% CI 1.09 to 1.20), secondary education (aPR 1.08, 95% CI 1.02 to 1.14), higer education (aPR 1.19, 95% CI 1.10 to 1.29), those from maternal age category of 20–24 (aPR 1.14, 95% CI 1.07 to 1.21), age category of 25–29 (aPR 1.13, 95% CI 1.06 to 1.21), age category of 30–34 (aPR 1.09, 95% CI 1.02 to 1.16), those from wealthy households (aPR 1.04, 95% CI 1.01 to 1.09) and those who have a media exposure (aPR 1.04, 95% CI 1.01 to 1.08) were more likely to receive combination.Conclusion Only half of the under-5 children with diarrhoea in East Africa were treated with a combination of ORS and zinc. To increase the use of the suggested combination therapy of ORS with zinc, it is important to empower women through education and prevent teen pregnancy. |
| first_indexed | 2024-04-25T01:50:38Z |
| format | Article |
| id | doaj.art-269b0e6772aa4c6a84e889741b88498b |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-17T01:50:23Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-269b0e6772aa4c6a84e889741b88498b2025-02-15T13:10:10ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-079618Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regressionWubet Tazeb Wondie0Bruck Tesfaye Legesse1Gezahagn Demsu Gedefaw2Beminate Lemma Seifu3Yakob Tadese Workineh4Department of Pediatrics and Child Health Nursing, Ambo University College of Medicine and Public Health, Ambo, EthiopiaDepartment of Pediatrics and Neonatal Nursing, Wollega University, Nekemte, EthiopiaDepartment of Neonatal Health Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia6 Department of Public Health, Collage of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Pediatrics and Child Health Nursing, Wolaita Sodo University, Sodo, EthiopiaObjective This study aimed to assess the coutilisation of oral rehydration solution (ORS) and zinc for treating diarrhoea and its associated factors among under-5 children in East Africa.Design Cross-sectional study design. Multilevel Poisson regression analysis with robust variance was fitted to identify predictors of zinc and ORS coutilisation. An adjusted prevalence ratio (aPR) with a 95% CI was reported to declare the statistical significance.Setting Twelve East African countries.Participants 16 850 under-5 children who had diarrhoea were included in the study.Result In East African nations, the coutilisation of ORS and zinc for the treatment of diarrhoea in children under 5 was 53.27% with a 95% CI (52.54% to 54.01%). Children of mothers with primary education (aPR 1.15, 95% CI 1.09 to 1.20), secondary education (aPR 1.08, 95% CI 1.02 to 1.14), higer education (aPR 1.19, 95% CI 1.10 to 1.29), those from maternal age category of 20–24 (aPR 1.14, 95% CI 1.07 to 1.21), age category of 25–29 (aPR 1.13, 95% CI 1.06 to 1.21), age category of 30–34 (aPR 1.09, 95% CI 1.02 to 1.16), those from wealthy households (aPR 1.04, 95% CI 1.01 to 1.09) and those who have a media exposure (aPR 1.04, 95% CI 1.01 to 1.08) were more likely to receive combination.Conclusion Only half of the under-5 children with diarrhoea in East Africa were treated with a combination of ORS and zinc. To increase the use of the suggested combination therapy of ORS with zinc, it is important to empower women through education and prevent teen pregnancy.https://bmjopen.bmj.com/content/14/3/e079618.full |
| spellingShingle | Wubet Tazeb Wondie Bruck Tesfaye Legesse Gezahagn Demsu Gedefaw Beminate Lemma Seifu Yakob Tadese Workineh Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression BMJ Open |
| title | Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression |
| title_full | Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression |
| title_fullStr | Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression |
| title_full_unstemmed | Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression |
| title_short | Coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under-five children in East Africa: a multilevel robust Poisson regression |
| title_sort | coutilisation of oral rehydration solution and zinc for treating diarrhoea and its associated factors among under five children in east africa a multilevel robust poisson regression |
| url | https://bmjopen.bmj.com/content/14/3/e079618.full |
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