Spatial disparities and associated factors of Under-five diarrhea disease in Ilubabore Zone, Oromia Regional State, Ethiopia

Abstract

Ebsa Gelan, Mulata Worku, Azmeraw Misganaw ,Teramaj Wongel and Yadeta Alemayehu

Background Diarrhea is commonly a sign of an infection in the intestinal tract that is caused by different bacteria, viruses, and parasitic entities. It is one of the leading causes of child mortality worldwide, especially in sub-Saharan African countries including Ethiopia. The main objective of this study was to identify spatial disparities and associated factors of under five diarrhea disease in Ilubaborazone, Oromia regional state, Ethiopia. Study Design: A community based cross sectional study design was used Methods The study was carried out in the Ilu Aba Borazon of entire districts, and the data is essentially both primary and secondary, obtained from each woreda health office in the Ilu Aba Borazon and the corresponding mother or care giver of the sampled child. Spatial disparities in under-five diarrhea were identified using global and local measures of spatial autocorrelation. A Geo-additive regression model was used to identify the spatial disparities and associated factors of under-five diarrheal diseases. Results The value of global and local measures of spatial autocorrelation shows that under-five diarrheal disease varies according to geographical location and shows significant positive spatial autocorrelation. The results of the Geo-additive regression model showed a statistically significant relationship between under-five diarrhea disease and independent variables. Conclusion There is evidence of significant under-five diarrheal disease clustering in the Ilu Aba Borazon, southwest Ethiopia. Model-based data analysis showed that there is a significant relationship between under-five diarrhea and covariates (mother’s age, mother’s education, source of drinking water, quality of toilet facility, DPT 3 vaccination, Polio 3 vaccination, and household wealth index).

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