• Tesfaye Tessema
  • Sisay Anberbir
  • Sirak Hailu
  • Getinei Mitikie


A case control study was conducted over a period of 18 months to identify the risk factors for persistent diarrhea in the under fives. A total of 188 cases with persistent diarrhea and their controls matched by age and place of residence were included in the study. 85.6% of the cases . were under 18 months of age and the peak age of occurrence of persistent diarrhea was between seven and 12 months. Statistically significant association of persistent diarrhea was found with
maternal literacy (OR=4.13 CI 2.62,6.53), lack of breast feeding (OR= 0.25 CI 0.11 ,0.56), severe protein energy malnutrition (OR=2.11 CI 1.31 ,3.3 1), vitamin A deficiency (OR=3.01 Cl 1.75,5.19), non availability of latrine (OR=2.77 CI 1.78,4.31) and use of unprotected water supply (OR=4.61 CI2.60,8.23).
Intervention to improve educational level of women, installation of sanitary fly proof latrines, health education regarding appropriate childhood feeding practices, national efforts directed towards ' the support of breast feeding, vitamin A supplementation, and prevention of HIV/AIDS is suggested to reduce the prevalence of persistent diarrhea and its assoc(ated mortality.


Download data is not yet available.


1. Bern. C, Marines J., De Zoysa I, Glass RI. The magnitude of global problem of diarrhea disease; A ten year update Bull. WHO 1992;70:705-7 14.
2. Grant, J.P. The state of the world's children, Oxford University Press 1990;PP. 17.
3. Commission on Health Research for Development. Health Research; Essential Link to Equity in Deve"Iopment Oxford. Oxford University Press 1990.
4. SIDA, UNICEF and WHO. Country program review of control of diarrhea disease programme,Government of Ethiopia, Addis Ababa 1987.
5. Bhan Mk, Arora Ghai RR, Khoshoo V, Bhandari N. Major factors in dian·hea related mortality among rural children. Indian 1. Med. Res 1986;83:9-12.
6. Persistent diarrhea in children in developing countries; Memoraf)dum from WHO meeting.Bull. WHO 1988;66:707- 17.
7. Lemma Ketema, S. Lulseged . Persistent Diarrhea; a socio-demographi c and clinical profile of 264 children seen at a referral hospital in Addis Ababa. Ethiopian Medical Journal. 1997;35: 161 -8.
8. Baui AH, Black RE, Sack RB, Chowdhry HR. Malnutrition, and cell mediated immune deficiency and diarrhea; a community based longitudi nal study in rural Bangladesh children. Am. J. Epidemiology 1993;137:355-65.
9. Bhandari N. et al. Association of antecedent malnutrition with persi stent diarrhea. A case control study. Bf. Med Journal 1989;298: 1284-87.
10. Robert E. Black. Persistent diarrhea in children of developing countries. Ped. Inf. Dis. J.1993;12:175-6.
11. Khin-Maung-U Nyunt-Wai, Myo-Khin et al.during acute diarrhea. BMJ 1985;290:587-9. Effects on clinical outcome of breast feeding
More inside the PDF
How to Cite
TESSEMA, Tesfaye et al. RISK FACTORS FOR PERSISTENT DIARRHEA IN THE UNDER FIVE CHILDREN: A CASE CONTROL STUDY. Ethiopian Journal of Pediatrics and Child Health, [S.l.], v. 2, n. 1, p. 5 - 16, jan. 2006. Available at: <http://ejol.aau.edu.et/index.php/EJPC/article/view/693>. Date accessed: 20 oct. 2018.
Please advise your journal citation style before using the above citation format, you can also find your citation style from citation formats listed down.