Prevalence and Factors Associated with Diarrheal Diseases Among Children Under the Age of Five Years Admitted in Paediatirc Ward at Jinja Regional Referral Hospital in Eastern Uganda

TABLE OF CONTENTS

DECLARATION ............................................................................................................................. i

APPROVAL. .................................................................................................................................. ii

DEDICATION...............................................................................................................................iii

ACKNOWLEDGEMENTS........................................................................................................... iv

LIST OF ABBREVIATIONS......................................................................................................... v

KEY DEFINITIONS. .................................................................................................................... vi

TABLE OF CONTENTS.............................................................................................................. vii

LIST OF FIGURES ........................................................................................................................ x

LIST OF TABLES......................................................................................................................... xi

ABSTRACT.................................................................................................................................. xii

CHAPTER ONE............................................................................................................................. 1

1.0 INTRODUCTION. ................................................................................................................... 1

1.1 BACKGROUND. ..................................................................................................................... 1

1.2 PROBLEM STATEMENT....................................................................................................... 2

1.3 PURPOSE OF THE STUUDY................................................................................................. 3

1.4 SPECIFIC OBJECTIVES......................................................................................................... 3

1.5 RESEARCH QUESTONS........................................................................................................ 3

1.6 SIGNIFICANCE/JUSTIFICATION OF THE STUDY. .......................................................... 4

1.7 CONCEPTUAL FRAMEWORK. ............................................................................................ 5

CHAPTER TWO ............................................................................................................................ 7

LITERATURE REVIEW ............................................................................................................... 7

2.0 INTRODUCTION. ................................................................................................................... 7

2.1 SOCIO-DEMOGRAPHIC FACTORS..................................................................................... 7

viii

2.2 SANITATION AND HYGIENIC FACTORS. ........................................................................ 9

CHAPTER THREE ...................................................................................................................... 11

RESEARCH METHOLOGY ....................................................................................................... 11

3.0 INTRODUCTION. ................................................................................................................. 11

3.1 STUDY/RESEARCH DESIGN.............................................................................................. 11

3.2 SCOPE OF THE STUDY....................................................................................................... 11

3.2.1 GEOGRAPHIC SCOPE. ..................................................................................................... 11

3.2.2 SUBJECT/CONTENT SCOPE. .......................................................................................... 11

3.2.3 TIME SCOPE. ..................................................................................................................... 12

3.3 STUDY POPULATION. ........................................................................................................ 12

3.4 SAMPLING TECHNIQUE. ................................................................................................... 12

3.5 SELECTION CRITERIA. ...................................................................................................... 13

3.5.1 INCLUSION CRITERIA..................................................................................................... 13

3.5.2 EXCLUSION CRITERIA. .................................................................................................. 13

3.6 DATA PROCESS (TOOL AND PROCEDURE). ................................................................. 13

3.6.1 DATA COLLECTION INSTRUMENTS. .......................................................................... 13

3.6.2 QUESTIONNAIRE. ............................................................................................................ 13

3.6.3 PRE-TESTING .................................................................................................................... 13

3.6.4 DATA MANAGEMENT..................................................................................................... 13

3.6.4 DATA PROCESSING AND ANALYSIS........................................................................... 13

3.7 ETHICAL CONSIDERATIONS............................................................................................ 14

3.7.1 CONSENT:.......................................................................................................................... 14

3.7.2 VALIDITY AND RELIABILITY:...................................................................................... 14

3.7.3 CONFIDENTIALITY: ........................................................................................................ 14

3.7.4 AUTONOMY: ..................................................................................................................... 14

ix

3.7.5 RISK AND BENEFITS. ...................................................................................................... 14

CHAPTER FOUR......................................................................................................................... 15

RESULTS. .................................................................................................................................... 15

4.0 INTRODUCTION. ................................................................................................................. 15

4.1 PREVALENCE OF DIARRHEAL DISEASES: ................................................................... 15

4.2 SOCIO-DEMOGRAPHIC DATA; (CHILD):........................................................................ 16

4.3 SOCIO-DEMOOGRAPHIC DATA; (PARENT/GUARDIAN):........................................... 19

4.4 SANITATION AND HYGIENE PRACTICES. .................................................................... 22

CHAPTER FIVE .......................................................................................................................... 27

5.0 DISCUSSION......................................................................................................................... 27

5.1 LIMITATIONS OF THE STUDY.......................................................................................... 28

5.2 RECOMMENDATIONS........................................................................................................ 29

5.3 CONCLUSION....................................................................................................................... 29

REFERENCES: ............................................................................................................................ 30

APPENDIX................................................................................................................................... 33

APPENDIX. A: CONSENT FORM............................................................................................. 33

APPENDIX. B: QUESTIONNAIRE............................................................................................ 34

APPENDIX.C: BUDGET FOR THE RESEARCH STUDY DONE DURING THE MONTH OF

JULY/2018.................................................................................................................................... 39

APPENDIX D: INTRODUCTORY LETTER FROM THE UNIVERSITY ............................... 40

APPENDIX E: INTRODUCTORY LETTER FROM THE HOSPITAL .................................... 41

APPENDIX F: MAP OF UGANDA ............................................................................................ 42

ABSTRACT. Background. Diarrheal diseases are the leading cause of child mortality and morbidity in the world. In subSaharan Africa, diarrheal disease is not just a health issue, but an economic one as well, in Uganda; diarrhea is among the top four causes of mortality in infants and young children. Objective. The aim of this study was to determine the prevalence and factors associated with diarrhoeal disease among children under the age of five years admitted in paediatric ward at Jinja regional referral hospital in eastern Uganda. Methodology. A hospital based cross-sectional study was carried out in Jinja Regional Referral Hospital, in eastern Uganda in the month of July 2018. A total of 276 children under the age of five years were recruited into the study. Data were collected by a pre-tested questionnaire. Data were collected through the questionnaires and analyzed using tables, charts and graphs. Results. A total of two hundred seventy six children participated in the study, with a response rate of 276 (100%). From the 276 children who participated, 52 had diarrheal diseases thus giving a prevalence of 18.8%. The prevalence of diarrhea was significantly high among children aged 25-59 months with (84.7%), residence in rural area (88.5%), not having been vaccinated for Rota virus (100%), and having more than 2 siblings under the age of five years (92.3%) it was also significantly high when the parent/guardian was 16-24 years (53.8%), primary education level (96.2%), being a peasant farmer (98.1%) and having a net monthly income of between 10,000-50,000 ug shs (84.6%). Open surrounding and burial disposal of the children’s fecal matter, not regularly cleaning the toilets/latrine facilities, open surrounding/garden disposal of household garbage and waste water, no soap use and no hand washing, not regularly cleaning the water storage containers were associated with higher risks for developing diarrhea. Conclusion. In this study, the prevalence of diarrhoea among under -five children was 18.8%. Appropriate sanitation and personal hygiene promotion programs should be implemented to prevent diarrhea in children less than five years old in the study area which can be integrated with the existing ministry of health programs of public health.