Highlights
- •Diarrhea is the leading cause of children's mortality and morbidity in the Southeast Asian.
- •Children have suboptimal access to essential health services.
- •Children face multifactorial risk factors for diarrhea.
- •Multisectoral collaboration is needed to develop the prevention program for diarrhea.
Abstract
Purpose
To describe the prevalence and the correlation between individual, environmental and
household, health behavior, and source of information factors with diarrhea among
under-five children in five Southeast Asian countries based on the National Health
Survey.
Design and methods
Cross-sectional design conducted in five countries in Southeast Asia. Datasets from
Demographic and Health Surveys and Multiple Indicator Cluster Surveys in five countries
were analyzed.
Results
A total of 12,447 children under 5 years of age from five countries in Southeast Asia
(Indonesia 1807, Cambodia 2650, Myanmar 1717, the Philippines 3669, and Timor-Leste
2614) were included in this study. Binary logistic regression was performed to analyze
the data. A total of 12,447 under-five children were included in the study. Overall,
in five Southeast Asian countries, the prevalence of diarrhea is known from 8.39%
in the Philippines to 18.21% in Indonesia. Several factors related to diarrhea are
individual; environmental and household; health behavior such as stool disposal, breastfeeding
mothers, and children's food history; and source of information factors.
Conclusion
The findings of this study indicate that diarrhea is a serious public health problem
in the Southeast Asian region that must be addressed using preventive and curative
approaches.
Practice implication
The results indicate the need for cross-collaboration among nurses, medical doctor,
and sanitarian is needed to tackle the childhood diarrhea and minimize the severity
based on those determinants.
Keywords
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Article info
Publication history
Published online: June 15, 2022
Accepted:
June 7,
2022
Received in revised form:
May 30,
2022
Received:
December 7,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
