Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study

This study was conducted in January 2013 to identify risk factors associated with diarrhea morbidity among children younger than 5 years in the Atwima Nwabiagya District, Ghana. A total of 378 households were drawn from four Atwima Nwabiagya District communities in the dry season using a systematic random sampling strategy. Quantitative data was collected from eligible households using interviewer-administered questionnaires and spot-checks. The relationships of socio-demographic, environmental, and behavioral factors with childhood diarrhea were assessed via logistic regression. The mother’s age [adjusted odds ratio (aOR) = 3.52, 95% confidence interval (CI) = 1.11–11.16] and educational level (aOR = 4.77, 95% CI = 1.85–12.28) and frequent playing on the bare ground with soil by the index child (aOR = 3.14, 95% CI = 1.40–7.05) were significant risk factors of childhood diarrhea. Water storage outside of the dwelling was significantly associated with a lower risk of diarrhea (aOR = 0.42, 95% CI = 0.19–0.89). In the study communities, we recommend providing more education to mothers regarding environmentally-related disease transmission mechanisms, encouraging safe disposal of children’s stools, discouraging children from playing with soil on bare floors, and promoting safe drinking water storage.