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Prevalence and risk factors of diarrhea among under-five children in Ethiopia: A systematic review and meta-analysis

Aboma Motuma, S. Tolera, Fekade Ketema Alemu, Dechasa Adare, Roba Argaw, Abdi Birhanu, Kasiye Shiferaw, Gari Hunduma et al.

BMC Public Health, 2025

14 citations

Abstract

In developing countries, safe piped drinking water is generally unavailable, and bottled water is unaffordable for most people. In these countries, diarrhea accounts for the largest cause of disease and nearly 50% of deaths in young children. In Ethiopia, childhood diarrhea is a serious public health issue that affects 13.5 to 30.5% of the children with different diarrheal causes. Nonetheless as of late for work, no thorough comprehensive review for the pooled prevalence of diarrhea as well as the risk factors has been conducted, which was the goal of this systematic review and meta-analysis. A Search was conducted of numerous international databases, including PubMed, Medline, Embase, Direct Science, Web of Science, Cochrane Library, Global Health, Google Scholar, CINAHL and University Repository. Articles from the last ten (10) years ranged from 2015 to mid-2024 were included. Using a common data extraction format, three authors extracted all required data. The statistical program STATA Version 17 was used to analyze pooled prevalence of diarrhea and the risk factors among children under five years old. The heterogeneity of the studies was evaluated using the I2 test and the Cochrane Q test statistics. Pooled prevalence of diarrhea and risk factors were calculated. The random effect model was utilized to investigate the relationships between risk factors and prevalence of diarrhea at national level. The random effect size was deemed to be less than 0.05 at a confidence…

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