Sociodemographic and institutional determinants of zinc bundled with oral rehydration salt utilisation among under-five children with diarrhoeal diseases in East Wallaga zone, western Ethiopia: a community-based cross-sectional study

• Published in: BMJ open Vol. 13; no. 5; p. e070203
• Main Authors: Terefa, Dufera Rikitu, Shama, Adisu Tafari, Kenea, Abdi Kebede
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 17.05.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Age; Caregivers; Child; Children & youth; Community child health; Cross-Sectional Studies; Diarrhea; Diarrhea - therapy; Disease; Ethiopia; Female; Fluid Therapy; Health Facilities; Humans; Mortality; Nutrition and Metabolism; Nutritional support; Population; Public health; Risk Factors; Sample size; Sampling techniques; Sociodemographics; Surveys and Questionnaires; Zinc - therapeutic use; Ethiopia; Nigeria; Africa; Addis Ababa Ethiopia; PUBLIC HEALTH; Risk Factors; Community child health; Nutritional support
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-070203

ObjectiveThis study aimed to assess the sociodemographic and institutional determinants of zinc bundled with oral rehydration salt (ORS) utilisation among under-five children with diarrhoeal diseases in East Wallaga zone, western Ethiopia, in 2022.MethodsA community-based cross-sectional study was conducted among 560 randomly selected participants from 1 to 30 April 2022. Data were entered into EpiData V.3.1, then exported to the Statistical Package for Social Science (SPSS) V.25 for analysis. An adjusted OR (AOR) along with a 95% confidence level was estimated to assess the strength of the association, and a p value <0.05 was considered to declare the statistical significance.ResultsAbout 39.6% of the participants had used zinc bundled with ORS for their children with diarrhoea at least once in the last 12 months. Being aged 40–49 years for mothers or caregivers (AOR 3.48, 95% CI 1.41, 8.53); merchant (AOR 4.11, 95% CI 1.73, 8.12); mothers or caregivers able to read and write (AOR 5.77, 95% CI 1.22, 11.67); visited secondary level (AOR 2.82, 95% CI 1.30, 6.10) and tertiary level health facilities (AOR 0.016, 95% CI 0.03, 0.97); degree and above (AOR 0.06, 95% CI 0.03, 0.12) and doctorate (AOR 0.13, 95% CI 0.04, 0.44) holder healthcare professionals were statistically associated with utilisation of zinc bundled with ORS.ConclusionThe study found that about two in five of the participants had used zinc bundled with ORS for their under-five children with diarrhoeal diseases. Age, occupation, educational status, level of health facilities visited and level of health professionals provided care were determinants of zinc bundled with ORS utilisation. So, health professionals at different levels of the health system have to enhance the maximisation of its bundled uptake.