Evidence from 2016 Ethiopian Demographic and Health Survey Data: Maternal Practice in Managing Childhood Diarrhea at Home

Purpose: The aim of this study was to assess the prevalence and associations of maternal practice in managing diarrheal diseases at home among Ethiopian mothers whose children were younger than five years of age. Methods: This study was a secondary analysis of the 2016 Ethiopian Demographic and Health Survey (EDHS) data. The 2016 EDHS data were collected using stratified two-stage sampling method. Nine hundred and sixty-two mothers who had children who experienced diarrhea two weeks prior to the survey were included. A logistic regression model was used to assess the associations with maternal practice. Results: In this study, 672 (69.9%) of mothers had limited understanding of home-based diarrheal disease management. Poorest wealth index (AOR, (95%CI), ((3.33), (1.38, 8.02), poorer wealth index ((3.55), (1.43, 8.80), medium wealth index ((3.10), (1.24, 7.72), and low level maternal education ((1.60), (1.51, 4.10) increased the odds of inadequate maternal practice. Conclusions: The prevalence of inadequate maternal practice was high. Lowest wealth quantities and low level maternal education increased the likelihood of inadequate maternal practice. Health facilities should emphasize teaching mothers about home based diarrheal management. Practical implication: Inadequate personal and environmental hygiene are the major cause of diarrheal disease, which is common among children under five years of age. Diarrhea is not fatal by itself, but it causes dehydration, which can ultimately result in child mortality if not treated. Fortunately, dehydration can be managed at home, which is an opportunity for nurses and health professionals to address this public health problem. (C) 2020 Elsevier Inc. All rights reserved.