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Global Health Econ Sustain                                     Prevalence and risk factors of childhood diarrhea



            living in such households are able to protect themselves   Acknowledgments
            from diarrheal diseases. The geographical region of people
            also determines the prevalence of the diarrheal disease. The   None.
            children from the eastern and western divisions of India   Funding
            were more likely to experience this disease as compared to
            the central part of India. The anticipated possible causes   None.
            could be lower access to better households and specific   Conflict of interest
            environmental and climatic issues, which should be the
            best for surviving children, creating resilience to diarrhea   The authors declare that they have no conflict of interest.
            among children under the age of five.
                                                               Author contributions
            5. Conclusion
                                                               Conceptualization: Priya Das
            This study has identified several notable reasons for an   Formal analysis: Priya Das
            individual’s socioeconomic background and individual-  Investigation: Tanu Das, Subhadeep Saha
            level characteristics. Our findings suggested that addressing   Methodology: Priya Das
            diarrhea cases among children under the age of five   Writing – original draft: Subhadeep Saha
            requires necessary interventions. These interventions   Writing – review & editing: Priya Das, Subhadeep Saha,
            should  focus on  modifying  various  household  and   Tanu Das, Partha Das
            environmental factors, as well as educating mothers and
            potentially reducing birth order numbers. It is crucial to   Ethics approval and consent to participate
            implement these interventions comprehensively, ensuring   The ethical approval of the NFHS-5  (2019 – 2021) was
            that the main caretaker of the child is well-informed about   obtained from the Ethics Review Board of the IIPS,
            appropriate childcare practices during this period. Since   Mumbai, and the ICF, Disability and Health Institutional
            this is a hygiene-related disease, it is important for people   Review Board. The study confirmed that all methods were
            to have access to fresh and clean drinking water facilities   performed in accordance with the relevant guidelines and
            and to maintain proper hygiene in their immediate   regulations. For participation in this survey, informed
            physical environment. The appeal to enhance awareness   written and verbal consent was obtained from the
            among parents, particularly mothers, should be prioritized.   participants at the time of the survey. Each participant’s
            The Swachh Bharat Mission (SBM), also known as the   approval was sought, and after that, the interview was
            Swachh Bharat Abhiyan or the Clean India Mission, is a   conducted. The study involved a secondary analysis of
            countrywide campaign introduced by the Government of   publicly available data. Thus, independent ethical approval
            India in 2014 to eradicate the practice of open defecation   was not needed. However, the corresponding author
            and improve solid waste management nationwide, with the   received permission from www.dhsprogram.com to use
            ultimate goal of making the country open defecation-free.   the data for analysis.
            In addition, the Defeat Diarrhea (D-2) Initiative, a part of
            the POSHAN Abhiyan, was launched by the Ministry of   Consent for publication
            Health and Family Welfare with a target to lower diarrhea-
            related deaths among children under the age of five to less   Written informed consent for publication of their details
            than one per thousand live births by 2024. It focuses on   was obtained from the study participant.
            raising awareness about diarrheal disease and increasing   Availability of data
            access to solutions for this disease. The Intensified Diarrhea
            Control  Fortnight,  introduced by  the  National Health   Data has been collected from the demography and health
            Mission, involves health workers visiting households with   survey portal that provides data in the areas of population,
            children under the age of five to conduct community-level   health,  and  nutrition,  which  are  publicly  available  and
            awareness activities  aimed  at  preventing and  controlling   anyone can access with a prior request and subject to non-
            childhood diarrhea. Globally, initiatives such as the A7-point   profit and academic interest only. The following data link
            plan introduced by UNICEF/WHO aim to prevent and treat   has been used to extract the data: http://dhsprogram.com/
            childhood diarrhea by provisioning improved water supply,   data/dataset/admin/login main.cfm
            promoting community-wide sanitation, maintaining good
            hygiene, providing proper immunization, and implementing   References
            other necessary requirements to reduce the prevalence of   Agegnehu, M.D., Bewket Zeleke, L., Goshu, Y.A., Ortibo, Y.L., &
            this disease.                                         Mehretie Adinew, Y. (2019). Diarrhea prevention practice


            Volume 2 Issue 2 (2024)                         11                       https://doi.org/10.36922/ghes.2048
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