Household environmental factors towards Acute respiratory infection & Diarrhea of child under 5 in Bangladesh. A secondary analysis of Bangladesh Multiple Indicator Cluster Survey 2012-2013

Abstract

Unsustainable household environmental factors influences the risk of children under 5 morbidities. The prevalence of childhood Acute respiratory infection(ARI) and diarrhea considerably high in Bangladesh. The objective of this study to compare the associations of household environmental factors and ARI and diarrhea among child 5 years in Bangladesh The data were obtained from a MICS survey at national level about child among child under 5 years in Bangladesh conducted by the UNICEF in 2012-2013. Women aged between 15 and 49 years living in selected households provided information on 20903 of their children under the age of 5 years. Primary outcome measure the morbidity status of the children was recorded with respect to episodes of diarrhea and ARI in the 2 weeks preceding data collection The factors associated with ARI were: child age 6-11months OR: 1.86; p :<0.001, Chittagong and Khulna divisions :2 poor household OR :1.5; p:<0.001, In case of diarrhea were: child age 12-35months OR: 5.2; p:<0.001; source of drinking water OR :1.7; p:0.001; location of water source OR :1.3; P: 0.015; types of toilet facility OR: 1.3; p:0.001; shared sanitation OR: 1.2; p:0.02. Results from this research underline the importance of developing and implementing strategic plans to reduce poverty level and improve household environment in Bangladesh. Preventive measurements acquire more to lower the risk of both ARI and diarrhea in very early age group of children. Promoting hygienic water and sanitation facilities can help reduce the prevalence of childhood diarrhea. However, these strategies need to be integrated with health education in primary level raise the likelihood that reduced risks are acute respiratory infections.