Determinants of Diarrhea Incidence Among Infants: The Role of Maternal Education, Health Information, Exclusive Breastfeeding and Nutritional
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Infant diarrhea presents a series of health challenges, including loss of appetite, electrolyte disturbances, undernutrition, increased vulnerability to other infections, and potential delays in physical and cognitive development. This study aimed to examine the determinants influencing the occurrence of diarrhea among infants aged 6–12 months at Independent Clinic of Midwife Meiyuni, S.ST., Bd. The variables explored were maternal educational attainment, exposure to health-related information, exclusive breastfeeding history, and the infant’s nutritional status. A cross-sectional analytical approach was employed using a total sampling technique involving 55 infants. Bivariate analysis was conducted through simple logistic regression. The results revealed significant associations of maternal education (R² = 33.7%, F = 26.905, p = 0.001), maternal access to health information (R² = 28.7%, F = 21.302, p = 0.001), exclusive breastfeeding history (R² = 57.6%, F = 71.980, p = 0.001), and nutritional status (R² = 55.8%, F = 66.836, p = 0.001) on the incidence of diarrhea. These research findings highlight the importance of improving maternal education and health literacy, promoting exclusive breastfeeding, and enhancing children’s nutritional status as key strategies for preventing diarrhea through effective preventive interventions.
Atnafu, A., Sisay, M. M., Demissie, G. D., & Tessema, Z. T. (2020). Geographical disparities and determinants of childhood diarrheal illness in Ethiopia: further analysis of 2016 Ethiopian Demographic and Health Survey. Tropical medicine and health, 48(1), 64. https://doi.org/10.1186/s41182-020-00252-5
Bbaale E. (2011). Determinants of diarrhoea and acute respiratory infections among under-fives in Uganda. Australasian Medical Journal, 4(7), 400–409. https://doi.org/10.4066/AMJ.2011.723
Dagnew, A. B., Tewabe, T., Miskir, Y., Eshetu, T., Kefelegn, W., Zerihun, K., ... & Teka, T. (2019). Prevalence of diarrhea and associated factors among under-five children in Bahir Dar city, Northwest Ethiopia, 2016: a cross-sectional study. BMC infectious diseases, 19(1), 417. https://doi.org/10.1186/s12879-019-4030-3
Delelegn, M. W., Endalamaw, A., Belay, G. M., & Pediatric Health, M. and T. (2020). Determinants of Acute Diarrhea Among Children Under-Five in Northeast Ethiopia : Unmatched Case – Control Study. Pediatric Health, Medicine and Therapeutics, 2020(11), 323–333. https://doi.org/10.2147/PHMT.S256309
Demissie, G. D., Yeshaw, Y., Aleminew, W., & Akalu, Y. (2021). Diarrhea and associated factors among under five children in sub-Saharan Africa: Evidence from demographic and health surveys of 34 sub-Saharan countries. PloS one, 16(9), e0257522. https://doi.org/10.1371/journal.pone.0257522
Feleke, Y., Legesse, A., & Abebe, M. (2022). Prevalence of Diarrhea, Feeding Practice, and Associated Factors among Children under Five Years in Bereh District, Oromia, Ethiopia. Infectious diseases in obstetrics and gynecology, 2022, 4139648. https://doi.org/10.1155/2022/4139648
Florez, I. D., Niño-Serna, L. F., & Beltrán-Arroyave, C. P. (2020). Acute Infectious Diarrhea and Gastroenteritis in Children. Current infectious disease reports, 22(2), 4. https://doi.org/10.1007/s11908-020-0713-6
Gascón, J., Vargas, M., Schellenberg, D., Urassa, H., Casals, C., Kahigwa, E., Aponte, J. J., Mshinda, H., & Vila, J. (2000). Diarrhea in children under 5 years of age from Ifakara, Tanzania: a case-control study. Journal of clinical microbiology, 38(12), 4459–4462. https://doi.org/10.1128/JCM.38.12.4459-4462.2000
Hossain, S., & Mihrshahi, S. (2024). Effect of exclusive breastfeeding and other infant and young child feeding practices on childhood morbidity outcomes: associations for infants 0-6 months in 5 South Asian countries using Demographic and Health Survey data. International breastfeeding journal, 19(1), 35. https://doi.org/10.1186/s13006-024-00644-x
Irfan, S., & Sulansi, S. (2016). Employment, Knowledge and Latrine Ownership as Risk Factors and Prediction Model of Diarrhea Incidence. International Journal of Public Health, 5(2), 158-163. http://doi.org/10.11591/ijphs.v5i2.4780
Iskandar, W. J., wayan Sukardi, I., & Soenarto, Y. (2015). Risk of nutritional status on diarrhea among under five children. Paediatrica Indonesiana, 55(4), 235-238. https://doi.org/10.14238/pi55.4.2015.235-8
Kawakatsu, Y., Tanaka, J., Ogawa, K., Ogendo, K., & Honda, S. (2017). Community unit performance: factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya. BMC Public Health, 17(1), 202. https://doi.org/10.1186/s12889-017-4107-0
Kefale, B., Bedada, D., Negash, Y., & Gobebo, G. (2021). Determinants of diarrhea among children under age five using generalized linear model with Bayesian approach: the case of Kuyu General Hospital, Oromia Region, Ethiopia. Clinics Mother Child Health, 18(S11), 1-9. Retrieved from https://www.walshmedicalmedia.com/open-access/determinants-of-diarrhea-among-children-under-age-five-using-generalized-linear-model-with-bayesian-approach-the-case-of.pdf
Kementerian Kesehatan Republik Indonesia. (2024). Survei Kesehatan Indonesia (SKI) 2023 dalam Angka. Jakarta: Badan Kebijakan Pembangunan Kesehatan, Kementerian Kesehatan Republik Indonesia. Retrieved from https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
Kibibi W. J . (2024). The Role of Oral Rehydration Therapy in Managing Diarrhea in Children. Research invention journal of biological and applied sciences , 4(3), 58–62. https://doi.org/10.59298/RIJBAS/2024/435862
Koyuncu, A., Simuyandi, M., Bosomprah, S., & Chilengi, R. (2020). Nutritional status, environmental enteric dysfunction, and prevalence of rotavirus diarrhoea among children in Zambia. PloS one, 15(10), e0240258. https://doi.org/10.1371/journal.pone.0240258
Lamberti, L. M., Fischer Walker, C. L., Noiman, A., Victora, C., & Black, R. E. (2011). Breastfeeding and the risk for diarrhea morbidity and mortality. BMC public health, 11 Suppl 3(Suppl 3), S15. https://doi.org/10.1186/1471-2458-11-S3-S15
Manetu, W. M., M’masi, S., & Recha, C. W. (2021). Diarrhea Disease among Children under 5 Years of Age: A Global Systematic Review. A Global Systematic Review. Open Journal of Epidemiology, 11, 207–211. https://doi.org/10.4236/ojepi.2021.113018
Mulatu, T., Yimer, N. B., Alemnew, B., Linger, M., & Liben, M. L. (2021). Exclusive breastfeeding lowers the odds of childhood diarrhea and other medical conditions: evidence from the 2016 Ethiopian demographic and health survey. Italian journal of pediatrics, 47(1), 166. https://doi.org/10.1186/s13052-021-01115-3
Nataro, J. (2013). Diarrhea Among Children in Developing Countries. In: Curtis, N., Finn, A., Pollard, A. (eds) Hot Topics in Infection and Immunity in Children IX. Advances in Experimental Medicine and Biology, 764. New York: Springer. https://doi.org/10.1007/978-1-4614-4726-9_5
Nikmah, N., & Suminar, E. (2017). Faktor-Faktor Yang Mempengaruhi Kejadian ISPA dan Kejadian Diare Pada Balita di Desa Jaddih Kecamatan Socah Kabupaten Bangkalan. Jurnal INKES (Insan Kesehatan), 9(1), 34-46.
Santika, N. K. A., Efendi, F., Rachmawati, P. D., Has, E. M. M. A., Kusnanto, K., & Astutik, E. (2020). Determinants of diarrhea among children under two years old in Indonesia. Children and Youth Services Review, 111, 104838. https://doi.org/10.1016/j.childyouth.2020.104838
Sardianti, S., Natalia, S., & Utami, R. S. (2021). Factors related to diarrhea in children in the working area of puskesmas pancur, 2020. Jurnal Vokasi Keperawatan (JVK), 4(1), 286–299. https://doi.org/10.33369/jvk.v4i1.16440
Sari, G. M., Prawito, P., & Kusyani, A. (2023). Pemberian edukasi tentang diare terhadap tingkat pengetahuan ibu dalam pencegahan diare pada anak. Journal of Nursing and Midwifery Science, 2(Oktober), 23–32.
Sasmito, P., Setyosunu, D., Sadullah, I., Natsir, R. M., & Sutriyawan, A. (2023). Riwayat status gizi, pemberian ASI Ekslusif dan kejadian diare ada balita. Holistk Jurnal Kesehatan, 17(05), 431–438.
Shati, A., Khalil, S., Asiri, K., Alshehri, A., Deajim, Y., Al-Amer, M., Alshehri, H., Alshehri, A., & Alqahtani, F. (2020). Occurrence of Diarrhea and Feeding Practices among Children below Two Years of Age in Southwestern Saudi Arabia. Int J Environ Res Public Health,. 17(3), 722-730. https://doi.org/10.3390/ijerph17030722
Shumetie, G., Gedefaw, M., Kebede, A., & Derso, T. (2018). Exclusive breastfeeding and rotavirus vaccination are associated with decreased diarrheal morbidity among under-five children in Bahir Dar, northwest Ethiopia. Public health reviews, 39, 28. https://doi.org/10.1186/s40985-018-0107-6
Soboksa, N. E., Gari, S. R., Hailu, A. B., & Mengistie Alemu, B. (2021). Childhood Malnutrition and the Association with Diarrhea, Water supply, Sanitation, and Hygiene Practices in Kersa and Omo Nada Districts of Jimma Zone, Ethiopia. Environmental health insights, 15, 1178630221999635. https://doi.org/10.1177/1178630221999635
Sodikin, S. (2012). Keperawatan Anak Gangguan Pencernaan. Jakarta: EGC.
Solomon, E. T., Gari, S. R., Kloos, H., & Mengistie, B. (2020). Diarrheal morbidity and predisposing factors among children under 5 years of age in rural East Ethiopia. Tropical medicine and health, 48, 66. https://doi.org/10.1186/s41182-020-00253-4
Tag, Z. M., Alashwal, H., Chemaitelly, H., & Abu-Raddad, L. J. (2025). Global childhood diarrhoea prevalence and its determinants: a systematic meta-analytic assessment, 1985–2024. EBioMedicine, 121, 105956. https://doi.org/10.1016/j.ebiom.2025.105956
Tuang, A. (2021). Analisis analisis faktor yang berhubungan dengan kejadian diare pada anak. Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), 534-542. https://doi.org/10.35816/jiskh.v10i2.643
WHO. (2024). Diarrhoeal disease. Geneva: WHO. Retrieved from https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
Zain, R. S. M., Primanagara, R., Naldi, Y., & Nurbaiti, N. (2020, April). The Influence of Giving Information on Diarrhea Management to the Knowledge and Attitude of the Mother Carrying Infants in the Primary Health Care in Sitopeng Cirebon. In International Conference on Agriculture, Social Sciences, Education, Technology and Health (ICASSETH 2019), pp. 282-284. https://doi.org/10.2991/assehr.k.200402.066
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