Online Program

Effect of Community Based Interventions in the Management of Childhood Diarrhea in Oromia, Ethiopia

Monday, November 2, 2015

Mesfin Nigussie Sr., MPH, Integrated Family Health program (IFHP), JSI Inc. Ethiopia field office, Addis Ababa, Ethiopia

Although treatments are available for childhood diarrheal diseases, their utilization is low in Ethiopia. In response, Integrated Family Health Program (IFHP) supported the public sector’s key child survival interventions in rural facilities. In five years, IFHP trained 824 health workers on Integrated management of newborn and child hood illness (IMNCI) and 3,338 health extension workers (HEWs) on integrated community case management (iCCM). The project built HEW skills in counseling/negotiation on appropriate care-seeking behavior and service utilization.  This paper investigated the difference in managing childhood diarrhea between the baseline and end-line in Oromia, Ethiopia.



Cross sectional comparative household surveys were conducted in 2008 (baseline) and 2013 (end- line) where 1,212 and 1,224 respondents participated, respectively. Descriptive statistics and univariate data analysis was administered.


At end-line, Oral Rehydration Salt (ORS) was given to 47.6% children with diarrhea two weeks preceding the survey. It was 34.5% in baseline. ORS use for treatment of diarrhea was higher in intervention (47.6%) than non-intervention (33.2%) areas (P < 0.05).  Sick children who received ORS or/and recommended homemade fluid were 66.7% in end-line versus 55.6% in baseline. More households had improved drinking water source at end-line (51%) than baseline (39%) (P<0.05).  Measles coverage increased from 47% at baseline to 62% at end-line, (p<0.01).



ORS use to treat childhood diarrhea increased by 13% in intervention than non-interventions areas.   Continuous community awareness creation about ORS, improving providers skill and knowledge on management of diarrhea, and availing ORS and Zinc tablets at community out-lets are crucial.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Describe differences in practice in managing childhood diarrhea in intervention and non-intervention areas between baseline, 2008 and end-line, 2013.

Keyword(s): Community-Based Partnership & Collaboration, Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Mesfin Nigussie BSc degree from Jimma university,master of public of health from Addis Ababa University. I served Gondar University at the post of assistant lecturer, lecturer and senior lecturer. I have been working for John Snow Inc. at different posts. presented Improved supportive supervision in Oromia for Global health, conference 2008 ENA frame work in improving child survival, SNNPR, Ethiopia, APHA, 2009 Assessment of safe and clean delivery practice by HEWs Oromia, Ethiopia, APHA, 2012
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3106.1: Poster Session 12