Prevalence of diarrhoea and child care practices among under-five children in tea gardens of Jorhat district, Assam

Mohd Asif, Bishnu Ram Das, Anuja Baruah


Background: Globally diarrhoea remains the second leading cause of mortality among children of below five years age. Objective was to find out the prevalence of diarrhoea and child care practices associated with diarrhoea in under five children of tea garden workers of Jorhat district, Assam.

Methods: A community based cross sectional study was conducted among the under five children of selected tea gardens of Jorhat district of Assam, India from July 2017 to June 2018.

Results: Prevalence of diarrhoea among the study participants in last 2 weeks was found to be 26.4%. Out of 315 study participants, 24.1% belonged to the age group of 12-24 months, 55.2% were males. Exclusive breast feeding was recorded in 95.9% of the children. Prevalence of diarrhoea was less among exclusively breast fed children 25.5% as compared to not exclusively breastfed 46.1%. Health advice during diarrhea was sought by 97.8% of the respondents. Available records showed almost all of the children 99.3% got vaccinated with measles vaccine and contrary to this majority 64.4% study participants had not received Rota virus vaccination.

Conclusions: Diarrhoea is still a significant public health problem among fewer than five children of tea garden workers with low Rota virus vaccine coverage. Our study findings recommends for the awareness building among the tea garden dwellers in regard to hand hygiene, timely initiation of complementary feeding, importance of vaccinating children with Rota virus vaccine as a part of  containment programme.


: Under five children, Diarrhoea, Tea gardens workers, Child care practices

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UNICEF/WHO, Diarrhoea: Why children are still dying and what can be done, New York: UNICEF; 2009. Available at ris/bitstream/handle /10665/44174/ 9789241598415 eng. pdf. Accessed 15 March 2018.

WHO/Diarrhoeal disease. Available at diarrhoeal-disease. Accessed 15 March 2018.

Available at http:// images/pdf/IDCF-2017/IDCF_guidelines_2017.pdf. Accessed 15 May 2018.

Deshpande K, Kakkar R, Diwan V. Access to quantity and quality water: Problems perceived by residents of village Palwa in Ujjain district. Indian J Community Med. 2007;32(4):295.

Ishore K, Bhattacherjee S, Das DK. Morbidity among tribal under-five children of tea garden areas in a block of Darjeeling District, West Bengal: a cross-Sectional Study. J Clin Diagn Res. 2015;9(8):1-3.

Borah H, Gogoi G, Saikia H. Prevalence of diarrhoea among under-five children and health seeking behaviour of their mothers in slums of Dibrugarh town, Assam. Ind J Sci Res Tech. 2014;2(1):16-9.

Ahmed SF, Farheen A, Muzaffar A, Mattoo GM. Prevalence of Diarrheal Disease, its Seasonal and Age Variation in under- fives in Kashmir, India. Int J Health Sci. 2008;2(2):126-33.

Tambe AB, Nzefa LD, Nicoline NA. Childhood diarrhea determinants in Sub-Saharan Africa: a cross sectional study of Tiko-Cameroon. Challenges. 2015;6:229-43.

Mengistie B, Berhane Y, Worku A. Prevalence of diarrhea and associated risk factors among children under-five years of age in Eastern Ethiopia: A cross-sectional study. Open J Prevent Med. 2013;3(7): 446-53.

Gedefaw M, Takele M, Aychiluhem M, Tarekegn M. Current Status and Predictors of Diarrhoeal Diseases among Under-Five Children in a Rapidly Growing Urban Setting: The Case of City Administration of Bahir Dar, Northwest Ethiopia. Open J Epidemiol. 2015;5:89-97.

Siziya S, Muula AS, Rudatsikira E. Diarrhea and acute respiratoryinfections prevalence and risk factors among under-five children in Iraq in 2000. Ital J Pediatr. 2009;35(1):8.

Kalakheti B, Panthee K, Jain KC. Risk factors of diarrhea in children under five years in urban slums: an epidemiological study. J Lumbini Med College. 2016;4(2):94-8.

Berhe H, Mihret A, Yitayih G. Prevalence of diarrhea and associated factors among children under-five years of age in Enderta Woreda, Tigray, Northern Ethiopia, 2014. Int J Therapeutic App. 2016;31:32-7.

Shikur M, Tilahun M, Tamiru D. Morbidity and Associated Factors of Diarrheal Diseases Among Under Five Children in Arba-Minch District, Southern Ethiopia, 2012. Sci J Public Health. 2013;1(2):102-6.

Tamiso A, Yitayal M, Awoke A. Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Sci J Public Health. 2014;2(3):243-51.

Dessalegn M, Kumie A, Tefera W. Predictors of under-five childhood diarrhea: Mecha District, west Gojjam, Ethiopia. Ethiop J Health Dev. 2011;25(3):192-200.

Basa S. Prevalence of diarrhoea among under-five children and health seeking behavior of their mothers in an urban slum of Delhi. Asian J Biomed Pharma Sci. 2015;5(45):8-11.

Ishore K, Bhattacherjee S, Das DK. Morbidity Among Tribal Under-Five Children of Tea Garden Areas in a Block of Darjeeling District, West Bengal: A Cross-Sectional Study. J Clin Diagn Res. 2015;9(8):1-3.

Samya V, Stanly AM. Acute Diarrhea and Acute Respiratory Infection among Less than 5 Year Old Children: A Cross-Sectional Study. Int J Scientific Study. 2015;3(7):149-53.

Gupta S, Gupta SK, Jamwal DS, Kumar D. Incidence of diarrhea among under-five children in a rural area of Jammu–A longitudinal Study. IJMCH. 2011;13(2):1-6.

Upadhyay RP, Chinnakuli P, Bhilwar M, Krishnan B, Kulkarni V, Gupta A et al. Prevalence of malnutrition, acute respiratory infections and diarrhoea in children aged 1-5 years in urban slums of Puducherry, South India. Int J Contemp Pediatr. 2015;2(1):37-41.