Mothers' knowledge of the causes and prevention associated with diarrhea among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar

Khaing Zar Lwin, I Gusti Ngurah Edi Putra


Background: Diarrhea among under-five children remains a major public health problem in developing countries, such as Myanmar. Its complications contribute to the worse health outcomes as well as increase the child mortality in Myanmar. Hlaing Thar Yar was recognized as a township with the highest incidence of diarrhea in Yangon region.

Aims: This study aimed to identify the association of mother’s knowledge on diarrhea with the diarrheal disease among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar.
Methods: This was a cross-sectional study by collecting primary data in the Hlaing Thar Yar Township of Yangon, Myanmar from November to December 2016. About 277 records of mothers and their under-five children have been collected through multistage random sampling. A dependent variable in this study was the occurrence of diarrhea among under-five children whilst independent variables consisted of socio-demographic characteristics of parents and five domains of mother’s knowledge on diarrhea. Data were analyzed by using univariate, bivariate and multivariate analysis.

Results: This study found that a half (53.43%) of under-five children suffered diarrhea within two weeks prior to the survey. Based on multivariate analysis by controlling all socio-demographic factors, two out of five domains of mother’s knowledge showed significant association. An increased one score of mother’s knowledge on causes and prevention of diarrhea contributed to decrease the likelihood of diarrheal disease by 37% (OR=0.63; 95%CI=0.44-0.90) and 27% (OR=0.73; 95%CI=0.54-0.99), respectively.

Conclusions: This study confirmed that the knowledge of mothers on causes and prevention of diarrhea appears to have important effects on the occurrence of diarrhea among the under-five children. Therefore, health promotion program with an emphasis on providing information related to diarrhea causes and prevention is worth to enhance mother’s knowledge and their ability to prevent diarrhea among under-five children in Hlaing Thar Yar Township, Yangon. 

Full Text:



World Health Organization. Diarrhea Disease Fact Sheet. Geneva: World Health Organization. 2017. Retrieved from: sheets/detail/diarrhoeal-disease [Accessed: 28/07/2018]

Fischer WC, Perin J, Aryee M, Boschi PC, Black R. Diarrhea Incidence in Low- and Middle-income Countries in 1990 and 2010: A Systematic Review. BMC Public Health. 2010; 12(220).

World Vision Myanmar. Knowledge, Attitude and Practice (KAP) Survey: Maternal and Child Health (From Miracle to Reality) Project: Baseline Report. World Vision Myanmar: Yangon; 2012.

Myint SYS. Myanmar's Child Mortality Still Highest in Region: Myanmar Time; 2012. Retrieved from: myanmar-s-child-mortality-still-highest-in-region- unicef.html [Accessed: 28/07/2018]

Ministry of Health (MoH) Health, Myanmar. Study on Causes of Under-five Mortality. Myanmar: MoH Myanmar; 2012.

Ministry of National Planning and Economic Development, Ministry of Health (MoH). Myanmar. Myanmar Multiple Indicator Cluster Survey 2009 - 2010 Final Report. Ministry of National Planning and Economic Development and MoH Myanmar: Nay Pyi Taw; 2011.

Aung WW, Okada K, Mathukorn NU, Natakuathung W,

Sandar T, Oo NAT, Aye MM, Hamada S. Cholera in Yangon, Myanmar, 2012–2013. Emerging Infectious Diseases. 2015; 21(3):543-544.

District Administrative Department. Hlaing Thar Yar Township Profile Data. North Yangon, Yangon Region, Myanmar: MIMU; 2017.

Department of Population. The 2014 Myanmar Population and Housing Census. Y angon Region Report. Census Report Volume 3 – L. Nay Pyi Taw, Myanmar: Ministry of Immigration and Population; 2015.

United Nations Human Settlements Programme (UN- Habitat). Baseline Assessment Report. Yangon. Myanmar: UN-Habitat; 2013.

Department of Population, Myanmar, United Nations Population Fund (UNFPA). Country Report on 2007 Fertility and Reproductive Health Survey. Nay Pyi Taw, Myanmar: Department of Population, Myanmar, UNFPA; 2009.

Agha A, Younus M, Kadir MM, Alir S, Fatimi Z. Eight Key Household Practices of Integrated Management of Childhood Illnesses (IMCI) amongst Mothers of Children Aged 6 to 59 Months in Gambat, Sindh, Pakistan. Journal of Pakistan Medical Association. 2007; 57(6): 288-293.

Rehan SH, Gautam K, Gurung K. KAP of Mothers Regarding Diarrhea. Indian Journal of Prevention and Social Medicine. 2003; (34): 1-6.

Rao A, Jadhav J, Ranganath TS, Dsouza L. Awareness Regarding Diarrhea, Its Prevention, and Oral Rehydration Therapy among Mothers of Under-five Children in Urban Slums of Bengaluru. International Journal of Medical Science and Public Health. 2015; 4(8):1086 – 1089.

World Health Organization. Childhood Pneumonia and Diarrhea. Geneva: World Health Organization; 2013.

Rohmawati N, Allesio P , Lertmaharit S. Factors Associated with Diarrhea among Children Under Five Years of Age in Banten Province, Indonesia. Journal of Health Research. 2012; 26(1): 31-34.

Seksaria SA, Sheth MK. Maternal Knowledge and Practices towards Sanitation and Their Relationships with Occurrence of Diarrhea in Children. International Journal of Public Health Science. 2014; 3(3): 206-212.

Nigatu M, Tadesse A. Knowledge, Perception, and Management Skills of Mothers with Under-five Children about Diarrheal Disease in Indigenous and Resettlement Communities in Assosa District, Western Ethiopia. Journal of Health Population and Nutrition. 2015; 33(1):20-30.

Dairo MD, Ibrahim TF, Salawu AT. Prevalence and Determinants of Diarrhea among Infants in Selected Primary Health Centers in Kaduna North Local Government Area, Nigeria. Pan African Medical Journal. 2017; 28(109).

Ansari M, Mohamed I, Ravi S. A Survey of Mothers’ Knowledge about Childhood Diarrhea and Its Management among A Marginalized Community of Morang, Nepal. Australasian Medical Journal. 2011; 4(9):474–479.


  • There are currently no refbacks.