基于ARIMA和GM(1,1)模型的我国农村MMR、IMR、NMR及U5MR趋势预测

目的分析我国农村孕产妇、婴儿、新生儿及五岁以下儿童四种死亡率指标变化趋势并进行预测,为卫生行政部门制定农村母婴安全发展战略提供参考依据。方法采用ARIMA和GM(1,1)模型分别预测2021—2025年四个指标变化趋势。结果ARIMA(0,1,0)模型和GM(1,1)模型对四个指标预测的平均绝对误差分别为0.908、0.410、0.194、0.584和0.718、0.297、0.128、0.341,平均相对误差分别为0.041、0.040、0.030、0.043和0.032、0.029、0.020、0.025,GM(1,1)预测误差较小。结论运用GM(1,1)模型对四个指标进行拟合和预测效果优于ARIMA模型。

The Prevalence and Risk Factors Associated with Otitis Media in Children under Five Years of Age in Mogadishu, Somalia: A Hospital-Based Cross-Sectional Study

Background: Otitis media (OM) is highly prevalent and is one of the most important causes of preventable hearing loss in developing countries and it may have long-term impacts on the children. Several hospital-based cross-sectional studies have been conducted in East African countries to assess the prevalence of OM;however, no similar studies have been conducted in Somalia. Therefore, we conducted a hospital-based cross-sectional study to identify the prevalence and the underlying risk factors of OM among children under the age of five in Mogadishu, Somalia. Methodology: A hospital-based cross-sectional study was conducted from July 2022 to November 2022 at three main hospitals in Mogadishu, Somalia. A total of 384 children aged less than 5 years were included. Parents of these children were interviewed with a questionnaire and a clinical examination was performed for each child. The Statistical Package for Social Sciences, SPSS (Version 22, IBM, Inc.), was used for the statistical analysis. Result: The prevalence of otitis media among the 384 children recruited was 31.25% (120/384). Otitis media was significantly associated with age less than one year (P = 0.006), malnutrition (P Conclusion: In summary, the present study found that otitis media was highly prevalent (31.25%) in Mogadishu, Somalia. The majority of the affected children were younger than one year. Age of the child, malnutrition, upper respiratory tract infections, feeding in lying position, and dripping something into a child’s ear were found to significantly increase the risk of developing otitis media in children. In contrast, breastfeeding for more than one year has been found to reduce the risk of developing otitis media in children.

1999～2003年北京市5岁以下儿童先天性心脏病死亡状况分析

目的:了解北京市5岁以下儿童先天性心脏病死亡的状况.方法:对1999～2003年北京市5岁以下儿童生命监测资料进行分析.结果:1999～2003年先天性心脏病已成为北京市5岁以下儿童的重要死因,其中婴儿期尤其是早期新生儿期死亡率较高.北京地区分布呈现城区死亡人数明显低于近郊和远县的特点.结论:降低先天性心脏病儿童死亡率,应以降低婴儿尤其是7 d内新生儿的死亡率为重点,做到早发现、早治疗.

5岁以下儿童营养状况及其影响因素研究

目的了解5岁以下儿童营养状况,探讨其影响因素。方法采用横断面调查方法,整群随机抽取本辖区5个社区与12所托幼机构共6468例5岁以下儿童,进行体格发育评估与问卷调查,影响因素分析应用Logistic逐步回归分析。结果 5岁以下儿童营养不良患病率为4.46%;1岁内婴儿营养不良患病率低,1岁以后开始增高,0岁组与其他年龄组间差异,两两比较均有统计学意义(p<0.05),Logistic逐步回归分析提示,托幼机构膳食合理、保证每天10小时以上睡眠、辅食添加合理、定期营养监测、1岁后保证每天有2次奶、4个月内母乳喂养共6个因素能促进儿童营养状况改善,而偏食挑食、喜欢膨化食品、早产、进食速度慢、爱喝甜饮料、出生低体重、经常吃零食则是导致儿童营养不良的因素。结论预防儿童营养不良必须采取综合措施,加大科学喂养宣传力度,提倡合理的膳食结构,培养良好的饮食习惯。

2005—2014年芜湖市5岁以下儿童死亡趋势分析

目的分析芜湖市10年间5岁以下儿童死亡变化趋势、城乡差异及死因构成。方法对2005—2014年5岁以下儿童死亡原因进行分析。结果芜湖市5岁以下儿童死亡率年均下降了4.6%,城乡下降趋势不明显,新生儿死亡率占5岁以下儿童死亡率比重波动在46%~62%之间。早产/低出生体重儿的死亡率跃升至第1位,出生窒息跃升至第3位,先天性心脏病维持在第2位水平,溺水、交通意外及呼吸系统疾病死亡比例降幅较为明显。结论 2005—2014年间芜湖市5岁以下儿童死亡率总体上呈下降趋势,新生儿死亡占较大比重。降低5岁以下儿童死亡率的关口应前移至孕期,同时应加强助产机构建设和健康教育;有必要建立系统的儿童意外伤害死亡的监测网络。

2011～2013年某医院5岁以下儿童死亡监测分析

目的：了解某医院5岁以下儿童的死亡动态变化与主要死亡原因，寻找有效的干预措施。方法对2011~2013年某医院5岁以下儿童死亡监测资料汇总分析。结果5岁以下儿童死亡率和新生儿死亡率逐年下降；婴儿死亡率2013年略有升高，1~4岁儿童死亡2011年和2012年为0，2013年仅报告3例，原因是该院新开展了大量肝移植手术。结论降低5岁以下儿童死亡率关键是减少移植术后的并发症，控制院内感染；其次加强新生儿免疫缺陷筛查和诊断技术，同时提高新生儿窒息复苏能力；预防意外伤害。

莆田市5岁以下儿童死亡监测结果分析

分析莆田市2002—2006年5岁以下儿童死亡变化趋势及死因构成。5年来,5岁以下儿童平均死亡率、婴儿平均死亡率和新生儿平均死亡率分别为13.63‰、11.61‰和8.45‰,死亡率呈下降趋势,主要死因顺位依次为早产或低出生体重、出生窒息、肺炎、先天性心脏病。降低5岁以下儿童死亡率的关键是降低新生儿和婴儿死亡率。

Comparative Study on Malaria Preventive Practices among Under-Five Children in Three States in South-South Nigeria

Background: Malaria has remained one of the leading causes of morbidity and mortality in children despite effective preventive and treatment modalities. This study is aimed at looking at the malaria preventive practices among under-five children in three Niger Delta states in Nigeria and comparing the differences among them if any. Methods: This was a cross sectional study carried out over six months from 1st January to 30th June 2019 in public health facilities among under-five children in three South-South states (Akwa Ibom, Delta and Rivers) of Nigeria. Using a stratified sampling method, children were recruited from 36 health facilities in the three states. A pretested interviewer administered questionnaire was used to harvest relevant information on socio-demographic characteristics of the subjects and informants and malaria preventive practices. Obtained data was analysed using SPSS version 22 and results are presented in prose and frequency tables. Chi-square and Fischer’s exact were used for comparison of categorical variables, while a p-value of Results: A total of 3144 children participated in the study: 1661 (52.8%) were males while 1483 (47.2%) were females. Children less than 2 years represented 77.6% of the study participants while the mean age was 1.72 ± 1.06 years. Mothers constituted over 80% of the informants in all the states. More of the informants had secondary education in Akwa Ibom and Delta states, while in Rivers state, more of them had tertiary education. Malaria prevention method practiced in the three states included;use of insecticide treated bed net (ITNs), insecticide spray, anti-malarial drugs, clearing of bushes and disposal of mosquito breeding cans and use of mosquito repellents. Indoor residual spraying (IRS) was not practiced in any of the states. Use of ITN was practiced more in Rivers state (53.2%) than in Delta (20.3%) and Akwa Ibom (8.2%) states, while use of insecticide spray was commoner in Akwa Ibom state (77.2%) than in Delta (56.3%) and Rivers (42.4%). This difference in the prevention techniques practiced among the states was statistically significant (Fischers exact?&minus;724.2, p-value = 0.0001). Conclusion: In conclusion, the practice of ITNs use is low in South-South Nigeria with IRS not being practiced at all. Introduction of IRS as a method of malaria vector control and public health education on ITNs ownership and use is advocated.

广东省1991年IMR U5MR MMR及死因的流行病学调查

为全面掌握婴儿、5岁以下儿童和孕产妇死亡率的水平分布规律,广东省开展了有20个市、78个县参加的覆盖全省人口总数15.5％的大规模回顾性流行病学调查。共收集168728名活产儿,全省平均婴儿死亡率为32.01‰;5岁以下儿童死亡率为41.10‰;孕产妇死亡率为88.31/10万。地区性分布规律分析显示:城市各项死亡率均低于农村;各项死亡率的高低与地理、经济条件有关。两个系统管理率与各项死亡率之间呈负相关。死因构成分析表明:城市与农村的婴儿前三位死因相同,但位次有别;5岁以下儿童死因,城市主要是先天性疾病,农村则以意外及感染性疾病为主;孕产妇死因以产科因素为主,农村第一位死因则为妊娠合并心脏病。

Prevalence of Diarrhoea and Associated Factors among Under-Five Children in Jigjiga District, Somali Region, Eastern Ethiopia

Background: Diarrheal disease is a major cause of morbidity and mortality among children in many developing countries, including Ethiopia and is a leading cause of morbidity in Pastoralist Ethiopian-Somali region. Diarrheal disease is not purely medical, but huge part of this should be traced back to the social, economic, environmental and behavioural aspects of the family. Determining these interactions is relevant to prevent and control diarrhoea. Objective: The objective of this study was to measure the prevalence of diarrhoea and describe associated factors relating to diarrheal disease among under-five children in Jigjiga district. Methods: A cross-sectional study was conducted in Jigjiga district from June 12 to 26 in 2014 using a structured and pretested questionnaire. A total of 1807 primary care takers were interviewed. Proportionate to size allocation was done and simple random selection was used to select sample units. Diarrheal morbidity occurred in the under-five children in the past 14 days were registered to determine prevalence. Data were entered using Epi Info version 3.5.3 and analysed in SPSS version 20. Odds ratio with 95% CI in a multivariate logistic regression was employed to control confounding factors. Results: The findings of this study showed that the overall two-week period prevalence of diarrhoea in under-five children was 27.3%: 95% CI (26.9%, 27.4%). Education of the primary caretaker, occupation of the father, birth order of the child, maternal diarrhoea, and hand washing during critical times, water source, type of water storage container, latrine availability, frequency of household solid waste water disposal, availability of liquid waste water drainage system and the type of the kitchen floor material showed as independent predictors of under-five child hood diarrhoea. Conclusion: This study revealed that diarrhoea morbidity was relatively high among children under-five years of age residing in Somali region. Efforts to reduce childhood diarrhoea should focus mainly on water, sanitation and hygiene interventions including health education.

血清总IgE和过敏原特异性IgE检测在5岁以下儿童哮喘临床诊断中的价值

目的探讨血清总IgE和过敏原特异性IgE检测在5岁以下儿童哮喘临床诊断中的价值。方法选取2019年9月至2020年2月安徽省阜阳市人民医院(以下简称“我院”)住院的30例5岁以下哮喘儿童为哮喘组,另选取我院同期住院的30例5岁以下非过敏体质有咳嗽和/或喘息症状的非哮喘儿童为非哮喘组。比较两组患儿血清总IgE和过敏原特异性IgE抗体的阳性率,分析其在5岁以下儿童哮喘中的诊断价值。结果哮喘组血清总IgE和过敏原特异性IgE抗体阳性率高于非哮喘组(P<0.05)。血清总IgE和过敏原特异性IgE在5岁以下儿童诊断哮喘中的曲线下面积分别是0.800、0.817。结论血清总IgE和过敏原特异性IgE检测在5岁以下儿童哮喘的临床诊断中有较高的价值。

Knowledge and practice of care-givers who have under-five diarrhoeal children:a quantitative cross-sectional study in Mataniko settlements in Honiara, Solomon Islands, 2016

Introduction:Diarrhoea remains the second most serious health problem among children below five years old in Solomon Islands and is one of the leading causes of infant mortality,which caused about one in every ten children dying before the age of five years.Globally,around 6 million children (＜5 years) suffer from diarrhoea each year.Because of lack of previous studies,this study aims to assess the predictors of knowledge and practice of caregivers towards diarrhoea among under-five children in Mataniko informal settlements in Honiara,Solomon Islands,2016.Methods:This quantitative study was conducted at three randomly selected settlements in Honiara,Solomon Islands from June to July 2016.This study was conducted among both male and female caregivers who had children under five years of age,were aged 18 and over,live in Solomon Islands and were willing to participate in the study.A validated structured questionnaire was used to collect the data based on a 2-week recall of diarrhoea episodes.To avoid double-counting,each surveyed household was geo-referenced using global positioning system (GPS).The collected data were entered and analysed using SPSS (version 23.0) and descriptive and analytical statistics.P＜0.05 was considered as statistically significant.This study was approved by relevant ethical committees.Results:A total of 205 caregivers with at least one child under-five years participated in the study.The mean ages of caregivers and the under-five children were (30.7+8.2) years and (2.6+1.5) years,respectively.Among 205 caregivers,94 of them had reported that their children (＜5 years) had suffered with at least one episode of diarrhoea within the last 2 weeks prior to the survey.This gave a prevalence rate of 45.9％.The caregiver's knowledge about the causes (99.0％) and prevention (98.0％) of under-five diarrhoea was extremely high.Nevertheless,less than half had regularly practiced essential hygiene habits.The factors which appeared to be significantly associated with under-five diarrhoea were irregular hand washing (odds ratio [OR] 2.07,95％ confidence interval [CI]:1.12-3.81,P=0.020),inappropriate methods of disposing of children's fecal waste (OR 1.88,95％ CIL 1.06-3.33,P=0.030),and using the river for bathing (OR 1.83,95％ CI:1.04-3.23,P=0.036),and laundry (OR 2.17,95％ CI:1.23-3.84,P=0.008).Conclusion:Diarrhoea is a major public health problem among children below five years in Mataniko informal settlements.To address these exposures,relevant programs and projects should be designed,especially in areas like family planning,household economic allocation and political commitment.Awareness and advocacy programs on birth spacing,food hygiene and potential health risks about the river should be ongoing at the community level.

中低收入国家5岁以下儿童初级卫生保健服务干预措施有效性的回顾研究

目的:通过系统性回顾分析中低收入国家5岁以下儿童初级卫生保健服务干预措施的有效性,旨在为进一步提升中低收入国家儿童健康服务的有效性提供有效建议。方法:在Embase、PubMed、Cochrane图书馆和Web of Science 4个数据库中,按照参与者(5岁以下儿童)、干预措施、结果测量、国家和研究设计对检索词进行组织,检索发表时间为2000年1月—2021年6月的文献,同时,也对国际组织的资料和灰色文献进行了人工检索。结果:共纳入11篇符合标准的研究,均为评估促进中低收入国家5岁以下儿童初级卫生保健服务利用情况的干预研究。审查结果表明,综合社区个案管理和取消用户付费这两项干预措施在提高5岁以下儿童接受初级卫生保健服务和寻求护理方面表现出了积极作用。结论:建议进行更多的随机对照试验来评估所有的儿童健康干预措施,并对数据质量采取额外的预防措施。

内蒙古5岁以下儿童意外伤害死亡现状分析

目的：分析2008至2013年内蒙古自治区5岁以下儿童意外伤害死亡现状及主要死因，探讨其意外伤害死亡特征，为制定儿童意外伤害死亡的预防和控制措施提供科学依据。方法采用全面调查的方法，资料来源于全区妇幼卫生年报表及5岁以下儿童死亡报告卡，采用国际疾病分类（ICD-10）进行死因分类。应用SPSS 17．0软件进行统计分析。结果内蒙古自治区婴儿、1～4岁儿童及5岁以下儿童意外伤害死亡率分别为26．90／105、33．40／105与60．30／105，意外伤害死亡占总死亡的构成比分别为3．56％，31．87％与7．01％。5岁以下儿童意外伤害死亡男童多于女童，差异无统计学意义（χ^2＝0．17，P＞0．05）；农村多于城市，而且城乡之间存在显著性差异（χ^2＝8．29，P＜0．05）。不同年龄儿童意外伤害死因及顺位有所不同，婴儿以意外窒息（63．07％）、跌落（7．10％）和交通意外（7．10％）为主；1～4岁儿童以交通意外（35．93％）、意外窒息（15．56％）和溺水（14．65％）为主；5岁以下儿童以意外窒息（36．76％）、交通意外（23．07％）、溺水（8．62％）为主。结论减少婴儿意外窒息和1～4岁儿童交通意外的发生，加强农村地区儿童及家长的安全教育是预防和控制本区5岁以下儿童意外伤害死亡的关键措施。

中山市5岁以下儿童死亡原因的调查与分析

目的探讨本市5岁以下儿童死亡的原因，并提出干预对策，以降低死亡率。方法对本市2008年7月～2012年7月5岁以下死亡儿童的资料进行回顾性分析。结果本市活产数92416例．5岁以下儿童死亡378例。占4．09％0，其中新生儿死亡212例，占56．08％（212／378）；婴儿（不包括新生儿）死亡84例，占22．22％（84／378）；1～4岁儿童死亡82例，占21．69％（82／378）。不同年间不同年龄儿童死亡率比较差异有统计学意义（x^2=11．79，P=0．003）。早产、先天异常、出生窒息、肺炎、溺水是5岁以下儿童死亡的独立危险因素（P〈0．05）。结论降低新生儿和婴儿死亡率是降低5岁以下儿童死亡率的重要环节，应加强孕期保健与产前评估。

2010-2012年深圳市坪山新区5岁以下儿童死亡情况分析

目的掌握深圳市坪山新区成立3年来5岁以下儿童死因分类、年龄及人群分布等特点,为探索针对性干预措施提供参考依据。方法对坪山新区2010-2012年度5岁以下儿童死亡资料进行回顾性分析。结果坪山新区成立3年期间,5岁以下儿童死亡率为4.19‰,其中流动人口占93.88%。5岁以下儿童死亡死因主要是意外事故(包括意外窒息、溺水、意外跌落、交通事故等)、早产或低出生体重、先天异常。结论加强对流动人口的妇幼保健管理,预防儿童意外伤害,重视孕前优生检查和孕产期系统保健,是降低坪山新区5岁以下儿童死亡率的重要策略。

慈利县2005—2009年5岁以下儿童死亡监测分析

目的了解慈利县5岁以下儿童死亡结构的变化,寻求相应的干预措施。方法对2005—2009年慈利县5岁以下儿童死亡监测资料进行分析。结果新生儿死亡率从2005年的10.04‰下降到2009年的6.24‰,5岁以下儿童死因结构发生了重大改变,意外死亡连续4年成为第一位死因。结论为降低5岁以下儿童死亡率,在做好孕产期保健、加强产儿科合作的前提下,需加强对儿童意外死亡的重视。

Effect of a Malaria Control Program on the Prevalence of Malaria, Fever and Anaemia in Children under Five Years in the Hohoe Municipality of Ghana: A Comparative Analysis of Cross-Sectional Surveys

Background: Malaria and anaemia continue to adversely impact the health of children in Ghana. Hohoe is an area of intense and prolonged, seasonal malaria transmission. In 2006, malaria control programme activities which provided In-secticide Treated Bed-Nets (ITNs) to resident children under five years and Artemisinin Combination Therapies (ACTs) for the management of malaria were introduced into the Hohoe Municipality. Before the introduction of the control programme, baseline surveys were carried out in communities in the Hohoe municipality to determine the prevalence of malaria, fever, anaemia, malaria parasite density, gametocytaemia and ITN ownership and use in June and November 2006 ahead of the intervention programme. Similar surveys were conducted in 2010 after the intervention to assess changes in the earlier indicators in the same communities. This report presents an evaluation of the intervention by comparing findings before and after the malaria control interventions. Methods: In 2010, two community-based surveys were carried out in thirty communities among children aged five years and below. The first one was at the beginning of the rainy and high malaria transmission season in June and the other was in November at the end of the rainy season. The surveys were to determine the prevalence of malaria, fever, anaemia and ITN ownership, use and effectiveness among children less than 5 years. Data were collected in the form of interviews using questionnaire and collection of biological samples. Findings were compared to those similar surveys conducted in the same communities and age groups in 2006. Pr-testi was used to analyze two sample tests for proportions and t-test was used for means. Findings: Malaria prevalence decreased by 20% [9.0% vs. 7.2%;p = 0.0.40], fever decreased by 47.8% [2.3% vs. 1.2%;p = 0.008] and anaemia decreased by 32.9% [7.8% vs. 5.3%;p = 0.002]. ITN ownership increased by 67.9% [20.8% vs. 64.8%;p < 0.001], ITN use increased by 64.2% [15.1% vs. 42.2%;p < 0.001] and ITN effectiveness increased by 41.7% [20.0% vs. 34.3%;p < 0.001]. The proportion of children with high density parasitaemia reduced by 17.9% [2.8% vs. 2.3%;p = 0.223]. Gameto-cytaemia decreased by 82.5% [0.8% vs. 0.14%;p = 0.002. Similarly data comparing 2006 and 2010 post-rainy season showed that malaria prevalence decreased by 16.8% [40.4% vs. 33.6%;p < 0.001], fever decreased by 14% [5.0% vs. 4.3%;p = 0.347] and anaemia decreased by 64.2% [12% vs. 4.3%;p < 0.001]. The proportion of children with high density parasitaemia also reduced by 69.5% [10.5% vs. 3.2%;p < 0.001] and gametocytaemia decreased by 78.5% [0.8% vs. 0.17%;p = 0.008]. Conclusion: This study suggested that there was an association between the current intervention and reduction in the prevalence of malaria, fever and anaemia. High parasite density and gametocytaemia prevalence have also significantly reduced over the five years of the introduction of the control measures. There has also been a significant increase in the ownership and use of ITNs.

Assessment of Diarrheal Disease Management Practice in Under-Five-Year Children According to WHO Guideline in Health Facilities of Hawassa City, SNNPR, Ethiopia

Objective: To explore the practice of management of diarrhea in under-5-year children at health facilities found in Hawassa town, and associated factors with malpractice in comparison. Methodology: Cross Sectional study was conducted in 2 hospitals, 2 health centers and 2 private clinics that are found in Hawassa city which is found in Southern Nations, Nationalities and peoples (SNNP), 275 KM to south from Addis Ababa, capital city of Ethiopia from august 2017-October 2017. Structured checklist was used to retrieve the required information from the patients on arrival and stay in pediatrics OPDs and wards. The data analysis carried out using SPSS version 20.0. Logistic regression was carried out to analyze the association between the independent and dependent variables. Statistically significant associations were declared at p-values of less than or equal to 0.05. Results: Out of 420, about 397 (94.5%) children with diarrheal disease between the ages of 3 - 59 months were studied. The study subjects were from governmental hospitals (35.5%), health centers (34.5%) and private clinics (30%) that are found in Hawassa City. Sign of dehydration was 66 (17%) of which majority 59 (83%) of them were rehydrated. As to Zink supplementation, only 180 (45%) received it;antibiotics were the commonly (59.1%) prescribed drugs. Only 43.3% of children were appropriately managed. Hospitals had higher odds of inappropriate management of diarrhea with AOR = 1.61 (95% CI: 1.04 - 2.5) and children one year or younger were more inappropriately managed for diarrhea at the health facilities with AOR of 2.3 (95% CI: 1.57 - 4.41). Conclusions: In the current study the management of diarrhea at the health facilities is unsatisfactory as only less than half of children with diarrhea were properly managed. Treatment of diarrhea at hospital level and the patient’s age being less than 1 year were found to significantly affect the level of mismanagement of the diarrheal disease. Therefore, orientation and trainings for health care providers especially GPs and Residents should be given to adhere to recommended zinc therapy, Oral Rehydration Salts (ORS) replacement therapy and rational antibiotics prescription.

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

Background: Diarrhoeal disease in under-five children is a serious public health challenge especially in low income countries including Ethiopia. In Ethiopia, several interventions are going on to reduce morbidity, and mortality of children. The objective of the study was to assess the prevalence and associated factors of diarrhoeal diseases among under-five children in the City Administration of Bahir Dar. Methods: A community based cross-sectional study was conducted on a sample size of 667 mothers/caregivers having under-five children. Participants were selected through multistage sampling technique. Structured questionnaire and observation checklist were used to collect data. It was analyzed using SPSS version 16 for windows. Logistic regression was applied to measure possible associations. Strength of association, and statistical significance was measured using odds ratio and confidence interval at 95% confidence level. Results: A total of 667 mothers/ caregivers with under-five children were included in the study. Two-week prevalence of diarrhoea was 21.6%. Households in rural part of the city (OR: 2.82, 95%CI: 1.66 - 4.81), monthly income ≤ birr 500 (OR: 2.27, 95%CI: 1.44 - 3.57, failure to use separate container for storing drinking water (OR: 1.78, 95%CI: 1.17 - 2.70), presence of human excreta in the compound (OR: 1.88, 95% (1.15 - 3.06) were found to be predictors of childhood diarrhoea. Conclusion: Diarrhoeal diseases remain serious public health challenge in rural as well as urban set ups in Ethiopia with particular reference to Bahir Dar City, despite several interventions over decades. Therefore, interventions, and strategies applied so far to eliminate diseases of poverty including diarrhoeal diseases should be re-visited.