Prevalence of Diarrhoea Among Children

Global Cluster indicator, Outcome indicator

Indicator Phrasing

% of children aged 8 - 23/ 59 months which in the past two weeks had at least 3 loose or liquid stools per day
% d'enfants âgés de 8-23/59 mois qui au cours des deux dernières semaines ont eu 3 ou plus de selles molles par jour
% dětí ve věku 8-23/ 59 měsíců, které v uplynulých 2 týdnech měly během jednoho dne alespoň 3 řídké stolice

Indicator Phrasing

English: % of children aged 8 - 23/ 59 months which in the past two weeks had at least 3 loose or liquid stools per day

French: % d'enfants âgés de 8-23/59 mois qui au cours des deux dernières semaines ont eu 3 ou plus de selles molles par jour

Czech: % dětí ve věku 8-23/ 59 měsíců, které v uplynulých 2 týdnech měly během jednoho dne alespoň 3 řídké stolice

What is its purpose?

The indicator assesses the percentage of children who suffered from diarrhoea in the past two weeks (one of the leading causes of child death). Diarrhoea is defined as having 3 or more loose or liquid stools in one day.

How to Collect and Analyse the Required Data

Collect the following data by conducting individual interviews with mothers of (a representative sample of) children aged 8-23.99/ 59.99 months:

   

RECOMMENDED SURVEY QUESTIONS (Q) AND POSSIBLE ANSWERS (A)

Q1: In the past two weeks, did [name of the child] have loose or liquid stool?

A1: yes / no / I don't remember / not applicable

  

(ask the next question only if the previous answer is YES)

  

Q2: During this time, did s/he pass 3 or more loose stools in one day?

A2: yes / no / I don't remember

    

Calculate the indicator's value by dividing the number of children aged 8 - 24/ 59 months which in the past two weeks had 3 or more loose stools per day by the total number of surveyed children and multiply the result by 100. 

Important Comments

1) This indicator relies on accurate age assessment. Since people often do not remember the exact dates of their children’s birth, the data collectors should never rely only on the information provided by caregivers and always verify the child’s age. This can be done by reviewing the child’s birth certificate or other documents; however, since many caregivers do not have such documents, it is essential that your data collectors are able to determine the child’s age by using local events calendars. Read FAO’s Guidelines (see below) to learn how to prepare local events calendars and how to train data collectors in their correct use.

    

2) The stool of children aged up to 8 months is naturally loose and may not indicate diarrhoea. Therefore, include in your survey children aged 8 - 24/ 59 months only.

  

3) Emphasize to the data collectors the importance of asking about "3 loose stools in one day" - anything less doesn't count.

  

4) A standard recall period of two weeks is commonly used by most agencies. However, a number of pieces of research showed that such a long recall period leads to imprecise data that underestimates diarrhoea prevalence by up to 45% (for example, 12) . If your data does not need to be comparable with other surveys (e.g. is used only for comparing your project's baseline and endline values), consider using a shorter recall period of 7 days (for maximum precision, you can also use a 3 day recall period though this will require increasing the sample size by approx. 70%). Always ensure that both baseline and endline surveys use the same recall period.

  

5) The prevalence of diarrhoea is often prone to seasonal differences. Do your best to collect baseline and endline data in the same period, otherwise it is very likely that they will not be comparable (i.e. saying little about the benefits of your project).

 

6) Disaggregate the data by sex and age groups.

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