Diarrhoea morbidity patterns in Central Region of Ghana.
BACKGROUND
Diarrhoea diseases remain a major public health threat with nearly 1.7 billion cases annually worldwide occurring in all age groups. In Ghana diarrhoea kills about 14,000 children under five years annually. We therefore analysed data to determine the morbidity pattern of diarrhoea diseases in the Central Region of Ghana.


METHODS
Health facility morbidity data was reviewed from 2008-2012. Monthly data on diarrhoeal diseases were extracted from District Health Information Management System database by sex, age group and districts. Data for bloody diarrhoea were extracted from monthly surveillance report forms. Data was analysed descriptively and expressed as frequencies and proportionate morbidity rates (pmr). Aberrations were determined using C2 threshold.


RESULTS
The total cases of all morbidity from 2008 to 2012 were 7,642,431. Diarrhoea diseases formed 4% (306854/7642431) of total morbidity. Children under one year (pmr= 8.4%) and males (pmr= 4.4%) were the most affected. Bloody diarrhea formed 2.2% (6835/306854) of diarrhoea cases with 0.7 %(45/6835) laboratory confirmed. Diarrhoea cases peaked from January to March throughout the study period with highest frequency 9.3% (28511/306854) in June. The mean monthly distribution of diarrhoea cases was 25571.17±1389.91. Poorest districts had significantly lower odds of getting bloody diarrhoea than non-poorest districts OR = 0.73 (95%CI = 0.70-0.77).


CONCLUSIONS
Diarrhoea characterized 4% of total morbidity presenting at health facilities in the region from 2008 to 2012. The diarrhoea morbidity rate decreased with increased age. Diarrhoea was higher among non poorest districts. The rate was highest in the month of June over the five year period. Bloody diarrhoea cases were mostly untested. We recommended that stool samples should be taken for laboratory testing for bloody diarrhoea cases.
Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), Accra, Ghana; Christian Health Association of Ghana (CHAG), Ministry of Health, Ghana.
Alexander
A
Asamoah
Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), Accra, Ghana; Ghana Health Service (GHS), Accra, Ghana.
Donne Kofi
DK
Ameme
Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), Accra, Ghana.
Samuel Oko
SO
Sackey
Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), Accra, Ghana; Ghana Health Service (GHS), Accra, Ghana.
Kofi Mensah
KM
Nyarko
Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), Accra, Ghana.
Edwin Andrew
EA
Afari
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology*; D005869:Ghana / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D011634:Public Health; D012621:Seasons; D012959:Socioeconomic Factors; D055815:Young Adult
C2; Diarrhoea; morbidity; patterns; poorest districts Ghana