Integrated Science Education Journal
Vol 7 No 1 (2026): January

Water, Sanitation, and Maternal Behavioral Factors Associated with Diarrhea Risk in Children 10–59 Months: An Epidemiological Analysis

Showell, Jack Okon (Unknown)
Mwasaru, Boniface Mwadime (Unknown)



Article Info

Publish Date
06 Jan 2026

Abstract

Purpose of the study: This study examines the relationship between clean water sanitation facilities and maternal health behaviors in relation to the incidence of diarrhea among toddlers aged 10–59 months, a persistent public health problem in many developing regions. Despite ongoing improvements in water and sanitation infrastructure, diarrhea remains a leading cause of morbidity in early childhood, suggesting that behavioral factors may play a crucial mediating role. Methodology: This research employed a quantitative cross-sectional design involving 90 toddlers, with data collected through structured interviews with mothers and direct household observations to capture both environmental sanitation conditions and daily hygiene practices. Main Findings: The results of the study showed that 35.6% experienced diarrhea and 64.4% did not experience diarrhea. Then, from the bivariate results with α 5%, two variables were found to be related to the incidence of diarrhea in toddlers, namely the use of latrines with a p-value of 0.024 and handwashing habits with a p-value of 0.050. Meanwhile, the variables of clean water sanitation facilities (pv 0.082) and boiling water (pv 1.000) did not have a significant relationship with diarrhea. Novelty/Originality of this study: The novelty of this study lies in its integrated analysis of environmental sanitation and maternal practices, demonstrating that behavior-related factors may exert a stronger influence on diarrhea prevention than infrastructure alone. By highlighting the interaction between sanitation access and maternal behavior, this study provides new empirical evidence to support community-based health interventions that prioritize behavioral change communication alongside sanitation development.

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Journal Info

Abbrev

ISEJ

Publisher

Subject

Education Social Sciences

Description

Covers all the Integrated Science Education Journal (ISEJ) at the level of primary, secondary, senior, and higher education. The goal of this journal is to bring together researchers and practitioners from academia and industry to focus on Educational advancements and establishing new collaborations ...