Diseases constituted 9 of all deaths among children <5 years old in 2015.4 Although the burden of diarrheal diseases is much lower in developed countries, it is an important public health problem in low- and middle-income countries because the disease is particularly dangerous for young children, who are more susceptible to dehydration and nutritional losses in those settings.5 In Bangladesh, the burden of diarrheal diseases is significant among children <5 years old.6 Global estimates of the mortality resulting from diarrhea have shown a steady decline since the 1980s. However, despite all advances in health technology, improved management, and increased use of oral rehydrationtherapy, diarrheal diseases are also still a leading cause of public health concern.7 Moreover, morbidity caused by diarrhea has not declined as rapidly as mortality, and global estimates remain at between 2 and 3 episodes of diarrhea annually for children <5 years old.8 There are several studies assessing the prevalence of childhood diarrhea in children <5 years of age. However, in Bangladesh, information on the age-specific prevalence rate of childhood diarrhea is still limited, although such studies are vital for informing policies and allowing international comparisons.9,10 Clinically speaking, diarrhea is an alteration in a normal bowel movement characterized by an increase in theInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh 2 University of Strathclyde, Glasgow, UK Corresponding Author: Abdur Razzaque Sarker, Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh. Email: [email protected] Commons Non Commercial CC-BY-NC: a0023781 This article is distributed under the terms on the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution from the work without having additional permission provided the original function is attributed as specified on the SAGE and Open Access pages (https://us.GDC-0068 web sagepub.com/en-us/nam/open-access-at-sage).2 water content material, volume, or frequency of stools.11 A lower in consistency (ie, soft or liquid) and an increase within the frequency of bowel movements to 3 stools each day have typically been applied as a definition for epidemiological investigations. According to a community-based study perspective, diarrhea is defined as a minimum of 3 or much more loose stools within a 24-hour period.12 A diarrheal episode is viewed as because the GDC-0941 passage of 3 or far more loose or liquid stools in 24 hours before presentation for care, which can be regarded as probably the most practicable in kids and adults.13 However, prolonged and persistent diarrhea can final involving 7 and 13 days and at the least 14 days, respectively.14,15 The disease is highly sensitive to climate, showing seasonal variations in quite a few sites.16 The climate sensitivity of diarrheal disease is consistent with observations in the direct effects of climate variables on the causative agents. Temperature and relative humidity have a direct influence around the price of replication of bacterial and protozoan pathogens and on the survival of enteroviruses within the atmosphere.17 Well being care journal.pone.0169185 searching for is recognized to be a outcome of a complex behavioral method that is influenced by a number of factors, which includes socioeconomic and demographic and characteristics, perceived need to have, accessibility, and service availability.Diseases constituted 9 of all deaths among children <5 years old in 2015.4 Although the burden of diarrheal diseases is much lower in developed countries, it is an important public health problem in low- and middle-income countries because the disease is particularly dangerous for young children, who are more susceptible to dehydration and nutritional losses in those settings.5 In Bangladesh, the burden of diarrheal diseases is significant among children <5 years old.6 Global estimates of the mortality resulting from diarrhea have shown a steady decline since the 1980s. However, despite all advances in health technology, improved management, and increased use of oral rehydrationtherapy, diarrheal diseases are also still a leading cause of public health concern.7 Moreover, morbidity caused by diarrhea has not declined as rapidly as mortality, and global estimates remain at between 2 and 3 episodes of diarrhea annually for children <5 years old.8 There are several studies assessing the prevalence of childhood diarrhea in children <5 years of age. However, in Bangladesh, information on the age-specific prevalence rate of childhood diarrhea is still limited, although such studies are vital for informing policies and allowing international comparisons.9,10 Clinically speaking, diarrhea is an alteration in a normal bowel movement characterized by an increase in theInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh 2 University of Strathclyde, Glasgow, UK Corresponding Author: Abdur Razzaque Sarker, Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh. Email: [email protected] Commons Non Commercial CC-BY-NC: a0023781 This article is distributed below the terms from the Inventive Commons Attribution-NonCommercial three.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution in the work with no further permission provided the original perform is attributed as specified around the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).2 water content, volume, or frequency of stools.11 A decrease in consistency (ie, soft or liquid) and an increase within the frequency of bowel movements to three stools per day have typically been made use of as a definition for epidemiological investigations. Depending on a community-based study perspective, diarrhea is defined as a minimum of three or a lot more loose stools within a 24-hour period.12 A diarrheal episode is regarded as because the passage of three or extra loose or liquid stools in 24 hours before presentation for care, which can be thought of by far the most practicable in children and adults.13 Nonetheless, prolonged and persistent diarrhea can last involving 7 and 13 days and no less than 14 days, respectively.14,15 The disease is very sensitive to climate, showing seasonal variations in a lot of sites.16 The climate sensitivity of diarrheal illness is constant with observations of the direct effects of climate variables on the causative agents. Temperature and relative humidity have a direct influence around the price of replication of bacterial and protozoan pathogens and around the survival of enteroviruses within the atmosphere.17 Well being care journal.pone.0169185 looking for is recognized to be a outcome of a complicated behavioral procedure that is certainly influenced by many variables, which includes socioeconomic and demographic and qualities, perceived need to have, accessibility, and service availability.