Hygiene and Sanitation Related Factors Influencing Diarrhea among Children Below 5 Years in Bondhere District Somalia

Background: Diarrhea is ranked the second cause of childhood mortality in developing countries. Studies have documented Somalia as among the country with significant high rates of diarrhea among children below 5 years.Objective: The aim of this study was to assess hygiene and sanitation related factors influencing diarrhea among children below 5 years.Methodology: The study employed a descriptive cross-sectional study design where data was collected using semi structured  questionnaires. Simple random sampling was employed to identify respondents of the study. The data analysis was done using SPSS version 20 at 95% confidence interval. The data was subjected to descriptive and regression analysis.Results: Were presented using tables and graphs. Ethical clearance was sought from University of Eastern Africa Baraton ethical review committee. the administrative leadership of Bondhere district and caregivers respectively. The prevalence of diarrhea among children under 5 years was 22.4%. Hygiene and sanitation related factors reported to significantly influence childhood diarrhea were; handwashing before preparing baby’s food and source of water for household use.Conclusion: The findings of this study may have policy implications on health interventions and suggests that focusing on hand-washing and improving sources of water may have profound benefits on childhood diarrhea in Somalia. Additionally the Somalia infrastructure is characterized by poor sanitary facilities and lack of piped water. Keywords: Diarrhea, children under 5 years, hygiene and sanitation, prevalenc