Introduction: Diarrhoea remains the leading cause of morbidity and mortality in children under 5 years old worldwide. Worldwide, the majority of deaths related to diarrhoea take place in Africa and South Asia. The aim of the study was designed to assess practice of mothers towards management of diarrhoea for children less than five years and associated factors.

Methods: A community-based cross-sectional study involving 335 mothers/care givers was conducted in Ginchi town. The sample size was calculated using a single proportion formal method, and the study participants were selected using a systematic sampling method. For analysis, the collected data was entered into Epi-data (version 3.5.1) and exported to SPSS 23.0. There were descriptive analyses carried out. To find predictors, bivariable and multivariable logistic regression was used.

Results: The study had a total of 326 participants, with a 97.3 percent response rate. According to the report, 193 people (59 percent) have good practices for dealing with diarrhea in children under the age of five. And 181 (56%) stated that they should properly prepare ORS for their children when they are suffering from diarrhea. High school attendance [AOR (95%CI) 0.04 [0.013, 0.126] Second income class [AOR (95%CI) 0.19 [0.04, 0.94] and attending elementary school [AOR (95%CI) 0.17 [0.06, 0.47] were predictors of under-five diarrhea management.

Conclusion: majority of the respondents had good practice toward management of diarrhea. . Mothers' educational status, being mothers in relationship and income were found to be predictors of diarrhea management. As a result, health education and awareness programs for mothers and caregivers on diarrhea control, proper use of ORS, home-based fluid preparation, and diarrhea prevention are critical.

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