Background: Diaper rash is a common dermatological condition in infant and toddlers. This
condition is also commonly seen particularly among children with malnutrition at Ola During
Children’s Hospital (ODCH), Freetown, Sierra Leone. However, the prevalence of this condition
in Sierra Leone is not known. This study therefore was conducted to determine the prevalence
of prevalence diaper rash and associated factors in infants and toddlers admitted to ODCH.
Methods: This was a descriptive cross-sectional study of 269 children aged 2 to 24 months. A
convenience sampling technique was used to select the subjects after verbal informed consent
was obtained. A structured questionnaire was used to collect data. All children were examined,
and a description of the perineum was also documented at the time of recruitment. Analysis
was done with IBM SPSS version 26.0.
Results: The prevalence of diaper rash was 52%. The proportion of males with diaper rash

compared to females was not statistically different. Artificial milk, cereal, malnutrition and im-
mediate caregivers other than fathers were the factors significantly associated with diaper rash.

Conclusion: The prevalence of diaper rash is high among infants and toddlers seen at the

ODCH, Freetown, Sierra Leone. Factors associated with diaper rash include type of diet, nutri-
tional status and immediate caregiver.