SOCIAL DETERMINANTS OF TYPHOID FEVER AMONG CHILDERN: A CROSS-SECTIONAL STUDY

Abstract

Background: Typhoid fever continues to be a major public health problem. Effective control of the disease would benefit from an understanding of the subnational geospatial distribution of the disease incidence. The World Health Organization (WHO) estimates the global burden of typhoid fever at 11–20 million cases per year, resulting in 140,000 deaths. Transmission usually occurs via the fecal-oral route, typically when an individual ingests contaminated food or water. Of S. Typhi.

Objective: To highlight the Social Determinants of Typhoid Fever among Children.

Methodology:  A Cross sectional study design was used at MNCH Nawabshah, SBA.  The total of 350 n patients were selected through the manual sample size formula, non-probability convenient sampling strategy was applied. Mothers of cases/ children aged between 0 to 12 years with typhoid fever having positive test (Typhidot) or Blood Culture either getting treatment or newly diagnosed cases confirmed through laboratory report and treatment or follow up were included and Non -consenting mothers or guardians has been excluded. Data related to role of the social determinants of typhoid fever was collected through structured questionnaire. Confidentiality of the participant’s information was ensured during data collection, analysis and interpretation.

Results: The mean age 6.79 with ± 2.924 standard deviation, 201 (57%)  Male & 149 (43%), Single type of family 74%, with lower class 69% they lived in 47.10% kacha. child bath 70% daily, dirty 38% nails, service latrine 59%, pit latrine 26%, 58% used only toilet, 42% field, bore water 75%, packed juice 89%, dairy milk 84%.

Conclusion: The Determinants of typhoid fever were highly related with the spreading and prognosis of disease, it was highly concluded that sanitation and improvement of personal hygiene were decrease the burden of typhoid fever among children. The findings of the study revealed that there is dire need of initiating the interventions for promoting the health education programs and specific intervention strategies among the children, in the light of sustainable Development goals and WHO WASH Strategy