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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Diarrhea | Research article

Prevalence of diarrheal illness and healthcare-seeking behavior by age-group and sex among the population of Gaza strip: a community-based cross-sectional study

Authors: Samer Abuzerr, Simin Nasseri, Masud Yunesian, Mahdi Hadi, Amir Hossein Mahvi, Ramin Nabizadeh, Ayman Abu Mustafa

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

In the Gaza strip, diarrhea is one of main reasons for children visiting primary healthcare centers. Hence, we investigate predictors of the diarrheal illness and health care-seeking behavior among different age groups.

Methods

This community-based cross-sectional survey was conducted from August 2017 to June 2018 among 1857 households. A pretested structured questionnaire included information about socio-demographic, sanitation, hygiene, source of water, diarrheal illness, and seeking healthcare in households was administered to head of household. To achieve representativeness for the five Gaza’s governorates, a cluster random sampling was applied.

Results

Of the 1857 household’s heads, 421 (22.7%) reported an episode of diarrhea during the 48 h preceding the interview resulting an overall prevalence rate of 3.8 per 100 individuals. The prevalence of diarrhea was statistical significant greater in males (5.4/100) compared to females (1.3/100) in all age groups (p <  0.05). Socio-demographic, economic, water, sanitation, and hygiene factors were predictors of the diarrheal illness and seeking of non-professional healthcare for diarrhea illness treatment among. A transition behavior from professional to non-professional and vice versa in seeking healthcare in each diarrheal episode was found.

Conclusions

We recommend improving the status of water, sanitation, and hygiene in the Gaza strip’s households to reduce diarrhea among the population of Gaza strip. Community sensitization about the importance of seeking care at primary health centers because treatment of children is available for free or in low costs.
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Metadata
Title
Prevalence of diarrheal illness and healthcare-seeking behavior by age-group and sex among the population of Gaza strip: a community-based cross-sectional study
Authors
Samer Abuzerr
Simin Nasseri
Masud Yunesian
Mahdi Hadi
Amir Hossein Mahvi
Ramin Nabizadeh
Ayman Abu Mustafa
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Diarrhea
Diarrhea
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7070-0

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