Study the proportion of traumatic neuritis in year 2017 among children under 15 years in rural and urban areas of Afghanistan

Background Proportion of traumatic neuritis was not clear at rural and urban areas of Afghanistan and there was no information for the vulnerability of age groups and sex. The goal of this study is to know the situation and impact of health services on magnitude of traumatic neuritis in rural areas an urban area among children <15 years in whole Afghanistan in year 2017. Study has been designed and used the AFP surveillance data for the year 2017 (Secondary data usage). Over all 3,009 AFP cases were recorded in 2017 by WHO AFP Surveillance network and sampling made by systematic sampling method and 426 records has been selected (Separate Questionnaire has been used). Objectives: • To know the proportion of traumatic neuritis in rural areas compare to urban areas in 2017, to identify the vulnerable groups for traumatic neuritis in Afghanistan. • To identify the provinces, have more occurrence of traumatic neuritis or unsafe injection. The hypothesis of this study was; Proportion of Traumatic neuritis in rural higher compare to urban areas of Afghanistan. Method Secondary data review for the year 2017 Results Collected data analyzed on Xcel pivot table and the result shown that the relative risk of traumatic neuritis is 1.2 those are living in rural compare to urban areas. The most vulnerable groups for traumatic neuritis was <1 year and followed by 1-4 years’ age groups in Afghanistan in 2017. The risk of traumatic neuritis is more among boys compare to girls especially in Herat, Kabul, Nangarhar, Baghlan, Kandahar, Helmand, Ghor, Takhar, Balkh, Kunduz and Farah provinces. Conclusion In this study, it cannot be measured the qualification of injectors (Health workers), Type of drugs, duration of residual paralysis and the main reason for choosing buttock areas for injection particularly in children <3 years, these issues need other study to find out the main reason for the above mentioned questions. There was no data since 2003 while basic package of health services (BPHS) program is established to compare the impact of BPHS programs on traumatic neuritis.