scholarly journals Prevalence and Associated Risk Factors of Intestinal Parasites among Schoolchildren from Two Primary Schools in Rama Town, Northern Ethiopia

Author(s):  
Yordanos Gizachew Yeshitila ◽  
Hagos Zewde ◽  
Tesfahun Mekene ◽  
Aseer Manilal ◽  
Serawit Lakew ◽  
...  

Introduction. Worldwide, about 3.5 billion people are affected by intestinal parasitic infections, and the majority of them are children. A perusal of the literature indicates that in Ethiopia, nearly one-third of schoolchildren are found to be infected by some sort of intestinal parasites. This study aimed to determine the prevalence of intestinal parasites among schoolchildren in Rama town in Northern Ethiopia. Methods. A school-based cross-sectional study was conducted among primary school children from two schools in Rama town during June 2017. A structured questionnaire was used to identify environmental, sociodemographic, and behavioral factors while stool specimens were collected and examined for parasites using direct wet smear with saline preparation. Data analysis was completed using the Statistical Program for Social Sciences version 24 statistical software. Results. A total of 312 school children with a mean age of 11.3 years were included. Among them, 24.4% (76) were found to be positive for at least one of the parasites. The overall infection rate was the highest among the 10–14 age groups (26.7%). Females were predominantly infected (26.7%). Altogether, eight species of intestinal parasites were identified. The most predominant protozoan and helminths were E. histolytica/dispar (10.9%) and Schistosoma mansoni (7.4%), respectively, and infections were mostly mono-parasitic. Coinfections with two and three intestinal parasites were identified among 13 (4.2%, [13/302]) and 2 (0.6%, [2/302]) cases, respectively. Prevalence of intestinal parasites was higher among children who did not wash their hands regularly before meals (AOR: 2.30, CI: 1.32, 4.0, p < 0.001) and those who frequently swam in streams (AOR: 3.12, CI: 1.07, 9.08, p < 0.021). Conclusions. The study revealed a high prevalence of parasitic infection and inadequate personal hygiene practices like poor handwashing and also the habit of swimming by schoolchildren in contaminated water bodies, especially the study area. To minimize the burden caused by parasitic infection, periodic deworming programs and health education should be provided to enhance the awareness of concerned participants are also warranted.

2020 ◽  
Vol 8 (2) ◽  
pp. 173-188
Author(s):  
Maru Wassie Yenene ◽  
Abayneh Unasho Gandile

Background: Intestinal parasitic infections (IPIs) have been still quite common in developing countries including Ethiopia, particularly in children with low socio-economic and poor living conditions. Previous studies in Ethiopia have shown high burden of intestinal parasitic infections among the primary school children. The effective prevention and control of parasitic infections require research work based on the identification of intestinal parasites including associated predisposing factors. Objective: The aim of the present study was to investigate the prevalence of common intestinal parasitic infections and predisposing factors among the asymptomatic primary school children. Methods: A school based cross- sectional study was conducted from September, 2019- January, 2020 and a total of 422 asymptomatic primary school children were involved in the study. Specimens of the stool samples were examined using the standard parasite and ova method. Direct microscopy using saline and iodine wet mount preparation was used to examine the presence of eggs and larvae of helminthes and trophozoites and cysts of protozoan parasites and formalin ether concentration method was used for quality assurance. Structured questionnaires were also used to collect quantitative data on socio-demographic characteristics and predisposing factors. Analysis of the data was made manually using the thematic framework method including descriptive statistics. Results: Among the 422 students (aged 5-14 years) participated in the study, 245(58%) were positive for one or more intestinal parasites. Of the total infected participants, 192(45.5%) were single infections and 53(12.6%) were double infections identified. Seven types of intestinal parasitic infections were identified in the present study. The most prevalent parasite was Giardia lamblia 95(22.5%) followed by hook worm 58(13.7%). Age groups 5-9 years old were more infected, 173 (70.6%) than age groups 10-14 years old 72(29.4%). This result also showed parasitic infections were associated with predisposing factors related to infectious cycles. Concluding Remarks and Recommendations: The present study revealed that there was a high prevalence of intestinal parasitic infection among students in the targeted primary schools. Therefore, all stakeholders should give attention to raise awareness about the prevention and control mechanisms of intestinal parasitic infections. Moreover, the health services of the local government should develop a habit of mass public health education and deworming intervention to improve the level of parasitic infection and environmental hygiene in the study area.


2021 ◽  
Vol 6 (1) ◽  
pp. 1-17
Author(s):  
Peter John Magaji ◽  
J. Y. Magaji

Purpose: The purpose of this study was to of investigate the prevalence of gastrointestinal parasites among school children in Kagarko Local Government Area of Kaduna State. Methodology: Random sampling was adopted in selecting a sample of five schools with a population of 235 pupils was used for the study. The instrument for the study was the questionnaire used to elicit in information on the risk factors. Also 50 pupils were randomly selected, 10 each from the five selected schools for the stool investigations. The saline/iodine wet mouth procedure was used in the analysis of the stool samples. Findings: Results showed that poor sanitary conditions, inadequate potable water supply, lack of personal hygiene education and lack of de-worming of children enhanced the spread of intestinal parasitic infection. An overall prevalence of 66% was recorded. A total of 6 species of intestinal parasites were recorded in this study. This includes Hookworm, Entamoeba histolytica, Ascaris lumbricoides, Strongyloides stercoralis, Schistosoma mansoni, and Entamoeba coli respective prevalence rates of 33.3%, 24.2%, 18.2%, 12.1%, 9.1% and 3.0%. The highest prevalence of 27.3% was recorded in Kutaho, followed by Kushe and Jere with 21.2% each while the least prevalence of 12.1% as recorded in Kagarko. The 11-13 years age group had the highest prevalence of (45.5%), followed by the 8-10 years age group (36.4%), and then the 14 years and above with the least (6.1%). Sex-specific prevalence was higher in males (57.6%) than females (42.4%). Recommendations: The results suggests that Children should be taught on regular personal hygiene. There is also need for Public Health Education on personal hygiene practices in the communities, large scale de-worming campaigns in all primary schools in the area and the host communities.


2020 ◽  
Author(s):  
Ermias Alemayehu ◽  
Alemu Gedefie ◽  
Aderaw Adamu ◽  
Jemal Mohammed ◽  
Brhanu Kassanew ◽  
...  

Abstract Background: Parasitic infections are known causes of morbidity among HIV infected patients with low CD4+ counts who are on antiretroviral therapy; mainly as a result of immune suppression. Thus, this study aimed to assess the extent of intestinal parasitic infection and its related risk factors among HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia.Patients and methods: A health facility based cross sectional study was conducted on a total of 383 HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia from December 2018 to March 2019. An interview based structured questionnaire were used to gather socio-demographic and risk factor data. About 5 grams of fresh stool specimen and 4 ml of venous blood sample were collected, then transported and tested in accordance with the laboratory standard operating procedures. The obtained data was entered into SPSS version 22.0; and analyzed. P-value <0.05 with 95% confidence interval was considered statistically significant.Result: The overall prevalence of intestinal parasites was 25.3%; with 18% and 23.8% by direct wet mount and formol-ether concentration technique respectively. 8 (2.1%) patients were infected by multiple parasites in concentration technique. Ascaris lumbricoides, 23(25.3%) was the most frequently identified parasite. Parasitic infection was significantly higher among illiterates (P=0.011); patients with a CD4 count of <200 cells/mm3 (P<0.001) and among patients who did not have latrine (P=0.049) than their counter parts.Conclusion: Relatively higher prevalence of intestinal parasitic infection was found among HIV/AIDS patients. The distribution of intestinal parasites is greatly affected by illiteracy, reduced CD4+ counts and absence of toilet. Thus, HIV/AIDS patients with low CD4+ counts should be diagnosed consistently for intestinal parasites and routine stool examination and awareness creation should be advocated to be included as an essential component of the ART monitoring strategy for improved patient care.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Ismail N. Pangani ◽  
Festus K. Kiplamai ◽  
Jane W. Kamau ◽  
Vincent O. Onywera

Background. The understanding of obesity as a growing health problem in Africa and Tanzania in particular is hampered by lack of data as well as sociocultural beliefs in which overweight and obesity are revered. This study sought to determine the prevalence of overweight and obesity among primary school children aged 8–13 years in Dar es Salaam, Tanzania.Method. A cross-sectional analytical research design was used to study overweight and obesity in primary schools in Dar es Salaam, Tanzania. The target population was 150,000 children aged 8–13 years. Stratified random sampling was used to select 1781 children. Weight and height were taken and WHO standards for children were used to determine weight status.Results. Findings showed that the prevalence of overweight and obesity was 15.9% and 6.7%, respectively (N=1781). However, 6.2% of the children were underweight. There were significant differences in mean BMI between children in private and public schools (p=0.021), between male and female (p<0.001), and across age groups of 8–10 and 11–13 years (p<0.001).Conclusion. The prevalence of overweight and obesity among primary school children is significant and requires management and prevention strategies.


2018 ◽  
Vol 4 (2) ◽  
pp. 30-34
Author(s):  
Rita Khanal ◽  
Sweety Upadhaya ◽  
Pramila Lamichhane ◽  
Subash Lal Karn ◽  
Sandeep Pokhrel ◽  
...  

INTRODUCTION: Soil-transmitted helminths (STHs), are the common intestinal parasites among school age children in Nepal. Periodic epidemiological studies and transmission dynamics in parasitic infections will provide accurate understanding. The aim of this study is to find out the prevalence of intestinal parasitic infections among primary school children at Rupandehi district Nepal.MATERIALS AND METHODS: This is a school based cross-sectional descriptive study including 217 students studying at primary level in two Government School in Rupandehi. The demographic data and anthropometric data was collected. Routine Stool examination was done and concentration techniques were used for maximum recovery of parasites.RESULTS: The prevalence of parasitic infection was 60% (130/217). Statistically significant association was found between parasitic infection and source of drinking water (p<0.05) A. lumbricoides was most common followed by Taenia spp, Hymenolepsis nana and others. Parasitic infection was highest 70% (21/30) in age group 13-15 years and lowest i.e. 38.1% (8/21) in age group 4-6 years. The mean height and weight of children was found to be 1.28 m and 26.5 kg respectively. Among total children 90.8% (197/217) of the children were malnourished (BMI<18.5 kg/m2) and among infected children 90% (117/130) were malnourished.CONCLUSION: The intestinal parasitosis was found comparatively higher in school children in this region. Higher rate of infection was found in malnourished children.Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 30-34


Author(s):  
K. Mohammed ◽  
E. Emeagubor ◽  
M. U. Iduh ◽  
M. K. Garba ◽  
S. U. Nataala ◽  
...  

Background: Hookworm is an intestinal parasite of human and is one of the major public health burdens in developing countries, particularly in Sub-Saharan Africa. It is estimated that about 3.5 billion people globally and 450 million people are thought to be ill as a result of such infections, the majority being children. Aims: The study aimed to determine the prevalence of Hookworm and other intestinal parasitic infection among primary school children Study Design: This was a cross-sectional, descriptive study Place and Duration of Study: This study was conducted in among patients attending Usmanu Danfodiyo University, Teaching Hospital, Sokoto, Sokoto state, between March to November, 2017. Methodology: A total of 224 participants were enrolled for the study. Standard parasitological  examination  was carried  out  on  stool  samples  using microscopy followed by formal  ether  concentration  methods Results: Finding revealed, an overall prevalence of 4.5% out of 224 samples examined recorded for both Hookworm and other intestinal parasitic infection. There was high prevalence rate of Hookworm and other intestinal parasitic infection among males (5.3%) than females (3.6%).29 (12%) were positive for intestinal parasitic infections. Males  recorded  higher  prevalence  than  the  females  with 19 (11.9%)  and  10 (11.8%)  respectively Conclusion: The total low prevalence rate of Hookworm and other intestinal parasitic infection may be as a result of improved standard of living and awareness of the Hookworm and other intestinal parasites in the study area. The government, non-governmental agencies and private individuals should help in the provision of social amenities to ensure total eradication of these diseases. The teaching of health education in both private schools should be encouraged by the government which will go a long way in  reducing  prevalence and  intensity  of  Hookworm  infections  among  the  study community.


Author(s):  
PREM PRAKASH MISHRA ◽  
ANIL KUMAR ◽  
DEEPAK UPADHYAY ◽  
AMIT GARG ◽  
SHRISTI SHARMA

Objective: Intestinal parasitic infection is a burgeoning health issue, especially in developing countries owing to low socioeconomic conditions, poor sanitation, poor personal hygiene, and lack of access to potable drinking water. This study aims to determine the prevalence of different intestinal parasites among the patients. Methods: This cross-sectional study was conducted among 470 patients attending our hospital from October 2018 to September 2019. Specimens were collected and examined macroscopically and microscopically using concentration methods and modified Ziehl–Neelsen staining for coccidian parasites. Results: Out of the 470 patients, prevalence of intestinal infections was 4.89%. The helminthic infections were more common (52.17%), which was topped by Hookworm infection (26.09%) followed by Ascariasis (13.04%). Among the protozoa, Giardia lamblia (26.09%) was the most common, followed by Entamoeba histolytica (17.39%). The parasitic infections were more in female (5.62%) than male (4.19%) and highest in the pediatric age group and between 51 and 60 years. Conclusion: The prevalence of intestinal parasitic infections is decreasing due to increasing awareness about sanitation, effects of open defecation, safe drinking water, and personal hygiene. However, the need of intervallic monitoring of intestinal parasitic infections is necessary.


Author(s):  
Shameena A. U. ◽  
Sanjeev Badiger ◽  
Nanjesh Kumar S.

Background: Overcrowding, Poor personal hygiene and Lower economic status are proved to be major causes of common skin conditions. School children are more prone for these infections and majority of them are preventable. The objective of the study was to assess the pattern of common skin conditions among school children in Urban South India.Methods: A cross sectional study was conducted on 615 children from three primary schools coming under the community health centre, Mulky. Data was collected using a pretested semi structured questionnaire on socio-demographic characteristics and skin conditions were identified by examination.Results: Out of the 615 children, 389 (63%) had infective skin conditions. Most of them belonged to Hindu religion (57.4%) followed by Muslim (32.7%) and Christian (9.4%). Skin infections were equal among both sexes. Among the skin infections, nearly 26.1% had fungal infections, 18.7% had bacterial infections, 13.1% had parasitic infections and 5.4% had viral infections.Conclusions: Prevalence of skin infections is high in our study and there is a need to emphasize more on improving school health programmes and health education to teachers, parents and children.


2021 ◽  
Vol 4 (1) ◽  
pp. 39-50
Author(s):  
C Alo ◽  
IC Akamike ◽  
UN Agbo ◽  
II Eze ◽  
UC Madudueze ◽  
...  

Background: In developing countries, school age children continue to bear the greatest burden of intestinal parasites and schistosomiasis. This study determined the prevalence, knowledge, attitude and practice of preventive measures of intestinal and urinary parasitic infections among primary school children in Ebonyi, Nigeria Methods: This cross-sectional study was carried out among 120 pupils in two primary schools in Igbeagu community in Ebonyi State, Nigeria. The pupils were purposively selected based on willingness to participate. Data were collected using questionnaires and stool and urine analyses. IBM-SPSS software version 20 was used for data analysis. Chi square test was done at 5% level of significance and 95% confidence interval. Descriptive and inferential analyses were performed. Results: Mean age of respondents was 11.33±2.46, with majority between 6-13 years (102, 85.0%). There were 66 (55.0%) females and 104 (86.7%) respondents had good knowledge about intestinal parasites. Drinking contaminated water (104, 86.7%), using clean toilets (102, 85.9%) and diarrhea (105, 87.5%), were the most identified ways of transmission, prevention and symptomatology respectively. Overall, 117 (97.5%) had good attitude towards prevention and control of intestinal and urinary parasites. Respondents had good preventive practices against intestinal and urinary parasites with majority washing their hands with soap after defecation (100, 83.3%), and before eating (101, 84.2%). Conclusion: This study reported high levels of knowledge, good attitude and preventive practices against intestinal and urinary parasites. No parasites were found. We recommend that caregivers be targeted for behaviour change interventions as this will augment the positive results already being reported.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Berhanu Elfu Feleke

Background. The objectives of this study were to determine the burden of underweight and intestinal parasitic infection in the urban and rural elementary school children.Methods. A comparative cross-sectional study design was conducted. Binary logistic regression was used to identify the determinants of malnutrition or intestinal parasites. Two independent samples’t-test was used to identify the effect of malnutrition on school performance or hemoglobin level.Results. A total of 2372 students were included. Quarters (24.8%) of school children were underweight. Underweight was associated with sex [adjusted odds ratio (AOR) 0.61; 95% CI = 0.47–0.78], age [AOR = 0.21; 95% CI = 0.16–0.28], intestinal parasitic infection [AOR 2.67; 95% CI = 2–3.55], and family size [AOR 23; 95% CI = 17.67–30.02]. The prevalence of intestinal parasite among school children was 61.7% [95% CI = 60%–64%]. Shoe wearing practice [AOR 0.71; 95% CI = 0.58–0.87], personal hygiene [AOR 0.8; 95% CI = 0.65–0.99], availability of latrine [AOR 0.34; 95% CI = 0.27–0.44], age [AOR 0.58; 95% CI = 0.48–0.7], habit of eating raw vegetables [AOR 3.71; 95% CI = 3.01–4.46], and family size [AOR 1.96; 95% CI = 1.57–2.45] were the predictors of intestinal parasitic infection.


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