scholarly journals Intestinal parasitic infections and associated factors among mentally disabled and non-disabled primary school students, Bahir Dar, Amhara Regional State, Ethiopia, 2018: A comparative cross-sectional study

2019 ◽  
Author(s):  
Agumas Fentahun Ayalew ◽  
Anemaw Asrat Achamyeleh ◽  
Abebayehu Bitew Aniley ◽  
Selamawit Mulat Admas

Abstract Background: Intestinal parasitic infections are still quite common in low-income countries including Ethiopia, particularly in children due to low-quality drinking water, poor personal and environmental sanitation. Disabled individuals are excluded from most academic, economic, social and cultural opportunities, they're among the poorest and most marginalized of the whole world’s people. The aim of this study was to assess the magnitude of Intestinal parasitic infections and associated factors among mentally disabled and non-disabled students at primary schools in Bahir Dar city, Amhara regional state, Ethiopia, 2018. Methods: A school-based Comparative cross-sectional study design was used from November 1 - 30 2018. A total of 418 study participants, 104 mentally disabled and 314 non-disabled students were recruited through simple random sampling technique. The collected data were coded, entered and cleaned with EpiData version 3.1 and analyzed using SPSS version 23. Multivariable logistic regression was conducted to identify factors associated with intestinal parasitic infections. Adjusted odds ratio with 95% Confidence interval at 5% level of significance was used to measure the strength of association, P-value <0.05 indicated the presence of a statistically significant association. Results: The mean age of study participants was 14.05±3.66 and 11.96 ±2.94 for mentally disabled students and non-disabled students respectively. Prevalence of parasitic infection was 59(56.7%) for mentally disabled students whereas 129(41.1%) for non-disabled students. Unclean fingernails [AOR=2.416; 1.400,4.168], health checkup [AOR=1.869;1.156,3.023], hand washing habit with water only[AOR=2.476; 1.489,4.119],cooking and sanitation source of water [AOR=4.404; 2.319,8.364], Family size>=7[AOR=2.736;1.249,5.994],Grade(1-4)[AOR=2.272;1.408,3.666]and sex [AOR=1.642;1.026,2.627] were variables which showed statistically significant association with intestinal parasitic infections Conclusion: Prevalence of intestinal parasitic infection was higher among mentally disabled students than non-disabled students. Unclean finger nails, health checkup, hand washing habit, source of water, family size, Grade of students and sex of students were had statistically significant association with intestinal parasitic infections. Periodic medicinal treatment was needed twice a year for mentally disabled and once a year for non-disabled students.

2019 ◽  
Author(s):  
Agumas Fentahun Ayalew ◽  
Anemaw Asrat Achamyeleh ◽  
Abebayehu Bitew Aniley ◽  
Selamawit Mulat Admas

Abstract Background: Intestinal parasitic infections are still common in low-income countries including Ethiopia, particularly in children due to low-quality drinking water, poor personal and environmental sanitation. Disabled individuals are excluded from most academic, economic, social and cultural opportunities, they are among the poorest and most marginalized of the whole world’s people. The aim of this study wasto assess the prevalenceof intestinal parasitic infections and associated factors among mentally disabled and non-disabled students at primary schools in Bahir Dar city, Amhara regional state, Ethiopia, 2018. Methods:A school-based Comparative cross-sectional study design was conductedfrom November 1 – 30, 2018. A total of 418 study participants, 104 mentally disabled and 314 non-disabled students were recruited through a simple random sampling technique. The collected data were coded, entered and cleaned with EpiData version 3.1 and analyzed using SPSS version 23. Multivariable logistic regression was conducted to identify factors associated with intestinal parasitic infections. The adjusted odds ratio with a 95% Confidence interval at a 5% level of significance was used to measure the strength of association. Results: The mean age of study participants was 14.05±3.66 and 11.96 ±2.94 for mentally disabled students and non-disabled students. Prevalence of parasitic infection was 56.70% (n=59) for mentally disabled students whereas 41.10%(n=129) for non-disabled students. Uncleanfingernails [AOR=2.42; 1.40,4.17], health checkups [AOR=1.87;1.16,3.02], hand washing with water only[AOR=2.48; 1.49,4.12],cooking and sanitation source of water [AOR=4.40;2.32,8.36],Grade(1-4)[AOR=2.27;1.41,3.67], sex [AOR=1.64;1.03,2.63] and Familysize>=7[AOR=2.74;1.25,5.99] were variables which showed statistically significant association with intestinal parasitic infections. Conclusion: The prevalence of intestinal parasitic infection was higher among mentally disabled students than non-disabled students. Unclean fingernails, health checkups, hand washing habits, source of water, family size, sex and Grade of students have had a statistically significant association with intestinal parasitic infections. Periodic medicinal treatment was needed twice a year for mentally disabled and once a year for non-disabled students.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Birhan Alemnew ◽  
Yalemzewud Belay ◽  
Asmamaw Demis

Abstract Objectives The main aim of this study was to assess the Magnitude of intestinal parasitic infections and associated factors among food handlers working at Woldia University Student’s cafeteria, Northeastern Ethiopia. Institutional based cross-sectional study was conducted among 256 study participants in Woldia university student’s cafeteria, Northern Ethiopia. Systematic random sampling method was used to select the study participants. Data was collected using a standardized questionnaire by direct interviewing of study participants. Logistic regression was carried out to identify factors associated with intestinal parasitic infections. Results A total of 256 food handlers were enrolled making the overall magnitude of the intestinal parasite which was stool specimens positive for different diagnostic stages of parasites was found to be 43 (16.8%). Entamoeba histolytica/dispar was the most prevalent parasites 14 (5.5%), followed by Giardia lamblia 10 (3.9%). Lack of food safety training (AOR = 6.58; 95% CI 2.46–17.62), no regular medical checkup (AOR = 2.41; 95% CI 1.47–4.24), no handwashing practice after toilet by soap (AOR = 3.24; 95% CI 1.28–8.19), no handwashing practice before eating by soap (AOR = 4.03; 95% CI 1.64–9.91) and haven’t food preparation license (AOR = 6.13; 95% CI 2.18–17.22) were significantly associated with parasitic infection among food handlers.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247075
Author(s):  
Tahir Eyayu ◽  
Teklehaimanot Kiros ◽  
Lemma Workineh ◽  
Meslo Sema ◽  
Shewaneh Damtie ◽  
...  

Background Intestinal Parasitic Infections are the most prevalent diseases in the world, predominantly in developing countries. It is estimated that more than two billion people are affected globally, mostly in tropical and sub-tropical parts of the world. Ethiopia is one of the countries in Africa with a high prevalence of intestinal parasites. However, there is a limited study conducted in the study area. Hence, this study was to assess the prevalence and associated factors of intestinal parasitosis among patients attending at Sanja Primary Hospital, Northwest Ethiopia. Methods An institutional-based cross-sectional study was conducted at Sanja Primary Hospital from January 1 to August 20, 2019. Stool samples were collected from 1240 study participants and analyzed by direct wet mount and formal ether concentration techniques. Furthermore, sociodemographic and explanatory variables were collected using a face-to-face interview. Data were entered into Epi data version 4.4.2.1 and transferred to SPSS version 23 for analysis. Bivariate and multivariate binary logistic regression models were fitted to identify associated factors of intestinal parasitic infections. Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) was considered to ascertain the significance of the association. Results The overall prevalence of intestinal parasitic infection was 52.9% (95% CI: 50.2%-55.5%). Entamoeba histolytica/dispar (21.5%) was the leading cause of intestinal parasitosis followed by Hookworm species (13.3%). Furthermore, the rate of double and triple parasitic infections was observed in 6.1% and 0.5% of study participants respectively. Being Illiterate (AOR: 2.87, 95% CI: 1.06–7.47, p = 0.038), swimming habits of more than 4 times a month (AOR = 2.91, 95% CI 1.62–5.24, p< 0.001) and not washing hands before a meal (AOR: 3.92, 95% CI: 1.74–8.83, p = 0.001) were the key factors significantly associated with intestinal parasitic infection. Conclusions The present study showed that the prevalence of intestinal parasitosis is high in the study area. Therefore, there is a need for an integrated control program, including improving personal, environmental sanitation and health education should be given to have a lasting impact on transmission.


2019 ◽  
Author(s):  
Sabit Zenu Siraj ◽  
Eshetu Alemayehu ◽  
Kifle Woldemichael

Abstract Background Street child is any child whose age is less than 18 years for whom the street has become his or her habitual abode and/or source of livelihood, is inadequately protected, supervised or directed by responsible adults. In Ethiopia the health problems of street children are given poor attention in research. This problem is pronounced when it comes to intestinal parasitic infections. The aim of this study was to assess the prevalence of intestinal parasitic infections and associated factors among street children in Jimma town in the year 2019.Methods: Community based cross sectional study was employed. Complete enumeration was used to include 312 street children. Pretested questionnaire was used to collect the data. Data was entered to Epidata version 3.1 and exported to SPSS version 20. Stool samples were examined by wet mount and formalin ether concentration techniques. Bivariable and multivariable logistic regression was used to identify factors associated with intestinal parasitic infection. Significance of association was decided by using the 95% confidence interval of AOR and P-value of ≤ 0.05 in the multivariable model. Result: A total of 312 children of the street were involved in the study making the response rate 96.2%. The prevalence of intestinal parasitic infection was 66.7%. Untrimmed finger nails AOR=2.03;95%CI (1.02-4.06), eating street food AOR=2.24;95% CI (1.04-5.02), practice of swimming in unprotected water bodies AOR=2.5; 95% CI (1.24-5.04), not wearing shoes at the time of data collection AOR= 3.8;95% CI (1.8-8.2) and lacking knowledge of way of transmission of intestinal parasites AOR= 2.5; 95% CI (1.25- 5.0) were significantly associated with parasitic infections. Conclusions: The prevalence of intestinal parasitic infections among street children in the study area was high and require integrated interventions to avert the problem. Factors like untrimmed finger nails, swimming practice, eating street foods, shoe wearing and lacking knowledge of ways of transmission of intestinal parasitic infections are associated with infection status. Measures has to be taken to curb the problem by including them in mass drug administration and targeted health education towards identified factors.


2019 ◽  
Author(s):  
Sabit Zenu Siraj ◽  
Eshetu Alemayehu ◽  
Kifle Woldemichael

Abstract Background Street child is any child whose age is less than 18 years for whom the street has become his or her habitual abode and/or source of livelihood, is inadequately protected, supervised or directed by responsible adults. In Ethiopia the health problems of street children are given poor attention in research. This problem is pronounced when it comes to intestinal parasitic infections . The aim of this study was to assess the prevalence of intestinal parasitic infections and associated factors among street children in Jimma town in the year 2019. Methods and Materials: Community based cross sectional study was employed. Complete enumeration was used to include 312 street children. Pretested questionnaire was used to collect the data. Data was entered to Epidata version 3.1 and exported to SPSS version 20. Stool samples were examined by wet mount and formalin ether concentration techniques. Bivariable and multivariable logistic regression was used to identify factors associated with intestinal parasitic infection. Significance of association was decided by using the 95% confidence interval of AOR and P-value of ≤ 0.05 in the multivariable model. Result: A total of 312 children of the street were involved in the study making the response rate 96.2%. The prevalence of intestinal parasitic infection was 66.7%. Untrimmed finger nails AOR=2.03;95%CI (1.02-4.06), eating street food AOR=2.24;95% CI (1.04-5.02), practice of swimming in unprotected water bodies AOR=2.5; 95% CI (1.24-5.04), not wearing shoes at the time of data collection AOR= 3.8;95% CI (1.8-8.2) and lacking knowledge of way of transmission of intestinal parasites AOR= 2.5; 95% CI (1.25- 5.0) were significantly associated with parasitic infections. Conclusion and Recommendations: The prevalence of intestinal parasitic infections among street children in the study area was high and require integrated interventions to avert the problem. Factors like untrimmed finger nails, swimming practice, eating street foods, shoe wearing and lacking knowledge of ways of transmission of intestinal parasitic infections are associated with infection status. Measures has to be taken to curb the problem by including them in mass drug administration and targeted health education towards identified factors. Key words : Street children, Intestinal parasites, Jimma


2013 ◽  
Vol 7 (11) ◽  
pp. 868-872 ◽  
Author(s):  
Sintayehu Fekadu ◽  
Kefyalew Taye ◽  
Wondu Teshome ◽  
Solomon Asnake

Introduction: Intestinal parasitic infectionsare a major public health burden in tropical countries. Although all HIV/AIDS patients are susceptible to parasitic infections, those having lower immune status are at greater risk. The aim of this study was to determine the prevalence of intestinal parasitic infections in patients living with HIV/AIDS. Methodology: This was a facility-based cross-sectional study. A total of 343 consecutively sampled HIV/AIDS patients from the HIV care clinic of Hawassa University Referral Hospital were included. Subjects were interviewed for demographic variables and diarrheal symptoms using structured questionnaires. Stool examinations and CD4 cells counts were also performed. Results: The prevalence of intestinal parasitic infection was 47.8% among HIV/AIDS patients;  single helminthic infection prevalence (22.7%) was higher than that the prevalence of protozoal infections (14.6%). About 54% of study participants had chronic diarrhea while 3.4% had acute diarrhea. The prevalence of intestinal parasites in patients with chronic diarrhea was significantly higher than in acute diarrhea (p <0.05). Non-opportunistic intestinal parasite infections such as Ascaris lumbricoides, Taenia spp., and hookworm were commonlyfound, regardless of immunestatus or diarrheal symptoms. Opportunistic and non-opportunistic intestinal parasitic infection were more frequent in patients with a CD4 count of <200/mm3 (OR=9.5; 95% CI: 4.64-19.47) when compared with patients with CD4 counts of >=500 cells/mm3. Conclusions: Intestinal parasitic infections should be suspected in HIV/AIDS-infected patients with advanced disease presenting with chronic diarrhea. Patients with low CD4 counts should be examined critically for intestinal parasites, regardless of diarrheal status.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabit Zenu ◽  
Eshetu Alemayehu ◽  
Kifle Woldemichael

Abstract Background Street child is any child whose age is less than 18 years for whom the street has become his or her habitual abode and/or source of livelihood, is inadequately protected, supervised or directed by responsible adults. In Ethiopia the health problems of street children are given poor attention in research. This problem is pronounced when it comes to intestinal parasitic infections, making it difficult to design appropriate interventions targeting this segment of population. The aim of this study was to assess the prevalence of intestinal parasitic infections and associated factors among street children in Jimma town in the year 2019. Methods Community based cross sectional study was employed. Complete enumeration was used to include 312 street children. Pretested questionnaire was used to collect the data. Data was entered to Epidata version 3.1 and exported to SPSS version 20. Stool samples were examined by wet mount and formalin ether concentration techniques. Bivariable and multivariable logistic regression was used to identify factors associated with intestinal parasitic infection. Significance of association was decided by using the 95% confidence interval of AOR and P-value of ≤0.05 in the multivariable model. Result A total of 312 children of the street were involved in the study making the response rate 96.2%. The prevalence of intestinal parasitic infection was 66.7%. Untrimmed finger nails AOR = 2.03;95%CI (1.02–4.06), eating street food AOR = 2.24;95% CI (1.04–5.02), practice of swimming in unprotected water bodies AOR = 2.5; 95% CI (1.24–5.04), not wearing shoes at the time of data collection AOR = 3.8;95% CI (1.8–8.2) and lacking knowledge of way of transmission of intestinal parasites AOR = 2.5; 95% CI (1.25–5.0) were significantly associated with parasitic infections. Conclusions The prevalence of intestinal parasitic infections among street children in the study area was high and require integrated interventions to avert the problem. Several factors were also found to be associated with intestinal parasitic infections. Measures has to be taken to curb the problem by including them in mass drug administration and targeted health education towards identified factors.


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Yalemzewud Belay ◽  
Asmamaw Demis

Abstract Objectives: the main of this study was to assess the Magnitude of intestinal parasitic infections and associated factors among food handlers working at Woldia University Student’s cafeteria, Northeastern Ethiopia. Institutional based cross-sectional study was conducted among 256 study participants in Woldia university student’s cafeteria, Northern Ethiopia. Systematic random sampling method was used to select the study participants. Data was collected using a standardized questionnaire by direct interviewing of study participants. Logistic regression was carried out to identify factors associated with intestinal parasitic infections. Results: A total of 256 food handlers were enrolled making the overall magnitude of the intestinal parasite which was stool specimens positive for different diagnostic stages of parasites was found to be 43(16.8%). Entamoeba histolytica/dispar was the most prevalent parasites 14(5.5%), followed by Giardia lamblia 10(3.9%). Lack of food safety training [AOR = 6.58; 95%CI: 2.46–17.62], no regular medical checkup [AOR=2.41; 95 %CI: 1.47-4.24], no handwashing practice after toilet by soap[AOR =3.24; 95%CI: 1.28-8.19], no handwashing practice before eating by soap [AOR =4.03; 95%CI:1.64-9.91] and haven’t food preparation license [AOR= 6.13; 95 % CI: 2.18-17.22] were significantly associated with parasitic infection among food handlers. Keywords: Intestinal parasites, Food handlers, Student cafeteria, Woldia University


Author(s):  
Nazeh Al-Abd ◽  
Talal Alharazi ◽  
Omar A. A. Bamaga

Background: Intestinal parasitic infections (IPIs) are considered major health concerns in developing countries especially among economically disadvantaged communities. Currently, there is a lack of information on the prevalence of IPIs among internally displaced persons in Yemen. Objectives: To determine the prevalence of IPIs among internally displaced person in Saber camp, Lahaj governorate, Yemen during May- November 2019. Methods: A cross-sectional study was conducted among internally displaced person from the Saber camp.  samples of fresh stool were collected from the participants and examined by wet mount and formal-ether fecal concentration technique. Data were processed using the Statistical Package of Social Science (SPSS), version 25.0. The significant level set was p-value <0.05. Results: The study involved a sample of 350 participants. Overall, the study found that 156 (44.6%) of the participants were infected with at least one intestinal parasite. The most predominant parasite determined in this study was Entamoeba histolytica/dispar (24.6%) followed by Giardia lamblia (19.7%), Hymenolepis nana 7.1%, Enterobius vermicularis 0.90%, and Strongyloides.stercoralis 0.30%. The prevalence rate of parasitic infection in males was 55 (45.8%), whereas females were 101 (43.9 %). The association between intestinal parasitic infections (IPIs) and gender was found statistically insignificant (χ² = 0.118, P = 0.732, df = 1). The finding of the study showed that the prevalence rate was significantly different based on the age of respondents (χ² = 12.10 P = 0.033, df = 5) with the highest prevalence in the age group 1-9 years was 45.5%, where the lowest was 5.8 % in groups of respondents age between 40 to49 years. Conclusion: This study reveals an alarmingly high prevalence of IPIs (44.6 %) on IPIs infection among internally displaced person in Saber camp in Lahaj governorate, Yemen. Hence, there is a great need for improvement of sanitation and proper health education is required to reduce intestinal parasitic infection.


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