scholarly journals Prevalence of Intestinal Parasitic Infections and Associated Factors Among Diarrheal Outpatients in South Gondar Zone, Northwest, Ethiopia

Author(s):  
Getaneh Yemata ◽  
Melkalem Azanaw ◽  
Lemma Bilal ◽  
Birku Mekonnen

Abstract Background: Intestinal parasitic infections are major public health problems in several tropical and subtropical developing countries with poor socio-economic status including Ethiopia. Diarrheal patients are a major part of the population with a high risk of intestinal parasitosis. There is a scarcity of studies on intestinal parasite infection among diarrheal patients in South Gondar. As a result, this study was conducted to assess the prevalence and associated factors of intestinal parasite infection among diarrheal patients in this area. Methods: An institutional-based cross-sectional study design was conducted from March to May 2019 with a structured questionnaire data collection technique. A total sample of 240 diarrheal patients included in the study and a simple random sampling technique was used. The stool sample from each study subject was collected and analyzed by direct wet mount techniques. Data were entered in Epi Data Version 4.6.0.0 and exported to Stata version 14 for analysis. Binary logistic regression was used to measure the association of factors with the outcome variable. Factors that have an association with the outcome variable at p-value 0.25 was taken into the multivariable logistic regression analysis to control the potential confounders. The result of the final model will be expressed in terms of adjusted Odd Ratios (AOR) and 95% confidence interval (CI) and statistical significance will be declared if the P-value is less than 0.05. Results: The overall prevalence of intestinal parasitic infections among 240 diarrheal patients was 45.4%. The majorities of the positive cases were single infections (85.2%) while the remains were double infections (14.8%). Among the intestinal parasitic infections Entamoeba histolytica/dispar (E. histolytica/dispar) was the highest 60 (55.5%), and followed by Giardia lamblia (G. lamblia) 26 (24.1%), Ascaris lumbricoides (A. lumbricoides) 4(3.7%), hookworm4(3.7%) and Enterobius vermicularis 4(3.7%). The presence of intestinal parasitic infections had significantly associated with marital status (AOR: 0.41; 95% CI: 0.18,0.91).),shoe-wearing habit (AOR:2.81; 95% CI:1.07,7.37) and fingernail cleanliness (AOR:5.12; 95% CI: 2.35,11.12). Conclusion: Intestinal parasitic infections were a highly prevalent health problem among populations in Lay Gaynte woreda. Poor hygiene of fingernails and no shoes wearing a habit were risk factors for intestinal parasites infection among diarrheal patients.

Author(s):  
Maxwell Afranie Appiah ◽  
Ebenezer Enam Adzaklo ◽  
Eric Agboli

Aim: To assess the prevalence of intestinal parasite infections among patients who visit the Ho Teaching Hospital for stool examination from 2012 to 2016. Study Design: Retrospective study. Place and Duration of Study: Ho Teaching Hospital, August 2017 to January 2018. Methodology: The hospital’s laboratory records were reviewed. Patients’ data were recorded using a well-designed data collection tool. Data was analyzed with Statistical Package for Social Science (SPSS) version 20.0. Results:  A total of 7045 patients visited the Ho Teaching Hospital laboratory for routine stool examination within the five-year period. From the 7045 patients, 703 of them were infected with at least one of the intestinal parasites. The overall prevalence of intestinal parasite infection for the five-year period was 10.0%. Intestinal flagellates (90.0%) were the most predominant intestinal parasites, and Entamoeba histolytica recorded 5.7%. Hookworm (0.9%) was the most prevailing soil-transmitted helminth. Ascaris lumbricoides (0.1%) and Schistosoma mansoni (0.1%) were the least recorded parasites. Highest infection was among patients within age group 20 to 29 years. However, age groups below 10 years recorded low infection. This study showed that age was a risk factor for acquiring intestinal parasite infection (P≤0.001). Conclusion: Intestinal parasitic infections were recorded among patients who visited the Ho Teaching Hospital. However, most of the patients were infected with intestinal flagellates. Various stakeholders should provide advance techniques in laboratory investigation of stool samples to enhance accurate diagnosis. Sensitization of the public about the dangers of intestinal parasites should also be undertaken by the stakeholders.


2021 ◽  
Author(s):  
Nigatu Teferi Malango ◽  
Tadele Yohannes Hegena ◽  
Netsanet Abera Assefa

Abstract Background: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to increased awareness on reproductive health matters and reduces risky behaviors among adolescents and also is the base to reduce depraved reproductive health outcomes. The aim of this study was to assess parent-adolescent discussion on SRH issues and its associated factors in Sawla town, Southern Ethiopia, 2020. Methods: A community based cross sectional study was conducted among parents in Sawla town from March to April 2020. A simple random sampling technique was employed to select 697 study subjects. Data were entered in to Epi-data version 3.1 and exported to SPSS version 21 for analysis. Variables with p-value less than 0.25 in bivariate analysis were entered into multiple logistic regression models to test for association with the dependent variable at 95 % confidence level (CI). P-value less than 0.05 and 95 % CI for adjusted odds ratios (AOR) were used to declare the significance of the associations with the outcome variable.Results: Of the total participants, 168 (25.7%) respondents had reported discussion about at least two components of SRH issues in the last six months prior to the study. Multiple logistic regression model revealed that parents who attended primary education (AOR 3, 95% CI: 1.10, 7.70), secondary education (AOR 9, 95% CI: 3.87, 20.64) and diploma and above (AOR 22.33, 95% CI: 9.49, 32.56), monthly income of above 2000 Ethiopian Birr (AOR 2.40, 95% CI: 1.30, 4.55), good knowledge (AOR 2, 95% CI: 1.14, 3.50)and positive attitude (AOR 4, 95% CI: 1.57, 10) towards SRH issues were statically significant with parent to adolescent discussion.Conclusion: The occurrence of parent-adolescent SRH discussion is low in Sawla town. Educational status, average monthly income, knowledge and attitude on SRH issues were major factors affecting parent-adolescent discussion on SRH issues. Continuous capacity building on SRH issues for parents to increase the level of parental knowledge and attitude about SRH issues and sustainable advocacy should be provided about the importance of parent to adolescent discussion. Moreover, it is important to support and scale up the adult learning program to decrease the level of illiteracy.


2021 ◽  
Author(s):  
Mengistie Kassahun Tariku

Abstract BackgroundUtilization of long-lasting insecticide treated net (LLITN) is one of the main vector control activities. It has a killing, repellent and physical barrier effects against mosquito. Even if priority is given for pregnant women, not all nets owned by household have been utilized by pregnant women. The objective of the study was to assess utilization of Long-lasting insecticidal net and associated factors among pregnant women in malarious kebeles, Awabel woreda, North-West Ethiopia.MethodsA community-based cross-sectional study was conducted from May 1 to June 30, 2017. A systematic random sampling was used to select 422 households. Two days training was given for data collectors and supervisors. Collected data were coded and entered using epi-data version 3.1, then it was exported to Statistical Package for Social Science (SPSS) version 20. After bivariate logistic regression analysis, all variables with a p-value less than or equal to 0.25was entered into multivariable logistic regression and p value < 0.05 considered as significantly associated with the outcome variable. ResultsUtilization of LLITN was 33.6%. Factors such as attending antenatal care [adjusted odd ratio (AOR) =1.89; 95% CI; 1.04-3.44], traveling <1 hour to reach health facility AOR=4.41; 95% CI; 2.06-9.43], age ≥ 35 year [AOR= 3.67; 95% CI; 1.36-9.95], knowledge [AOR=11.68; 95% CI; 5.96-22.89] and having positive attitude [AOR=3.12; 95 CI; 1.66-5.88] were significantly associated with utilization of LLITN.ConclusionThis study showed that low utilization of LLITN. Attending antenatal care (ANC), traveling <1 hour to reach health facility, age ≥ year, knowledge and attitude had positive association with LLITN utilization. Every concerned body should focus on reducing distance barrier by giving outreach services and increasing ANC, the attitude and knowledge of pregnant women toward malaria and LLITN which might increase utilization of LLITN.


2021 ◽  
Author(s):  
Bayou Tilahun Assaye ◽  
Tewabe Manaye ◽  
Zegeye Regasa ◽  
Gizaw Hayiley ◽  
Kirubel Biruk ◽  
...  

Abstract Background: The novel coronavirus(COVID-19) pandemic has been dramatically affecting healthcare organizations across the world. Accessing modern health care is still limited in developing countries due to different factors. Within physical distancing, telemedicine has become the preferred communication channel between health professions and patients. Therefore, this study was aimed to assess Perception and Associated factors for the implementation of telemedicine during the COVID-19 Pandemic among Health Professionals Working at Governmental health facility in Addis Ababa, Ethiopia, 2021.Methods: -Institutional-based cross-sectional study design was conducted among 845 study participants. A structured interview administrative questionnaire using ODK(open data kit) was used. A pre-test was done on 5% of the total sample size. The quality of data was assured by checking its completeness and consistency. Descriptive statistics Bivariable and multivariable logistic regression were fitted. Variables having P-value less than 0.25 during bi-variable logistics regression were entered into multivariable logistic regression. Adjusted odds ratio (AOR) with 95% confidence level (CL) were used to declare association between dependent and the outcome variable. Model fitness and multicollinearity was checked using by using Hosmer-Lemeshow AND Variable inflation factors(VIF) respectively.Result:- Over all 60.9% (95% CI: [57.5, 64.4]) of health professionals had a good perception towards telemedicine with response rate of 737( 87.2%). Health professionals who had IT supporting staff (AOR:7.13, 95% CI: 4.264-13.201), health professionals ’ being certified concerning with ICT (AOR:4.42, 95%CI: 2.69-7.524), frequency of using social media platforms (AOR=3.263, 95% CI: 1.621-6.561) were variables significantly associated with the perception of telemedicine among health professionals for control and prevention of COVID-19.Conclusion:- More than half of respondents had a good perception of telemedicine. being trained with ICT, accessibility of computers,s and Having IT support staff in their health facility were significantly associated with the level of telemedicine perception in the era of the COVID-19 pandemic. Therefore, the Ministry of health recommended to encourage the health professions and the stakeholders to collaborate on promotion of safe and evidence-based use of telemedicine during the current COVID-19 pandemic and future outbreaks.


2020 ◽  
Author(s):  
Solomon Taye ◽  
Asfaw Negero ◽  
Tomas Benti

Abstract Background: Intestinal parasitic infections are the most common infections in the developing world. Globally, out of the 1.5 billion annual cases of diarrhea, about 70% or 1.05 billion cases are thought to be caused by biological contamination of food. In Ethiopia, due to poor environmental sanitation, low awareness about personal hygiene, lack of pure potable water, and improper faecal disposal, intestinal parasitic infections are highly prevalent. Thus, the aim of this study was to determine the prevalence and associated factors of intestinal parasitosis among food handlers working in food and drinking establishments in Ginnir town, southeast, Ethiopia.Method: Cross-sectional study design was employed from May 1 to May 29, 2014 in food and drinking establishments in Ginnir town. A total of 348 food handlers were selected using simple random sampling method. Stool specimens were collected and examined using direct saline and formol-ether concentration methods. Bivariate and multivariable logistic regression analysis was performed. A P-value <0.05 was considered as an indicator of statistical significance.Result: The overall prevalence of intestinal parasitosis among food handlers was 48/348(13.8%). Entamoeba histolytica/dispar 23/348(6.6%) followed by Giardia lamblia 16/348(4.6%), Ascaris lumbricoides 7/348(2.0%) and Strongyloides stercolaris 2/348(0.6%) were the most prevalent parasites. Moreover, comparable proportions of parasites were detected in males (52%) and females (48%). Habit of eating raw/under cooked vegetables (AOR=2.6, 95% CI=2.94-8.67) and poor personal hygiene (AOR=3.39, 95% CI=1.51-10.23) were factors significantly associated with intestinal parasitic infections.Conclusion: The prevalence of intestinal parasitosis among food handlers is relatively low. Though the prevalence rate is low; regular medical check-up, training and health education on safe food handling and processing should be given for all food handlers.


2020 ◽  
Author(s):  
Mengistie Kassahun Tariku ◽  
Zewdu Dagnew ◽  
Sewnet Wongiel Misikir ◽  
Abebe Habtamu Belete

Abstract Background: Utilization of long-lasting insecticide treated net (LLITN) is one of the main vector control activities. It has a killing, repellent and physical barrier effects against mosquito. Even if priority is given for pregnant women, not all nets owned by household have been utilized by pregnant women. The objective of the study was to assess utilization of Long-lasting insecticidal net and associated factors among pregnant women in malarious kebeles, Awabel woreda, North-West Ethiopia. Methods: A community-based cross-sectional study was conducted from May 1 to June 30, 2017. A systematic random sampling was used to select 422 households. Two days training was given for data collectors and supervisors. Collected data were coded and entered using epi-data version 3.1, then it was exported to Statistical Package for Social Science (SPSS) version 20. After bivariate logistic regression analysis, all variables with a p-value less than or equal to 0.25was entered into multivariable logistic regression and p value < 0.05 considered as significantly associated with the outcome variable. Results: Utilization of LLITN was 33.6%. Factors such as attending antenatal care [adjusted odd ratio (AOR) =1.89; 95% CI; 1.04-3.44], traveling <1 hour to reach health facility AOR=4.41; 95% CI; 2.06-9.43], age [AOR= 3.67; 95% CI; 1.36-9.95], knowledge[AOR=11.68; 95% CI; 5.96-22.89] and having positive attitude [AOR=3.12; 95 CI; 1.66-5.88] were significantly associated with utilization of LLITN. Conclusion: This study showed that low utilization of LLITN. Attending antenatal care (ANC), traveling <1 hour to reach health facility, age , knowledge and attitude had positive association with LLITN utilization. Every concerned body should focus on reducing distance barrier by giving outreach services and increasing ANC, the attitude and knowledge of pregnant women toward malaria and LLITN which increase utilization of LLITN. Key words : LLITN utilization, pregnant women, malarious kebeles, Awable, Ethiopia


2017 ◽  
pp. 119-124
Author(s):  

Introduction: Intestinal parasite infections werecommonintropical country such as Vietnam. Having good knowledge of parasitic infectious prevention and changing risk behaviors can decrease the infection rate. Objective: To evaluate the parasitic infectious rate in Vinh Thai community before and after being health education and the changing of knowledge of parasitic infectious prevention and risk behaviors. Materials and methods: 60 households in Vinh Thai commune were interviewed their knowledge of parasitic infectious prevention and examined intestinal parasite infection by Kato technique and then trained the knowledge of parasitic infectious prevention. The interview and examination parasite infectiousrate were carried out after 6 months to evaluating their knowledge. Result: Before health education, the rate of intestinal parasite infection was 17.4% with the prevalence of Ascaris lumbricoides, hookworm, whipworm, pinworm, small fluke worm and co-infection with A. lumbricoides - whipworm, hookworm-whipworm were 0.1%; 8.0%; 5.8%; 0.6%; 0.3%; 1.2% and 3.0% respectively. Six months later the rate of intestinal parasite infection was decreased in 12.6% even though not statistical significantly. However, there were no case of small fluke worm and co-infection with hookworm-whipworm. Receiving health education, their knowledge of parasitic infectious prevention was higher significantly but their risk behaviors were not changed so much. Conclusion: Health education can change the rate of parasite infection with higher knowledge of parasitic infectious prevention but it was necessary continuous study to change the risk behaviors. Key words: intestinal parasite, health education


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zelalem Animaw ◽  
Addisu Melese ◽  
Habtamu Demelash ◽  
Girma Seyoum ◽  
Abiy Abebe

Abstract Background Intestinal parasitic infections (IPIs) are public health problems widely distributed in the world and cause significant morbidity and mortality; many of which occur among women of reproductive age. IPIs caused by helminthes and protozoan parasites are common among pregnant women. Data on the national pooled prevalence of intestinal parasites and associated factors during pregnancy is not documented well in Ethiopia. This review aims at summarizing evidences on the burden of IPIs and associated factors among pregnant women in Ethiopia. Methods Published and unpublished studies were thoroughly searched at MEDLINE/PubMed, EMBASE, Google Scholar, CINAHL, Cochrane library and Science Direct. In addition, repositories of Addis Ababa, Gondar and Jimma Universities were searched. Eligible studies were selected following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. The pooled prevalence of intestinal parasites and summary odds ratios (ORs) were determined with 95 % confidence intervals (CI). Sub-groups analyses were done based on study region, types of parasites, methods of stool examination and study setting. The statistical analyses were performed using STATA version 14.0 software. Results Among 168 retrieved studies, 31 studies with a total population of 12,118 pregnant women were included. The estimated pooled prevalence of IPIs among pregnant women in Ethiopia was 27.32 % (95 % CI: 20.61, 33.87 %). In the subgroup analysis, Oromia and Amhara regions had the highest prevalence with a 29.78 % (95 % CI: 15.97, 43.60) and 29.63 % (95 % CI: 15.37, 43.89); respectively. In addition, studies conducted in the community showed higher prevalence than institution based studies (49.93 % Vs 24.84 %; respectively). The most prevalent type of intestinal parasite identified were Hookworm followed by Ascaris lumbricoides with a pooled prevalence of 11.2 and 10.34 %, respectively. In our analysis; residence, being bare footed, lack of hand washing habit and eating uncooked/raw vegetables were significantly associated with IPIs among pregnant women in Ethiopia. Conclusions Prevalence of IPIs during pregnancy is relatively high in Ethiopia. Poor hygienic practices were identified as risk factors. Based on our finding, targeted preventive measures shall be considered so as to prevent morbidity and mortality due to IPIs.


Sign in / Sign up

Export Citation Format

Share Document