Assessment on the Prevalence and Determinants of Intestinal Helminthes among School Age Children And its Status in the Environment (Soil) of Soddo Town SNNPR, South Ethiopia

Debebe, Ashenafi (2007) Assessment on the Prevalence and Determinants of Intestinal Helminthes among School Age Children And its Status in the Environment (Soil) of Soddo Town SNNPR, South Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background The burden of disease caused by soil-transmitted helminthes and schistosome infections is enormous. More than 2,000 million people are affected worldwide, of whom more than 300 million suffer from associated severe morbidity; 155,000 deaths are reported annually. World Health Organization estimates that about 200-500 million peoples in Sub-Saharan Africa are infected at least with one or more species of nematodes. Soil contamination with human excreta is one reason that aggravates the infection of children by soil-transmitteed helminthes. Similar situations are observed in Ethiopia, due to low level of living standards, poor environmental sanitation, and ignorance of simple health promoting factors. Objective To assess the prevalence of intestinal helminthes in school-age children and its status in the environment (soil) of Soddo town. Method A cross-sectional parasitological survey was conducted in Soddo town of SNNPR in March 2007. Stool samples from 339 school-age children and soil samples from the backyard of the households, schools and two public playgrounds was taken and examined for geo-helminthes ova using formal-ether concentration technique for stool and sugar floatation technique for soil samples. The socio-demographic and hygiene variables were collected using structured questionnaire and observational checklist. Data was entered using EPI INFO 6 and analyzed by SPSS version 13. Result The overall intestinal helminthes prevalence was found to be 63.7%, Ascaris lumbricoides being the predominant parasite by 34.5%, Hook worm 18.7%, Trichiuris trichiura 13.0% and 5.3% others like Hymanolopsis nana, Strongloid stricolaris, Entameba histolytica, and Giardia lumblia. Examination of soil samples revealed a 9 (16.6%) overall helminth prevalence Ascaris lumbricoides ova and possible strongloide like nematode larvae accounting 4 (7.4%) each and 1 (1.85%) Hook worm ova. Twenty six (7.6%) had double infection, 2.9% with Ascaris lumbricoides and Trichiuris trichiura, 2.3% with both Ascaris lumbricoides and Hook worm and Trichiuris trichiura. Shoe wearing habit of the child was significantly associated with Hook worm infection AOR 8.20, 95% CI 3.54-18.98. Conclusion and Recommendation As humans are the final hosts for Ascaris lumbricoides and Hook worm, the presence of these parasites in the soil may reflect improper use of latrines and indiscriminate defecation in open fields. Therefore emphasis should be given for environmental sanitation by the community and by health professionals and shoe wearing habit of children should be encouraged.

Item Type: Thesis (Masters)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
S Agriculture > S Agriculture (General)
Divisions: Africana
Depositing User: Selom Ghislain
Date Deposited: 23 May 2018 10:54
Last Modified: 23 May 2018 10:54
URI: http://thesisbank.jhia.ac.ke/id/eprint/4058

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