Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia
Abstract Background Globally, there were about 50.8 million internally displaced people in 2020, of whom 42% were in sub-Saharan Africa. In areas where there are conflicts, the humanitarian emergency makes infectious disease management extremely complex. Soil-transmitted helminths (STHs) are among t...
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ftdoajarticles:oai:doaj.org/article:358978af3dc1428a89cc32e8dac2b7a7 2023-05-15T15:12:42+02:00 Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia Gosa Ebrahim Geleto Tesfu Kassa Berhanu Erko 2022-07-01T00:00:00Z https://doi.org/10.1186/s41182-022-00436-1 https://doaj.org/article/358978af3dc1428a89cc32e8dac2b7a7 EN eng BMC https://doi.org/10.1186/s41182-022-00436-1 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-022-00436-1 1349-4147 https://doaj.org/article/358978af3dc1428a89cc32e8dac2b7a7 Tropical Medicine and Health, Vol 50, Iss 1, Pp 1-12 (2022) Emergency Internally displaced people Soil-transmitted helminths Under-fives Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.1186/s41182-022-00436-1 2022-12-30T23:50:48Z Abstract Background Globally, there were about 50.8 million internally displaced people in 2020, of whom 42% were in sub-Saharan Africa. In areas where there are conflicts, the humanitarian emergency makes infectious disease management extremely complex. Soil-transmitted helminths (STHs) are among the most common infections globally including in Ethiopia that thrives during complex emergencies. However, with regards to STHs, studies in the context of conflict areas have not been documented in Ethiopia. Methods In southern Ethiopia, a community-based cross-sectional study design was employed. Simple random sampling method was used to enroll a total of 405 under-fives. Structured questionnaire was used to collect data. Kato–Katz technique was used to examine stool specimens for Ascaris lumbricoides, Trichuris trichiura and hookworm spp. The Z-score for stunting, wasting and underweight were computed using the World Health Organization anthroprocedures. Results The respective prevalence of soil-transmitted helminths infection and malnutrition was 67.4% (273) and 54.2% (219). Ascaris lumbricoides was the predominant helminth parasite with a prevalence of 90%, followed by T. trichiura (12%) and hookworm spp. (5%). STHs infection was significantly associated with under-nutrition (AOR: 1.88, CI 1.22–2.90) and internal displacement (AOR: 3.08, CI 1.17–8.09). Infection with A. lumbricoides was associated with both stunting and wasting (AOR: 3.04, CI 1.48–6.26) and (AOR: 3.51, CI 1.79–6.91), respectively. Conclusions Both soil-transmitted helminths and malnutrition were important public health problems among under-fives in the present conflict affected areas. Internal displacement, unimproved water, absence of latrine and sanitary services were among significant determinants for STH infections. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 50 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Emergency Internally displaced people Soil-transmitted helminths Under-fives Arctic medicine. Tropical medicine RC955-962 |
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Emergency Internally displaced people Soil-transmitted helminths Under-fives Arctic medicine. Tropical medicine RC955-962 Gosa Ebrahim Geleto Tesfu Kassa Berhanu Erko Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia |
topic_facet |
Emergency Internally displaced people Soil-transmitted helminths Under-fives Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Globally, there were about 50.8 million internally displaced people in 2020, of whom 42% were in sub-Saharan Africa. In areas where there are conflicts, the humanitarian emergency makes infectious disease management extremely complex. Soil-transmitted helminths (STHs) are among the most common infections globally including in Ethiopia that thrives during complex emergencies. However, with regards to STHs, studies in the context of conflict areas have not been documented in Ethiopia. Methods In southern Ethiopia, a community-based cross-sectional study design was employed. Simple random sampling method was used to enroll a total of 405 under-fives. Structured questionnaire was used to collect data. Kato–Katz technique was used to examine stool specimens for Ascaris lumbricoides, Trichuris trichiura and hookworm spp. The Z-score for stunting, wasting and underweight were computed using the World Health Organization anthroprocedures. Results The respective prevalence of soil-transmitted helminths infection and malnutrition was 67.4% (273) and 54.2% (219). Ascaris lumbricoides was the predominant helminth parasite with a prevalence of 90%, followed by T. trichiura (12%) and hookworm spp. (5%). STHs infection was significantly associated with under-nutrition (AOR: 1.88, CI 1.22–2.90) and internal displacement (AOR: 3.08, CI 1.17–8.09). Infection with A. lumbricoides was associated with both stunting and wasting (AOR: 3.04, CI 1.48–6.26) and (AOR: 3.51, CI 1.79–6.91), respectively. Conclusions Both soil-transmitted helminths and malnutrition were important public health problems among under-fives in the present conflict affected areas. Internal displacement, unimproved water, absence of latrine and sanitary services were among significant determinants for STH infections. |
format |
Article in Journal/Newspaper |
author |
Gosa Ebrahim Geleto Tesfu Kassa Berhanu Erko |
author_facet |
Gosa Ebrahim Geleto Tesfu Kassa Berhanu Erko |
author_sort |
Gosa Ebrahim Geleto |
title |
Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia |
title_short |
Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia |
title_full |
Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia |
title_fullStr |
Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia |
title_full_unstemmed |
Epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern Ethiopia |
title_sort |
epidemiology of soil-transmitted helminthiasis and associated malnutrition among under-fives in conflict affected areas in southern ethiopia |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s41182-022-00436-1 https://doaj.org/article/358978af3dc1428a89cc32e8dac2b7a7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 50, Iss 1, Pp 1-12 (2022) |
op_relation |
https://doi.org/10.1186/s41182-022-00436-1 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-022-00436-1 1349-4147 https://doaj.org/article/358978af3dc1428a89cc32e8dac2b7a7 |
op_doi |
https://doi.org/10.1186/s41182-022-00436-1 |
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Tropical Medicine and Health |
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50 |
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1 |
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