Determinants of Soil Transmitted Helminths Infestation among School Going Children in Sultan Hamud, Makueni County, Kenya

Maitha G.; Ahmed O; Gichia P; Ng’ang’a P


Maitha G.[1]; Ahmed O[2]; Gichia P[3]; Ng’ang’a P[4]

  1. Tropical Institute of community health and development (TICH) Great Lakes University of Kisumu, Nairobi, Kenya
  2. PhD Research Training Fellow (RTF) in Health Systems. Consortium for National Health Research-Kenya KNH, Nairobi and also Senior Lecturer at Great Lakes University of Kisumu, Kisumu, Kenya
  3. Senior Lecturer, Kenya Medical Training college, Department of Public Health, Nairobi, Kenya
  4. Medical Entomologist, Ministry of Public Health and Sanitation, Division of Vector Borne Diseases, Nairobi, Kenya

Corresponding  Author: Geoffrey Maitha, MSc Student, Tropical institute of community health and development (TICH),  Great Lakes University of Kisumu and also working for Aids Healthcare Foundation Kenya(AHF).Tel: +254 723 461 116, geffmaitha@yahoo.com or Geoffrey.maithya@aidshealth.org .


SUMMARY

Introduction: STH infections affect more than one billion people of the world’s poorest population. School-aged children are most at risk. This study was to assess the determinants of soil transmitted helminths infestation among school going children in rural and urban area of Sultan Hamud.
Methodology:
 Four schools in Sultan Hamud area were selected randomly to take part in the study. Probability proportionate to size approach was used to distribute the sample amongst the selected schools. Stool samples from participants were examined for STH using Kato Katz technique. They were also interviewed using questionnaires.
Results:  Of the 348 enrolled in the present study,54.3% were boys. Their mean (sd) age was 9.2 (2.3) years.  Overall, 127 children (36.5%) had at least one STH infection. The prevalence of polyparasitism was 9.2% with hookworm,A. lumbricoides,T. trichiura and H. nana infections being reported respectively, 26.7%, 12.4%, 7.5% and 2.0% of the study participants. The determinants associated with STH infection were treating of drinking water, child’s/caretaker’s level of knowledge on STH transmission and prevention, caretaker’s level of education, and frequency of deworming.

Conclusion: Public health education campaigns on STH control, targeting children and their caretakers, have the potential to lower STH infections.  There is a need to conduct mass drug administration targeting school age children in the study area.

Afr J Health Sci. 2014; 27(2):196-215]

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