dc.contributor.author | Ng’ang’a, M | |
dc.contributor.author | Matendechero, S | |
dc.contributor.author | Kariuki, L | |
dc.contributor.author | Omondi, W | |
dc.contributor.author | Makworo, N | |
dc.contributor.author | Owiti, PO | |
dc.contributor.author | Kizito, W | |
dc.contributor.author | Tweya, H | |
dc.contributor.author | Edwards, JK | |
dc.contributor.author | Takarinda, KC | |
dc.contributor.author | Ogutu, Omondi | |
dc.date.accessioned | 2017-02-17T07:27:00Z | |
dc.date.available | 2017-02-17T07:27:00Z | |
dc.date.issued | 2016-10 | |
dc.identifier.citation | East African Medical Journal, Vol 93, No 10 (2016) | en_US |
dc.identifier.uri | http://www.ajol.info/index.php/eamj/article/view/150689 | |
dc.identifier.uri | http://hdl.handle.net/11295/100448 | |
dc.description.abstract | Background: Schistosomiasis is the most prevalent helminthic infection in sub-Saharan Africa. School age children have the highest burden. Chronic schistosome infections in children can have irreversible effects lasting throughout adulthood.
Objective: To determine the prevalence, intensity and distribution of urogenital and intestinal schistosomiasis among primary school children in Migori County, Kenya.
Design: Descriptive cross-sectional study.
Setting: Primary schools in Migori County, Kenya.
Subjects: Children aged seven to fourteen years.
Results: We enrolled 1,784 children with the ratio of female to males being 1:1. Their mean age was 11.4 years (standard deviation ± 1.6). The overall prevalence of infection was 26%, with urogenital and intestinal schistosomiasis being found in 9% and 20% of children, respectively. A trend of increasing prevalence with increasing age of children was observed. Boys had a 50% higher risk of being infected with schistosomiasis when compared to girls (adjusted odds ratio 1.5, 95% confidence interval 1.2-1.9). Intensities of schistosome infections did not vary significantly across gender and age. Nyatike Constituency had the highest prevalence of schistosomiasis (54%).Prevalence in schools ranged from 1.7 to 89%. Seven schools (23%) had a schistosomiasis prevalence of at least 50% while 12 (39%) schools had schistosomiasis prevalence of between 10 and 50%.
Conclusion: Our study showed that schistosomiasis is endemic in the study area and represents a significant public health problem among school children. The area should be prioritised for interventions including mass deworming, public health education and sanitation improvement. | en_US |
dc.language.iso | en | en_US |
dc.rights | Attribution-NonCommercial-ShareAlike 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/3.0/us/ | * |
dc.title | Spatial distribution and co-infection with urogenital and intestinal schistosomiasis among primary school children in Migori County, Kenya | en_US |
dc.type | Article | en_US |