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Published in: BMC Infectious Diseases 1/2018

Open Access 01-12-2018 | Research article

Undernutrition, intestinal parasitic infection and associated risk factors among selected primary school children in Bahir Dar, Ethiopia

Author: Tamirat Hailegebriel

Published in: BMC Infectious Diseases | Issue 1/2018

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Abstract

Background

Monitoring of undernutrition and parasitic infection are essential to design appropriate intervention strategies. The aim of this study was to assess the prevalence of undernutrition, intestinal parasitic infection and their associated risk factors among school children in Bahir Dar, Ethiopia.

Methods

A school-based cross-sectional survey was conducted from February to June 2014 among 382 students selected from primary schools in Bahir Dar. The study subjects were selected by a systematic random sampling method. Sociodemographic data from students and their family/guardians were obtained using structured questionnaire. Height and weight of the students were measured using a standard calibrated balance. Fresh fecal samples were collected and processed using formalin-ether concentration technique. The data were analyzed using SPSS version 20.0 statistical software.

Results

The overall prevalence of undernutrition was 41.6% (18.3% stunted, 26.7% thinness and 25.9% underweight). Meal frequency ≤ 3 times a day (AOR=4.11; 95% CI: 2.23–7.59) and family monthly income <500 birr (AOR=5.87; 95% CI: 2.61–13.23) were important predictors of undernutrition. The risk of stunting was increased among students with meal frequency ≤ 3 times a day (AOR=5.56; 95% CI: 2.97–10.41) and age ranges from 9-10 years (AOR=3.02; 95% CI: 1.41–6.47). The odds of thinness was significantly increased among students with parasitic infection (AOR=1.92; 95% CI: 1.15–3.19) and family monthly income <1500 birr (AOR=2.69; 95% CI: 1.16–6.26). The likelihood of being underweight was increased among students infected with intestinal parasites (AOR=2.43; 95% CI: 1.40–4.22). The overall prevalence of intestinal parasitosis was 52.4%. The risk of parasitic infection was significantly increased among students with unclean fingernails (AOR=4.96; 95% CI: 2.79–8.82) and irregular hand washing habit (AOR=8.05; 95% CI: 4.66–13.89).

Conclusions

This study revealed that undernutrition and intestinal parasitic infection were public health problems among school children in the study areas. These results highlight the importance for integrated efforts to address undernutrition and parasitic infection.
Literature
2.
go back to reference de-Onis M, Frongillo EA, Blossner M. Is malnutrition declining? An analysis of changes in levels of child malnutrition since 1980. Bull World Health Organ. 2000;78(10):1222–33. de-Onis M, Frongillo EA, Blossner M. Is malnutrition declining? An analysis of changes in levels of child malnutrition since 1980. Bull World Health Organ. 2000;78(10):1222–33.
4.
5.
go back to reference Nurdiati BS, Sumarni S, Suyoko L, Hakimi M, Winkvist A. Impact of intestinal helminthes infection on anemia and iron status during pregnancy: a community based study in Indonesia, Southeast Asian. J Trop Med Public Health. 2001;32(1):14–22. Nurdiati BS, Sumarni S, Suyoko L, Hakimi M, Winkvist A. Impact of intestinal helminthes infection on anemia and iron status during pregnancy: a community based study in Indonesia, Southeast Asian. J Trop Med Public Health. 2001;32(1):14–22.
6.
go back to reference Papier K, Williams GM, Luceres-Catubig R, Ahmed F, Olveda RM, McManus DP, Chy D, Chau TNP, Gray DJ, Ross AGP. Childhood Malnutrition and Parasitic Helminth Interactions. Clin Infect Dis. 2014;59(2):234–43.CrossRefPubMed Papier K, Williams GM, Luceres-Catubig R, Ahmed F, Olveda RM, McManus DP, Chy D, Chau TNP, Gray DJ, Ross AGP. Childhood Malnutrition and Parasitic Helminth Interactions. Clin Infect Dis. 2014;59(2):234–43.CrossRefPubMed
7.
go back to reference Stephenson LS, Latham MC, Ottesen EA. Malnutrition and parasitic helminth infections. Parasitol. 2000;121:S23–38.CrossRef Stephenson LS, Latham MC, Ottesen EA. Malnutrition and parasitic helminth infections. Parasitol. 2000;121:S23–38.CrossRef
8.
go back to reference Mekonnen Z, Meka S, Zeynudin A, Suleman S. Schistosoma mansoni infection and undernutrition among school age children in Fincha’a sugar estate, rural part of West Ethiopia. BMC Research Notes. 2014;7:763.CrossRefPubMedPubMedCentral Mekonnen Z, Meka S, Zeynudin A, Suleman S. Schistosoma mansoni infection and undernutrition among school age children in Fincha’a sugar estate, rural part of West Ethiopia. BMC Research Notes. 2014;7:763.CrossRefPubMedPubMedCentral
9.
go back to reference Ezeamama AE, Friedman JF, Acosta LP, Bellinger DC, Langdon GC, Manalo DL, Olveda RM, Kurtis JD, Mcgarvey ST. Helminth infection and cognitive impairment among Filipino children. Am J Trop Med Hyg. 2005;72(5):540–8.PubMedPubMedCentralCrossRef Ezeamama AE, Friedman JF, Acosta LP, Bellinger DC, Langdon GC, Manalo DL, Olveda RM, Kurtis JD, Mcgarvey ST. Helminth infection and cognitive impairment among Filipino children. Am J Trop Med Hyg. 2005;72(5):540–8.PubMedPubMedCentralCrossRef
10.
go back to reference Reji P, Belay G, Erko B, Legesse M, Belay M. Intestinal parasitic infections and malnutrition amongst first-cycle primary schoolchildren in Adama, Ethiopia. Afr J Prm Health Care Fam Med. 2011;3(1):198. Reji P, Belay G, Erko B, Legesse M, Belay M. Intestinal parasitic infections and malnutrition amongst first-cycle primary schoolchildren in Adama, Ethiopia. Afr J Prm Health Care Fam Med. 2011;3(1):198.
11.
go back to reference Bemnet A, Beyene M, Bereket F, Ketema T, Desalegn W, Gizachew Y, Tilahun A, Tomoki Y, Andargachew M, Fusao O, et al. Micronutrient levels and nutritional status of school children living in Northwest Ethiopia. Nutrition J. 2012;11:108.CrossRef Bemnet A, Beyene M, Bereket F, Ketema T, Desalegn W, Gizachew Y, Tilahun A, Tomoki Y, Andargachew M, Fusao O, et al. Micronutrient levels and nutritional status of school children living in Northwest Ethiopia. Nutrition J. 2012;11:108.CrossRef
12.
go back to reference Worku N, Erko B, Torban W, Belay M, Kassu A, Fetene T, Huruy K. Malnutrition and intestinal parasitic infections in school children of Gondar, North West Ethiopia. Ethiop Med J. 2009;47(1):9–16.PubMed Worku N, Erko B, Torban W, Belay M, Kassu A, Fetene T, Huruy K. Malnutrition and intestinal parasitic infections in school children of Gondar, North West Ethiopia. Ethiop Med J. 2009;47(1):9–16.PubMed
13.
go back to reference Degarege D, Degarege A, Animut A. Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia. BMC Public Health. 2015;15:375.CrossRefPubMedPubMedCentral Degarege D, Degarege A, Animut A. Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia. BMC Public Health. 2015;15:375.CrossRefPubMedPubMedCentral
14.
go back to reference Mahmud MA, Spigt M, Afework MB, Pavon IL, Dinant G, Velasco RB. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia. Pathog Glob Health. 2003;107(2):58–65.CrossRef Mahmud MA, Spigt M, Afework MB, Pavon IL, Dinant G, Velasco RB. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia. Pathog Glob Health. 2003;107(2):58–65.CrossRef
15.
go back to reference Tadesse G. The prevalence of intestinal helminthic infections and associated risk factors among school children in Babile town, eastern Ethiopia. Ethiop J Health Dev. 2005;19(2):140–7.CrossRef Tadesse G. The prevalence of intestinal helminthic infections and associated risk factors among school children in Babile town, eastern Ethiopia. Ethiop J Health Dev. 2005;19(2):140–7.CrossRef
16.
go back to reference Agency CS. Summary and Statistical Report of the 2007 Population and Housing Sensus. Addis Ababa: Federal Democratic Ethiopia Population Sensus Commession; 2008. p. 113. Agency CS. Summary and Statistical Report of the 2007 Population and Housing Sensus. Addis Ababa: Federal Democratic Ethiopia Population Sensus Commession; 2008. p. 113.
17.
go back to reference de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization. 2007;85:660–7.CrossRefPubMedPubMedCentral de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization. 2007;85:660–7.CrossRefPubMedPubMedCentral
18.
go back to reference WHO. WHO AnthroPlus for personal computers software for assessing growth and development the world's children. Geneva: WHO; 2011. WHO. WHO AnthroPlus for personal computers software for assessing growth and development the world's children. Geneva: WHO; 2011.
21.
go back to reference Emile N, Bosco NJ, Karine B. Prevalence of intestinal parasitic infections and associated risk factors among Kigali Institute of Education students in Kigali, Rwanda. Trop Biomed. 2013;30(4):718–26. Emile N, Bosco NJ, Karine B. Prevalence of intestinal parasitic infections and associated risk factors among Kigali Institute of Education students in Kigali, Rwanda. Trop Biomed. 2013;30(4):718–26.
22.
go back to reference Speich B, Marti H, Ame S, Ali S, Bogoch I, Utzinger J, Albonico M, Keiser J. Prevalence of intestinal protozoa infection among school-aged children on Pemba Island, Tanzania, and effect of single-dose albendazole, nitazoxanide and albendazole-nitazoxanide. Parasites Vectors. 2013;6:3.CrossRefPubMedPubMedCentral Speich B, Marti H, Ame S, Ali S, Bogoch I, Utzinger J, Albonico M, Keiser J. Prevalence of intestinal protozoa infection among school-aged children on Pemba Island, Tanzania, and effect of single-dose albendazole, nitazoxanide and albendazole-nitazoxanide. Parasites Vectors. 2013;6:3.CrossRefPubMedPubMedCentral
23.
go back to reference Muhajir AEM, Hajissa K, Mohamed Z, Aal AA. Prevalence of Intestinal Parasitic Infection among Children in Al-kalakla, Khartoum, Sudan. World Appl Sci J. 2017;35(2):219–22. Muhajir AEM, Hajissa K, Mohamed Z, Aal AA. Prevalence of Intestinal Parasitic Infection among Children in Al-kalakla, Khartoum, Sudan. World Appl Sci J. 2017;35(2):219–22.
24.
go back to reference Abdi M, Nibret E, Munshea A. Prevalence of intestinal helminthicinfections and malnutrition amongschoolchildren of the Zegie Peninsula, northwestern Ethiopia. J Infect Public Health. 2017;10:84–92.CrossRefPubMed Abdi M, Nibret E, Munshea A. Prevalence of intestinal helminthicinfections and malnutrition amongschoolchildren of the Zegie Peninsula, northwestern Ethiopia. J Infect Public Health. 2017;10:84–92.CrossRefPubMed
25.
go back to reference Mahmud MA, Spigt M, Bezabih AM, Pavon IL, Dinant G, Velasco RB. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia. Pathog Glob Health. 2013;107(2):58–65.CrossRefPubMedPubMedCentral Mahmud MA, Spigt M, Bezabih AM, Pavon IL, Dinant G, Velasco RB. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia. Pathog Glob Health. 2013;107(2):58–65.CrossRefPubMedPubMedCentral
26.
go back to reference Erismann S, Diagbouga S, Odermatt P, Knoblauch AM, Gerold J, Shrestha A, Grissoum T, Kaboré A, Schindler C, Utzinger J, et al. Prevalence of intestinal parasitic infections and associated risk factors among schoolchildren in the Plateau Central and Centre-Ouest regions of Burkina Faso. Parasites Vectors. 2016;9:554.CrossRefPubMedPubMedCentral Erismann S, Diagbouga S, Odermatt P, Knoblauch AM, Gerold J, Shrestha A, Grissoum T, Kaboré A, Schindler C, Utzinger J, et al. Prevalence of intestinal parasitic infections and associated risk factors among schoolchildren in the Plateau Central and Centre-Ouest regions of Burkina Faso. Parasites Vectors. 2016;9:554.CrossRefPubMedPubMedCentral
27.
go back to reference Alwabr GMA, Al-Moayed EE. Prevalence of intestinal parasitic infections among school children of Al-Mahweet Governorate, Yemen. Eur J Biol Res. 2016;6(2):64–73. Alwabr GMA, Al-Moayed EE. Prevalence of intestinal parasitic infections among school children of Al-Mahweet Governorate, Yemen. Eur J Biol Res. 2016;6(2):64–73.
28.
go back to reference Ayalew A, Debebe T, Worku A. Prevalence and risk factors of intestinal parasites among Delgi school children, North Gondar, Ethiopia. J Parasitol Vector Biol. 2011;3(5):75–81. Ayalew A, Debebe T, Worku A. Prevalence and risk factors of intestinal parasites among Delgi school children, North Gondar, Ethiopia. J Parasitol Vector Biol. 2011;3(5):75–81.
29.
go back to reference Andualem MA. Parasitic Infection and Associated Factors among the Primary School Children in Motta Town, Western Amhara, Ethiopia. Am J Public Health Res. 2014;2(6):248–54.CrossRef Andualem MA. Parasitic Infection and Associated Factors among the Primary School Children in Motta Town, Western Amhara, Ethiopia. Am J Public Health Res. 2014;2(6):248–54.CrossRef
30.
go back to reference Al-Mohammed HI, Amin TT, Aboulmagd E, Hablus HR, Zaza BO. Prevalence of intestinal parasitic infections and its relationship with socio-demographics and hygienic habits among male primary schoolchildren in Al-Ahsa, Saudi Arabia. Asian Pac J Trop Med. 2010;3(11):906–12. Al-Mohammed HI, Amin TT, Aboulmagd E, Hablus HR, Zaza BO. Prevalence of intestinal parasitic infections and its relationship with socio-demographics and hygienic habits among male primary schoolchildren in Al-Ahsa, Saudi Arabia. Asian Pac J Trop Med. 2010;3(11):906–12.
31.
go back to reference Mehraj V, Hatcher J, Akhtar S, Rafique G, Beg MA. Prevalence and Factors Associated with Intestinal Parasitic Infection among Children in an Urban Slum of Karachi. PLoS ONE. 2008;3(11):e3680.CrossRefPubMedPubMedCentral Mehraj V, Hatcher J, Akhtar S, Rafique G, Beg MA. Prevalence and Factors Associated with Intestinal Parasitic Infection among Children in an Urban Slum of Karachi. PLoS ONE. 2008;3(11):e3680.CrossRefPubMedPubMedCentral
32.
go back to reference Degarege A, Hailemeskel E, Erko B. Age-related factors influencing the occurrence of undernutrition in northeastern Ethiopia. BMC Public Health. 2015;15:108.CrossRefPubMedPubMedCentral Degarege A, Hailemeskel E, Erko B. Age-related factors influencing the occurrence of undernutrition in northeastern Ethiopia. BMC Public Health. 2015;15:108.CrossRefPubMedPubMedCentral
33.
go back to reference Joshi SH, Gupta R, Joshi CM, Mahajan V. Determinants of nutritional status of school children-a cross-sectional study in the western region of Nepal. National J Integrated Res Med. 2011;2(1):10–5. Joshi SH, Gupta R, Joshi CM, Mahajan V. Determinants of nutritional status of school children-a cross-sectional study in the western region of Nepal. National J Integrated Res Med. 2011;2(1):10–5.
34.
go back to reference Tette EMA, Sifah EK, Nartey ET. Factors affecting malnutrition in children and the uptake of interventions to prevent the condition. BMC Pediatrics. 2015;15:189.CrossRefPubMedPubMedCentral Tette EMA, Sifah EK, Nartey ET. Factors affecting malnutrition in children and the uptake of interventions to prevent the condition. BMC Pediatrics. 2015;15:189.CrossRefPubMedPubMedCentral
35.
go back to reference Francis L, Kirunda BE, Orach CG. Intestinal Helminth Infections and Nutritional Status of Children Attending Primary Schools in Wakiso District, Central Uganda. Int J Environ Res Public Health. 2012;9:2910–21.CrossRefPubMedPubMedCentral Francis L, Kirunda BE, Orach CG. Intestinal Helminth Infections and Nutritional Status of Children Attending Primary Schools in Wakiso District, Central Uganda. Int J Environ Res Public Health. 2012;9:2910–21.CrossRefPubMedPubMedCentral
37.
go back to reference Mekonnen H, Tadesse T, Kisi T. Malnutrition and its Correlates among Rural Primary School Children of Fogera District, Northwest Ethiopia. Nutr Disorders Ther. 2015;S12 Mekonnen H, Tadesse T, Kisi T. Malnutrition and its Correlates among Rural Primary School Children of Fogera District, Northwest Ethiopia. Nutr Disorders Ther. 2015;S12
38.
go back to reference Rajoo Y, Ambu S, Lim YAL, Rajoo K, Tey SC, Lu CW, Ngui R. Neglected Intestinal Parasites, Malnutrition and Associated Key Factors: A Population Based Cross-Sectional Study among Indigenous Communities in Sarawak, Malaysia. PLOS ONE. 2017;12(1):e0170174. Rajoo Y, Ambu S, Lim YAL, Rajoo K, Tey SC, Lu CW, Ngui R. Neglected Intestinal Parasites, Malnutrition and Associated Key Factors: A Population Based Cross-Sectional Study among Indigenous Communities in Sarawak, Malaysia. PLOS ONE. 2017;12(1):e0170174.
39.
go back to reference Hassen HY, Aregay F, Melkie A, Gezu M, Alayu A, Kefelew T. Chronic Undernutrition and Associated Factors among School Age Children in South West Ethiopia, 2015. J Biol Agric Healthc. 2015;5(21):113–22. Hassen HY, Aregay F, Melkie A, Gezu M, Alayu A, Kefelew T. Chronic Undernutrition and Associated Factors among School Age Children in South West Ethiopia, 2015. J Biol Agric Healthc. 2015;5(21):113–22.
40.
go back to reference Ene-Obong H, Ibeanu V, Onuoha N, Ejekwu A. Prevalence of overweight, obesity, and thinness among urban school-aged children and adolescents in southern Nigeria. Food Nutr Bull. 2012;33(4):242–50.CrossRefPubMed Ene-Obong H, Ibeanu V, Onuoha N, Ejekwu A. Prevalence of overweight, obesity, and thinness among urban school-aged children and adolescents in southern Nigeria. Food Nutr Bull. 2012;33(4):242–50.CrossRefPubMed
41.
go back to reference Zerfu M, Mekasha A. Anthropometric assessment of school age children in Addis Ababa. Ethiop Med J. 2006;44(4):347–52.PubMed Zerfu M, Mekasha A. Anthropometric assessment of school age children in Addis Ababa. Ethiop Med J. 2006;44(4):347–52.PubMed
42.
go back to reference Galgamuwa LS, Iddawela D, Dharmaratne SD, GLS G. Nutritional status and correlated socio-economic factors among preschool and school children in plantation communities, Sri Lanka. BMC Public Health. 2017;17:377.CrossRefPubMedPubMedCentral Galgamuwa LS, Iddawela D, Dharmaratne SD, GLS G. Nutritional status and correlated socio-economic factors among preschool and school children in plantation communities, Sri Lanka. BMC Public Health. 2017;17:377.CrossRefPubMedPubMedCentral
43.
go back to reference Manyanga T, El-Sayed H, Doku DT, Randall JR. The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries. BMC Public Health. 2014;14:887.CrossRefPubMedPubMedCentral Manyanga T, El-Sayed H, Doku DT, Randall JR. The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries. BMC Public Health. 2014;14:887.CrossRefPubMedPubMedCentral
Metadata
Title
Undernutrition, intestinal parasitic infection and associated risk factors among selected primary school children in Bahir Dar, Ethiopia
Author
Tamirat Hailegebriel
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2018
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-018-3306-3

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