Prevalence of Intestinal Helminthiases and Associated Factors among Pregnant Women Attending Antenatal Clinic of Nigist Eleni Mohammed Memorial Hospital, Hossana, Southern Ethiopia

DOI: 10.4236/oalib.1101660   PDF   HTML   XML   910 Downloads   1,729 Views   Citations


Background: In the developing world, young women, pregnant women, and their infants and children frequently experience repeated helminthic infection, that lead to anemia, intrauterine growth retardation and low birth weight. Despite the difference in distribution of helminths infection within a country, the information on prevalence of intestinal Helminthiases and its associated risk factors among pregnant women in the area is lacking. Therefore, this study aimed to determine the prevalence of intestinal helminthic infection among pregnant women attending antenatal care (ANC) clinic of Nigist Eleni Mohammed Memorial Hospital Hossana, Southern Ethiopia. Method and Materials: A hospital based cross sectional study design was employed. Two hundred and fifty eight pregnant women attending the hospital ANC clinic from October 1 to 30, 2013 were included in the study. Structured questionnaire was used to collect data using interviewer administered technique. For parasitological examination, formol ether concentration technique was used to detect helminthes from clinical specimen. Data were analyzed using SPSS for windows version 16.0. Statistical tests were performed at the level of significance of 5%. Multivariate logistic regression analysis was done to identify the significant risk factors. Result: The overall prevalence of any helminths infection was 29.5%. A. lumbricoides was the predominant helminths infection, detected in 10.1% of pregnant women. There is positive association between family size and helminths infection [AOR = 4.45; 95% CI; (1.98, 10.02)], presence of water body in the vicinity of residence [AOR = 3.39; 95% CI = 1.20, 9.57], habit of walking bare foot [AOR = 3.23; 95% CI; 1.28, 8.15)], unprotected source [AOR = 8.71, 95% CI; (1.60, 27.39)] and rural residence [AOR = 3.64, 95% CI; (1.33, 9.97)]. Monthly income > 1500 Eth. Birr [AOR = 0.48; 95% CI; (0.23, 0.99)] and living in thatched roof house [AOR = 0.24, 95% CI; (0.06, 0.89)] were found to have negative association with helminths infection. Conclusion: The present study showed high prevalence of intestinal helminthes among pregnant women in the study area. Stool exam should be routinely performed during antenatal care follow-up. Public health measures should continue to emphasize the importance of environmental and personal hygiene as well as provide and monitor the quality of drinking water aiming to obtain a better quality of life.

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Tesfaye, D. , Beshir, W. , Dejene, T. and Tewelde, T. (2015) Prevalence of Intestinal Helminthiases and Associated Factors among Pregnant Women Attending Antenatal Clinic of Nigist Eleni Mohammed Memorial Hospital, Hossana, Southern Ethiopia. Open Access Library Journal, 2, 1-11. doi: 10.4236/oalib.1101660.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Harhay, M.O., Horton, J., Olliaro, P.L., et al. (2010) Epidemiology and Control of Human Gastrointestinal Parasites in Children. Expert Review of Anti-Infective Therapy, 8, 219-234.
[2] World Health Organization (WHO) (2012) Soil-Transmitted Helminth Infections [Document on Theinternet].
[3] Brooker, S., Hotez, P.J. and Bunday, D.A.P. (2008) Hookworm-Related Anaemia among Pregnant Women: A Systematic Review. PLoS Neglected Tropical Diseases, 2, e291.
[4] Tadege, B. (2009) Determinants of Anaemia in Pregnant Women with Emphasis on Intestinal Helminthic Infection at Bushulo Health Center Southern Ethiopia. Addis Ababa University: Libraries Electronic, Thesis and Dissertations Database, AAU-ETD.
[5] Getachew, M., et al. (2012) Anaemia and Associated Risk Factors among Pregnant Women in Gilgel Gibe Dam Area, Southwest Ethiopia. Parasites & Vectors, 5, 296.
[6] Pullan, L.R. and Brooker, S.J. (2012) The Global Limits and Population at Risk of Soil Transmitted Helminth Infections in 2010. Parasites & Vectors, 5, 81.
[7] Jemaneh, L. (1998) Comparative Prevalence of Some Common Intestinal Helminthic Infections in Different Altitudinal Regions in Ethiopia. Ethiopian Medical Journal, 36, 1-8.
[8] Viteri, F.E. (1994) The Consequences of Iron Deficiency and Anemia in Pregnancy. Advances in Experimental Medicine and Biology, 352, 127-139.
[9] Bundy, D.A., Chan, M.S. and Savioli, L. (1995) Hookworm Infection in Pregnancy. Transactions of the Royal Society of Tropical Medicine & Hygiene, 89, 521-522.
[10] King, C. (2004) Re-Gauging the Cost of Chronic Helminthic Infection: Meta-Analysis of Disability-Related Outcomes in Endemic Schistosomiasis. Lancet, 368, 1106-1118.
[11] Crompton, D.W.T. (2000) The Public Health Importance of Hook-Worm Disease. Parasitology, 121, 39-50.
[12] Pawlowski, Z.S., Schad, G.A. and Stott, G.J. (1991) Hookworm Infection and Anemia: Approaches to Prevention and Control. World Health Organization, Geneva.
[13] Hotez, P.J. and Kamath, A. (2009) Neglected Tropical Diseases in Sub-Saharan Africa: Review of Their Prevalence, Distribution, and Disease Burden. PLoS Neglected Tropical Diseases, 3, e412.
[14] Tadesse, Z., Hailemariam, A. and Kolaczinski, J.H. (2008) Potential for Integrated Control of Neglected Tropical Diseases in Ethiopia. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102, 213-214.
[15] Steinmann, P., Keiser, J., Bos, R., Tanner, M. and Utzinger, J. (2006) Schistosomiasis and Water Resources Development: Systematic Review, Meta-Analysis, and Estimates of People at Risk. The Lancet Infectious Diseases, 6, 411-425.
[16] Steketee, R.W. (2003) Pregnancy, Nutrition and Parasitic Diseases. The Journal of Nutrition, 133, 1661S-1667S.
[17] Nurdia, D.S., Sumarni, S., Suyoko, Hakim, M. and Winkvist, A. (2001) Impact of Intestinal Helminth Infection on Anemia and Iron Status during Pregnancy: A Community Based Study in Indonesia. The Southeast Asian Journal of Tropical Medicine and Public Health, 32, 14-22.
[18] Stephenson, L.S., Latham, M.C. and Ottesen, E.A. (2000) Malnutrition and Parasitic Helminth Infections. Parasitology, 121, 23-38.
[19] World Health Organization (2002) Prevention and Control of Schistosomiasis and Soil-Transmitted Helminthiasis: Report of a WHO Expert Committee. World Health Organization, Geneva.
[20] Le Hesran, J.Y., Akiana, J., Ndiaye, EL H.M., Dia, M., Senghor, P., et al. (2004) Severe Malaria Attack is Associated with High Prevalence of Ascaris lumbricoides Infection among Children in Rural Senegal. Transactions of the Royal Society of Tropical Medicine and Hygiene, 98, 397-399.
[21] Nacher, M., Singhasivanon, P., Traore, B., Vannaphan, S., Gay, F., et al. (2002) Helminth Infections Are Associated with Protection from Cerebral Malaria and Increased Nitrogen Derivatives Concentrations in Thailand. The American Journal of Tropical Medicine and Hygiene, 66, 304-309.
[22] Brooker, S. and Clements, A.C. (2009) Spatial Heterogeneity of Parasite Co-Infection: Determinants and Geostatistical Prediction at Regional Scales. International Journal for Parasitology, 39, 591-597.
[23] Lustigman, S., Prichard, R.K., Gazzinelli, A., Grant, W.N., Boatin, B.A., et al. (2012) A Research Agenda for Helminth Diseases of Humans: The Problem of Helminthiases. PLoS Neglected Tropical Diseases, 6, e1582.
[24] Woodburn, P.W., Muhangi, L., Hillier, S., Ndibazza, J., Namujju, P.B., et al. (2009) Risk Factors for Helminth, Malaria, and HIV Infection in Pregnancy in Entebbe, Uganda. PLoS Neglected Tropical Diseases, 3, e473.
[25] Liese, B., Rosenberg, M. and Schratz, A. (2010) Programmes, Partnerships, and Governance for Elimination and Control of Neglected Tropical Diseases. The Lancet, 375, 67-76.
[26] Federal Ministry of Health (2004) Guidelines for the Enhanced Outreach Strategy (EOS) for Child Survival Interventions. Addis Ababa, Ethiopia.
[27] Adegnikaet, A.A., et al. (2010) Epidemiology of Parasitic Co-Infections during Pregnancy in Lambaréné, Gabon. Tropical Medicine & International Health, 15, 1204-1209.
[28] Cheesbrough, M. (2009) District Laboratory Practice in Tropical Countries Part 1. 2nd Edition, Cambridge University Press, Cambridge, 195-216.
[29] Van Eijk, A.M., Lindblade, K.A., Odhiambo, F., Peterson, E., Rosen, D.H., et al. (2009) Geohelminth Infections among Pregnant Women in Rural Western Kenya: A Cross-Sectional Study. PLoS Neglected Tropical Diseases, 3, e370.
[30] Alfonso, J., Rodríguez-Morales, et al. (2006) Intestinal Parasitic Infections among Pregnant Women in Venezuela. Infectious Diseases in Obstetrics and Gynecology, 2006, 1-5.
[31] Fuseini, G., et al. (2010) Parasitic Infections and Anaemia during Pregnancy in the Kassena-Nankana District of Northern Ghana. Journal of Public Health and Epidemiology, 2, 48-52.
[32] Belyhun, Y., et al. (2010) Prevalence and Risk Factors for Soil-Transmitted Helminth Infection in Mothers and Their Infants in Butajira, Ethiopia: A Population Based Study. BMC Public Health, 10, 21.
[33] Alli, J.A., et al. (2011) Prevalence of Intestinal Nematode Infection among Pregnant Women Attending Antenatal Clinic at the University College Hospital, Ibadan, Nigeria. Advances in Applied Science Research, 2, 1-13.
[34] Larocque, R., Easapia, M., Gotuzzo, E. and Gyorkos, T. (2005) Relationship between Intensity of Soil-Transmitted Helminth Infections and Anemia during Pregnancy. The American Journal of Tropical Medicine and Hygiene, 73, 783-789.
[35] Belachew, T. and Yosef, L. (2006) Risk Factors for Anaemia among Pregnant Women Attending Antenatal Clinic at Jimma University Hospital. Ethiopian Medical Journal, 44, 211-220.
[36] Kumie, A. and Ali, A. (2005) An Overview of Environmental Health Status in Ethiopia with Particular Emphasis to Its Organization, Drinking Water and Sanitation: A Literature Survey. Ethiopian Journal of Health Development, 19, 89-103.

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