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Association of Major Intestinal Parasitic Infections and Nutritional Status on Academic Performance of Primary Schoolchildren in Enemore-Ener and Abeshege Districts, Gurage Zone, South Central Ethiopia

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dc.contributor.advisor Petros, Beyene (Professor)
dc.contributor.author Birmeka, Melesse
dc.date.accessioned 2019-05-13T11:40:22Z
dc.date.available 2019-05-13T11:40:22Z
dc.date.issued 2018-04-03
dc.identifier.uri http://localhost:80/xmlui/handle/123456789/18240
dc.description.abstract Intestinal parasitic infection (IPI) and undernutrition have been reported to affect the physical growth, cognitive development, and the general health status of schoolchildren. However, data are scarce regarding their effect on the overall health status and school performance of schoolchildren in Ethiopia. To assess these effects, a school based repeated cross-sectional study was conducted on 680 schoolchildren- 450 from Enemore-Ener and 230 fromAbeshege districts in Gurage Zone, South Central Ethiopia. Data were gathered on the sociodemographic/ economic conditions of the selected households of the study participants through structured survey methods, i.e. direct observations, interviews, focus group discussions and document reviews.Heamoglobin concentration was measured and adjusted for altitude to determine anemia. Fresh stool samples were collected and processed by the wet mount, Kato- Katz and formol-ether concentration methods to examine IPI. Anthropometric measurements: weight, height and body mass index were analyzed using WHO (2007) anthro plus software. School performance was determined based on school academic records. SPSS statistical software version 20 was used for data analysis and P-value <0.05 was reported as statistically significant. The prevalence of any IPIs in schoolchildren was 40% in Enemore-Ener and 38.7% in Abeshege districts. The prevalence of anemia was 34.7% in Enemore-Ener, which was significantly (P<0.05) lower than in Abeshege (41.6%). Intestinal parasitic infections in Enemore-Ener district, use of Kocho as staple food, was a significant factor for increased anemia, stunting, thinness and poor school performance (P< 0.05), whereas in Abeshege district, a population that mainly consumes cereals, IPI was a significant factor only for increased stunting, thinness and poor school performance (P< 0.05). Overall, IPI was a significant factor decreased haemoglobin levels population (P=0.00). Thus, children with IPI were significantly (P< 0.05) likely to be xiii anemic than children with no IPI.Increased risk of anemia was significantly associated with hookworm (P=0.02), ascaris (P=0.03) and Giardia (P=0.02). Poor school performance increased with increasing IPI, anemia, thinness and stunting in the study population (P< 0.05). IPI was a significant factor (P=0.00) for increase in undernutrition. Also, stunting and thinness increased with increasing IPI in the two study populations (P< 0.05) ie, severely and moderately stunted children had more IPIs compared with those with normal growth for their age. Similarly, severely and moderately thin children had more IPIs. Anthropometric measurements for WAZ, HAZ, and BAZ of the total study population were below the WHO (2007) growth standard or reference values. Accordingly, 39.6% in Enemore-Ener and 41.6% in Abeshege were stunted (HAZ< -2SD); while 41.8% in Enemore-Ener and 41.3% in Abeshege were thin (BAZ< -2SD) and 48.8% in Enemore-Ener and 46.3% in Abeshege were underweight (WAZ<-2SD). The findings of this study showed the prevalence of IPI to be associated with anemia, undernutrition and poor school performance. The study has provided evidence from undernutrition,IPI and anemia that the livelihood of the schoolchildren in Enemore-Ener and Abeshege ditricts is adversely affected.The findings of this study could serve as a guide in designing and implementing intervention strategies to alleviate the co-morbidity of IPI, malnutrition and iron deficiency anemia on the well-being of schoolchildren under Ethiopian health services condition. en_US
dc.language.iso en en_US
dc.publisher Addis Ababa University en_US
dc.subject Intestinal Parasites en_US
dc.subject Anemia en_US
dc.subject Schoolchildren en_US
dc.subject Malnutrition en_US
dc.subject Gurage Zone en_US
dc.subject Prevalence en_US
dc.subject Incidence en_US
dc.subject Risk Factors en_US
dc.subject School Performance en_US
dc.title Association of Major Intestinal Parasitic Infections and Nutritional Status on Academic Performance of Primary Schoolchildren in Enemore-Ener and Abeshege Districts, Gurage Zone, South Central Ethiopia en_US
dc.type Thesis en_US


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