Prevalence of intestinal parasitosis, KAP and associated risk factors among people living with HIV/AIDS attending at ART clinic in Debre brehan referral hospital, Debre brehan, Ethiopia
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Date
2019-11
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Addis Ababa University
Abstract
Background: Intestinal parasites (IP) cause a significant morbidity and mortality in most developing countries throughout the world and relatively a high burden was seen in those living with HIV/AIDS.
Objective: To determine the magnitude of intestinal parasites, KAP and associated risk factors among people living with HIV/AIDS attending ART clinic in Debre brehan referral Hospital, Debre brehan, Ethiopia.
Materials and methods: A total of 350 study participants were enrolled in the study. An institution based cross-sectional study design was implemented from March 01, 2019 to August 30, 2019. Structured questionnaire was used to collect socio demographic data, KAP (knowledge, attitude and practice on IP) and clinical data. Stool sample was collected and processed using direct microscopy, formol-ether concentration and modified acid fast laboratory techniques in DBRH laboratory. Data was analyzed using SPSS version 20 and p < 0.05 was considered as statistically significant.
Results: The overall prevalence of intestinal parasites among HIV/AIDS patients was 20.3% (71/350). Among this E. histolytica/dispar takes the highest rank (13.4%) followed by G.lamblia (2.9%) whereas Hook worm (0.8%), Ascaris lumburcoids (0.8%), Hymenolepis nana (0.6%), Tanea species (0.6%) and Strongyloid stercoralis (0.3%) were identified less frequently. Lack of latrine and high viral load count was significantly associated with intestinal parasitosis. Regarding to knowledge, attitude and practice of participants, 46.8% had poor knowledge, 84.5% had positive attitude and 91.8% had good practice on prevention and control of intestinal parasite. In addition, bad health practice of the participants had significant association with intestinal parasitosis (AOR = 2.88, 95% CI: 1.2, 6.88).
Conclusion: The overall prevalence of intestinal parasites in this study was low and lack of latrine, high viral load count and bad health practice was significantly associated with intestinal parasitosis. The association of lack of latrine and bad health practice initiates the need for awareness creation in the study area.
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This is to certify that this thesis prepared by Tassew Tefera Shenkutie, entitled: Prevalence of intestinal parasitosis, KAP and associated risk factors among people living with HIV/AIDS attending at ART clinic in Debre brehan referral hospital, Debre brehan, Ethiopia submitted in partial fulfillment of the requirements for degree of Master of Science in Clinical Laboratory Science (Diagnostic and Public Health Microbiology Specialty) complies with the regulations of the University and meets the accepted standards with respect to originality and quality.
Keywords
Intestinal parasites, HIV/AIDS, Prevalence, Debre brehan, Ethiopia.