Magnitude and Determinants of Intestinal Parasites among Children under Five in Ethiopia During 2010–2023: A Systematic Review and Meta-Analysis

Girma, Abayeneh; Genet, Amere

doi:10.1080/15513815.2023.2284920

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…Studies conducted on intestinal helminths and protozoan infections among PSAC lead to serious effects (illness and death), particularly in children. The negative effects of IPI among PSAC extended beyond morbidity and mortality to include nutritional issues (such as malnutrition, malabsorption, anemia, intestinal obstruction, and diarrhea) as well as mental and physical growth retardation, weight loss, impaired work capacity, and stunted growth rate, constituting important health and social problems ( Faria et al, 2017 ; Nguyen et al, 2012 ; Girma and Genet, 2024 ; Chelkeba et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Ethiopia has favorable conditions for the activity of various ecto and endo -parasites because of its geographical location, climate, and biological and cultural characteristics ( Girma and Genet, 2024 ). Many primary studies investigated in Ethiopia had great variety and inconsistency related to the prevalence of IPIs and associated risk factors among PSAC in the country; however, there is a lack of systematically synthesized and analyzed information for policymakers and stakeholders.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with intestinal parasitic infections among preschool-aged children in Ethiopia: A systematic review and meta-analysis

Girma,

Genet

2024

Parasite Epidemiology and Control

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with intestinal parasitic infections among preschool-aged children in Ethiopia: A systematic review and meta-analysis

Girma,

Genet

2024

Parasite Epidemiology and Control

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Prevalence and Determinants of Scabies Among Schoolchildren in Ethiopia: A Systematic Review and Meta‐Analysis

Girma,

Abdu

2024

Health Science Reports

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Background and AimsIn deprived and poor communities worldwide, scabies remains an overlooked tropical disease. Numerous individual studies have been conducted in Ethiopia on this issue, demonstrating notable disparities and inconclusive findings. This systematic review and meta‐analysis aimed to establish Ethiopia's pooled scabies prevalence and determinants among schoolchildren.MethodsStudies were retrieved from PubMed, Scopus, Science Direct, Google Scholar, and African Journals Online through a systematic search. The Joanna Briggs Institute's critical appraisal tool was employed to assess the quality of observational studies (cross‐sectional and case‐control). The meta‐analysis was performed using Stata software version 14 and its metan command. A forest plot was used with a random effects model to calculate the pooled prevalence and its 95% confidence interval (CI). Subgroup and sensitivity analyses were employed to evaluate potential sources of heterogeneity. The funnel plot and Egger's test were used to evaluate publication bias, while heterogeneity was assessed using inverse variance (I2).ResultsIn this systematic review and meta‐analysis, 14.71% (733/5104) of schoolchildren had scabies, with a 95% CI of 8.90%−20.52%. The highest prevalence is recorded in the Amhara region (17.09%; 95% CI: 2.15–32.04), and the lower prevalence is seen in the Oromia region (12.52%; 95% CI: 10.08–14.95). Children sharing clothes with scabies cases, using common sleeping beds/fomites, having a family history of scabies, and having illiterate parents are significantly associated with scabies among Ethiopian schoolchildren (based on adjusted odds ratios: 7.07; 95% CI: 1.55–12.59, 2.13; 95% CI: 0.04–4.22, 1.45; 95% CI: 0.35–3.94, 1.42; 95% CI: 0.94–0.89).ConclusionThe current prevalence of scabies ranges from 12.52% to 17.09% and is higher in the Amhara region. The national policymakers and health planners should prioritize implementing prevention and control measures of scabies among schoolchildren through ivermectin‐based mass drug administration for three to five rounds annually until the prevalence is less than 2%.

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Parasitic Contamination and Its Associated Factors in Fruits and Vegetables Collected From Ethiopia’s Local Markets: A Systematic Review and Meta-Analysis

Girma,

Aemiro,

Alamnie

et al. 2024

Environ�Health�Insights

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Background: Vegetables and fruits are vital components of a healthy diet; however, consuming unclean, uncooked, or improperly prepared products can lead to parasitic infections. Contamination often occurs during both the pre-harvest and post-harvest phases. Thus, the aim of this study is to provide evidence-based scientific information about the level of parasitic contamination and risk factors in Ethiopian fruits and vegetables sold in local markets. Methods: A random effects model was selected for analysis. Subgroup analyses and sensitivity analyses were performed to explore potential sources of heterogeneity using the I2 test. Publication bias was evaluated using the funnel plot, Begg’s, and Egger’s tests. Results: A total of 3697 samples from 11 studies were included. The pooled prevalence of parasitic contamination was 43.99% (1642/3697) with (95% CI: 38.04-49.95). The highest prevalence was recorded from helminths (26.42%), followed by protozoan infections (17.57%). The most predominant parasites were Entamoeba spp. (6.40%), Ascaris spp. (6.28%), Giardia spp. (5.98%), and Strongylida (4.59%). Contamination rate of fruits alone was 7.02%, while that of vegetables was 36.97%. Additionally, cabbage (8.14%), lettuce (6.46%), tomato (6.12%), carrot (5.71%), and green pepper (5.12%) were the most contaminated vegetables. Factors such as the vegetable produce (aOR = 2.26; 95% CI: 0.86-3.65) and not washed prior to display (aOR = 3.36; 95% CI: 2.00-4.73) were factors associated significantly with parasitic contamination of fruits and vegetables. Conclusion: The current finding revealed a significant level of parasitic contamination in fruits and vegetables. As a result, food and drug regulatory bodies, the agricultural sector, and public health organizations need to educate vendors, farmers, and consumers about safe methods for growing, transporting, handling, and eating these products, while also ensuring the establishment of safe market environments. Registration: The review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) with the registration number “CRD42024585961.”

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Magnitude and Determinants of Intestinal Parasites among Children under Five in Ethiopia During 2010–2023: A Systematic Review and Meta-Analysis

Cited by 4 publications

References 34 publications

Prevalence and factors associated with intestinal parasitic infections among preschool-aged children in Ethiopia: A systematic review and meta-analysis

Prevalence and factors associated with intestinal parasitic infections among preschool-aged children in Ethiopia: A systematic review and meta-analysis

Prevalence and Determinants of Scabies Among Schoolchildren in Ethiopia: A Systematic Review and Meta‐Analysis

Parasitic Contamination and Its Associated Factors in Fruits and Vegetables Collected From Ethiopia’s Local Markets: A Systematic Review and Meta-Analysis

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