Prevalence of Worm Infestation and Associated Risk Factors among Rural and Urban Lower Primary School Going Children in Kasama District, Northern Province, Zambia

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DOI: 10.21522/TIJPH.2013.10.04.Art024

Authors : Ernest Chama Mutale, Ellen Munyati, Ravinder Kumar Soni


Regardless of the many health promotion communications and public health interventions that the Government of the Republic of Zambia continues to provide to its citizens via the Ministry of Health that are directed at the prevention and reduction of worm infestation in Kasama District, Northern Province of Zambia, a lot of lower primary school going children still continue to miss school attendance in order to access health services due to worm infestation cases which have continued to be on the increase in both rural and urban areas. The high levels of poverty and other related risk factors in such resource-limited areas have put many of these children at increased risk of worm infestation. Thus, this study investigated the relationship between those risk factors and the prevalence of worm infestation in both rural and urban areas with respect to area of residency of the children. The study used retrospective quantitative methods in eliciting information from data sources from six health facilities in Northern Province covering a 2year period (2018-2020). Consequently, 120 children were identified and included in the study. Thereafter, data were analyzed using a statistical package for the social sciences (SPSS v19). Findings indicate; low socio-economic status and areas of residency were the main contributing risk factors in rural than urban areas. Therefore, recommendations on the country’s policies towards mass deworming programs and basic hygiene in lower primary school going children were availed to government after completing the study.

Keywords: Residency, Primary School Children, Prevalence, Worm Infestations, Zambia.


[1] Mwale, K., & Siziya, S. (2015). Intestinal Infestations in Under-Five Children in Zambia. International Journal of MCH and AIDS, 4(2), 40–46.

[2] King, C. H. (2010). Parasites and poverty: The case of schistosomiasis. Acta Tropica, 113(2), 95–104.

[3] Kumar, H., Jain, K., & Jain, R. (2014). A study of prevalence of intestinal worm infestation and efficacy of anthelminthic drugs. Medical Journal, Armed Forces India, 70(2), 144–148.

[4] Bundy, D. A. P., Walson, J. L., & Watkins, K. L. (2013). Worms, wisdom, and wealth: why deworming can make economic sense. Trends in Parasitology, 29(3), 142–148.

[5] Ugbomoiko, U. S., Dalumo, V., Ofoezie, I. E., & Obiezue, R. N. N. (2009). Socio-environmental factors and ascariasis infection among school-aged children in Ilobu, Osun State, Nigeria. Transactions of The Royal Society of Tropical Medicine and Hygiene, 103(3), 223–228.

[6] Gunawardena, G. S. A., Karunaweera, N. D., & Ismail, M. M. (2004). Socio–economic and behavioural factors affecting the prevalence of Ascaris infection in a low-country tea plantation in Sri Lanka. Annals of Tropical Medicine & Parasitology, 98(6), 615–621.

[7] Ganguly, S., Barkataki, S., Karmakar, S., Sanga, P., Boopathi, K., Kanagasabai, K., Kamaraj, P., Chowdhury, P., Sarkar, R., Raj, D., James, L., Dutta, S., Sehgal, R., Jha, P., & Murhekar, M. (2017). High prevalence of soil-transmitted helminth infections among primary school children, Uttar Pradesh, India, 2015. Infectious Diseases of Poverty, 6(1), 139.

[8] Feachem, R. G., Guy, M. W., Harrison, S., Iwugo, K. O., Marshall, T., Mbere, N., Muller, R., & Wright, A. M. (1983). Excreta disposal facilities and intestinal parasitism in urban Africa: Preliminary studies in Botswana, Ghana, and Zambia. Transactions of The Royal Society of Tropical Medicine and Hygiene, 77(4), 515–521.

[9] Walana, W., Aidoo, E. N. K., & Tay, S. C. K. (2014). Prevalence of hookworm infection: a retrospective study in Kumasi. Asian Pacific Journal of Tropical Biomedicine, 4, S158–S161.

[10] Kunwar, R., Acharya, L., & Karki, S. (2016). Decreasing prevalence of intestinal parasitic infections among school-aged children in Nepal: a systematic review and meta-analysis. Transactions of The Royal Society of Tropical Medicine and Hygiene, 110(6), 324–332.

[11] Abossie, A., & Seid, M. (2014). Assessment of the prevalence of intestinal parasitosis and associated risk factors among primary school children in Chencha town, Southern Ethiopia. BMC Public Health, 14(1), 166.

[12] Ashtiani, M. T. H., Monajemzadeh, M., Saghi, B., Shams, S., Mortazavi, S. H., Khaki, S., Mohseni, N., Kashi, L., & Nikmanesh, B. (2011). Prevalence of intestinal parasites among children referred to Children’s Medical Center for 18 years (1991–2008), Tehran, Iran. Annals of Tropical Medicine & Parasitology, 105(7), 507–513.

[13] Kahisay, M., Birhanie, M., & Derso, A. (2021). Prevalence and Intensity of Schistosoma mansoni Infection and Its Associated Risk Factors Among Patients with and without HIV at Chuahit Health Center, Dembia District, Northwest Ethiopia. Research and Reports in Tropical Medicine, 12, 25–32.

[14] Prevalence & risk factors for soil transmitted helminth infection among school children in south India. The Indian Journal of Medical Research, 139(1), 76–82.

[15] Mulatu, G., Zeynudin, A., Zemene, E., Debalke, S., & Beyene, G. (2015). Intestinal parasitic infections among children under five years of age presenting with diarrhoeal diseases to two public health facilities in Hawassa, South Ethiopia. Infectious Diseases of Poverty, 4(1), 49.

[16] Nishiura, H., Imai, H., Nakao, H., Tsukino, H., Changazi, M. A., Hussain, G. A., Kuroda, Y., & Katoh, T. (2002). Ascaris lumbricoides among children in rural communities in the Northern Area, Pakistan: prevalence, intensity, and associated socio-cultural and behavioral risk factors. Acta Tropica, 83(3), 223–231.

[17] Sitotaw, B., Mekuriaw, H., & Damtie, D. (2019). Prevalence of intestinal parasitic infections and associated risk factors among Jawi primary school children, Jawi town, north-west Ethiopia. BMC Infectious Diseases, 19(1), 341.

[18] Talukdar, K., & Baruah, R. (2015). Health status of primary school children: a community based cross sectional study in rural areas of Kamrup district, Assam. Journal of Evolution of Medical and Dental Sciences, 4, 2093+.

[19] Walson, J. L., Stewart, B. T., Sangaré, L., Mbogo, L. W., Otieno, P. A., Piper, B. K. S., Richardson, B. A., & John-Stewart, G. (2010). Prevalence and Correlates of Helminth Co-infection in Kenyan HIV-1 Infected Adults. PLOS Neglected Tropical Diseases, 4(3), e644.

[20] Davis, S. M., Worrell, C. M., Wiegand, R. E., Odero, K. O., Suchdev, P. S., Ruth, L. J., Lopez, G., Cosmas, L., Neatherlin, J., Njenga, S. M., Montgomery, J. M., & Fox, L. M. (2014). Soil-transmitted helminths in pre-school-aged and school-aged children in an urban slum: a cross-sectional study of prevalence, distribution, and associated exposures. The American Journal of Tropical Medicine and Hygiene, 91(5), 1002–1010.