Association between Schistosoma mansoni infection and access to improved water and sanitation facilities in Mwea, Kirinyaga County, Kenya

Schistosomiasis remains a public health problem in Central Kenya despite concerted control efforts. Access to improved water and sanitation has been emphasized as important control measures. Few studies have assessed the association between access to improved water sources and sanitation facilities...

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Bibliographic Details
Published in:BMC infectious diseases 2019-06, Vol.19 (1), p.503-14, Article 503
Main Authors: Gichuki, Paul M, Kepha, Stella, Mulewa, Damaris, Masaku, Janet, Kwoba, Celestine, Mbugua, Gabriel, Mazigo, Humphrey D, Mwandawiro, Charles
Format: Article
Language:English
Subjects:
Access control
Chemotherapy
Demographic aspects
Demographics
Disease prevention
Drinking water
Drug dosages
Environmental aspects
Health aspects
Household sanitation
Households
Human blood fluke
Hygiene
Improved
Infections
Infectious diseases
Irrigation
Kenya
Light intensity
Luminous intensity
Medical research
Medical tests
Mollusks
Parasitic diseases
Praziquantel
Public health
Regression analysis
Risk factors
Sanitation
Sanitation facilities
Schistosoma mansoni
Schistosomiasis
Statistical tests
Systematic review
Tropical diseases
Unimproved
Water
Water resource management
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Summary:Schistosomiasis remains a public health problem in Central Kenya despite concerted control efforts. Access to improved water and sanitation has been emphasized as important control measures. Few studies have assessed the association between access to improved water sources and sanitation facilities with Schistosoma mansoni infection in different environmental settings. This study assessed the association between S. mansoni infection and household access to improved water sources and sanitation facilities in Mwea, Kirinyaga County, Kenya. A cross sectional study was conducted between the months of August and October 2017. A total of 905 household heads from seven villages were interviewed and their stool samples screened for S. mansoni using the Kato Katz technique. Comparisons of demographic factors by S. mansoni infection were tested for significance using the chi-square test (χ2) or the Fisher exact test for categorical variables. Variables associated with S. mansoni infection were analyzed using univariable analysis and the strength of the association measured as odds ratio (OR) using mixed effects logistic regression at 95% CI, with values considered significant at p 
ISSN:1471-2334
1471-2334
DOI:10.1186/s12879-019-4105-1