Prevalence and Associated Risk Factors of Soil-Transmitted Helminthiasis among School-Aged Children in Jos North and Jos South, Plateau State, Nigeria

Main Article Content

Emmanuel Isegbe Oanh
Umar Abdulahi Yahaya
Dibal Madi Deborah
Vantsawa Philip Anthony
Karderam Bukar Dikwa

Abstract

Background: Soil-transmitted helminth (STH) infections remain a public health concern among children in low-resource settings. We aimed to assess the prevalence and associated risk factors of STH infections among school-aged children in Jos North and Jos South Local Government Areas, Plateau State, Nigeria.


Methods: This cross-sectional study was conducted between August 2022 and November 2024 among 1,200 pupils selected following the WHO guidelines. Stool samples were examined using the formal-ether concentration technique, and structured questionnaires were used to assess potential risk factors. Data were analyzed using chi-square tests and logistic regression at a 95% confidence level.


Results: The overall prevalence of STH infection was 2.5%. Ascaris lumbricoides (1.7%) was the most prevalent species, followed by hookworm (0.8%). No statistically significant associations were observed between infection and sex or age (P > 0.05), although children aged 9–12 years had the highest prevalence (2.9%). Multivariate analysis identified access to well water as a significant protective factor against infection (OR = 0.11, 95% CI: 0.02–0.56, P = 0.01).


Conclusion: Despite the relatively low prevalence, ongoing transmission risks remain. Strengthening WASH interventions alongside targeted school-based health education is essential to sustain progress toward the WHO 2030 STH control targets.

Article Details

How to Cite
Oanh, E. I., Yahaya, U. A., Deborah , D. M., Anthony, V. P., & Dikwa, K. B. (2026). Prevalence and Associated Risk Factors of Soil-Transmitted Helminthiasis among School-Aged Children in Jos North and Jos South, Plateau State, Nigeria. Afghanistan Journal of Infectious Diseases, 4(2), 171–182. https://doi.org/10.60141/ajid.164
Section
Research Article

References

Djuardi Y, Lazarus G, Stefanie D, Fahmida U, Ariawan I, Supali T. Soil-transmitted helminth in-fection, anemia, and malnutrition among pre-school-age children in Nangapanda subdistrict, In-donesia. PLoS Negl Trop Dis. 2021;15(6):e0009560. doi:10.1371/journal.pntd.0009560.

Fetene Y, Hailu T, Yimer M, Alemu M. Determi-nants of helminthic infections and anemia among schoolchildren in Bahir Dar Zuria District, North-west Ethiopia. J Parasitol Res. 2021;2021:9913118. doi:10.1155/2021/9913118.

Dhaka R, Verma R, Kumar R, Chayal V, Bhalla K, Singh R. Pattern and determinants of soil-transmitted helminthiasis in a rural area of Haryana: A school-based study. J Family Med Prim Care. 2019;8(1):71–75.

Mugel SG, Clasen TF, Bauza V. Global practices, geographic variation, and determinants of child fe-ces disposal in 42 low- and middle-income coun-tries. Int J Hyg Environ Health. 2022;245:113014. doi:10.1016/j.ijheh.2022.113014.

Montresor A, Mwinzi P, Mupfasoni D, Garba A. Reduction in DALYs lost due to soil-transmitted helminthiases and schistosomiasis from 2000 to 2019. PLoS Negl Trop Dis. 2022;16:e0010575. doi:10.1371/journal.pntd.0010575

World Health Organization. Soil-transmitted hel-minth infections. Geneva: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/soil-transmitted-helminth-infections

Pullan RL, Brooker SJ. The global limits and popu-lation at risk of soil-transmitted helminth infections in 2010. Parasit Vectors. 2012;5:81. doi:10.1186/1756-3305-5-81

Weaver HJ, Hawdon JM, Hoberg EP. Soil-transmitted helminthiases: Implications of climate change and human behavior. Trends Parasitol. 2010;26:574–581.

Aribodor DN, Bassey SA, Yoonuan T, Sam-Wobo SO, Aribodor OB, Ugwuanyi IK. Analysis of schis-tosomiasis and soil-transmitted helminths mixed infections among pupils in Enugu State, Nigeria. Infect Dis Health. 2019;24(2):98–106. doi:10.1016/j.idh.2018.12.003.

Jia TW, Melville S, Utzinger J, King CH, Zhou XN. Soil-transmitted helminth reinfection after drug treatment: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2012;6:e1621. doi:10.1371/journal.pntd.0001621.

Mekonnen Z, Getachew M, Bogers J, Vercruysse J, Levecke B. Assessment of seasonality in soil-transmitted helminth infections across 14 schools in Jimma town, Ethiopia. Pan Afr Med J. 2019;32:Article.

Camacho-Alvarez I, Goyens P, Luizaga-López JM, Jacobs F. Geographic differences in the distribution of parasitic infections in children of Bolivia. Parasite Epidemiol Control. 2021;14:e00217.

Clements ACA, Addis Alene K. Global distribution of human hookworm species and differences in morbidity effects: A systematic review. Lancet Mi-crobe. 2022;3:e72–e79. doi:10.1016/S2666-5247(21)00181-6.

Sripa B, Leonardo L, Hong SJ, Ito A, Brattig NW. Status and perspective of Asian neglected tropical diseases. Acta Trop. 2022;225:106118.

Adamu R, Nor AB, Muskhazli M, Shamarina S. Risk factors associated with soil-transmitted hel-minth infections among primary school children in Kano, Nigeria. J Biochem Microbiol Biotechnol. 2024;12(1):27–33. doi:10.54987/jobimb.v12i1.958.

Opara KN, Eteye UW, Yaro CA, Alkazmi L, Udoidung NI, Chikezie FM, et al. Prevalence, risk factors, and coinfection of urogenital schistosomia-sis and soil-transmitted helminthiasis. J Parasitol Res. 2021;2021:6618394. doi:10.1155/2021/6618394.

Dahal AS, Francis EO, Francis JE, Wamtas FI. Soil-transmitted helminths and associated risk factors among pupils in Dadin Kowa, Jos. Niger Med J. 2019;60:181–185. doi:10.4103/nmj.NMJ_62_19.

Obeta MU, Ejinaka OR, Jwanse RI, Lote-Nwaru IE, Ibrahim AS. Prevalence and distribution of soil-transmitted helminths among children in Jos. Lond J Med Health Res. 2019;19(1).

MacLeod WN, Berridge NG. The geology of the Jos Plateau. Geological Survey of Nigeria Bulletin No. 32. Kaduna: Geological Survey of Nigeria; 1971.

World Health Organization. Basic laboratory meth-ods in medical parasitology. Geneva: WHO; 1991.

Swinscow TDV, Campbell MJ. Statistics at square. 10th ed. London: BMJ Books; 2002.

Cheesbrough M. District laboratory practice in trop-ical countries. 2nd ed. Cambridge: Cambridge Uni-versity Press; 2010.

World Health Organization. Guideline: Preventive chemotherapy to control soil-transmitted helminth infections. Geneva: WHO; 2017. https://www.who.int/publications/i/item/9789241550116

Nzeukwu CI, Ihejie PO, Irikannu KC, Umeanaeto PU, Nzeukwu AC, Elosiuba NV, et al. Prevalence and risk factors for soil-transmitted helminth infec-tions in Awka South LGA. Bioscientist. 2022;10(2):156–166.

Ojurongbe O, Oyesiji KF, Ojo JA, Odewale G, Ade-fioye OA, Olowe AO, et al. Soil-transmitted hel-minth infections among school children in Ile-Ife. Int Res J Med Med Sci. 2014;2(1):6–10.

Idowu ET, Fagbohun IK, Sanyaolu OL, Oguntuyi KO, Otubanjo OA. Soil-transmitted helminth in-fections among children in Lagos State. Anim Res Int. 2019;16(3):3508–3518.

Ukibe SN, Ukibe NR, Obi-Okaro AC, Iwueze MO. Prevalence and pattern of soil-transmitted hel-minths in Nnewi. Annu Res Rev Biol. 2018;28(1):1–6.

Nwalozie R, Egbukele M, Ezenwaka CO. Preva-lence of soil-transmitted helminths among pupils in Rivers State. Int J Biol Pharm Sci Arch. 2024;7(1):115–121.

Akinsanya B, Adubi T, Macauley A, Okonofua C. Epidemiology and risk factors of soil-transmitted helminths in Ogun State. Sci Afr. 2021;12:e00757. doi:10.1016/j.sciaf.2021.e00757.

Alemu A, Tegegne Y, Damte D, Melku M. Schis-tosoma mansoni and soil-transmitted helminths among preschool children in Ethiopia. BMC Public Health. 2016;16:422. doi:10.1186/s12889-016-2864-9.

Pasaribu AP, Alam A, Sembiring K, Pasaribu S, Setiabudi D. Prevalence and risk factors of soil-transmitted helminthiasis in Indonesia. BMC Pub-lic Health. 2019;19:1066. doi:10.1186/s12889-019-7397-6.

Mogaji HO, Dedeke GA, Bada BS, Bankole S, Ad-eniji A, Fagbenro MT, et al. Distribution of ascaria-sis, trichuriasis and hookworm infections in Ogun State. PLoS One. 2020;15(6):e0233423. doi:10.1371/journal.pone.0233423.

Mohammed JS. Soil-transmitted helminths among farmers in Iraq. Int J Med Sci Dent Health. 2024;10(6). doi:10.55640/ijmsdh-10-06-01.

Naila AA, Nurfachanti F, Rasfayanah, Andi HE, Darussalam, Windy NA. Personal hygiene and soil-transmitted helminth infection among school chil-dren. J Kesehat Tadulako. 2025;11(4). doi:10.22487/htj.v11i4.1800.

World Health Organization. Mass drug administra-tion for STH control: Guidelines and recommenda-tions. Geneva: WHO; 2021. https://www.who.int/news-room/articles-detail/public-notice-and-comment-process-on-who-guideline-on-mass-drug-administration-combinations-for-neglected-tropical-diseases-grc-23-10-1093