Personal Hygiene as a Risk Factors of Helminthiasis Among Primary School Students in Asia and Africa: A Literature Review
Introduction: Helminthiasis becomes one of the infectious diseases included in neglected diseases that receive less attention and mostly occurred in tropical countries. The World Health Organization (WHO) in 2020 stated that helminthiasis spread throughout sub-Saharan Africa, America, China, and East Asia where 60% suffered by children. STH infections may result from poor hygiene in many school aged-children, especially in primary school. This article was written to analyze the personal hygiene of primary school children that may affect the incidence of helminthiasis. Discussion: An integrative literature review was conducted using databases, from Google Scholar, Pubmed, Research Gate, and Science Direct databases. It was 24 articles consisting of 20 articles published by international journals and 4 articles in Indonesian journals. Most of the infectious agents in Asia were Ascaris lumbricoides and Trichuris trichiura, while Ascaris lumbricoides, Hookworms, and Trichuris trichiura dominate in Africa. Poor personal hygiene may a risk of infection. For example, children in Asia do not cut their nails or wash their hands. While children in Africa do not wash their hands, walked barefoot, and conducted open defecation. Conclusion: Personal hygiene of primary school children has a positive effect on the incidence of helminthiasis in Asia and Africa with different prevalences. To prevent and control helminthiasis in school children, schools should provide education about personal hygiene, improve sanitary facilities, and routinely give anthelmintics every six months.
World Health Organization. Soil-transmitted Helminth Infections. Geneva: World Health Organization; 2020. https://www.who.int/news-room/fact-sheets/detail/soil-transmitted-helminth-infections
Ministry of Health of Republic Indonesia. Regulation of Minister of Health of Republic Indonesia Number 25 of 2014 concering Child Health Efforts. Jakarta: Ministry of Health of the Republic of Indonesia; 2014.
Ministry of Education and Culture of Republic Indonesia. Regulation of Minister of Education and Culture Number 44 of 2019 concering The Admission of New Learners in Kindergartens, Elementary Schools, Junior High Schools, High Schools, and Vocational High Schools. Jakarta: Ministry of Education and Culture ot the Republic of Indonesia; 2019.
Chard AN, Garn J V, Chang HH, Clasen T, Freeman MC. Impact of A School-Based Water, Sanitation, and Hygiene Intervention on School Absence, Diarrhea, Respiratory Infection, and Soil-Transmitted Helminths: Results from The WASH HELPS Cluster-Randomized Trial. J Glob Health. 2019;9(2):1–14. https://doi.org/10.7189/jogh.09.020402
Ministry of Health of Republic Indonesia. Indonesia's Health Profile in 2019. Jakarta: Ministry of Health of Republic Indonesia; 2020.
Merisa D, Soeyoko S, Sutomo AH. Sanitation of House and School, Personal Hygiene and Infection of Soil Transmitted Helminths among Elementary School Students. Int J Public Heal Sci. 2014;3(1):43–50. https://doi.org/10.11591/ijphs.v3i1.4673
Njambi E, Magu D, Masaku J, Okoyo C, Njenga SM. Prevalence of Intestinal Parasitic Infections and Associated Water, Sanitation, and Hygiene Risk Factors among School Children in Mwea Irrigation Scheme, Kirinyaga County, Kenya. J Trop Med. 2020;2020(3974156):1–9. https://doi.org/10.1155/2020/3974156
Minister of Public Health. Programme National De Lutte Contre La Schistosomiase Et Les Helminth Intestinal: Plan Strategique 2005- 2010. Cameroon: Minister of Public Health; 2005.
Alelign T, Degarege A, Erko B. Soil-Transmitted Helminth Infections and Associated Risk Factors Among Schoolchildren in Durbete Town, Northwestern Ethiopia. J Parasitol Res. 2015;2015(641602):1–5. https://doi.org/10.1155/2015/641602
Workneh T, Esmael A, Ayichiluhm M. Prevalence of Intestinal Parasitic Infections and Associated Factors among Debre Elias Primary Schools Children, East Gojjam Zone, Amhara Region, North West Ethiopia. J Bacteriol Parasitol. 2014;5(1):1–5. https://doi.org/10.4172/2155-9597.1000181
Alamir M, Awoke W, Feleke A. Intestinal Parasites Infection and Associated Factors Among School Children in Dagi Primary School, Amhara National Regional State, Ethiopia. Health. 2013;5(10):1697–1701. https://doi.org/10.4236/health.2013.510228
Abossie A, Seid M. Assessment of the Prevalence of Intestinal Parasitosis and Associated Risk Factors Among Primary School Children in Chencha Town, Southern Ethiopia. BMC Public Health. 2014;14(166):1–8. https://doi.org/10.1186/1471-2458-14-166
Yudhastuti R, Lusno FM. Kebersihan Diri dan Sanitasi Rumah pada Anak Balita dengan Kecacingan. Jurnal Kesehatan Masyarakat. 2012;4(6):173–178. https://journal.fkm.ui.ac.id/kesmas/article/view/96
Purwandari R, Ardiana A. Hubungan Antara Perilaku Mencuci Tangan dengan Insiden Diare pada Anak Usia Sekolah di Kabupaten Jember. J Keperawatan. 2013;4(2):122–130. https://ejournal.umm.ac.id/index.php/keperawatan/article/view/2362/3199
Kurniawan A. Infeksi Parasit: Dulu dan Masa Kini. Majalah Kedokteran Indonesia. 2010;60(11):487–488. https://garuda.kemdikbud.go.id/journal/view/16467
McMichael C. Water, Sanitation and Hygiene (WASH) in Schools in Low-Income Countries: A Review of Evidence of Impact. Int J Environ Res Public Heal. 2019;16(3):1–21. https://doi.org/10.3390/ijerph16030359
Yang D, Yang Y, Wang Y, Yang Y, Dong S. Prevalence and Risk Factors of Ascaris lumbricoides, Trichuris trichiura and Cryptosporidium Infections in Elementary School Children in Southwestern China : A School-Based Cross-Sectional Study. Int J Environ Res Public Health. 2018;15(1809):1–16. https://doi.org/10.3390/ijerph15091809
Ministry of Health of Republic Indonesia. Regulation of the Minister of Health of Republic Indonesia Number 15 of 2007 concering The Prevention of Worms. Jakarta: Ministry of Health of the Republic of Indonesia; 2017.
Centers of Disease Control and Prevention. Parasites - Ascariasis. United States: Global Health, Division of Parasitic Diseases and Malaria, Centers of Disease Control and Prevention; 2020. https://www.cdc.gov/parasites/ascariasis/index.html
Setiawan R. Literature Review: Analisis Perilaku Hygiene, Sarana Sanitasi Sekolah dan Infeksi Kecacingan pada Anak Sekolah Dasar. Skripsi. Surabaya: Universitas Airlangga; 2021.
Corvino DF, Horrall S. Ascariasis. National Center for Biotechnology Information. Florida: StatPearls; 2021. https://www.ncbi.nlm.nih.gov/books/NBK430796/
Sitotaw B, Mekuriaw H, Damtie D. Prevalence of Intestinal Parasitic Infections and Associated Risk Factors Among Jawi Primary School Children, Jawi North-Town. BMC Infecttious Dis. 2019;19(341):1–10. https://doi.org/10.1186/s12879-019-3971-x
Gyang VP, Chuang TW, Liao CW, Lee YL, Akinwale OP, Orok A, et al. Intestinal Parasitic Infections: Current Status and Associated Risk Factors Among School Aged Children in an Archetypal African Urban Slum in Nigeria. J Microbiol Immunol Infect. 2019;52(1):106–113. https://doi.org/10.1016/j.jmii.2016.09.005
Gupta A, Acharya AS, Rasania SK, Ray TK, Jain SK. Prevalence and Risk Factors of Soil-Transmitted Helminth Infections in School Age Children (6-14 Years) - A Cross-Sectional Study in an Urban Resettlement Colony of Delhi. Indian J Public Health. 2020;64(4):333–338. https://doi.org/10.4103/ijph.IJPH_120_20
Centers of Disease Control and Prevention. Parasites - Trichuriasis (also known as Whipworm Infection). United States: Centers of Disease Control and Prevention; 2020. https://www.cdc.gov/parasites/whipworm/epi.html
Viswanath A, Yarrarapu SNS, Williams M. Trichuris Trichiura. National Center for Biotechnology Information. Florida: StatPearls; 2021. https://www.ncbi.nlm.nih.gov/books/NBK507843/
Dewi NLG, Laksmi DAA. Hubungan Perilaku Higienitas Diri dan Sanitasi Sekolah dengan Infeksi Soil-Transmitted Helminths pada Siswa Kelas III-VI Sekolah Dasar Negeri No. 5 Delod Peken Tabanan Tahun 2014. E-Jurnal Med. 2017;6(5):1–4. https://ojs.unud.ac.id/index.php/eum/article/view/30492
Gitore WA, Ali MM, Yoseph A, Mangesha AE, Debiso AT. Prevalence of Soil-Transmitted Helminthes and Its Association with Water, Sanitation, Hygiene Among Schoolchildren and Barriers for Schools Level Prevention in Technology Villages of Hawassa University: Mixed Design. PLoS One. 2020;15(9):e0239557. http://dx.doi.org/10.1371/journal.pone.0239557
Centers of Disease Control and Prevention. Parasites - Hookworm. United States: Centers of Disease Control and Prevention; 2020. https://www.cdc.gov/parasites/hookworm/
Rahmi S, Anwar C, Hasyim H, Amin R, Ghiffari A. The Correlation of No Footwear Use and Soil Helminth Incidence Among Elementary School Children in Musi Rawas, South Sumatera, Indonesia. Biosci Med J Biomed Transl Res. 2021;5(4):1045–1050. https://doi.org/10.32539/bsm.v5i4.381
Afroz S, Debsarma S, Dutta S, Rhaman MM. Prevalence of Helminthic Infestations Among Bangladeshi Rural Children and Its Trend Since Mid-Seventies Original Article Prevalence of Helminthic Infestations Among Bangladeshi Rural Children and Its Trend Since Mid-Seventies. IMC J Med Sci. 2019;13(1):1–8. https://doi.org/10.3329/imcjms.v13i1.42038
Notoatmojo S. Promosi Kesehatan dan Ilmu Perilaku (Edisi Revisi). Jakarta: Rineka Cipta; 2012.
Mahmoudvand H, Badparva E, Khalaf AK, Niazi M, Khatami M, Nazer MR. Prevalence and Associated Risk Factors of Intestinal Helminthic Infections in Children from Lorestan Province, Western Iran. Parasite Epidemiol Control. 2020;9(e00136):1–6. https://doi.org/10.1016/j.parepi.2020.e00136
Dessie A, Gebrehiwot TG, Kiros B, Wami SD, Chercos DH. Intestinal Parasitic Infections and Determinant Factors Among School-Age Children in Ethiopia: A Cross-Sectional Study. BMC Res Notes. 2019;12(1):1–6. https://doi.org/10.1186/s13104-019-4759-1
Pane R, Nurmaini, Andayani LS. Relationship between the Cleanliness of Nails and the Usage of Footwear with the Incidence of Helminths Infections on Elementary Student in Sibolga of 2019. Britain Int Exact Sci J. 2020;2(1):45–52. https://doi.org/10.33258/bioex.v2i1.107
Tiruneh T, Geshere G, Ketema T. Prevalence and Determinants of Soil-Transmitted Helminthic Infections among School Children at Goro Primary School, South West Shewa, Ethiopia. Int J Pediatr. 2020;2020(8612054):1–7. https://doi.org/10.1155/2020/8612054
Ade AD, Nagaraj K, Vallepalii C. School Environment and Sanitation: A Comparative Study. Natl J Community Med. 2020;11(4):6–12. https://doi.org/10.5455/njcm.20200219064858
Onggowaluyo J. Parasitologi Medik I (Helmintologi). Jakarta: EGC; 2002.
Muluneh C, Hailu T, Alemu G. Prevalence and Associated Factors of Soil-Transmitted Helminth Infections Among Children Living With and Without Open Defecation Practices in Northwest Ethiopia: A Comparative Cross-Sectional Study. Am J Trop Med Hyg. 2020;103(1):266–272. https://doi.org/10.4269/ajtmh.19-0704
Ruth MMR, Cedric Y, Malla ME, Nadia NAC, Aime TN, Leonelle M, et al. Intestinal Helminth Infections and Associated Risk Factors among School-Aged Children of Bamendjou Community, West Region of Cameroon. J Parasitol Res. 2021;2021(6665586):1–8. https://doi.org/10.1155/2021/6665586
Ukam UA, Enogiomwan IE, Offiong EE, Chinyere O-A. Prevalence of Human Intestinal Helminthic Infections among School-Age Children in Calabar, Cross River State, Nigeria. Int J Trop Dis Heal. 2020;41(9):55–63. https://doi.org/10.9734/ijtdh/2020/v41i930318
Teshale T, Belay S, Tadesse D, Awala A, Teklay G. Prevalence of Intestinal Helminths and Associated Factors Among School Children of Medebay Zana Wereda; North Western Tigray, Ethiopia 2017. BMC Research Notes. 2018;11(444):1-6. https://doi.org/10.1186/s13104-018-3556-6
Djuma AW, Olin W, Pan IM. Risk Factors Of STH Infections in Children Aged 6-12 Years in Sub-Villages II and IV Manusak Village of East Kupang District - Kupang Regency Year 2019. Pakistan J Med Heal Sci. 2020;14(2):1429–1433. https://pjmhsonline.com/2020/apr-june/1429.pdf
Aschale A, Adane M, Getachew M, Faris K, Gebretsadik D, Sisay T, et al. Water, Sanitation, and Hygiene Conditions and Prevalence of Intestinal Parasitosis Among Primary School Children In Dessie City, Ethiopia. PLoS One. 2021;16(2):e0245463. https://dx.doi.org/10.1371/journal.pone.0245463
Sofiana L, Kelen MSJ. Factors Related to Soil Transmitted Helminth Infection on Primary School Children. Unnes J Public Heal. 2018;7(1):55–61. https://doi.org/10.15294/ujph.v7i1.17400
Ministry of Health of the Republic of Indonesia of the Ministryof Health of the Republic of Indonesia. Handwashing Guide with Soap. Jakarta: Directorate General of Disease Control and Environmental Health; 2020.
Jayadisastra YS. Hubungan Pengetahuan, Kebiasaan dan Kejadian Diare pada Konsumen Air Minum Isi Ulang yang Berkunjung ke Puskesmas Ciputat Tahun 2013. Skripsi. Jakarta: State Islamic University of Syarif Hidayatullah; 2013.
Pasaribu AP, Alam A, Sembiring K, Pasaribu S, Setiabudi D. Prevalence and Risk Factors of Soil-Transmitted Helminthiasis Among School Children Living in An Agricultural Area of North Sumatera, Indonesia. BMC Public Health. 2019;19(1):1–8. https://doi.org/10.1186/s12889-019-7397-6
Abe EM, Echeta OC, Ombugadu A, Ajah L, Aimankhu PO, Oluwole AS. Helminthiasis Among School-Age Children and Hygiene Conditions of Selected Schools in Lafia, Nasarawa State, Nigeria. Trop Med Infect Dis. 2019;4(3):112. https://doi.org/10.3390/tropicalmed4030112
Masaku J, Njomo DW, Njoka A, Okoyo C, Mutungi FM, Njenga SM. Soil-transmitted Helminths and Schistosomiasis Among Pre-School Age Children in A Rural Setting of Busia County, Western Kenya: A Cross-Sectional Study Of Prevalence, and Associated Exposures. BMC Public Health. 2020;20(356):1–11. https://doi.org/10.1186/s12889-020-08485-z
Mahmudah U. Hubungan Sanitasi Lingkungan Rumah terhadap Kejadian Infeksi Kecacingan pada Anak Sekolah Dasar. J Kesehat. 2017;10(1):32-39. https://doi.org/10.23917/jurkes.v10i1.5490
Okoyo C, Campbell SJ, Williams K, Simiyu E, Owaga C, Mwandawiro C. Prevalence, Intensity and Associated Risk Factors of Soil-Transmitted Helminth and Schistosome Infections in Kenya: Impact Assessment After Five Rounds of Mass Drug Administration In Kenya. PLoS Neglected Tropical Diseases. 2020;14(10):e0008604. https://dx.doi.org/10.1371/journal.pntd.0008604
Amare HH, Lindtjí¸rn B. Helminth Infections Among Rural Schoolchildren in Southern Ethiopia: A Cross-Sectional Multilevel and Zero-Inflated Regression Model. PLoS Neglected Tropical Diseases. 2020;14(12):e0008002. https://doi.org/10.1371/journal.pntd.0008002
Asfaw MA, Gezmu T, Wegayehu T, Bekele A, Hailemariam Z, Masresha N, et al. Soil-Transmitted Helminth Infections Among Pre-School Aged Children in Gamo Gofa Zone, Southern Ethiopia: Prevalence, Intensity And Intervention Status. PLoS One. 2020;15(12):e0243946. https://dx.doi.org/10.1371/journal.pone.0243946
Gizaw Z, Addisu A, Dagne H. Effects of Water, Sanitation and Hygiene (WASH) Education on Childhood Intestinal Parasitic Infections in Rural Dembiya, Northwest Ethiopia: An Uncontrolled Before and After Intervention Study. Environ Health Prev Med. 2019;24(1):1–8. https://doi.org/10.1186/s12199-019-0774-z
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