Elysee Hitayezu, Nzeyimana Godefroid, Fred Kabuye, Therese Uwamariya, Francine Tuyisenge, Muvandimwe Jean de la Croix, Vedaste Ngirinshuti, Honore Niyigaba


This study aimed to assess the prevalence of intestinal parasites and associated risk factors among under-five children attending Kibogora Level Two Teaching Hospital in Rwanda. Specific objectives were: to determine the prevalence of intestinal parasites among under-five years children attending Kibogora Level Two Teaching Hospital, Rwanda, to identify the source of water and their utilization in intestinal parasitic occurrence among under-five years children attending Kibogora Level Two Teaching Hospital, Rwanda; and to identify the risk factors associated with intestinal parasites occurrence among under-five children attending Kibogora Level Two Teaching Hospital, Rwanda. Methods: retrospective cross-sectional study design with quantitative approaches at Nyamasheke in June 2022. The study includes a target population of 772 children and a sample size of 263. A questionnaire was administered to collect data on hygiene, sanitation, socio-demographic and economic characteristics (risk factors), and secondary data from 2019-2022 were used. Results: the prevalence of intestinal parasites was 102(38.7%). In this study the prevalence of Ascaris 56(21.3%) was the highest followed by amoeba (Entamoeba histolytica) 24(9.1%), Giardia lamblia 8(3.0%), Trichomonas intestinalis 7(2.6%) and Ankilostoma duodenale 7(2.6%). Other intestinal parasites detected such as Necator americanus and Trichiuris trichiura were identified at less than one percent prevalence. A chi-squared test was used to establish a relationship between different variables. The chi-squared shows that there is no statistically significant association between the marital status category of the children and having latrines at home with a chi-squared value of 3.293 and a p-value 0.183 of there was no statistically significant association. utensils drying site with a chi-squared value of 5.422 and p-value of .000 there was a statistically significant association. Drinking boiled water with a chi-squared value of 7.857a and p-value of .97. Washing hands before a meal with a chi-squared value of 7.857a and p-value of 98. Washing hands after defecation with a chi-squared value of 3.293 and p-value of .193, there is no statistical significance. Finally, the high prevalence of intestinal parasitic infections in under-five children warrants strict control measures for microbial reduction through the utensils-drying site, improved hygiene and sanitation, and treatment of drinking water should be considered.


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