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Published on: April 25, 2025
Pattern of intestinal parasitic infections in children with malnutrition in Somalia
Marian Muse Osman1, Saadaq Adan Hussein2, Mohamed Abdinor Omar3
1Research Department at National Institute of Health, Mogadishu, Somalia.
Insights
Intestinal parasitic infections (IPIs) are highly prevalent in acutely malnourished children in Somalia, affecting over 80%. Prompt deworming and improved sanitation are crucial for this vulnerable population.
Area of Science:
- Global Health
- Pediatric Infectious Diseases
- Nutritional Epidemiology
Background:
- Children in conflict zones with adverse climates face high risks of acute malnutrition.
- Coinfection with intestinal parasites (IPIs) can exacerbate malnutrition outcomes.
- Understanding IPI patterns in malnourished children is critical for effective intervention.
Purpose of the Study:
- To determine the prevalence and patterns of intestinal parasitic infections (IPIs).
- To investigate IPIs in children suffering from acute malnutrition.
- To analyze IPIs in the Bay and Banadir regions of Somalia.
Main Methods:
- A hospital-based cross-sectional study involved 222 children aged 6-59 months with acute malnutrition.
- Data collected via structured questionnaires and stool examinations.
- Multiple logistic regression analyzed the relationship between IPIs and demographic factors.
Main Results:
- A high prevalence of IPIs was found in 82.9% of acutely malnourished children.
- Common parasites included *Ascaris lumbricoides* (46.6%), *Giardia lamblia* (22.1%), and *Entamoeba histolytica* (17.6%).
- Children aged 13-36 months and those eating once daily showed higher infection rates.
Conclusions:
- Intestinal parasitic infection is highly prevalent among malnourished children in the studied regions.
- Expanded deworming programs for malnourished children are recommended.
- Community-level improvements in food, sanitation, and water are essential.
Objectives:
Children living in conflict zones plagued with adverse climatic conditions often suffer from acute malnutrition. Being coinfected with intestinal parasites could worsen the prognosis if adequate interventions are not promptly instituted. We determined the pattern of intestinal parasitic infections (IPIs) in children with acute malnutrition in the Bay and Banadir regions of Somalia.
Methods:
A hospital-based cross-sectional study was conducted from August to October 2023 in 222 children with acute malnutrition aged 6-59 months, using a structured questionnaire and stool examination by a trained laboratorian. The prevalence of IPI was estimated and the pattern of IPI was explored. The relationship between the presence of IPI and demographic characteristics was examined with multiple logistic regression at a 95% level of confidence.
Results:
The mean age was 20.4 ± 12.3 months, 125 (56.3%) were females, and 41.9% were internally displaced. The prevalence of IPI was 82.9% (95% confidence interval: 77.4-87.3), Of the infected, 73.9% (136 of 184) had single parasitic infection and 23.4% (43 of 184) had double parasitic infections. Ascaris lumbricoides (46.6%), Giardia lamblia (22.1%), and Entamoeba histolytica (17.6%) were the most common parasites identified. The age of 13-36 months (adjusted odds ratio: 1.13, P = 0.02) and eating once a day (adjusted odds ratio: 1.13, P = 0.06) were associated with being infected with intestinal parasites.
Conclusions:
The prevalence of intestinal parasitic infection was high in children with malnutrition in the Bay and Banadir regions. Deworming should be extended to all children with malnutrition. Food, sanitation, and water provision initiatives should be improved at the community level.
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