Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study

Abstract Background Urinary schistosomiasis is a disease caused by Schistosoma haematobium and is one of the public health problems in Ethiopia. When developing specific schistosomiasis control intervention program, the existing knowledge, attitudes and practices (KAPs) must be taken into account. T...

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Main Authors: Ketema Deribew, Delenasaw Yewhalaw, Zeleke Mekonnen
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Journal of Health, Population and Nutrition
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Online Access:https://doi.org/10.1186/s41043-025-00813-6
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author Ketema Deribew
Delenasaw Yewhalaw
Zeleke Mekonnen
author_facet Ketema Deribew
Delenasaw Yewhalaw
Zeleke Mekonnen
author_sort Ketema Deribew
collection DOAJ
description Abstract Background Urinary schistosomiasis is a disease caused by Schistosoma haematobium and is one of the public health problems in Ethiopia. When developing specific schistosomiasis control intervention program, the existing knowledge, attitudes and practices (KAPs) must be taken into account. This study aimed to assess the KAPs of primary schoolchildren towards urinary schistosomiasis in Ethiopia. Methods A total of 1171 study participants aged 5 to 15 years were selected randomly. Results Of the 1171 interviewed schoolchildren, 654, or 55.8%, said they had heard of urinary schistosomiasis. Using river or dam water for household consumption had association with urinary schistosomiasis infection history (P = 0.001). Logistic regression analysis showed that males had higher risk of getting urinary schistosomiasis infection compared to females (OR = 3.01, P < 0.001). Children in low socio-economic status had higher risk of having urinary schistosomiasis compared to high socio-economic status (OR = 2.81, P < 0.001). Compared to urban dweller, children in rural area had higher risk of having urinary schistosomiasis (OR = 4.34, P < 0.001). Respondents who used river water (OR = 2.48, P = 0.005) and lake or dam water (OR = 3.33, P = < 0.001) were at higher risk of urinary schistosomiasis infection. Furthermore, respondents swimming or playing in river water had higher risk of urinary schistosomiasis infection history (OR = 1.62, P = 0.005). Conclusions There was knowledge gap in schoolchildren about urinary schistosomiasis causes, transmission, symptoms and prevention. Therefore, appropriate health education and behavioral change intervention is needed to create better knowledge and practices in children to prevent and control urinary schistosomiasis. Health organizations and policy makers should contribute to improve knowledge at the school as well as community level.
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spelling doaj-art-bbc601504ef141cd902907b2dff1d5372025-08-20T02:17:56ZengBMCJournal of Health, Population and Nutrition2072-13152025-04-014411910.1186/s41043-025-00813-6Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional studyKetema Deribew0Delenasaw Yewhalaw1Zeleke Mekonnen2School of Medical Laboratory Sciences, Jimma UniversitySchool of Medical Laboratory Sciences, Jimma UniversitySchool of Medical Laboratory Sciences, Jimma UniversityAbstract Background Urinary schistosomiasis is a disease caused by Schistosoma haematobium and is one of the public health problems in Ethiopia. When developing specific schistosomiasis control intervention program, the existing knowledge, attitudes and practices (KAPs) must be taken into account. This study aimed to assess the KAPs of primary schoolchildren towards urinary schistosomiasis in Ethiopia. Methods A total of 1171 study participants aged 5 to 15 years were selected randomly. Results Of the 1171 interviewed schoolchildren, 654, or 55.8%, said they had heard of urinary schistosomiasis. Using river or dam water for household consumption had association with urinary schistosomiasis infection history (P = 0.001). Logistic regression analysis showed that males had higher risk of getting urinary schistosomiasis infection compared to females (OR = 3.01, P < 0.001). Children in low socio-economic status had higher risk of having urinary schistosomiasis compared to high socio-economic status (OR = 2.81, P < 0.001). Compared to urban dweller, children in rural area had higher risk of having urinary schistosomiasis (OR = 4.34, P < 0.001). Respondents who used river water (OR = 2.48, P = 0.005) and lake or dam water (OR = 3.33, P = < 0.001) were at higher risk of urinary schistosomiasis infection. Furthermore, respondents swimming or playing in river water had higher risk of urinary schistosomiasis infection history (OR = 1.62, P = 0.005). Conclusions There was knowledge gap in schoolchildren about urinary schistosomiasis causes, transmission, symptoms and prevention. Therefore, appropriate health education and behavioral change intervention is needed to create better knowledge and practices in children to prevent and control urinary schistosomiasis. Health organizations and policy makers should contribute to improve knowledge at the school as well as community level.https://doi.org/10.1186/s41043-025-00813-6Urinary schistosomiasisKnowledgeAttitudePracticesSchoolchildrenEthiopia
spellingShingle Ketema Deribew
Delenasaw Yewhalaw
Zeleke Mekonnen
Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study
Journal of Health, Population and Nutrition
Urinary schistosomiasis
Knowledge
Attitude
Practices
Schoolchildren
Ethiopia
title Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study
title_full Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study
title_fullStr Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study
title_full_unstemmed Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study
title_short Knowledge, attitudes, and practices on urinary schistosomiasis among schoolchildren in Ethiopia: cross-sectional study
title_sort knowledge attitudes and practices on urinary schistosomiasis among schoolchildren in ethiopia cross sectional study
topic Urinary schistosomiasis
Knowledge
Attitude
Practices
Schoolchildren
Ethiopia
url https://doi.org/10.1186/s41043-025-00813-6
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AT zelekemekonnen knowledgeattitudesandpracticesonurinaryschistosomiasisamongschoolchildreninethiopiacrosssectionalstudy