title: Knowledge, attitude and practices on jigger infestation among household members aged 18 to 60 years: case study of a rural location in Kenya.
abstract: BACKGROUND
  Jigger infestation is an important but neglected public health problem. The study assessed the knowledge, attitude and practices of household members on jigger infestation, practices and control within Murang'a district, a rural location in Kenya.
  
  
  METHODS
  A cross-sectional descriptive study design was used. Structured interview schedules and observation checklist were used to collect quantitative data. A sample size of 271 household members was interviewed. Descriptive and inferential statistics were analyzed and odds ratios computed at 95% confidence interval to determine variables association.
  
  
  RESULTS
  On knowledge, 70.1% acknowledged poor hygiene and sanitation contributes to jigger infestation while 16.6% identified jigger flea as the cause of jigger infestation. Over half (53.9%) reported jiggers are transmissible from person to person. Majority (94.8%) identified signs and symptoms of jigger infestation. Over a quarter (23.6%) reported an infested household member and 18.8% infested persons were confirmed during the study. Many (59.8%) held the opinion that, jigger infested persons are lazy, 26.2% reported they are poor and 12% reported they either have specific blood or are from certain families. Below half (48.7%) believed in myths and misconceptions on jiggers. Majority (90.8%) reported needles/pins were the mostly used jigger removal items followed by thorns 38.7%. About two thirds (62.0%) were not aware of communal jigger prevention and control activities. The Chi-square results showed that, the village, type of house floor and compound maintenance were significantly associated with jigger infestation (p<0.05).
  
  
  CONCLUSIONS
  Knowledge on jigger infestation is high but this has not translated to jigger prevention and control in the area.
authors: African Medical and Research Foundation, Nairobi, Kenya.
authors: Bernard
authors: B
authors: Kimani
authors: Josephat
authors: J
authors: Nyagero
authors: Lawrence
authors: L
authors: Ikamari
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006920:Hygiene; D007630:Kenya / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012424:Rural Population; D012499:Sanitation; D058253:Tunga; D058285:Tungiasis / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D055815:Young Adult
keywords: Jigger infestation; household; knowledge attitude and practices