title: Schistosoma mansoni infection and undernutrition among school age children in Fincha'a sugar estate, rural part of West Ethiopia.
abstract: BACKGROUND
  Parasitic infection like schistosomiasis is known to exert a negative effect on nutritional status of school-aged children. However, studies associating parasitic infections with undernutrition are scarce. Thus, this study was primarily to document the association between Schistosoma mansoni infection and undernutrition among school-aged children in a rural setting of Fincha'a Sugar Estate, Ethiopia.
  
  
  METHODS
  A cross-sectional study was conducted on a total of 453 school-aged children (5-18 years). Stool specimen was collected and examined using the standard Kato-katz technique. Children's height-for-Age Z-score (HAZ) and Body mass index-for-Age Z- score (BAZ) was determined. Z-Scores for each nutritional index were compared with the WHO child growth standards reference values. Children were considered stunted or wasted as HAZ or BAZ falls below -2 standard deviations, respectively.
  
  
  RESULTS
  The overall prevalence of Schistosoma mansoni infection was 53.2%. Out of the total school children examined, 11.5% and 13.2% were stunted and wasted, respectively. Multivariate logistic regression analysis was done to determine the relationship between Schistosoma mansoni infection and nutritional status controlling for other factors. Accordingly, stunting was not significantly associated while wasting was negatively associated with Schistosoma mansoni infection. Paternal occupation was the best predictor of stunting and wasting such that, unemployed fathers have 4.28 (95% CI; 2.13, 8.63) (p < 0.001) and 3.83, 95% CI; 1.89, 7.79) (p < 0.001) chance of having stunted and wasted children, respectively.
  
  
  CONCLUSIONS
  Schistosoma mansoni infection is highly prevalent in the study area. The high prevalence of wasting, and moderate level of stunting among study subjects in this study area indicate that they are affected by both infection and undernutrition. Therefore, regular preventive chemotherapy against S. mansoni and other control measures are recommended. Moreover, possibilities of synchronized nutritional rehabilitation and creation of employment opportunities to the families should be looked for.
authors.affiliation: Department of Medical Laboratory Sciences and Pathology, College of Public Health and Medical Sciences, Jimma University, P,O, Box 378, Jimma, Ethiopia. zeleke.mekonnen@ju.edu.et.
authors.forename: Zeleke
authors.initials: Z
authors.lastname: Mekonnen
authors.forename: Selima
authors.initials: S
authors.lastname: Meka
authors.forename: Ahmed
authors.initials: A
authors.lastname: Zeynudin
authors.forename: Sultan
authors.initials: S
authors.lastname: Suleman
mesh_terms: D000293:Adolescent; D001827:Body Height; D002648:Child; D002675:Child, Preschool; D003710:Demography; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D005843:Geography; D006801:Humans; D016015:Logistic Models; D008297:Male; D044342:Malnutrition / Q000150:complications* / Q000453:epidemiology*; D015999:Multivariate Analysis; D012424:Rural Population / Q000706:statistics & numerical data*; D012555:Schistosomiasis mansoni / Q000150:complications* / Q000453:epidemiology*; D012574:Schools / Q000706:statistics & numerical data*; D019282:Wasting Syndrome / Q000150:complications / Q000453:epidemiology