Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis

Abstract Background The ultimate goal of preventing intestinal parasites among pregnant women is to reduce maternal and newborn morbidity and mortality. Numerous primary studies were conducted in East Africa presented intestinal parasite infection and associated factors among pregnant women. However...

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Main Authors: Getu Mosisa, Dereje Chala Diriba, Reta Tsegaye, Gemechu Kejela, Diriba Bayisa, Adugna Oluma, Bizuneh Wakuma, Muktar Abadiga, Ebisa Turi, Tesfaye Abera, Lami Bayisa, Girma Tufa
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Maternal Health, Neonatology and Perinatology
Subjects:
Online Access:https://doi.org/10.1186/s40748-023-00150-8
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author Getu Mosisa
Dereje Chala Diriba
Reta Tsegaye
Gemechu Kejela
Diriba Bayisa
Adugna Oluma
Bizuneh Wakuma
Muktar Abadiga
Ebisa Turi
Tesfaye Abera
Lami Bayisa
Girma Tufa
author_facet Getu Mosisa
Dereje Chala Diriba
Reta Tsegaye
Gemechu Kejela
Diriba Bayisa
Adugna Oluma
Bizuneh Wakuma
Muktar Abadiga
Ebisa Turi
Tesfaye Abera
Lami Bayisa
Girma Tufa
author_sort Getu Mosisa
collection DOAJ
description Abstract Background The ultimate goal of preventing intestinal parasites among pregnant women is to reduce maternal and newborn morbidity and mortality. Numerous primary studies were conducted in East Africa presented intestinal parasite infection and associated factors among pregnant women. However, the pooled finding is not known. Therefore, this review aimed to identify the pooled prevalence of intestinal parasite infection and its determinants among pregnant women in East Africa. Methods Articles published from 2009 to 2021 were searched in PubMed, Web of Science, EMBASE, and HINARI databases. The search for unpublished studies such as thesis and dissertations was checked in Addis Ababa University and Africa Digital Library. PRISMA checklist was used to report the review. Articles published in the English Language were considered. The data were extracted by two authors using data extraction checklists on Microsoft excel. Heterogeneity among the included studies was checked using I2 statistics on forest plots. Sensitivity and sub-group analyses were conducted to assess the presence of primary studies, and study characteristics responsible for the observed heterogeneity. Results Of the 43 identified articles, about 23 articles were removed due to duplications. Then, by assessing the abstracts and full texts, four articles were removed because they failed to meet the eligibility criteria. Finally, 16 articles were included in the systematic and meta-analysis.The pooled prevalence of intestinal parasites among pregnant women in East Africa was 38.54 (28.77, 48.32). In this study, variables like residing in rural areas (OR: 3.75; CI: 1.15,12.16), availability of latrine(OR: 2.94; 95% CI: 2.22, 3.91), eating raw fruits/vegetables (OR: 2.44; 95% CI: 1.16, 5.11). and sources of water as unprotected sources (OR: 2.20; 95% CI: 1.11,4.35) show statistically significant association with the increased burden of intestinal parasites among pregnant women. Conclusion The burden of intestinal parasite infection among pregnant women in East Africa was high. Therefore, efforts should be made in deworming pregnant women at the community and institutional level by stakeholders to reduce the burden of intestinal parasite infections and related complications.
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spelling doaj.art-30a4a52103df48308c212ee8f2c340dc2023-04-09T11:24:50ZengBMCMaternal Health, Neonatology and Perinatology2054-958X2023-04-019111510.1186/s40748-023-00150-8Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysisGetu Mosisa0Dereje Chala Diriba1Reta Tsegaye2Gemechu Kejela3Diriba Bayisa4Adugna Oluma5Bizuneh Wakuma6Muktar Abadiga7Ebisa Turi8Tesfaye Abera9Lami Bayisa10Girma Tufa11School of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversityDepartment of Public Health, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversityDepartment of Public Health, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversitySchool of Nursing and Midwifery, Institutes of Health Sciences, Wollega UniversityDepartment of Midwifery, Institutes of Health Sciences, Bule Hora UniversityAbstract Background The ultimate goal of preventing intestinal parasites among pregnant women is to reduce maternal and newborn morbidity and mortality. Numerous primary studies were conducted in East Africa presented intestinal parasite infection and associated factors among pregnant women. However, the pooled finding is not known. Therefore, this review aimed to identify the pooled prevalence of intestinal parasite infection and its determinants among pregnant women in East Africa. Methods Articles published from 2009 to 2021 were searched in PubMed, Web of Science, EMBASE, and HINARI databases. The search for unpublished studies such as thesis and dissertations was checked in Addis Ababa University and Africa Digital Library. PRISMA checklist was used to report the review. Articles published in the English Language were considered. The data were extracted by two authors using data extraction checklists on Microsoft excel. Heterogeneity among the included studies was checked using I2 statistics on forest plots. Sensitivity and sub-group analyses were conducted to assess the presence of primary studies, and study characteristics responsible for the observed heterogeneity. Results Of the 43 identified articles, about 23 articles were removed due to duplications. Then, by assessing the abstracts and full texts, four articles were removed because they failed to meet the eligibility criteria. Finally, 16 articles were included in the systematic and meta-analysis.The pooled prevalence of intestinal parasites among pregnant women in East Africa was 38.54 (28.77, 48.32). In this study, variables like residing in rural areas (OR: 3.75; CI: 1.15,12.16), availability of latrine(OR: 2.94; 95% CI: 2.22, 3.91), eating raw fruits/vegetables (OR: 2.44; 95% CI: 1.16, 5.11). and sources of water as unprotected sources (OR: 2.20; 95% CI: 1.11,4.35) show statistically significant association with the increased burden of intestinal parasites among pregnant women. Conclusion The burden of intestinal parasite infection among pregnant women in East Africa was high. Therefore, efforts should be made in deworming pregnant women at the community and institutional level by stakeholders to reduce the burden of intestinal parasite infections and related complications.https://doi.org/10.1186/s40748-023-00150-8Intestinal parasitic infectionPregnant womenAssociated factorsEast Africa
spellingShingle Getu Mosisa
Dereje Chala Diriba
Reta Tsegaye
Gemechu Kejela
Diriba Bayisa
Adugna Oluma
Bizuneh Wakuma
Muktar Abadiga
Ebisa Turi
Tesfaye Abera
Lami Bayisa
Girma Tufa
Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis
Maternal Health, Neonatology and Perinatology
Intestinal parasitic infection
Pregnant women
Associated factors
East Africa
title Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis
title_full Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis
title_fullStr Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis
title_full_unstemmed Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis
title_short Burden of intestinal parasitic infections and associated factors among pregnant women in East Africa: a systematic review and meta-analysis
title_sort burden of intestinal parasitic infections and associated factors among pregnant women in east africa a systematic review and meta analysis
topic Intestinal parasitic infection
Pregnant women
Associated factors
East Africa
url https://doi.org/10.1186/s40748-023-00150-8
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