Knowledge, Attitude and Practices Towards Schistosomiasis Among School Children in Rivers State

References

[1] Abah, S. O., & Olorunfemi, D. I. (2023). Knowledge, attitude, and practices towards schistosomiasis among pupils in Bayelsa State, Nigeria. Journal of Tropical Medicine and Hygiene, 127(3), 246 –254. https://

[2] Abou-El, N. (2018). Schistosomiasis among school-aged children: Impact on education and health outcomes. Journal of Parasitic Diseases, 42(3), 365–372. https:// 018-1069-9

[3] Adedoja, O. A., & Oladele, T. A. (2022). Misconceptions about schistosomiasis transmission among school-aged children in Ogun State, Nigeria. Pan African Medical Journal, 42, 158. https://

[4] Adeniran, A. I., Osasona, I. O., & Adebayo, T. A. (2020). Awareness and control practices of urinary schistosomiasis in Osun State, Nigeria. African Journal of Health Education, Recreation and Dance, 26(1), 67–78.

[5] Adenowo, A. F., Oyinloye, B. E., Ogunyinka, B. I., & Kappo, A. P. (2015). Impact of human schistosomiasis in sub-Saharan Africa. The Brazilian Journal of Infectious Diseases, 19(2), 196–205. https://

[6] Ahmed, R., Ibrahim, S. M., & El-Gohary, H. (2023). Impact of health education and WASH improvements on schistosomiasis prevention among Egyptian school children. Tropical Diseases Bulletin, 50(2), 110–118.

[7] Ajakaye, A. G., Omotoso, A. J., & Oladele, D. A. (2017). School-based schistosomiasis control in Nigeria: A review of current efforts and future directions. Nigerian Journal of Parasitology, 38 (1), 1 –8. https://

[8] Ajibade, W. A. (2017). The role of attitudinal change communication in water-related disease prevention in Nigeria. African Journal of Health Education, Recreation and Dance, 23(2), 89– 102.

[9] Amoah, A. S., et al. (2020). Parasitic worm infections and their association with water contact activities in Ghana. PLOS ONE, 15(3), e0230670.

[10] Balen, J., et al. (2022). Water contact patterns and schistosomiasis transmission in African schoolchildren. Tropical Medicine & International Health, 27(8), 731–738.

[11] CDC. (2023). Schistosomiasis FAQs. Retrieved from https://www.cdc.gov

[12] Ekpo, U. F., et al. (2021). Awareness and prevalence of schistosomiasis among school children in rural Ogun State. African Journal of Health Sciences, 31(2), 147–153.

[13] Ekwunife, O. I., et al. (2019). Water contact behaviors and schistosomiasis risk in rural Nigeria. Journal of Tropical Medicine, 2019, Article ID 4980567.

[14] Evidence Action. (2019). Deworm the World Initiative: Nigeria program overview. https://www.evidenceaction.org/nigeria/

[15] Eze, I. C., et al. (2022). Determinants of schistosomiasis knowledge and behavior in endemic Nigerian communities. PLOS Neglected Tropical Diseases, 16(5), e0010251.

[16] Eze, R. U., Nwachukwu, C. O., & Obi, F. N. (2021). Knowledge and practices related to schistosomiasis prevention among school children in Anambra State, Nigeria. Nigerian Journal of Parasitology, 42(1), 40–49.

[17] Ezeh, O. H., Adebayo, A. S., & Ezeh, A. C. (2019). Prevalence of urinary schistosomiasis in school-aged children in Rivers State, Nigeria. Nigerian Journal of Parasitology, 40(1), 25–32. https://

[18] Feleke, D. G., Gebeyehu, N. A., Alemayehu, A. A., & Hailegebriel, T. T. (2023). Schistosomiasis prevalence and associated factors in sub-Saharan Africa: A systematic review. PLOS Neglected Tropical Diseases, 17(1), e0010887. https://

[19] Hambury, C. (2021). The role of health education in schistosomiasis prevention among school children. Public Health Frontiers, 15(3), 101–109.

[20] Hotez, P. J., & Kamath, A. (2009). Neglected tropical diseases in sub-Saharan Africa: Review of their prevalence, distribution, and disease burden. PLoS Neglected Tropical Diseases, 3(8), e412. https://

[21] Journal of Scientific Research and Reports (2020)

[22] Kura, K., Campbell, S. J., & Stanton, M. C. (2020). Efficacy of praziquantel in mass drug administration for schistosomiasis control: Current perspectives. Infectious Diseases: Research and Treatment, 13 , 1–10. https://

[23] Mckenna, A. (2023). Encyclopaedia of Britannia. https://www.britannia.com/editor/the- editor-of-encyclopaedia-britannica/4419

[24] Muhumuza, S., Olsen, A., Katahoire, A., & Nuwaha, F. (2021). Uptake of preventive chemotherapy for schistosomiasis in Uganda: The role of health education. BMC Public Health, 21, 980. https:// 021-10931-7

[25] Munisi, D. Z. (2017). Knowledge, attitudes, and practices on schistosomiasis in rural Tanzania. BMC Public Health, 17 (1), 219. https://

[26] Mwinzi, P. N., Kariuki, C. W., & Njenga, S. M. (2020). Awareness and control practices for schistosomiasis in rural Kenya: Gaps and opportunities. East African Medical Journal, 97(9), 821–829.

[27] Njenga, S. M., et al. (2021). Toilet access and hygiene practices in relation to schistosomiasis. WHO Bulletin, 99(4), 245–252.

[28] Noriodon, I. F., Idowu, O. A., Otubanjo, O. A., & Mafe, M. A. (2018). Knowledge, attitude, and practice regarding schistosomiasis among school-aged children in Ogun State, Nigeria. Nigerian Journal of Parasitology, 39(2), 146– 153. https://

[29] Nworie, A., Eze, U. N., & Okonkwo, E. C. (2021). Environmental determinants of schistosomiasis transmission in Southern Nigeria. Journal of Public Health in Africa, 12(2), 309 –317. https://

[30] Okoli, C. I., et al. (2023). Misconceptions about schistosomiasis among adolescents in Enugu State. Nigerian Journal of Parasitology, 44(1), 56–63.

[31] Olamiju, A., & Bello, R. (2022). Schistosomiasis-related attitudes and practices among primary school pupils in Oyo State. Nigerian Journal of Health Promotion, 34(1), 25–34.

[32] Opara, K. N., Oyo-Ita, A. E., & Opara, D. C. (2021). Perception of schistosomiasis among school children in Cross River State. African Journal of Infectious Diseases, 15(1), 14–22. https://

[33] Oyeyemi, O. T., Oyeyemi, A. W., & Adeyeba, O. A. (2020). Schistosomiasis in Nigeria: Implications for control. Current Tropical Medicine Reports, 7 (3), 109–119. https://

[34] Sady, H., et al. (2019). Poor awareness contributes to continued transmission of schistosomiasis. International Journal of Environmental Research and Public Health, 16(4), 623.

[35] Sokolow, S. H., Jones, I. J., Jocque, M., La, D., Cords, O., Knight, A., ... & De Leo, G. A. (2017). Nearly 400 million people are at higher risk of schistosomiasis because dams block migration of snail-eating river prawns. Philosophical Transactions of the Royal Society B: Biological Sciences, 372(1722), 20160127. https://

[36] Stothard, J. R., French, M. D., & Rollinson, D. (2020). School-based control of schistosomiasis: A global systematic review. PLoS Neglected Tropical Diseases, 14(3), e0008008. https://

[37] Tadesse, G., et al. (2020). Environmental sanitation and its relation to helminth infection in school children. BMC Public Health, 20, 765.

[38] Tchuem Tchuenté, L. A., et al. (2022). Ecological and behavioral factors in schistosomiasis transmission. Acta Tropica, 229, 106374.

[39] Tchuem Tchuenté, L. A., Rollinson, D., Stothard, J. R., & Molyneux, D. H. (2017). Moving from control to elimination of schistosomiasis in sub-Saharan Africa: Time to change and adapt strategies. Infectious Diseases of Poverty, 6 (1), 42. https://

[40] Tessema, F. G., et al. (2021). Community participation in schistosomiasis prevention. Journal of Environmental Health, 83(6), 38–45.

[41] Toby, A., et al. (2023). Sanitation and hygiene impact on schistosomiasis knowledge. African Health Sciences, 23(2), 135–144.

[42] UNICEF. (2020). Education statistics for Nigeria. Retrieved from https://www.unicef.org/nigeria/education

[43] Verjee, M. A. (2020). Schistosomiasis: Still a cause of significant morbidity and mortality. Research and Reports in Tropical Medicine, 11, 137–148. https://

[44] WHO (2020). Ending the neglect to attain the Sustainable Development Goals: A road map for neglected tropical diseases 2021–2030.

[45] WHO/UNICEF. (2021). Progress on household drinking water, sanitation, and hygiene 2000– 2020: Five years into the SDGs.

[46] World Health Organization. (2013). Schistosomiasis: Progress report 2001–2011 and strategic plan 2012–2020. WHO Press. https://apps.who.int/iris/handle/10665/78074

[47] World Health Organization. (2019). Schistosomiasis fact sheet . https://www.who.int/news-room/fact- sheets/detail/schistosomiasis

[48] World Health Organization. (2020). Schistosomiasis: Key facts . https://www.who.int/news-room/fact- sheets/detail/schistosomiasis

[49] World Health Organization. (2023). Schistosomiasis: Progress report 2022. https://www.who.int/publications/i/item/978924 0064252

@article{1709640,
      author = {Allen Nwachukwu Udodirim Nelly, Nnaji Esther Ngozi, Ugonma Winnie Dozie},
      title = {Knowledge, Attitude and Practices Towards Schistosomiasis Among School Children in Rivers State},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {9},
      number = {1},
      pages = {590-607},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1709640.pdf},
      abstract = {Background:
Schistosomiasis remains a major public health issue in Nigeria, particularly among school-aged children in endemic regions like Rivers State. Despite widespread mass drug administration (MDA) campaigns, knowledge gaps, risky water-contact behaviours, and inadequate sanitation facilities continue to hinder progress in disease control. This study assessed the knowledge, attitude, and practices (KAP) regarding schistosomiasis among junior secondary school children in Rivers State and examined the association of socio-demographic factors with KAP levels.
Methods:
A cross-sectional descriptive survey was conducted among 440 students from six purposively selected secondary schools in Rivers State using a validated structured questionnaire. Data were analyzed using SPSS version 16. Descriptive statistics summarized frequencies and percentages, while chi-square tests were used to explore associations between KAP outcomes and demographic variables at a significance level of p<0.05.
Results:
Only 28.3% of the respondents had heard of schistosomiasis, and merely 17.6% demonstrated good knowledge. Although 83.6% showed positive attitudes, only 49.5% practiced preventive behaviors. Chi-square analysis showed statistically significant associations between knowledge and variables such as class (??=18.927, p=0.001), toilet availability (??=33.400, p<0.001), and parent's occupation (??=63.405, p<0.001). Practice levels were significantly associated with class (??=59.65, p<0.0001), presence of toilet (??=150.89, p<0.0001), and proximity to slow-moving water (??=57.848, p<0.0001). Attitudes were positively associated with class (??=60.266, p<0.0001) and parent's occupation (??=29.305, p<0.0001), but not with gender or toilet availability.
Conclusion:
Despite high levels of positive attitudes toward schistosomiasis prevention, knowledge and practical application remain suboptimal among school children in Rivers State. Strengthened school-based health education, community sensitization, and improvements in WASH (Water, Sanitation, and Hygiene) infrastructure are essential to reduce disease burden and transmission.},
      keywords = {Schistosomiasis, Knowledge, Attitude, Practices, School Children, Nigeria, Public Health, Waterborne Diseases},
      month = {July},
  }