Factors Affecting Uptake of Anti – Helminthic Drugs Among Children Aged 6 To 59 Months at St Joseph’s Nswanjere Health Centre III, Mpigi District. A cross-sectional study
Keywords:
Anti-helminthic drug uptake, intestinal helminths, children under five, Mpigi District, UgandaAbstract
Background: Intestinal helminth infections remain a major public health problem among children under five years in developing countries, contributing to poor nutrition, impaired growth, and reduced immunity. This study aimed to assess the factors affecting the uptake of anti-helminthic drugs among children attending St. Joseph’s Nswanjere Health Centre III.
Methodology: A descriptive cross-sectional study was conducted among 30 caretakers of children aged 6–59 months. Data were collected using structured questionnaires focusing on caretaker-related, health facility-related, and social factors influencing deworming practices. The data were analyzed using descriptive statistics and presented in tables and figures.
Results: The majority of caretakers were female (96.7%) and below 30 years (70%). Most had primary education (36.7%) and were mothers to the children (63.3%). Over half of the caretakers (53.3%) believed deworming should be done once a year, indicating poor knowledge of recommended schedules. Many caretakers (56.7%) felt it was unnecessary to deworm children without symptoms, while 50% were unsure about the safety of anti-helminthic drugs. Although drugs were largely available at the health facility (93.3%) and considered affordable (83.3%), long distance to the health centre (86.7%) and lack of health education (60%) limited uptake. Social barriers included reliance on herbal medicine (73.3%), myths about worms being part of childhood (60%), and weak community distribution programs (46.7%).
Conclusion: Uptake of anti-helminthic drugs among children was influenced by caretaker knowledge gaps, accessibility challenges, and negative social beliefs. While drug availability and affordability were favorable, poor awareness, long distances, and cultural practices hindered optimal utilization.
Recommendations: The Ministry of Health should strengthen community distribution programs and public sensitization on deworming schedules. Health facilities should conduct outreach services and health education to address myths and improve uptake.
References
1. Adriko, M., Standley, C. J., Tinkitina, B., Tukahebwa, E. M., Fenwick, A., & Kabatereine, N. B. (2018). Prevalence of soil-transmitted helminth infections and uptake of deworming services among children in Uganda. BMC Infectious Diseases, 18(1), 1–9.
2. Adrizain, R., Prasetyo, A., Widyasari, R., & Hidayat, T. (2024). Community perceptions and barriers to uptake of anti-helminthic drugs among children in low-income settings. Tropical Medicine and Health, 52(1), 1–10.
3. Bahago, B., & Oyewole, O. A. (2023). Caregivers’ attitudes and practices influencing deworming among preschool children in North Central Nigeria. Journal of Public Health in Africa, 14(2), 112–120.
4. Belay, D. G., Adane, M. M., & Mekonnen, H. S. (2022). Prevalence and determinants of deworming among children under five years in sub-Saharan Africa: A systematic review and meta-analysis. PLOS Neglected Tropical Diseases, 16(5), e0010423.
5. Clarke, N. E., Clements, A. C. A., Doi, S. A. R., Wang, D., Campbell, S. J., Gray, D. J., & McManus, D. P. (2019). Global epidemiology of helminth infections in children. The Lancet Global Health, 7(4), e535–e545.
6. Katende, P., & Nakalema, S. (2022). Factors influencing utilization of deworming services among children under five years in rural Uganda. African Journal of Health Sciences, 35(3), 215–223.
7. Kasiita, J. L., Okello, E., & Nsubuga, P. (2025). Effects of intestinal helminth infections on nutritional status of children under five in Uganda. International Journal of Pediatrics and Child Health, 13(1), 45–53.
8. Lo, N. C., Addiss, D. G., Hotez, P. J., King, C. H., Stothard, J. R., Evans, D. S., & Molyneux, D. H. (2019). Global distribution and prevalence of helminth infections and preventive chemotherapy coverage. Clinical Infectious Diseases, 68(Supplement_4), S231–S238.
9. Moshi, F. V., Mremi, I. R., & Magesa, S. M. (2023). Community-based deworming programs and child health outcomes in rural Tanzania. BMC Public Health, 23(1), 1–11.
10. Nixon, S. A., Leung, V., & McCarthy, J. S. (2020). Anthelmintic drugs: Mechanisms of action and resistance. Parasitology Research, 119(9), 2781–2794.
11. Tareke, A. A. (2022). Spatial variation and determinants of deworming among children in sub-Saharan Africa. International Journal of Health Geography, 21(1), 1–12.
12. World Health Organization (WHO). (2020). Soil-transmitted helminth infections: Progress report 2019. World Health Organization.
13. World Health Organization (WHO). (2023). Guidelines on preventive chemotherapy for helminth infections in children. World Health Organization.
14. Animut, A., Tesfaye, B., & Getachew, M. (2024). Affordability and utilization of anti-helminthic drugs among caregivers of under-five children in northwestern Ethiopia. BMC Public Health, 24(1), 1–9.https://doi.org/10.1186/s12889-024-20848-4
15. Badu, E., & Magalys Lopez Cuba, R. (2024). Accessibility of health facilities and uptake of deworming services among children in rural Ghana. International Journal of Community Medicine and Public Health, 11(3), 978–985.
16. Croke, K., & Atun, R. (2019). The impact of community-based deworming programs on child health outcomes in Uganda. Health Policy and Planning, 34(6), 417–426.
17. Jagadeesan, S., Kannan, P., & Rajendran, R. (2019). Traditional practices and use of herbal medicine for deworming among caregivers in rural India. Journal of Ethnopharmacology, 236, 198–205.
18. Nath, T. C., Bhuiyan, M. A., & Hossain, M. S. (2019). Stock-outs of essential anti-helminthic drugs and their effect on utilization in primary health facilities in Bangladesh. International Journal of Infectious Diseases, 85, 78–84.
19. Obi, C. N., Okafor, I. P., & Eze, U. A. (2024). Myths and misconceptions affecting deworming practices among caregivers of under-five children in Nigeria. African Journal of Primary Health Care & Family Medicine, 16(1), 1–8.
20. Ouédraogo, A., & Addo-Lartey, A. (2024). Caregivers’ experiences of side effects and subsequent uptake of anti-helminthic drugs among children in Ghana. BMC Pediatrics, 24(1), 1–10.https://doi.org/10.1155/2024/9924852
21. Roll, S., Kumar, R., & Singh, P. (2022). Availability of anti-helminthic drugs and barriers to deworming services in public health facilities in India. Journal of Tropical Pediatrics, 68(4), 1–9.
22. Rubio, J. M., Hernández, L., & Castillo, A. (2025). Knowledge of the benefits of deworming and its influence on uptake among preschool children in Colombia. International Journal of Public Health, 70(1), 102–110.
23. Terefe, B., Bekele, T., & Asfaw, Z. (2024). Health education and utilization of routine deworming services among children aged 12–59 months in East Africa. BMC Pediatrics, 24(1), 1–11.
24. Welch, V. A., Tugwell, P., & Petticrew, M. (2017). Distance to health facilities as a barrier to utilization of child health services in low- and middle-income countries. Bulletin of the World Health Organization, 95(7), 499–510
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