prevalence of scabies among under five children in juakali slum, nairobi 2014

8/19/2019 Prevalence of Scabies among under five children in Juakali Slum, Nairobi 2014

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PREVALENCE OF SCABIES AMONG CHILDREN UNDER FIVE YEARJUA KALI SLUM, NAIROBI KENYA 2014.

BY MBOGORI MAURICE

NURSE-KIAMBU DISTRICT HOSPITAL

VOLUNTEER ADMINISTRATOR-IPNET KENYA

MEMBER-INTERNATIONAL ALLIANCE FOR CONTROL OF SCABIES (


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Background

•

A contagious water washed skin infection• Caused by infestation of sarcoptes scabiei .

• Transmitted by direct, prolonged skin-to-skin contact with ainfested with scabies or contact with infested materials suchclothes

• The most common skin disorder among children worldwidein resource poor communities.

• About 300 million cases are reported annually world wide


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Background continued

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WHO included scabies in the list of Neglected Tropical Disea(NTDs) in the year 2012

• Scabies has significant economic burden on individuals, famcommunities, and health systems

• No policy or guidelines in Kenya on management of scabies community


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Complication of scabies


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Objective

•

A study was carried out to evaluate the prevalence of scabiechildren under-five years in Jua Kali slum.


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Methods

A cross-sectional study

200 households were systematically randomly selected in Jua Kali slum, Nairobi Keny Scabies was defined as any person who had the following:

Itchiness of the body made worse at night or after a hot bath

Rash characterized by red bumps, forming a line,

Scratch marks on the body, scaly patches that look like eczema

Sores on the skin folds

Mite burrows seen as fine, dark or silvery lines on the space's between the fingers, inner surand elbows

A questionnaire was administered to the care givers.

All the children under five years in a household were examined for .

Data was entered using Microsoft Excel and analyzed using Statistical Package for So(SPSS


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Results


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Demographic characteristics of the subje

variable n %

Gender

Male 155 53.8

Female 133 46.2

Age

< 2year 63 22.0

2 to


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Demograp ic c aracteristics o t e House o

head

variable n %

Education

College 10 5.0

Secondary/polytechnic 68 33.8

Primary 122 60.7

Occupation

Employed 22 10.9

Casual labourer 70 34.8

Self Employed 47 23.4

None 61 30.3


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Scabies prevalence

•

Scabies was documented in 29.5 % households under study• 24.31% of children under five year in households under stud

infected with equal infection rate across gender

• 64.4 % of households with infected children, heads of house

primary level of education• 66.1 % of the same households did not have a bathroom


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A case Identified during the study


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Hygiene promotion facilities in households with infect

children

State of the bathroom N %

Absent 39 66.1

Present 19 32.2

Present but faulty (not in use) 1 1.7

State of cloth lines

Absent 12 20.3

Present 47 79.7

Water tap

Absent 18 30.5

Present 25 59.3

Present but faulty 6 10.2


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Performance of hygiene promotion activ

infected households

Variable N %Frequency of bathing

Daily 25 42.0

Thrice in a week 23 40.0

Once in a week 9 15.0

Once in a month 2 3.0Washing clothes

Daily 20 33.9

Thrice in a week 13 22.0

Weekly 19 32.2

Monthly 7 11.9


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Conclusion

• Scabies was prevalent in Jua Kali Slum, Nairobi.

• Infection rate increased with the age of the child and low soeconomic status of their household.

•

A significant number of infected households lacked hygienepromotion facilities such as availability of regular source of wbathrooms

• A significant number of Infected households had poor perfohygiene promotion activities


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Recommendations

1. National wide survey on prevalence of scabies in Kenyan sl

2. Public education campaigns to encourage construction andutilization of hygiene facilities in informal settlements

2. Establish guidelines and policy on management of scabies icommunity

prevalence of scabies among under five children in juakali slum, nairobi 2014

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