Soil-transmitted Helminth (STH) Infections in Northern Nigeria between 2000-2022: A Review
DOI:
https://doi.org/10.47430/ujmr.25101.005Keywords:
Soil-transmitted Helminthes, prevalence, risk factors, children, northern NigeriaAbstract
Study’s Excerpt:
• STH infections remain prevalent among children in northern Nigeria, with 37.1% pooled prevalence.
• Ascaris lumbricoides (32.3%) was the most common helminth species identified across all studies.
• Rural children had higher infection prevalence (37.9%) than urban (35.9%), though not significant.
• Children aged 10–15 years showed the highest STH prevalence (48.6%) across all age categories.
• Key risk factors included poor sanitation, barefoot walking, and consumption of unwashed produce.
Full Abstract:
Soil-transmitted helminth (STH) infections, caused by parasitic nematodes, are significant public health concern in many parts of the world, including Nigeria. This review aims to comprehensively analyze the available studies and research trends on STH infections among children aged 0 – 17 years in northern Nigeria. The review focuses studies on the prevalence and risk factors related to STH infections from year 2000 – 2022 in this specific region and emphasizes the urgent need for effective control measure to mitigate the burden of these infections. The population involved 25 studies (92.6%) on School-aged Children (SAC) and 2 studies (7.4%) on Pre-school age Children (PSAC). A total of 8 514 children examined, 4 384 (51.5%) males and 4 130 (48.5%) females. Children from rural areas were 5 165 (60.7%) and 3 349 (39.3%) children from urban areas. Sample size ranges from 100 – 620, 22 (74.1%) studies employed Formol-ether concentration as stool examination technique, 4 (14.8%) and 3 (11.1%) used Kato-Katz and Direct smear methods respectively. The overall pool prevalence estimates (PPE) for STH infections were 3 160 (37.1%, 95% CI: 36.5–37.7). PPE for males 1 880 (59.5%, 95% CI: 58.6–60.1) was higher than for females 1 280 (40.5%, 95% CI: 54.2–55.3). Children from rural areas had the highest PPE 1 955 (37.9%) OR 1.26 (95% CI: 0.32–3.73) p=0.02, while children from urban areas had 3 160 (35.9%) OR 1.15 (95% CI: 0.62–5.02) p=0.01. There was no significant association between STH infections and community settings among SAC and PSAC. The most common PPEs by species identified was Ascaris lumbricoides 1 022 (32.3%, 95% CI: 31.7–32.9), hookworm 931 (29.5%, 95% CI: 28.9 – 30.1) and the least; Trichuris trichjura 356 (11.3%, 95% CI: 10.7 – 11.9). Children between 10 – 15 years had highest prevalence (48.6%), and 0 – 9 years had the least prevalence (23.5%) by age groups. Four common risk factors identified, walking barefooted 6 (22.2%) OR 1.16 (95% CI: 1.53 - 6.42) p-0.44, drinking untreated water 12 (44.4%) OR 1.66 (95% CI: 1.30 - 19.49) p=0.53, open field or bush defecation 8 (29.6) OR 3.41 (95% CI: 1.94 - 9.32) p=0.72 and eating unwashed fruits or vegetable 1 (3.7) OR 2.01 (95% CI: 1.32 - 4.51) p=0.54. The research underscores the need for enhanced surveillance, improved sanitation, and comprehensive sustainable interventions to reduce the prevalence and morbidity associated with STH infections in northern Nigeria.
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References
Abdulazeez Imam, Farouk, Z. L., Hassan-Hanga, F., & Ihesiulor, U. G. (2019). A comparative cross-sectional study of prevalence and intensity of soil-transmitted helminthic infection between healthy and severe acutely malnourished pre-school aged children in Kano, Northern Nigeria. BMC Infectious Diseases, 19(1). https://doi.org/10.1186/s12879-019-3755-3
Abdulhadi, B. J. (2017). Survey on Prevalence of Intestinal Parasites Associated With Some Primary School Aged Children in Dutsinma Area, Katsina State, Nigeria. MOJ Biology and Medicine, 2(2). https://doi.org/10.15406/mojbm.2017.02.00044
Abdulhamid, A., & Sani, A. (2019). Prevalence and risk factors associated with helminthic infections among pre-school children in Katsina Metropolis, Katsina State, Nigeria. International Journal of Zoology and Applied Biosciences, 4(3), 126–133. https://doi.org/10.5281/zenodo
Abdullahi, Y., & Idris, A. (2015). Prevalence of intestinal parasitic helminths from fingernails of "Almajiris" in Birnin Kudu Local Government Area, Jigawa State, Nigeria. International Journal of Tropical Disease & Health, 8(2), 66–74. https://doi.org/10.9734/IJTDH/2015/14186
Abe, E. M., Echeta, O. C., Ombugadu, A., Ajah, L., Aimankhu, P. O., & Oluwole, A. S. (2019). Helminthiasis among school-age children and hygiene conditions of selected schools in Lafia, Nasarawa State, Nigeria. Tropical Medicine and Infectious Disease, 4(3). https://doi.org/10.3390/tropicalmed4030112
Abednego Samuel, D., Francis, E., Francis, J., & Wamtas, F. (2019). Soil-transmitted helminths and associated risk factors among elementary school pupils in Dadin Kowa, Jos. Nigerian Medical Journal, 60(4), 181. https://doi.org/10.4103/nmj.NMJ_62_19
Abubakar, J., Muhammad, A., & Karatu, D. I. (2011). Prevalence of soil-transmitted helminths among school children in Yamaltu, Gombe, Gombe State Nigeria. Gombe Medical Journal, 45, 51.
Adamu, I., & Sule, H. (2022). Soil transmitted helminths among some primary school pupils in Dawakin Kudu Local Government Area, Kano State, Nigeria. FUDMA Journal of Microbiology, 2(2). https://www.researchgate.net/publication/369755477
Adeleye, Q. A., Ahmed, P. A., Babaniyi, I. B., Oniyangi, O., Mukhtar Yola, M., Adelayo, A. Y., Wey, Y. O., Ononiwu, U. N., Sanni, U. A., Adeleye, B. B., Adeleye, B. B., & Audu, L. I. (2023). Identifying Challenges in Implementing Child Rights Instruments in Nigeria: A Nationwide Survey of Knowledge, Perception, and Practice of Child Rights among Doctors and Nurses. Annals of African Medicine, 22(2), 189–203. https://doi.org/10.4103/aam.aam_169_22
Adewole, O. O., & Serifat, F. (2015). Modelling Rainfall Series in the Geo-Political Zones of Nigeria. 5(2). www.iiste.org
Allen, A. V., & Ridley, D. S. (1970). Further observations on the formol-ether concentration technique for faecal parasites. Journal of Clinical Pathology, 23(6), 545–546. https://doi.org/10.1136/jcp.23.6.545
Amaechi, E., Edungbola, L. E., Nyamngee, A., Ikpi, R. T., & Taiwo, O. O. (2019). Soil-transmitted nematode infections in school children in a peri-urban area, North Central Nigeria. Sri Lankan Journal of Biology, 4(2), 1–12. https://doi.org/10.4038/sljb.v4i2.38
Atta, H. I., Isah, U., & Amadi, K. U. (2018). Prevalence of soil-transmitted helminths in children attending public primary schools in Samaru, Zaria, Nigeria. FUW Trends in Science & Technology Journal, 4(1). https://www.researchgate.net/publication/332844978
Attahiru Adamu, & Bashir Abdulkadir. (2017). Common Intestinal Helminthes Associated With Nursery and Primary School Pupils in Dukku Town. UMYU Journal of Microbiology Research (UJMR), 2(1), 28–35. https://doi.org/10.47430/ujmr.1721.005
Babatunde, S. K., Adedayo, M. R., Ajiboye, A. E., Sunday, O. A., & Nimat, A. (2013). Soil-transmitted helminth infections among school children in rural communities of Moro Local Government Area, Kwara State, Nigeria. African Journal of Microbiology Research, 7(45), 5148–5153. https://doi.org/10.5897/AJMR2013.6258
Bethony, J. M., Cools, P., Albonico, M., Ame, S., Angebault, C., Ayana, M., Behnke, J. M., Cringoli, G., Dana, D., Vlaminck, J., & Vercruysse, J. (2006). Identifying thresholds to classify moderate-to-heavy soil-transmitted helminth intensity infections for FECPAKG2, McMaster, Mini-FLOTAC, and qPCR. PLoS Neglected Tropical Diseases, 14(7), 1–20. https://doi.org/10.1371/journal.pntd.0008296
Bhumbla, U. (2018). Stool Examination. In Workbook for Practical Microbiology (pp. 142–142). Jaypee Brothers Medical Publishers (P) Ltd. https://doi.org/10.5005/jp/books/14206_17
Brahmantya, I. B. Y., Iqra, H. H. P., Hartawan, I. G. N. B. R. M., Anjani, I. A. W., Sudarmaja, I. M., & Ryalino, C. (2020). Risk factors and prevalence of soil-transmitted helminth infections. Open Access Macedonian Journal of Medical Sciences, 8, 521–524. https://doi.org/10.3889/oamjms.2020.4440
Chammartin, F., Scholte, R. G. C., Guimarães, L. H., Tanner, M., Utzinger, J., & Vounatsou, P. (2013). Soil-transmitted helminth infection in South America: A systematic review and geostatistical meta-analysis. The Lancet Infectious Diseases, 13(6), 507–518. https://doi.org/10.1016/S1473-3099(13)70071-9
Chinweuba, T., Sunday, C., & Charles, J. (2014). Patterns of Inequality in Human Development Across Nigeria’s Six Geopolitical Zones. 4(8). www.iiste.org
Dahal, A., Francis, E., Francis, J., & Wamtas, F. (2019). Soil-transmitted helminths and associated risk factors among elementary school pupils in Dadin Kowa, Jos. Nigerian Medical Journal, 60(4), 181. https://doi.org/10.4103/nmj.nmj_62_19
Dawaki, S., Al-Mekhlafi, H. M., & Ithoi, I. (2019). The burden and epidemiology of polyparasitism among rural communities in Kano State, Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene, 113(4), 169–182. https://doi.org/10.1093/trstmh/try128
Eniola, M., Echeta, O. C., Ombugadu, A., Ajah, L., Aimankhu, P. O., & Oluwole, A. S. (2019). Helminthiasis among school-age children and hygiene conditions of selected schools in Lafia, Nasarawa State, Nigeria. Tropical Medicine and Infectious Disease, 4(3). https://doi.org/10.3390/tropicalmed4030112
Fauziah, N., Ar-Rizqi, M. A., Hana, S., Patahuddin, N. M., & Diptyanusa, A. (2022). Stunting as a Risk Factor of Soil-Transmitted Helminthiasis in Children: A Literature Review. In Interdisciplinary Perspectives on Infectious Diseases (Vol. 2022). Hindawi Limited. https://doi.org/10.1155/2022/8929025
Fitriani, C. L., Panggabean, M., & Pasaribu, A. P. (2018). The accuracy of formol-ether concentration in diagnosing soiltransmitted helminths in elementary school 27 Peusangan in Bireuen. IOP Conference Series: Earth and Environmental Science, 125(1). https://doi.org/10.1088/1755-1315/125/1/012040
Funso-Aina, O. I., Chineke, H. N., & Adogu, P. O. (2020). A Review of Prevalence and Pattern of Intestinal Parasites in Nigeria (2006-2015). European Journal of Medical and Health Sciences, 2(1). https://doi.org/10.24018/ejmed.2020.2.1.139
Galamaji, M. M., Aisha, A., Hafsat, A. L., & Victor, O. B. (2018). Epidemiological study of soil-transmitted helminthic among primary school pupils in Jega, Kebbi State, Nigeria. South Asian Journal of Parasitology, 1(4), 1–7. https://doi.org/10.9734/SAJP/2018/45343
Hailegebriel, T., Nibret, E., & Munshea, A. (2020). Prevalence of Soil-Transmitted Helminth Infection Among School-Aged Children of Ethiopia: A Systematic Review and Meta-Analysis. Infectious Diseases: Research and Treatment, 13, 117863372096281. https://doi.org/10.1177/1178633720962812
Halima, B.-M., Mamman, A., Suleiman, H., Olayinka, A., Musa, A., & Musa, K. (2017). Prevalence and pattern of parasitic infestations among nomadic Fulani children in a grazing reserve in Northwestern Nigeria. Annals of Tropical Medicine and Public Health, 10(6), 1799. https://doi.org/10.4103/ATMPH.ATMPH_664_17
Ikpe, R. T., Taiwo, O. O., Edungbola, L. D., Nyamngee, A., & Amaechi, E. C. (2020). Concurrent intestinal schistosomiasis and soil-transmitted nematode infections in primary school children, Benue State, North Central Nigeria. https://doi.org/10.4038/cjs.v49i3.7775
Imam, A., Farouk, Z. L., Hassan-Hanga, F., & Ihesiulor, U. G. (2019). A comparative cross-sectional study of prevalence and intensity of soil-transmitted helminthic infection between healthy and severe acutely malnourished pre-school aged children in Kano, Northern Nigeria. BMC Infectious Diseases, 19(1). https://doi.org/10.1186/s12879-019-3755-3
Ishaku, M. J., Onyeacho, C. P., & Koggie, A. Z. (2020). Prevalence of Gastrointestinal Helminth Parasites among School Children Attending Two Community Schools in Auta Balefi, Karu, Nasarawa State. Annual Research & Review in Biology, 96–106. https://doi.org/10.9734/arrb/2020/v35i230193
Jayaram, S., Saya, G. K., Rajkumari, N., Ulaganeethi, R., Roy, P. K., & Mathavaswami, V. (2021). Prevalence of intestinal parasitic infection and its associated factors among children in Puducherry, South India: a community-based study. Journal of Parasitic Diseases. https://doi.org/10.1007/s12639-021-01378-x
Karagiannis-Voules, D. A., Biedermann, P., Ekpo, U. F., Garba, A., Langer, E., Mathieu, E., Midzi, N., Mwinzi, P., Polderman, A. M., Raso, G., Sacko, M., Talla, I., Tchuenté, L. A. T., Touré, S., Winkler, M. S., Utzinger, J., & Vounatsou, P. (2015). Spatial and temporal distribution of soil-transmitted helminth infection in sub-Saharan Africa: A systematic review and geostatistical meta-analysis. The Lancet Infectious Diseases, 15(1), 74–84. https://doi.org/10.1016/S1473-3099(14)71004-7
Karshima, S. N. (2018). Prevalence and distribution of soil-transmitted helminth infections in Nigerian children: A systematic review and meta-analysis. In Infectious Diseases of Poverty (Vol. 7, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s40249-018-0451-2
Khan, W., Rahman, H., Rafiq, N., Kabir, M., Ahmed, M. S., & Escalante, P. D. L. R. (2022). Risk factors associated with intestinal pathogenic parasites in schoolchildren. Saudi Journal of Biological Sciences. https://doi.org/10.1016/j.sjbs.2021.12.055
Kiiti, R. W., Omukunda, E. N., & Korir, J. C. (2020). Risk Factors Associated with Helminthic Intestinal Infection in Lurambi Subcounty, Kakamega, Kenya. Journal of Parasitology Research, 2020. https://doi.org/10.1155/2020/8810519
Lawal, A., Abba, A. M., Omenesa, R. L., Suleiman, M. J., & Murtala, U. M. (2022). Impact of soil-transmitted helminths (STHs) on nutritional and anemia status in school-aged children in Batagarawa Local Government Area, Katsina State, Nigeria. UMYU Scientifica, 1(1), 67–74. https://doi.org/10.56919/usci.1122.010
Leta, G. T., Mekete, K., Wuletaw, Y., Gebretsadik, A., Sime, H., Mekasha, S., Woyessa, A., Shafi, O., Vercruysse, J., Grimes, J. E. T., Harrison, W., & Fenwick, A. (2020). National mapping of soil-transmitted helminth and schistosome infections in Ethiopia. Parasites and Vectors, 13(1). https://doi.org/10.1186/s13071-020-04317-6
Loukouri, A., Méité, A., Kouadio, O. K., Djè, N. N., Trayé-Bi, G., Koudou, B. G., & N’Goran, E. K. (2019). Prevalence, Intensity of Soil-Transmitted Helminths, and Factors Associated with Infection: Importance in Control Program with Ivermectin and Albendazole in Eastern Côte d’Ivoire. Journal of Tropical Medicine, 2019. https://doi.org/10.1155/2019/7658594
Mackinnon, E., Ayah, R., Taylor, R., Owor, M., Ssempebwa, J., Olago, L. D., Kubalako, R., Dia, A. T., Gaye, C., C. Campos, L., C. Campos, L., & Fottrell, E. (2019). 21st century research in urban WASH and health in sub-Saharan Africa: methods and outcomes in transition. International Journal of Environmental Health Research, 29(4), 457–478. https://doi.org/10.1080/09603123.2018.1550193
Maikenti, J., Onyeacho, C. P., & Koggie, A. Z. (2020). Prevalence of gastrointestinal helminth parasites among school children attending two community schools in Auta Balefi, Karu, Nasarawa State. Annual Research & Review in Biology, 35(2), 96–106. https://doi.org/10.9734/arrb/2020/v35i230193
Monyei, F. E., Onyekwelu, P. N., Emmanuel, I. E., & Taiwo, O. S. (2023). Linking Safety Net Schemes and Poverty Alleviation in Nigeria. International Journal of Community and Social Development, 5(2), 187–202. https://doi.org/10.1177/25166026231166554
Nasiru, A., Ige, A. O., Otone, B., & Abubakar, M. (2017). Prevalence of intestinal helminths among primary school children in Bosso, North Central Nigeria. International Journal of Biomedical and Advance Research, 473(12). www.ssjournals.com
Nasiru, M., Fana, S. A., Enimien, J. O., & Emmanuel, B. W. (2000). Intestinal helminthic infection in Numan (Northeast Nigeria). International Journal of Progressive Sciences and Technologies (IJPSAT), 1(1). http://ijpsat.ijsht-journals.org
Nisha, M., Aiman, M., Asyhira, N., Syafiq, H., Atiqah, N., Kumarasamy, V., Tan, M. P., & Davamani, F. (2020). Risk factors associated with soil transmitted helminth (STH) infection in two indigenous communities in Malaysia. Tropical Biomedicine, 37(2), 379–388.
Nwalorzie, C., Nyenakazi, S., Ogwu, S., & Okafor, A. (2015). Predictors of intestinal helminthic infections among school children in Gwagwalada, Abuja, Nigeria. Nigerian Journal of Medicine, 24(3), 233–241. https://doi.org/10.4103/1115-2613.278932
Obeta, M. U., Omenesa, R. L., Lote-Nwaru, J. R. I., & Ibrahim, A. S. (2019). Prevalence and distribution of soil-transmitted helminths among children attending Township Primary School, Jos, Plateau State, Nigeria. London Journal of Medical and Health Research. http://creativecommons.org/licenses/by/4.0/
Ohiolei, J. A., Isaac, C., & Omorodion, O. A. (2017). A review of soil transmitted helminthiasis in Nigeria. In Asian Pacific Journal of Tropical Disease (Vol. 7, Issue 12, pp. 841–848). Editorial Office of Asian Pacific Journal of Tropical Disease. https://doi.org/10.12980/apjtd.7.2017D7-235
Ojha, R., Kharel, G., Shing, Y. K., Jamarkattel, S., Yadav, J. K., Vyas, H., Poudyal, D., & Sah, R. (2014). The dangers of mass drug administration of albendazole in Nepal, a neurocysticercosis-endemic region. Tropical Diseases, Travel Medicine and Vaccines, 6(1). https://doi.org/10.1186/s40794-020-00122-2
Oloyede, S. B., Akinleye, A. A., Agunbiade, T. B., Adeyemo, O. A., Bakare, O. E., & Adeyeba, O. A. (2017). Survey of intestinal schistosomiasis and soil-transmitted helminthiasis among pupils in Ifelodun, Kwara State, Nigeria. Journal of Bio-Innovation, 6(1). www.jbino.com
Oriakpono, J., Fana, S. A., Enimien, J. O., & Emmanuel, B. W. (2015). Intestinal helminthic infection in Numan (Northeast Nigeria). International Journal of Progressive Sciences and Technologies (IJPSAT), 1(1). http://ijpsat.ijsht-journals.org
Saddiqa, M., Abubakar, M. B., Hassan, I., & Aliyu, U. (2020). Prevalence of soil-transmitted helminths among primary school children in Yana, Bauchi State, Nigeria. Bima Journal of Science and Technology, 3(2). https://doi.org/10.13140/RG.2.2.34549.32484
Salwa, D., Al-Mekhlafi, H. M., & Ithoi, I. (2019). The burden and epidemiology of polyparasitism among rural communities in Kano State, Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene, 113(4), 169–182. https://doi.org/10.1093/trstmh/try128
Samuel, F. (2015). Status of Soil-Transmitted Helminths Infection in Ethiopia. American Journal of Health Research, 3(3), 170. https://doi.org/10.11648/j.ajhr.20150303.21
Sanchez, A. L., Gabrie, J. A., Rueda, M. M., Mejia, R. E., Bottazzi, M. E., & Canales, M. (2014). A Scoping Review and Prevalence Analysis of Soil-Transmitted Helminth Infections in Honduras. In PLoS Neglected Tropical Diseases (Vol. 8, Issue 1, p. 17). Public Library of Science. https://doi.org/10.1371/journal.pntd.0002653
Santosh K. A. (2012). Microbiological Stool Examination: Overview. https://www.researchgate.net/publication/236303794
Sardar, A. D., Patel, V., & Venkatesh, S. (2016a). Prevalence of Soil-Transmitted Helminthic Infection in India in Current Scenario: A Systematic Review. https://www.researchgate.net/publication/311556319
Sardar, A. D., Patel, V., & Venkatesh, S. (2016b). Prevalence of Soil-Transmitted Helminthic Infection in India in Current Scenario: A Systematic Review. https://www.researchgate.net/publication/311556319
Sartorius, B., Cano, J., Tusting, L. S., Pullan, R. L., Marczak, L. B., Miller-Petrie, M. K., Hay, S. I., Sartorius, B., Cano, J., Simpson, H., Tusting, L. S., Marczak, L. B., Miller-Petrie, M. K., Kinvi, B., Zoure, H., Mwinzi, P., Hay, S. I., Rebollo, M., & Pullan, R. L. (2020). Prevalence and intensity of soil-transmitted helminth infections of children in sub-Saharan Africa, 2000-18: a geospatial analysis. https://espen. https://doi.org/10.2139/ssrn.3543579
Shitta, K. B., Audu, H. O., & Usman, A. Y. (2018). Prevalence of geohelminthes in school children in some parts of Lokoja, Kogi State, North-Central Nigeria. Bayero Journal of Pure and Applied Sciences, 10(1), 151. https://doi.org/10.4314/bajopas.v10i1.31S
Shuaibu, I., Umar, Y. A., & Chanding, A. Y. (2018). Prevalence and Associated Risk Factors of Gastro – Intestinal Parasites among Primary School Pupils in Ilorin East Local Government Area, Kwara State, Nigeria. Researchers World : Journal of Arts, Science and Commerce, IX(4), 137. https://doi.org/10.18843/rwjasc/v9i4/16
Sule, H., & Adamu, I. A. (2019). Soil transmitted helminths among some primary school pupils in Dawakin Kudu Local Government Area, Kano State, Nigeria. FUDMA Journal of Microbiology, 2(2). https://www.researchgate.net/publication/369755477
Suwansaksri, J., Nithiuthai, S., Wiwanitkit, V., Soogarun, S., & Palatho, P. (2002). THE FORMOL-ETHER CONCENTRATION TECHNIQUE FOR INTESTINAL PARASITES: COMPARING 0.1 N SODIUM HYDROXIDE WITH NORMAL SALINE PREPARATIONS (Vol. 33, Issue 3).
Taiwo, O. O., Edungbola, L. E., Nyamngee, A., Ikpi, R. T., & Amaechi, E. C. (2019). Soil- transmitted nematode infections in school children in a peri-urban area, North Central Nigeria. Sri Lankan Journal of Biology, 4(2), 1–12. https://doi.org/10.4038/sljb.v4i2.38
Tofa, D. Y., Sulaiman, S., & Umar, S. S. (2018). Helminth infection among pupils of seven primary schools in Tamburawa, Dawakin-Kudu Local Government, Kano State, Nigeria. International Journal of Advanced Academic Research | Arts, 4(4).
World Health Organization. (2021). World Health Organization Report Part Title: Core data elements Report Title: Digital Adaptation Kit for Antenatal Care Report Subtitle: Operational requirements for implementing WHO recommendations in digital systems Report Author(s): World Health Organization. https://about.jstor.org/terms
World Health Organization. (2022). World Health Organization Report Part Title: Health interventions and recommendations Report Title: Digital Adaptation Kit for Antenatal Care Report Subtitle: Operational requirements for implementing WHO recommendations in digital systems Report Author(s): World Health Organization. www.srhr.org/antenatalcare/
Yahaya, A., Tyav, Y., & Idris, A. (2015). Prevalence of Intestinal Parasitic Helminths from Fingernails of “Almajiris” in Birnin Kudu Local Government Area, Jigawa State, Nigeria. International Journal of TROPICAL DISEASE & Health, 8(2), 66–74. https://doi.org/10.9734/ijtdh/2015/14186
Yusuf, T. D., Sulaiman, S., & Umar, S. S. (2018). Helminthes Infection Among Pupils of Seven Primary Schools In Tamburawa, Dawakin-Kudu Local Government, Kano State Nigeria. . In International Journal of Advanced Academic Research | Arts (Vol. 4, Issue 4).
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