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IJHSR. 2014; 4(3): 1-8


An Exploration of Factors Associated with Jigger Infestation (Tungiasis) among Residents of Muranga North District, Kenya.

Thomas Matenjwa Kamau, Ruth Nyambura Ngechu, Zelalem Teka Haile, James Mwitari.

Abstract
Background: Tungiasis is one of neglected health problem in impoverished communities in the affected countries. Tungiasis carry a significant threat to people who live in the Mount Kenya Region, Western Kenya, the Rift Valley and coastal regions of Kenya. This study aimed to explore perceptions of jigger infestation and association between socio-demographic characteristics and economic status and the presence of jigger infestation among the residents of the Muranga North District in Kenya.
Methods: A random sample of 984 respondents was selected from the four divisions of the Muranga North District. Interviews used a structured and open-ended questionnaire to identify factors associated with jigger infestation. Descriptive statistics were used to compute frequencies and percentages for nominal and ordinal variables. Chi-square test and multivariable logistic
regression were used to examine the association between socio-demographic variables and jigger infestation.
Results: A majority of the respondents (65.9%) viewed jiggers as a nuisance rather than a health condition. In the multivariable-adjusted model the presence of jigger infestation was significantly associated with age (aOR 2.02; 95% CI 1.23, 3.30), education (aOR 0.38; 95% CI 0.22, 0.65), employment status (aOR 1.96 95% CI 1.17, 3.30) and place of residence (aOR 0.11 95% CI (0.07 - 0.18))
Conclusions: A multi-sectorial approach to this health condition is suggested. Further longitudinal studies to evaluate the effectiveness of such approaches are recommended.

Key words: Tungiasis, jigger infestation, ectoparasitosis, Public health



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