SynthesisBMC infectious diseases2025
Hidden in the gut: burden and regional variations of intestinal parasitic infections among Ghanaian children- systematic review and meta-analysis.
Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundIntestinal parasitic infections (IPIs) are among the most common infections affecting children in low- and middle-income countries, particularly in sub-Saharan Africa.
aimThis study aimed to systematically review and meta-analyze existing literature on the prevalence and types of intestinal parasitic infections among children in Ghana. METHODOLOGY: Available articles were systematically retrieved on the prevalence and types of intestinal parasitic infection following database searches using PubMed/Medline, Google Scholar African Journal Online, and Science Direct between 2010 and 2025. Two authors independently extracted all relevant data using a standardized Microsoft Excel data extraction form. The PRISMA framework guided the review, and a random-effects model was employed for meta-analysis using R software (version 4.5.0). Heterogeneity (I2) and publication bias (Egger’s test) were assessed. P < 0.050 was considered statistically significant.
resultsSixteen studies (16) conducted between 2010 and 2019 across various Ghanaian regions were included, with a total sample size ranging from 140 to 884 children. The overall pooled prevalence of intestinal parasitic infections among children in Ghana was 22% (95% CI: 12%–34%), with substantial regional variation, highest in Brong Ahafo/Upper East (40%) and lowest in Greater Accra (9%). Common parasites included Hookworm (14%), Giardia intestinalis (12%), Schistosoma mansoni (8%), Ascaris lumbricoides (4%), and Strongyloides stercoralis (2%), with high heterogeneity across studies (I² >98%). Sensitivity analysis confirmed robustness of prevalence estimates, while funnel plot asymmetry suggested potential publication bias.
conclusionIntestinal parasitic infections remain a significant burden among Ghanaian children, particularly in rural and under-resourced regions. The findings emphasize the need for region-specific deworming campaigns, improved sanitation, and routine parasitological screening to reduce the burden and health impact of these infections in early childhood.
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