ArticleActa parasitologica2025
Epidemiology and Current Challenges of Human Schistosomiasis Along the Shabelle River, Somali Regional State, Eastern Ethiopia.
Article in Acta parasitologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Ethnobotanical study of wild edible plants in Shabelle Zone, Eastern Ethiopia.Journal of ethnobiology and ethnomedicine · 2026Article
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Abstract
backgroundSchistosomiasis is a neglected tropical disease that affects over 250 million people globally, with Ethiopia being an endemic region. The Shabelle River in the Somali Regional State provides an ideal habitat for transmission. Although earlier studies confirmed the presence of schistosomiasis in parts of the Mustahil and Kalafo districts, recent and comprehensive epidemiological data for the wider area remain limited. Therefore, this study aimed to assess the epidemiology of schistosomiasis in villages along the Shabelle River in the Kalefo, Mustahil, and Fer-fer Districts of the Somali Regional State of Ethiopia.
methodsA community-based cross-sectional study was conducted from August to December 2023 among 1200 participants aged ≥ 5 years. Sociodemographic data, water-contact behaviors, and sanitation practices were collected through questionnaires and observations. Urine and stool samples were analyzed to diagnose Schistosoma infection. Multivariate logistic regression was used to identify the risk factors.
resultsThe overall prevalence of schistosomiasis was 29% (95% CI: 25.99%-31.21%), with S. haematobium (22.17%; 95% CI: 19.76%-24.74%) being more prevalent than S. mansoni (6.42%; 95% CI: 5.09%-7.97%). Significant risk factors included receiving health information from professionals (AOR = 3.73), female-dominant bathing practices (AOR = 0.27), adult fishing (AOR = 0.25), and longer residence duration (AOR = 0.17-0.20). Limited sanitation access (10.25%) and a high reliance on river water (69.83%) were the major contributors to transmission.
conclusionsThis study found a high prevalence of schistosomiasis (29%) along the Shabelle River, with S. haematobium (22.16%) being more prevalent than S. mansoni (6.41%). Key risk factors included limited sanitation access (10.25%), high reliance on river water (69.83%), and low awareness of transmission (18.42%). Adult fishermen had lower infection odds, whereas those receiving health information from professionals had higher odds, likely due to reverse causality. These findings highlight the need for targeted interventions that combine health education, improved WASH infrastructure, and MDA to reduce transmission in endemic areas.
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