Abstract:
Low haemoglobin level is a common public health problem in many developing
countries and is mainly attributed to parasitic intestinal helminth infections. The
parasite species involved and host-parasite outcomes have not been adequately studied
in different specific population segments in Kenya. A six month hospital based study to
assess the association between hookworm infection, spatial variation in intensity of
infection and maternal haemoglobin levels was undertaken at a district hospital. A total
of 153 pregnant women who consented participate were enrolled in the study. Data was
analyzed using SPSS windows version 16.0. Chi-square was used to determine the
association of Necator americanus infection and maternal haemoglobin level. 21(13.8%) out of 153, had intestinal helminth infections. Ascaris lumbricoides was10
(6.5%) Necator americanus 6 (3.9%). Trichuris trichiura 2 (1.3%). A significant
negative association was observed between heavy infection of Necator americanus and
maternal low haemoglobin level (P-value 0.13). We concluded that heavy intensities of
Necator americanus are associated with low haemoglobin levels in pregnant women. It
is recommended that all women of child bearing age living in hookworm endemic areas
be subject to periodic antihelmintic treatment and incorporation of de-worming in
antenatal care programs.
