Towards an effective control programme of soil-transmitted helminth infections among Orang Asli in rural Malaysia. Part 2: Knowledge, attitude, and practices
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BACKGROUND: In the first part of this study, we investigated the prevalence and associated key factors of soil-transmitted helminth (STH) infections among Orang Asli children in rural Malaysia; an alarming high prevalence and five key factors significantly associated with infections were reported. Part 2 of this study aims to evaluate the knowledge, attitude and practices (KAP) on STH infections among Orang Asli in Peninsular Malaysia. METHODS: A cross-sectional study was carried out among 215 households from 13 villages in Lipis district, Pahang, Malaysia. Demographic and socioeconomic information of the participants and their KAP on STH were collected by using a pre-tested questionnaire. RESULTS: Overall, 61.4% of the participants had prior knowledge about intestinal helminths with a lack of knowledge on the transmission (28.8%), signs and symptoms (29.3%) as well as the prevention (16.3%). Half of the respondents considered STH as harmful, while their practices to prevent infections were still inadequate. Significant associations between the KAP and age, gender, educational and employment status, family size, and household monthly income were reported. Moreover, significantly lower prevalence of STH infections was reported among children of respondents who wear shoes/slippers when outside the house (72.8%; 95% CI= 62.6, 80.5 vs 87.0%; 95% CI= 81.4, 91.1), wash their hands before eating (32.4%; 95% CI= 24.3, 42.2 vs 51.4%; 95% CI= 44.7, 60.1), and wash their hands after defecation (47.8%; 95% CI= 35.7, 57.1 vs 69.2%; 95% CI= 63.7, 78.7) as compared to their counterparts. Multiple logistic regression analysis indicated that the educational level of the respondents was the most important factor significantly associated with the KAP on STH among this population. CONCLUSION: This study reveals inadequate knowledge, attitude and practices on STH infections among Orang Asli in rural Malaysia. Hence, there is a great need for a proper health education programme and community mobilisation to enhance prevention and instil better knowledge on STH transmission and prevention. This is crucial for an effective and sustainable STH control programme to save the lives and future of the most vulnerable children in rural Malaysia.
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Boys hand washed more frequently than girls.
“Nasr et al. (2013) comment that boys hand washed more frequently than girls”
From A Systematic Review of Water and Gender Interlinkages: Assessing the Intersection With Health (2020) · cites this paper as Nasr et al., 2013
Maternal demographic factors, including mother's BMI, age, education level, and lack of employment, were all found to increase the risk of disease in children.
“Demographic factors, including the mother's BMI (Marinda et al., 2018;Prado et al., 2019), age (Dendup et al., 2018), education level (Nasr et al., 2013;Hasan and Richardson, 2017;Akachi et al., 2018;Prado et al., 2019), and lack of employment (Atalabi et al., 2016) were all found to increase the risk of disease in children.”
From A Systematic Review of Water and Gender Interlinkages: Assessing the Intersection With Health (2020) · cites this paper as Nasr et al., 2013
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- Authors
- Nasr, N. A., Al-Mekhlafi, H. M., Ahmed, A., Roslan, M. A., & Bulgiba, A.
- Affiliations
- University of Malaya (MY)
- Umaru Musa Yar'adua University (NG)
- Venue
- Parasites & Vectors
- Published
- 2013-01-28
- Volume
- 6
- Issue
- 1
- Pages
- 28-28
- ISSN
- 1756-3305 (ISSN-L)
- PMC
- PMC3571980
- OpenAlex
- W2109018934
- Cited by
- 79
- References
- 33
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 13 · 2023: 4 · 2022: 5 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 7 · 2014: 6 · 2013: 2
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Parasites & Vectors (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- The University of Malaya Research Repository (University of Malaya) (acceptedVersion)
- HAL (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Universiti Malaya (H-20001-00-E00051)
- Majlis Amanah Rakyat
- Topics
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Keywords
- soil-transmitted helminths, Orang Asli, indigenous peoples, knowledge, attitudes and practices, health education, community mobilization, hand hygiene, footwear, socioeconomic factors, educational attainment, rural health, deworming programs, health-seeking behavior, household income, gender differences in health
- MeSH terms
- Adolescent, Adult, Animals, Child, Child, Preschool, Cross-Sectional Studies, Family Characteristics, Female, Helminthiasis, Helminths, Humans, Health Knowledge, Attitudes, Practice, Malaysia, Male, Rural Population, Soil, Program Evaluation, Young Adult
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