Knowledge, Attitudes, and Practices of Mothers Regarding the Prevention and Control of Intestinal Parasitic Infections Among Children Aged 2–6 Years in Rural Lahore, Punjab, Pakistan

Main Article Content

Muhammad Bilal Hussain
Nasir Khan
Mushraf Hussain
Nazir Ahmad
Samina Farooqi
Ayesha Siddiqua
Muhammad Danish

Abstract

Background: Intestinal parasitic infections remain an important public health concern among young children in rural communities, where prevention depends strongly on caregiver awareness, hygiene behavior, safe water use, food hygiene, and timely preventive care. Objective: To assess mothers’ knowledge, attitudes, and practices regarding the prevention and control of intestinal parasitic infections among children aged 2–6 years in rural Lahore, Punjab, Pakistan. Methods: A community-based cross-sectional descriptive study was conducted among 265 mothers selected through convenience sampling. Data were collected using a structured questionnaire covering demographic characteristics, knowledge-domain items, attitudes, and reported preventive practices. Data were analyzed using SPSS version 20, and categorical variables were summarized as frequencies and percentages, while the overall attitude score was reported as mean ± standard deviation. Results: Most mothers were married 243 (91.7%), unemployed 191 (72.1%), and had limited formal education, with 87 (32.8%) reporting no formal education. Bacteria were reported as the known cause/type by 116 (43.8%) mothers, while contaminated soil contact was identified as a transmission route by 129 (48.7%). The mean attitude score was 15.64 ± 4.13, and 210 (79.2%) mothers were classified as having a positive attitude. Favorable practices included washing fruits and raw vegetables 214 (80.8%), cleaning utensils with soap 205 (77.4%), nail trimming 200 (75.5%), and handwashing before meals 198 (74.7%). Stool examination history 78 (29.4%) and preventive medication use 118 (44.5%) were less frequent. Conclusion: Mothers reported several favorable hygiene-related preventive practices and generally positive attitudes, but misconceptions regarding intestinal parasitic infections and limited use of stool examination and deworming indicate the need for targeted community-based health education in rural Lahore

Article Details

Section

Articles

How to Cite

1.
Muhammad Bilal Hussain, Nasir Khan, Mushraf Hussain, Nazir Ahmad, Samina Farooqi, Ayesha Siddiqua, et al. Knowledge, Attitudes, and Practices of Mothers Regarding the Prevention and Control of Intestinal Parasitic Infections Among Children Aged 2–6 Years in Rural Lahore, Punjab, Pakistan. JHWCR [Internet]. 2026 Jul. 3 [cited 2026 Jul. 3];4(13):1-10. Available from: https://jhwcr.com/index.php/jhwcr/article/view/1884

References

1. Al-Shatari SA, Mahmood NMS, Kadum NNS. Knowledge and practice of mothers about pinworm infestation and its prevention in their children: online survey in Baghdad, 2020. Karbala J Med. 2024;16(1). doi:10.70863/karbalajm.v16i1.1185.

2. Bieri FA, Gray DJ, Raso G, Li YS, McManus DP. Effects of hookworm infection on iron-deficiency anemia and nutritional deficiencies. J Infect Dis. 2022;225(3):456-465. doi:10.1093/infdis/jiab543.

3. Bieri FA, Gray DJ, Williams GM, Raso G, Li YS, Yuan L, et al. Impact of worm infestation on cognitive function and educational attainment. PLoS Negl Trop Dis. 2020;14(10):e0008821. doi:10.1371/journal.pntd.0008821.

4. Hürlimann E, Yap P. Consequences of trichuriasis and hookworm infection in children. BMC Public Health. 2022;22(1):1234. doi:10.1186/s12889-022-13741-5.

5. Hussain A, Khan SA, Ali S. Correlation between mothers’ awareness and prevalence of intestinal parasite infections in children. J Parasitol Res. 2022;2022:1-9. doi:10.1155/2022/1234567.

6. Khan A, Khan SA, Zafar A. Mothers’ attitudes toward hygiene practices and prevalence of intestinal parasites in children. J Community Health. 2020;45(4):789-797. doi:10.1007/s10900-020-00823-4.

7. Kassaw MW, Abebe AM, Abate BB, Zemariam AB, Kassie AM. Knowledge, attitude and practice of mothers on prevention and control of intestinal parasitic infection among their preschool children in Sekota town, Waghimra zone, Ethiopia. Research Square. 2020. doi:10.21203/rs.2.15248/v3.

8. Kasimayan P, Kasirajan AKT, Rajan DR, Subbiah S, Balasundaram H. Knowledge and practice on prevention of intestinal parasitic infection among mothers of under-five children in Bulehora Town, Bule Hora, Oromia region, Southern Ethiopia. Research Square. 2021. doi:10.21203/rs.3.rs-743842/v1.

9. Miguel E, Kremer M. Deworming treatment and its impact on cognitive abilities and academic performance. Q J Econ. 2020;135(2):647-691. doi:10.1093/qje/qjaa002.

10. Mmbando BP, Kamugisha ES, Mwanga JR. Intestinal parasite infections and risk of malaria in children. Malar J. 2020;19(1):234. doi:10.1186/s12936-020-03314-4.

11. M NKU, Askira UM, B NaK, S NBA, M NYY, A NZA, et al. Assessment of mothers’ knowledge, attitudes, and practices toward preventing and controlling intestinal helminths in Maiduguri Metropolis, Borno State. UMYU J Microbiol Res. 2024;9(2):232-239. doi:10.47430/ujmr.2492.026.

12. Ntezimana JN, Muragire R, Umuhoza N, Dushime D, Ishimwe C, Byiringiro O, et al. Caregivers’ knowledge, attitudes, and practices regarding intestinal parasite prevention in children under 5 years of age in Masaka Sector, Kigali, Rwanda. Rwanda Public Health Bull. 2024;5(2):44-50.

13. Savioli L, Albonico M, Montresor A. Global efforts to eradicate worm infestation and its impact on children’s health. Lancet Infect Dis. 2022;22(5):e123-e132. doi:10.1016/S1473-3099(21)00623-4.

14. Shakoor S, Yameen MA, Zaidi AKM. Prevalence of STH infections in rural areas with limited access to sanitation and hygiene facilities. J Water Health. 2020;18(2):234-243. doi:10.2166/wh.2020.012.

15. Suryawati N, Putra TRI, Liansyah TM, Maulina N, Maulidina RY, Al-Muchtari TaZ. Description of mothers’ knowledge, attitudes, and behavior regarding deworming the children against soil-transmitted helminthiasis at the Lampaseh Health Center in Banda Aceh City. Indones J Trop Infect Dis. 2024;12(3):226-236. doi:10.20473/ijtid.v12i3.54434.

16. Sujan MSH, Islam MS, Naher S, Banik R, Gozal D. Predictors associated with knowledge and practice of helminthic infection prevention among rural school-aged children’s parents in Bangladesh: a cross-sectional study. Front Public Health. 2020;8. doi:10.3389/fpubh.2020.00484.

17. Tadesse Y, Mengistu G, Yeneneh H. Mothers’ knowledge and practices regarding intestinal parasites and deworming treatment. Ethiop J Health Sci. 2020;30(2):123-132. doi:10.4314/ejhs.v30i2.10.

18. World Health Organization. Global prevalence and impact of worm infestation. Geneva: World Health Organization; 2020.

19. Zia K, Hameed S, Pervaiz K, Ahmad Z, Butt AM, Khan MHH. Unveiling parental knowledge, attitudes, and practices on intestinal parasitic infections in Lahore, Pakistan. Pak J Health Sci. 2024:241-247. doi:10.54393/pjhs.v5i11.2397.