Socio-Demographic Factors Influencing Knowledge, Attitude, and Reported Practices Regarding Taenia Solium Cysticercosis Taeniasis in Tanzania

  • Chacha Joseph Nyangi Mbeya University of Science and Technology
  • Christopher Mahonge, PhD Sokoine University of Agriculture
  • Helena Aminiel Ngowi, PhD Sokoine University of Agriculture
  • Andrea Sylvia Winkler, PhD Technical University of Munich
  • Ayubu Jacobo Churi, PhD Technical University of Munich
  • Ernatus Martin Mkupasi, PhD Sokoine University of Agriculture
Keywords: Taenia Solium Cysticercosis, Knowledge, Attitude, Practices, Socio-Demographic Factors, Tanzania
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Taenia solium Cysticercosis/Taeniasis (TSCT) is a neglected zoonotic disease with significant public health and socio-economic impacts. TSCT is endemic in areas with low socio-economic development. This study examined the influence of socio-demographic factors on community knowledge, attitude, and practices regarding TSCT control in Mbulu, Mpwapwa, Mbinga, and Rungwe districts of Tanzania. The study employed a cross-sectional design, and. data were collected using a questionnaire, which was administered to 483 randomly selected households in the study districts. In addition, qualitative data were collected using key informant interviews (KIIs) from 38 purposively selected respondents and 12 focus group discussions (FGDs). Quantitative data were analysed in SAS 9.4 using binary logistic regression with education, location, gender, age, occupation, source of income, the duration of residence (years), savings and credits cooperative society (SACCOS) membership, and household size included in the model as predictors of knowledge, attitude, and/or practices related to TSCT control. The qualitative data were analysed in ATLAS.ti 8. Findings show that respondents with post-primary education were more likely to have heard of tapeworm (P = 0.0071), be aware of T. solium transmission (P = 0.0396), aware of T. solium health effects (P = 0.0212), and be be knowledgeable on human cysticercosis (HCC) health effect (P = 0.003) compared to respondents with no formal education. With regard to practices, respondents from Mpwapwa district were more likely to report washing their hands with soap before eating (P = <0.0001). It is, therefore, recommended that strategies involving health education intervention should consider the inclusion of socio-demographic, cultural, economic, and location factors for effective and sustainable control of the parasite


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Alexander, A.M., Mohan, V.R., Muliyil, J., Dorny, P., & Rajshekhar, V. (2012). Changes in knowledge and practices related to taeniasis/cysticercosis after health education in a south Indian community. Int. Health, 4 (3), 164–169.

Boa, M.E., Mahundi, E.A., Kassuku, A.A., Willingham, A.L., & Kyvsgaard, N.C. Epidemiological survey of swine cysticercosis using ante-mortem and post-mortem examination tests in the southern highlands of Tanzania. (2006). Vet. Parasitol., 139 (1–3), 249–255.

Braae, U.C., Magnussen, P., Harrison, W., Ndawi, B., Lekule, F., & Vang, M. (2016). Effect of National Schistosomiasis Control Programme on Taenia solium taeniosis and porcine cysticercosis in rural communities of Tanzania. PAREPI, 1 (3), 245–251.

Carabin, H., Millogo, A., Ngowi, H.A., Bauer, C., Dermauw, V., Koné, A.C., Sahlu, I., Salvator, A.L., et al. (2018). Effectiveness of a community-based educational programme in reducing the cumulative incidence and prevalence of human Taenia solium cysticercosis in Burkina Faso in 2011–14 (EFECAB): a cluster-randomised controlled trial. Lancet Glob. Heal., 6 (4), e411–e425.

CDC. (2013). National HIV Behavioral Surveillance System in Men Who Have Sex with Men - Round 4: Formative Research Manual.

Chacha, M., Yohana, C., & Nkwengulila, G. (2014). Indigenous knowledge, practices, beliefs and social impacts of porcine cysticercosis and epilepsy in Iringa Rural. Int. J. Infect. Dis., 21 (December), 178.

Champion, V. L. & Skinner, C. S. (2008). The Health Belief Model Model: In Health Behaviour and Health Education-Theory, Research, and Practice (Karen Glanz, B. k. Rimer, & K. Viswanath (eds.); 4th editio, pp. 45–62). Jossey-Bass A Wiley Imprint 989 Market Street, San Francisco.

Coral-Almeida, M., Rodríguez-Hidalgo, R., Celi-Erazo, M., García, H.H., Rodríguez, S., Devleesschauwer, B., Benítez-Ortiz, W., & Dorny, P. (2014). Incidence of Human Taenia solium Larval Infections in an Ecuadorian Endemic Area: Implications for Disease Burden Assessment and Control. PLoS Negl. Trop. Dis., 8 (5).

Eddi, C., Nari, A., & Amanfu, W. (2003). Taenia solium cysticercosis/taeniosis: potential linkage with FAO acti v ities; FAO support possibilities, 87, 145–148.

Edwards, D., Monk-Turner, E., Poorman, S., Rushing, M., Warren, S., & Willie, J. Predictors of hand-washing behavior. (2002). Soc. Behav. Pers., 30 (8), 751–756.

FAO & WHO (2014). Multicriteria-Based Ranking for Risk Management of Food-Borne Parasites. Rome, Italy.

Fisher, A.A., Laing, J.E., Stoeckel, J.E., & Townsend, J. (1991). Handbook for family planning operations research design. 2nd ed. TT.

Gabriël, S., Dorny, P., Mwape, K.E., Trevisan, C., Braae, U.C., Magnussen, P., Thys, S., Bulaya, C., et al. (2017). Control of Taenia solium taeniasis/cysticercosis: The best way forward for sub-Saharan Africa? Acta Trop., 165, 252–260.

Humanitarian Response (2015). Kobo Toolbox. [Internet]. Ocha. Avaiable from:

Kilanowski, J. F. (2017). Breadth of the Socio-Ecological Model, Journal of Agromedicine, 22:4, 295-297, Kilanowski, J. F. Breadth of the Socio-Ecological Model. Journal of Agromedicine.

Kraft, R. (2007). Cysticercosis: An emerging parasitic disease. Am. Fam. Physician, 76 (1).

Murrell, K. (2005). Epidemiology of Taeniosis and Cysticercosis. In: KD. Murrell, J.. Allan, G. Avila, J. Brandt, D. Correa, O.H. Del Brutto, P. Dorny, A. Flisser, H.H. Garcia, S. Geerts, A. Ito, N.C. Kyvsgaard, P. Maravilla, D.P. McManus, H., & Meinardi, eds. WHO/FAO/OIE guidelines for the surveillance, prevention and control of taeniosis/cysticercosis. Paris: World Health WHO/FAO/OIE. OIE, 12, rue de Prony, 75017 Paris, France: WHO/FAO/OIE, 73–92.

Mwang’onde, B.J., Chacha, M.J., & Nkwengulila, G. (2018). The status and health burden of neurocysticercosis in Mbulu district, northern Tanzania. BMC Res. Notes, 11 (1).

Mwidunda, S., Carabin, H., Matuja, W., Winkler, A., & Ngowi, H. A. (2015). School based cluster randomised health education intervention trial for improving knowledge and attitudes related to Taenia solium cysticercosis and taeniasis in Mbulu district, northern Tanzania. PLoS One, 10 (2), 1–17.

Ngowi, H.A., Carabin, H., Kassuku, A.A., Mlozi, M.R.S., Mlangwa, J.E.D., & Willingham, A.L. (2008). A health-education intervention trial to reduce porcine cysticercosis in Mbulu District, Tanzania. Prev. Vet. Med., 85 (1–2), 52–67.

Ngowi, H.A., Kassuku, A.A., Maeda, G.E.M., Boa, M.E., Carabin, H., & Willingham, A.L. (2004). Risk factors for the prevalence of porcine cysticercosis in Mbulu District, Tanzania. Vet. Parasitol., 120 (4), 275–283.

Ngowi, H.A., Mkupasi, E.M., Lekule, F.P., Willingham, I.L., & Thamsborg, S.M. (2011). Impact of farmer education on their knowledge, attitudes, and practices in southern Tanzania: A case for Taenia solium control1. Ngowi HA, Mkupasi EM, Lekule FP, Willingham IL, Thamsborg SM. Impact of farmer education on their knowledge, attitudes, and pr. Livest. Res. Rural Dev., 23 (1), 1–8.

Ngowi, H.A., Mlangwa, J.E.D., Mlozi, M.R.S., Tolma, E.L., Kassuku, A.A., Carabin, H., & Willingham, A.L. (2009). Implementation and evaluation of a health-promotion strategy for control of Taenia solium infections in northern Tanzania. Int. J. Heal. Promot. Educ., 47 (1), 24–34.

Nji, T.M., Piotrowski, P., Nnamdi Dum-Buo, N., Fung, E.G., Dean, L., Theobald, S., Thomson, R., Wanji, S., & Ozano, K. (2021). Eliminating onchocerciasis within the Meme River Basin of Cameroon: A social-ecological approach to understanding everyday realities and health systems. PLoS Negl Trop Dis., 15(6): e0009433.

Okello, A., & Thomas, L. (2017). Human taeniasis: Current insights into prevention and management strategies in endemic countries. Risk Manag. Healthc. Policy, 10, 107–116.

Pedro, M.L., Carlos, C.A., Moisés, T., Yuri, B., Rosario, J., & Cabrera Lilia Prácticas. (2008) Conocimientos Actitudes sobre la Hidatidosis Humana en Poblaciones Procedentes de Zonas Endémicas. Rev Gastroenterol Perú, 28, 43–49.

Pete, J.M. (1986). Handwashing practices among various school age students. Health Educ., 17 (6), 37–39.

Román, G., Sotelo, J., Del Brutto, O., Flisser, A., Dumas, M., Wadia, N., Botero, D., & Cruz, M. (2000). A proposal to declare neurocysticercosis an international reportable disease. Bull. World Health Organ., 78 (3), 399–406.

Sarti, E., Flisser, A., Schantz, P.M., Gleizer, M., Loya, M., Plancarte, A., Avila, G., & Allan, J. (1997). Development and evaluation of a health education intervention against Taenia solium in a rural community in Mexico. Am. J. Trop. Med. Hyg., 56 (2), 127–132.

Shonyela, S.M., Mkupasi, E.M., Sikalizyo, S.C., Kabemba, E.M., Ngowi, H.A., & Phiri, I. (2017). An epidemiological survey of porcine cysticercosis in Nyasa District, Ruvuma Region, Tanzania. Parasite Epidemiol. Control, 2 (4), 35–41.

Townsend, N., & Foster, C. (2011). Developing and applying a socio-ecological model to the promotion of healthy eating in the school. Public Health Nutrition, 16(6), 1101–1108

Trevisan, C., Devleesschauwer, B., Schmidt, V., Winkler, A.S., Harrison, W., & Johansen, M.V. (2017). The societal cost of Taenia solium cysticercosis in Tanzania. Acta Trop., 165, 141–154.

Vaernewyck, V., Evans, K.M., Mubanga, C., Brecht, D., Sarah, G., & Trevisan, C. (2020). Effects of ‘The Vicious Worm’ educational software on Taenia solium knowledge among key pork supply chain workers in Zambia. PLoS Negl. Trop. Dis., 14 (10), 1–16.

WHO. (2008). Advocacy, communication and social mobilisation for TB control; a guide to developing knowledge, attitude and practice surveys. WHO/HTM/STB/2008.46

WHO. (2013). Regional Strategic Plan for Neglected Tropical Diseases in the African Region 2014–2020 Regional Strategic Plan for Neglected Tropical Diseases in the African Region 2014-2020. Brazzaville.

WHO.(2015a). Assembling a framework for intensified control of taeniasis and neurocysticercosis caused by Taenia solium: Report of an informal consultation. World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland.

WHO. (2015b). Taenia Solium Taeniasis / Cysticercosis Diagnostic Tools, (December), 1–26.

Wohlgemut, J., Dewey, C., Levy, M., & Mutua, F. (2010). Evaluating the efficacy of teaching methods regarding prevention of human epilepsy caused by Taenia solium neurocysticercosis in Western Kenya. Am. J. Trop. Med. Hyg., 82 (4), 634–642.

Yuan, L.P., Manderson, L., Ren, M.Y., Li, G.P., Yu, D.B., & Fang, J.C. (2005). School-based interventions to enhance knowledge and improve case management of schistosomiasis: A case study from Hunan, China. Acta Trop., 96 (2–3), 248–254.

4 March, 2024
How to Cite
Nyangi, C., Mahonge, C., Ngowi, H., Winkler, A., Churi, A., & Mkupasi, E. (2024). Socio-Demographic Factors Influencing Knowledge, Attitude, and Reported Practices Regarding Taenia Solium Cysticercosis Taeniasis in Tanzania. East African Journal of Arts and Social Sciences, 7(1), 96-112.