Original Research

Determinants of scabies outbreak in Takusa district of Amhara Region, Northwest Ethiopia

Etsehiwot D. Worku, Mulusew A. Asemahagn, Melese L. Endalifer
Journal of Public Health in Africa | Vol 11, No 2 | a531 | DOI: https://doi.org/10.4081/jphia.2020.1303 | © 2024 Etsehiwot D. Worku, Mulusew A. Asemahagn, Melese L. Endalifer | This work is licensed under CC Attribution 4.0
Submitted: 23 April 2024 | Published: 31 December 2020

About the author(s)

Etsehiwot D. Worku, Public Health Emergency Management Officer, North Showa Zone, Amhara Regional Health Bureau, Ethiopia
Mulusew A. Asemahagn, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
Melese L. Endalifer, College of Health Science, Woldia University, Woldia, Ethiopia

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Background: Human scabies is a highly contagious human dermatitis disease. As indicated by the national and regional reports, the epidemic of scabies became a major public health problem in Ethiopia since 2015. Objective: To identify the determinant factors of scabies outbreak in Takusa district, Northwest Ethiopia, 2017.

Methods: A community based unmatched case-control study among 188 participants (63 cases and 125 controls) was conducted in Takusa district from September to October 2017. Data were collected using a pretested structured questionnaire. Multivariable logistic regression analysis was computed using SPSS version 22 to identify factors associated with scabies. Odds ratio at 95% CI and p-value less than 0.05 were used to describe the strength of the association and statistical significance.

Results: The median age of cases was 20 years (ranges1-61). Presence of person with itching in the family (AOR=7.7, 95% CI:1.9-30.5), sleeping with scabies patient (AOR=3.99, 95% CI:1.37-11.7), travel to scabies epidemic area in the last six weeks (AOR=3.79, 95%CI:1.28-11.1) and infrequent use of detergent for showering (AOR=4.85; 95% CI: 1.3-17.9)) were found to be determinant factors of scabies outbreak.

Conclusion: Frequent contact with people who develop scabies at home, not using detergents for washing, and mobility of people from non-epidemic to the epidemic areas were determinant factors. Giving special emphasis on regular awareness creation to the rural community is important to prevent scabies outbreak.


determinant factors; Ethiopia; Scabies; outbreak; Takusa district


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