Schistosomiasis Prevalence and Associated Risk Factors Among School-Age Children in Nasarawa State

Schistosomiasis caused by Schistosoma haematobium continues to affect millions of school-age children in Nigeria's North Central zone. This cross-sectional study assessed the prevalence of urogenital schistosomiasis and associated risk factors among children aged 6 to 15 years in riverine communities of Nasarawa State. Urine samples from 260 children were examined using the standard urine filtration technique, and questionnaires captured water contact histories, hygiene practices, and socioeconomic backgrounds. Haematuria was assessed visually and confirmed via reagent strip testing. An overall prevalence of 37.7 percent was recorded, with males showing significantly higher infection rates attributed to more frequent water contact during farming and recreational activities. Communities situated within 500 metres of irrigation canals had significantly elevated infection rates compared to inland communities. Moderate to heavy intensity infections were associated with dysuria and gross haematuria in 44 percent of affected children. The study concludes that school-based preventive chemotherapy using praziquantel combined with health education and water contact restriction is essential for schistosomiasis control in Nasarawa State. Regular epidemiological monitoring is equally recommended to track programme impact. Keywords: Schistosoma haematobium, urogenital schistosomiasis, school children, Nasarawa State, risk factors.