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Haemonchus contortus is one of the most common and fatal pathogenic gastrointestinal nematodes of small ruminants causing significant economic losses, particularly in low‐income countries. A cross‐sectional study was carried out in randomly selected small ruminants kept under traditional husbandry systems in the Apac district (now split into Apac and Kwania districts) in northern Uganda to assess the prevalence, intensity, and associated risk factors of H. contortus infection from May 2018 to January 2019. Faecal samples were collected from a total of 768 randomly selected small ruminants (384 sheep and 384 goats) and examined for parasites using the floatation method and coproculture. The overall prevalence of H. contortus in small ruminants was 73.3% (563/768) by faecal egg count and 70.6% (542/768) by coproculture. The mean number of eggs per gram of faeces in small ruminants was 2046 ± 107 and differed significantly across the host animals ranging from 1729 ± 120 (mean ± SE) in goats to 2364 ± 176 in sheep. Significant predictors of infection were the origin of study animals, animal species, breed of animal, age of study animal, faecal consistency, lactation, multispecies grazing, grazing method, and anthelmintic use. The findings of our study provide information on the current status of H. contortus infections in goats and sheep under traditional husbandry systems in Uganda which are critical in designing effective control strategies for the disease. [ABSTRACT FROM AUTHOR]

We conducted a comparative cross-sectional study to examine the potential effects of a community-led total sanitation (CLTS) intervention on sanitation and hygiene in Pallisa district in Uganda. Quantitative data were collected from households using a semi-structured questionnaire and an observation checklist, entered and analyzed using univariate, bivariate, and multivariate analyses. Overall, knowledge on sanitation and hygiene was significantly higher (64.5%; 129/200) among households in the CLTS intervention than among those in the nonintervention subcounties (54.0%; 108/200) ( P = 0.033). Latrine quality was rated as fair in a majority (73.3%; 143/195) of the CLTS intervention households compared with 50.8% (93/183) in the non-CLTS households ( P < 0.001). Latrine cleanliness was rated as good in more than a half (51.3%; 100/195) of households in the intervention area, whereas only 13.7% (25/183) for the nonintervention area ( P < 0.001). In this study, 35.0% (70/200) of the households in the intervention subcounty had attained open defecation-free (ODF) status compared with only 6.0% (12/200) in the nonintervention subcounty ( P < 0.001). Level of knowledge on hygiene and sanitation (adjusted odd ratio [AOR]: 2.23; 95% CI: 1.24-4.03) and CLTS status (AOR: 8.89; 95% CI: 4.26-18.56) were significantly associated with achievement of ODF status in the multivariate analysis. The mean cases of diarrhea were significantly lower in CLTS implementing (subcounty (0.42 [SD ± 1.03]) than in the non-CLTS implementing subcounty (0.98 [SD ± 1.39]; t = -4.6; P < 0.001). Sanitation and hygiene outcomes were better in the CLTS intervention subcounty than in the non-CLTS intervention subcounty, suggesting that scaling up CLTS could reduce ODF and the burden of diarrheal diseases.