{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T17:40:57Z","timestamp":1792777257802,"version":"4.5.0"},"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Schistosomiasis remains an important but neglected public health problem in Uganda. We estimated its prevalence, microscopy-based species distribution and associated factors among women delivering at Jinja Regional Referral Hospital. A hospital-based analytical cross-sectional study included 392 women from 1 September to 30 December 2025. One stool and one urine specimen per participant were examined microscopically for Schistosoma mansoni and S. haematobium, respectively. Multivariable logistic regression assessed associated factors; parsimonious conventional and Firth penalized models were used in sensitivity analyses. Microscopically detectable schistosomiasis was present in 44\/392 women (11.2%; 95% CI: 8.5\u201314.8). Among microscopy-positive women, S. haematobium accounted for 63.6% of infections (95% CI: 48.2\u201376.7), S. mansoni for 29.5% (95% CI: 17.7\u201345.0), and mixed infection for 6.8% (95% CI: 2.1\u201319.6). Unimproved main water source (adjusted odds ratio [aOR] = 3.11; 95% CI: 1.46\u20136.64; p\u2009=\u20090.003), unimproved toilet facility (aOR = 4.40; 95% CI: 2.01\u20139.67; p\u2009&lt;\u20090.001) and absence of a handwashing facility (aOR = 2.12; 95% CI: 1.02\u20134.41; p\u2009=\u20090.043) remained associated with microscopy-detected infection after adjustment. Women reporting fewer than four antenatal care contacts had higher adjusted odds than those reporting four to seven contacts (aOR = 8.43; 95% CI: 3.21\u201322.18; p\u2009&lt;\u20090.001). The principal WASH associations remained consistent in sensitivity analyses. S. haematobium predominated among microscopy-classified infections. Household WASH characteristics remained associated with microscopy-detected infection, while the antenatal care association requires cautious interpretation. These cross-sectional findings do not establish causality but support further evaluation of context-appropriate schistosomiasis risk assessment within maternal health services and coordinated WASH and schistosomiasis-control strategies in endemic settings.<\/jats:p>","DOI":"10.1371\/journal.pgph.0006297","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T17:25:31Z","timestamp":1792776331000},"page":"e0006297","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Microscopically detectable maternal schistosomiasis at delivery in Eastern Uganda: Prevalence, microscopy-based species distribution and associated household WASH characteristics in a hospital-based cross-sectional study"],"prefix":"10.1371","volume":"6","author":[{"given":"George Binna","family":"Sande","sequence":"first","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa","family":"Kasujja","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Okurut","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxwell","family":"Okello","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Pascaline Sabine","family":"Ishimwe","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Pediatrics and Child Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Nteziyaremye","sequence":"additional","affiliation":[{"name":"University of Rwanda","place":["Kigali, Rwanda"],"department":["Department of Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8850-9571","authenticated-orcid":true,"given":"John","family":"Yaweh","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Mugabi","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Liban","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5226-8689","authenticated-orcid":true,"given":"Geoffrey","family":"Okot","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. R.","family":"Neel","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Microbiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bot Yakubu","family":"Sunday","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Medical Laboratory Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3086-6369","authenticated-orcid":true,"given":"Matthew Chibunna","family":"Igwe","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Public Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amos","family":"Muhumuza","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theoneste","family":"Hakizimana","sequence":"additional","affiliation":[{"name":"Kampala International University","place":["Ishaka, Uganda"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"key":"pgph.0006297.ref001","unstructured":"WHO. 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