Impact of the ‘Grade Zero’ system on minority children in Lao PDR – A qualitative study of pre-primary schools in a rural province

2019 ◽  
Vol 48 (1) ◽  
pp. 118-130
Author(s):  
Miki Inui
Author(s):  
Guoqing Zhao ◽  
Taotao Long ◽  
Rongchi Zhao ◽  
Xuanyang Yang ◽  
Xiangling Zhang ◽  
...  

2020 ◽  
Vol 105 (9) ◽  
pp. 819-824
Author(s):  
Siti Nurkamilla Ramdzan ◽  
Ee Ming Khoo ◽  
Su May Liew ◽  
Steven Cunningham ◽  
Marilyn Kendall ◽  
...  

ObjectiveWe aimed to explore the views of Malaysian children with asthma and their parents to enhance understanding of early influences on development of self-management skills.DesignThis is a qualitative study conducted among children with asthma and their parents. We used purposive sampling and conducted focus groups and interviews using a semi-structured topic guide in the participants’ preferred language. All interviews were audio-recorded, transcribed verbatim, entered into NVivo and analysed using a grounded theory approach.SettingsWe identified children aged 7–12 years with parent-reported, physician-diagnosed asthma from seven suburban primary schools in Malaysia. Focus groups and interviews were conducted either at schools or a health centre.ResultsNinety-nine participants (46 caregivers, 53 children) contributed to 24 focus groups and 6 individual interviews. Children mirrored their parents’ management of asthma but, in parallel, learnt and gained confidence to independently self-manage asthma from their own experiences and self-experimentation. Increasing independence was more apparent in children aged 10 years and above. Cultural norms and beliefs influenced children’s independence to self-manage asthma either directly or indirectly through their social network. External influences, for example, support from school and healthcare, also played a role in the transition.ConclusionChildren learnt the skills to self-manage asthma as early as 7 years old with growing independence from the age of 10 years. Healthcare professionals should use child-centred approach and involve schools to facilitate asthma self-management and support a smooth transition to independent self-management.Trial registration numberMalaysian National Medical Research Register (NMRR-15-1242-26898).


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e038625
Author(s):  
Joanna Goldthorpe ◽  
Tracy Epton ◽  
Chris Keyworth ◽  
Rachel Calam ◽  
Joanna Brooks ◽  
...  

ObjectivePrimary schools are crucial settings for early weight management interventions but effects on children’s weight are small and evidence shows that deficiencies in intervention implementation may be responsible. Very little is known about the roles of multiple stakeholders in the process of implementation. We used a multiple-stakeholder qualitative research approach to explore the implementation of an intervention developed to improve the diet and increase the levels of physical activity for children living in some of the most deprived areas of England.DesignFor this qualitative study, interviews and focus groups were carried out using semi-structured topic guides. Data were analysed thematically.SettingSeven primary schools (pupils aged 4 to 11) in Manchester, England.ParticipantsWe conducted 14 focus groups with children aged 5 to 10 years and interviews with 19 staff members and 17 parents.InterventionManchester Healthy Schools (MHS) is a multicomponent intervention, developed to improve diet and physical activity in schools with the aim of reducing and preventing childhood obesity.ResultsThree themes were developed from the data: common understandings of health and health behaviours; congruence and consistency of messages; negotiations of responsibility.ConclusionAll participant groups had a common conceptualisation of health as having physical and psychological components and that action could be taken in childhood to change behaviours that protect long-term health. When parents and staff felt a shared sense of responsibility for children’s health and levels of congruence between home and school norms around diet and physical activity were high, parents and children were more likely to accept the policies implemented as part of MHS. Effective two-way communication between home and school is therefore vital for successful implementation of this intervention.


2014 ◽  
Vol 47 (4) ◽  
pp. 505-520 ◽  
Author(s):  
SIMON MUHUMUZA ◽  
ANNETTE OLSEN ◽  
FRED NUWAHA ◽  
ANNE KATAHOIRE

SummaryDespite attempts to control intestinal schistosomiasis through school-based mass drug administration (MDA) with praziquantel using school teachers in Uganda, less than 30% of the school children take the treatment in some areas. The aim of the study was to understand why the uptake of praziquantel among school children is low and to suggest strategies for improved uptake. This was a cross-sectional qualitative study in which 24 focus group discussions and 15 key informant interviews were conducted 2 months after MDA. The focus group discussions were held with school children in twelve primary schools and the key informant interviews were held with school teachers, sub-county health assistants and the District Vector Control Officer. The study shows that the low uptake of praziquantel among school children is a result of a complex interplay between individual, interpersonal, institutional, community and public policy factors. The individual and interpersonal factors underpinning the low uptake include inadequate information about schistosomiasis prevention, beliefs and attitudes in the community about treatment of schistosomiasis and shared concerns among children and teachers about the side-effects of praziquantel, especially when the drug is taken on an empty stomach. The institutional, policy and community factors include inadequate preparation and facilitation of teachers and the school feeding policy, which requires parents to take responsibility for providing their children with food while at school, yet many parents cannot meet the cost of a daily meal due to the prevailing poverty in the area. It is concluded that strategies to improve uptake of praziquantel among school children need to be multi-pronged addressing not only the preparation and motivation of teachers and health education for children, but also the economic and political aspects of drug distribution, including the school feeding policy.


2018 ◽  
Vol 19 (1) ◽  
pp. 79-99
Author(s):  
Colleen Loomis ◽  
Kathrine Maleq ◽  
Ilenia Pellandini ◽  
Abedeljalil Akkari

The article examined the impact of pre-primary education in Lao PDR on children’s school readiness and numeracy. Using a quasi-experimental research design, we compared children (ages 4 and 5, N = 445) in five districts across three groups: (1) attending a school with an NGO-government collaboration, (2) attending a school without an NGO-collaboration, and (3) not attending school. Quality was assessed using the Early Childhood Environment Rating Scale. Results show that pre-primary schools with an NGO-collaboration were higher in quality than other schools. Children in a school with an NGO-collaboration scored higher on school readiness than both other groups of children; the impact on numeracy differs by age. Five lessons learned are discussed.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Hope Mei Hong Lee ◽  
Jo Durham ◽  
Jenny Booth ◽  
Vanphanom Sychareun

Author(s):  
Bounlay Phommasack ◽  
Khamhoung Saklokham ◽  
Chitsavang Chanthavisouk ◽  
Viengsavanh Nakhonesid-Fish ◽  
Hanne Strandgaard ◽  
...  
Keyword(s):  

2015 ◽  
Vol 31 (4) ◽  
pp. 446-458 ◽  
Author(s):  
Jo Durham ◽  
Vanphanom Sychareun ◽  
Anna Rodney ◽  
Hebe N. Gouda ◽  
Nicola Richards ◽  
...  

2021 ◽  
Vol 33 (2) ◽  
pp. 19-34
Author(s):  
C.I. Agu ◽  
E.N. Ossai ◽  
A.C. Ndu ◽  
I.I. Eze ◽  
I.C. Agu ◽  
...  

Background: School health services offer a great opportunity for many children to access primary health care, especially in developing countries. This study assessed the status of health services in public primary schools in Enugu Metropolis, Enugu State, Nigeria from the perspectives of the school heads.Methods: This was a qualitative study conducted among 24 public primary school head masters/mistresses in the three Local Government Areas making up Enugu metropolis. They were purposively selected from the 117 public primary schools in the metropolis. Data were collected through the use of Key Informant Interview (KII) guide, and analyzed using thematic approach.Results: Only one of the participants knew about the school health policy, while others expressed surprise at its existence. All the schools had a first aid box, but most of the boxes were not sufficiently stocked. None of the schools had a trained first aider. De-worming was carried out once in a while in all the schools. Majority of the schools did not document health services provided. The schools rarely referred pupils to health facilities as needed, but rather informed parents if their children became ill while in school.Conclusion: The implementation of health services in public primary schools in Enugu Metropolis leaves much to be desired. Health services, including health appraisal were generally poor. Basic resources necessary for school health services were lacking in the schools. There is need for stakeholders to take urgent steps in order to redress the situation.


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