scholarly journals Feasibility of school-based health intervention for compliance of mass drug administration for soil transmitted helminthiasis in Bangladesh

2020 ◽  
Author(s):  
Farah Faizah ◽  
Elsa Herdiana Murhandarwati ◽  
Yayi Suryo Prabandari ◽  
Be-Nazir Ahmed ◽  
Md Mahbub Hossain ◽  
...  

<p><i>Background:</i> Mass Drug Administration (MDA) Programs has been conducting bi-annually<i> </i>at school level to eliminate Soil Transmitted Helminthiasis (STH) from Bangladesh since 2008. Because of very low MDA coverage in Bangladesh, this study explored the perceptions of stakeholders about MDA program implementation, knowledge of students regarding helminthiasis and MDA including its potential barriers.</p> <p><i>Methods:</i> 258 students of grade IV of three public schools from Khulna district, Bangladesh were randomly selected. This study follows mixed-method approach while Qualitative methods were used to evaluate the perception, barriers and favourable environment based on IDIs and FGDs with key stakeholders and quantitative method used to assess the students’ response to School-Based Health Education (SBHE) intervention and knowledge of STH and MDA. </p> <p><i>Results:</i> In result, positive understanding and attitude towards MDA program are seen within community as well as have basic knowledge on STH. Rumour of drugs potential side effects and insufficiently trained manpower are found as key barriers. After SBHE intervention among urban and rural students’ knowledge improved by 64.31% and 13.04% respectively including MDA coverage has increased by 40.08% and 8.69% respectively as well.</p> <p><i>Conclusions:</i> SBHE intervention improves knowledge, but to make that knowledge effective and sustainable, teachers need to get proper trainings on regular basis. Improved knowledge of the community can increase MDA coverage if we are able to remove the program obstacle like rumours of side effect of the medicine and constraints of skilled human resources. </p>

2020 ◽  
Author(s):  
Farah Faizah ◽  
Elsa Herdiana Murhandarwati ◽  
Yayi Suryo Prabandari ◽  
Be-Nazir Ahmed ◽  
Md Mahbub Hossain ◽  
...  

<p><i>Background:</i> Mass Drug Administration (MDA) Programs has been conducting bi-annually<i> </i>at school level to eliminate Soil Transmitted Helminthiasis (STH) from Bangladesh since 2008. Because of very low MDA coverage in Bangladesh, this study explored the perceptions of stakeholders about MDA program implementation, knowledge of students regarding helminthiasis and MDA including its potential barriers.</p> <p><i>Methods:</i> 258 students of grade IV of three public schools from Khulna district, Bangladesh were randomly selected. This study follows mixed-method approach while Qualitative methods were used to evaluate the perception, barriers and favourable environment based on IDIs and FGDs with key stakeholders and quantitative method used to assess the students’ response to School-Based Health Education (SBHE) intervention and knowledge of STH and MDA. </p> <p><i>Results:</i> In result, positive understanding and attitude towards MDA program are seen within community as well as have basic knowledge on STH. Rumour of drugs potential side effects and insufficiently trained manpower are found as key barriers. After SBHE intervention among urban and rural students’ knowledge improved by 64.31% and 13.04% respectively including MDA coverage has increased by 40.08% and 8.69% respectively as well.</p> <p><i>Conclusions:</i> SBHE intervention improves knowledge, but to make that knowledge effective and sustainable, teachers need to get proper trainings on regular basis. Improved knowledge of the community can increase MDA coverage if we are able to remove the program obstacle like rumours of side effect of the medicine and constraints of skilled human resources. </p>


Parasitology ◽  
2009 ◽  
Vol 136 (13) ◽  
pp. 1781-1788 ◽  
Author(s):  
K. MASSA ◽  
A. OLSEN ◽  
A. SHESHE ◽  
R. NTAKAMULENGA ◽  
B. NDAWI ◽  
...  

SUMMARYControl programmes generally use a school-based strategy of mass drug administration to reduce morbidity of schistosomiasis and soil-transmitted helminthiasis (STH) in school-aged populations. The success of school-based programmes depends on treatment coverage. The community-directed treatment (ComDT) approach has been implemented in the control of onchocerciasis and lymphatic filariasis in Africa and improves treatment coverage. This study compared the treatment coverage between the ComDT approach and the school-based treatment approach, where non-enrolled school-aged children were invited for treatment, in the control of schistosomiasis and STH among enrolled and non-enrolled school-aged children. Coverage during the first treatment round among enrolled children was similar for the two approaches (ComDT: 80·3% versus school: 82·1%, P=0·072). However, for the non-enrolled children the ComDT approach achieved a significantly higher coverage than the school-based approach (80·0 versus 59·2%, P<0·001). Similar treatment coverage levels were attained at the second treatment round. Again, equal levels of treatment coverage were found between the two approaches for the enrolled school-aged children, while the ComDT approach achieved a significantly higher coverage in the non-enrolled children. The results of this study showed that the ComDT approach can obtain significantly higher treatment coverage among the non-enrolled school-aged children compared to the school-based treatment approach for the control of schistosomiasis and STH.


Author(s):  
Cynthia Uchechukwu Ejike ◽  
Akinola Stephen Oluwole ◽  
Olaitan Olamide Omitola ◽  
Adedotun Ayodeji Bayegun ◽  
Islamiat Yetunde Shoneye ◽  
...  

Abstract Background We redesigned the Schisto and Ladders health educational board game and evaluated its potential to encourage compliance to school-based mass drug administration with praziquantel. Methods Two hundred and seventy-five children from six schools who rejected praziquantel treatment were divided into intervention and control groups. Before the intervention, preassessment interviews were conducted on their knowledge about praziquantel treatment and schistosomiasis. The Schisto and Ladders version 2 game as an intervention, and the Snakes and Ladders game as a control, were played for 6 mo. Postassessment interviews, including focus group discussions, were conducted. Results At preassessment, 0/98 (0.0%) children in the intervention group had heard of praziquantel compared with 2/177 (1.1%) in the control group. Similarly, 0/98 (0.0%) children in the intervention group did not know that praziquantel does not kill compared with 4/177 (2.3%) in the control group. The postassessment showed that 53/78 (67.9%) in the intervention group were aware of praziquantel compared with 2/177 (1.1%) in the control group (p=0.000). Similarly, 53 (69.7%) in the intervention group knew about the safety of praziquantel compared with 0/177 (0.0%) in the control group (p=0.000). Sixty-four children (65.3%) from the intervention group sought praziquantel treatment after the trial. Conclusions Schisto and Ladders version 2 is a useful sensitisation tool with which to encourage compliance to praziquantel treatment in schools.


2020 ◽  
Author(s):  
Mirgissa Kaba ◽  
Zelalem Adugna Geletu

Abstract Background: Management of menstruation as a biological occurrence for women of reproductive age and men’s role is determined by socio-cultural factors. There is dearth of evidence on men in general and boys support on menstrual hygiene and management. This study aims to identify school based menstrual hygiene and management interventions and the role of boys in Oromia region, Ethiopia.Method: The study was carried out in 2017-18 academic year in eight Oromia Development Association (ODA) supported public schools with sport for life interventions. Schoolboys and girls aged 12-15, parents and school teachers participated in the study. Focus Group Discussion with boys, girls, and key informant interviews with parents were completed. Data were transcribed and translated into English and themes were developed following the objectives. Interpretation and presentation of the findings were substantiated with quoted shared opinions. Result: Finding shows that after two years of school based sport for life intervention, study participants invariably recognized menstruation as a natural occurrence and is a blessing rather than a curse. Girls who used to shy and abstain from school for fear of bullying and teasing attended their classes regularly and became competitors in their academic performance. Common arguments by all participants alike show that ‘We learnt that menstruation is a mark of healthy growth of girls. The absence of it that should be the source of concern’ . With dedicated room and availability of water and sanitary napkin; and support from boys and schoolteachers and management of menstrual hygiene has improved at school level. Boys not only stopped teasing girls but also started contributing money to purchase sanitary napkins. Liaising such school level intervention with parents has extended support to girls at home level. Conclusion: School level non-curricular intervention that has involved not only students but also the school community and parents have brought fundamental change to the way menstruation was understood and its implications. Menstruation is no more a source of shame and reason to tease and bully girls with its far reaching implication on the school performance of girls. Further study using mixed method may help document specific changes and sustainability.


2018 ◽  
Vol 65 (10) ◽  
pp. 1343-1370 ◽  
Author(s):  
Erica R. Fissel ◽  
Pamela Wilcox ◽  
Marie Skubak Tillyer

School crime has been a national issue for nearly 40 years and remains a concern for students, administrators, parents, and the public. Schools engage in numerous strategies aimed at curbing crime, ranging from harsh disciplinary practices to proactive strategies focused on gaining student compliance. This study examines the impact of disciplinary practices on in-school delinquency, while also considering the influence of students’ perceptions of injustice. Using student- and school-level data from the Rural Substance Abuse and Violence Project and hierarchical Poisson regression analyses, findings reveal that students’ perceptions of injustice were significantly related to in-school delinquency, while proactive and reactive discipline practices, spanning the punitiveness continuum, were not. The findings provide tentative guidance for school-based discipline management policies and practices.


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