Engaging schools in diagnosis and treatment of malaria: Evidence of sustained impact on morbidity and behavior

Autor: Andrew J. Macnab, Ronald Mukisa, Sharif Mutabazi, Rachel Steed
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: GHMJ (Global Health Management Journal), Vol 1, Iss 2 (2017)
Druh dokumentu: article
ISSN: 2580-9296
Popis: Background: In low and middle income countries (LMICs) teachers send home children found sick in class devolving subsequent care to parents; where malaria is endemic, morbidity is high as the most parents fail to access WHO-endorsed rapid diagnostic testing (RDT and prompt treatment with artemisinin combination therapy (ACT). Consequently malaria is the principal reason a child misses school; so, we trained teachers to use RDT to evaluate all sick pupils and give ACT promptly to those positive. Aims: Pre, intra and post intervention evaluation of impact of using the WHO Health Promoting School (HPS) model to empower teachers to provide RDT and ACT and engage and inform pupils about malaria in 4 schools in rural Uganda. Methods: Documenting duration of absence from school as a surrogate measure for morbidity and change in children’s knowledge and reported behaviors regarding malaria. Preintervention (year 1) baseline evaluation of days of absence and children’s malaria knowledge/behavior; Intervention (year 2) trained teachers administered RDT in all sick children and treated those positive with ADT; Post-intervention (end of year 3) after schools independently continued RDT/ACT and education on malaria. Results: Pre-intervention
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