Keys to success for a school-based malaria control program in primary schools in Thailand
Keys to success for a school-based malaria control program in primary schools in Thailand
复制标题
DOI：
10.1016/j.parint.2005.11.056
复制
发表时间：
2006-06-01
影响因子：
1.9
通讯作者：
Tateno, S
中科院分区：
文献类型：
--
作者：
Okabayashi, H;Thongthien, P;Tateno, S
自2000年以来，学校疟疾防治被认为是大湄公河次区域防治这一疾病的新方法。我们评估了一个以学校为基础的疟疾控制计划，泰国西部边境附近使用前后干预研究。主要的干预活动包括用专门的疟疾教材和参与性学习方法对教师进行培训。目标人口是17所学校的17名校长、111名教师和852名三、四、五年级的学生。干预后，教师们比以前更积极地教授疟疾知识。能够设计疟疾教学计划的教师从30.7%增加到47.7%（p = 0.015），教授过疟疾知识的教师从71.9%增加到84.3%（p = 0.035）。该计划的结果是，学童们在预防疟疾方面积极改变了行为，7个问题中有6个问题存在显着差异。如“经常处理蚊虫叮咬”的学生从42.7%上升到62.1%（p < 0.001），“发烧时经常报告父母或老师”的学生从36.0%上升到56.0%（p < 0.001）。最后，成功干预的关键在于良好的教材和利用泰国完善的学校卫生系统的参与性办法。除泰国外，以学校为基础的疟疾控制也可适用于大湄公河次区域其他国家，但要仔细分析每个国家的学校卫生情况。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
School-based malaria control has been recognized as a new approach for the control of this disease in the Greater Mekong Subregion since 2000. We evaluated a school-based malaria control program near the western border of Thailand using a before-after intervention study. The major intervention activities included teacher training with specialized malaria teaching materials and participatory learning methods. The target population was 17 school principals, 111 teachers and 852 schoolchildren of grade 3, 4, and 5 in 17 schools. After the intervention, the teachers taught about malaria more actively than before. The teachers who could design a lesson plan on malaria increased from 30.7% to 47.7% (p = 0.015) and the teachers who had taught about malaria increased from 71.9% to 84.3% (p = 0.035). As a result of the program, the schoolchildren changed their behavior positively towards malaria prevention with significant difference in 6 of 7 questions. For example, the schoolchildren 'who always took care of mosquito bites' increased from 42.7% to 62.1% (p < 0.001) and the schoolchildren 'who always reported their parents or teachers when they had fever' increased from 36.0% to 56.0% (p < 0.001). In conclusion, the keys to a successful intervention lie in good teaching materials and a participatory approach utilizing the well-established Thailand's school health system. Beyond Thailand, school-based malaria control could be applied to other Greater Mekong Subregion countries with careful analysis of school health context in each country. (c) 2005 Elsevier Ireland Ltd. All rights reserved.