'A child is also a teacher': exploring the potential for children as change agents in the context of a school-based WASH intervention in rural Eastern Zambia

'A child is also a teacher': exploring the potential for children as change agents in the context of a school-based WASH intervention in rural Eastern Zambia
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DOI:
10.1093/her/cyw022
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发表时间:
2016-08-01
影响因子:
2.4
通讯作者:
Freeman, M. C.
Freeman, M. C.
中科院分区:
医学4区
文献类型:
--
作者:
Bresee, S.;Caruso, B. A.;Freeman, M. C.

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作为低收入环境下水、环境卫生和个人卫生干预措施的一部分,人们经常假设学生可以在家里传播信息和催化变革,但这一假设尚未得到严格评估。我们分两个阶段采用定性研究方法,评估赞比亚农村五所学校的儿童成为变革推动者的潜力。第一阶段包括学生之间的角色扮演和焦点小组讨论,讨论他们作为变革推动者的公认能力。然后,孩子们被布置了包括健康信息和如何建立洗手站的信息的家庭作业,并被鼓励参与到他们的家庭中来。在第二阶段,我们与学生和母亲进行了单独的焦点小组讨论,讨论他们对家庭作业的体验。我们发现,总的来说,学生们热衷于与父母--通常是男性户主--打交道,并成功地建造了洗手站。母亲们报告说,他们高度信任孩子们传达在学校学到的健康信息。学生们能够对行为做出小的改变,但不能做出更大的基础设施改变,比如建造厕所。学生能够与家庭成员交流知识和行为;然而,需要单独的活动和指导。
As part of water, sanitation and hygiene interventions in low-income settings, it is frequently assumed that pupils can disseminate information and catalyze change at home, yet this assumption has not been rigorously assessed. We employed qualitative research methods in two phases to assess the potential for children to be change agents in five schools in rural Zambia. Phase 1 included role-play and focus group discussions among pupils on their percieved ability to serve as change agents. Children were then given 'homework' that included information on health messages and on how to build a handwashing station, and were encouraged to engage their family. In Phase 2, we conducted separate focus group discussions with pupils and mothers on their experiences with the 'homework'. We found that, in general, pupils were enthusiastic about engaging with parents-typically male heads of household-and were successful at constructing handwashing stations. Mothers reported high levels of trust in children to relay health information learned at school. Pupils were able to enact small changes to behavior, but not larger infrastructure changes, such as construction of latrines. Pupils are capable of communicating knowledge and behaviors to family members; however, discrete activities and guidance is required.