scholarly journals Determining the Impact of a School-Based Health Education Package for Prevention of Intestinal Worm Infections in the Philippines: Protocol for a Cluster Randomized Intervention Trial (Preprint)

2020 ◽  
Author(s):  
Mary Lorraine S Mationg ◽  
Gail M Williams ◽  
Veronica L Tallo ◽  
Remigio M Olveda ◽  
Eindra Aung ◽  
...  

BACKGROUND Repeated mass drug administration (MDA) of antihelminthics to at-risk populations is still the main strategy for the control of soil-transmitted helminth (STH) infections. However, MDA, as a stand-alone intervention, does not prevent reinfection. Accordingly, complementary measures to prevent STH reinfection, such as health education and improved sanitation, as part of an integrated control approach, are required to augment the effectiveness of MDA for optimal efficiency and sustainability. OBJECTIVE The aim of this study is to determine the impact and generalizability of a school-based health education package entitled <i>The Magic Glasses</i> for STH prevention in the Philippines. METHODS We conducted a cluster randomized controlled intervention trial, involving 2020 schoolchildren aged 9-10 years, in 40 schools in Laguna Province, Philippines, to evaluate the impact of the school-based health education package for the prevention of STHs. The trial was conducted over the course of 1 year (June 2016 to July 2017). A total of 20 schools were randomly assigned to the intervention arm, in which <i>The Magic Glasses Philippines</i> health education package was delivered with the standard health education activities endorsed by the Philippines Department of Health (DOH) and the Department of Education (DepEd). The other 20 schools comprised the control arm of the study, where the DOH/DepEd’s standard health education activities were done. At baseline, parasitological assessments and a knowledge, attitude, and practice survey were carried out in all schools. In addition, height, weight, and hemoglobin levels were obtained from each child (after parental consent), and their school attendance and academic performance in English and mathematics were accessed from the school records. The baseline and 2 follow-up surveys were completed using the same study measurements and quality-control assessments. RESULTS Key results from this cluster randomized intervention trial will shed light on the impact that <i>The Magic Glasses</i> health education package will have against STH infections in schoolchildren in the province of Laguna, located on the Island of Luzon, in the Calabarzon Region of the Philippines. CONCLUSIONS The results of the trial will be used to assess the generalizability of the impact of <i>The Magic Glasses</i> health education package in different epidemiological and cultural settings, providing evidence for translation of this health education package into public health policy and practice in the Asian region and beyond. CLINICALTRIAL Australian New Zealand Clinical Trials Registry number ACTRN12616000508471; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368849 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18419

10.2196/18419 ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. e18419
Author(s):  
Mary Lorraine S Mationg ◽  
Gail M Williams ◽  
Veronica L Tallo ◽  
Remigio M Olveda ◽  
Eindra Aung ◽  
...  

Background Repeated mass drug administration (MDA) of antihelminthics to at-risk populations is still the main strategy for the control of soil-transmitted helminth (STH) infections. However, MDA, as a stand-alone intervention, does not prevent reinfection. Accordingly, complementary measures to prevent STH reinfection, such as health education and improved sanitation, as part of an integrated control approach, are required to augment the effectiveness of MDA for optimal efficiency and sustainability. Objective The aim of this study is to determine the impact and generalizability of a school-based health education package entitled The Magic Glasses for STH prevention in the Philippines. Methods We conducted a cluster randomized controlled intervention trial, involving 2020 schoolchildren aged 9-10 years, in 40 schools in Laguna Province, Philippines, to evaluate the impact of the school-based health education package for the prevention of STHs. The trial was conducted over the course of 1 year (June 2016 to July 2017). A total of 20 schools were randomly assigned to the intervention arm, in which The Magic Glasses Philippines health education package was delivered with the standard health education activities endorsed by the Philippines Department of Health (DOH) and the Department of Education (DepEd). The other 20 schools comprised the control arm of the study, where the DOH/DepEd’s standard health education activities were done. At baseline, parasitological assessments and a knowledge, attitude, and practice survey were carried out in all schools. In addition, height, weight, and hemoglobin levels were obtained from each child (after parental consent), and their school attendance and academic performance in English and mathematics were accessed from the school records. The baseline and 2 follow-up surveys were completed using the same study measurements and quality-control assessments. Results Key results from this cluster randomized intervention trial will shed light on the impact that The Magic Glasses health education package will have against STH infections in schoolchildren in the province of Laguna, located on the Island of Luzon, in the Calabarzon Region of the Philippines. Conclusions The results of the trial will be used to assess the generalizability of the impact of The Magic Glasses health education package in different epidemiological and cultural settings, providing evidence for translation of this health education package into public health policy and practice in the Asian region and beyond. Trial Registration Australian New Zealand Clinical Trials Registry number ACTRN12616000508471; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368849 International Registered Report Identifier (IRRID) DERR1-10.2196/18419


2017 ◽  
Vol 41 (3) ◽  
pp. 204-213 ◽  
Author(s):  
S Aída Borges-Yáñez ◽  
Roberto Carlos Castrejón-Pérez ◽  
María Esther Irigoyen Camacho

Large-scale school-based programs effectively provide health education and preventive strategies. SaludARTE is a school-based program, including supervised tooth brushing, implemented in 51 elementary schools in Mexico City. Objectives: To assess the three-month efficacy of supervised tooth brushing in reducing dental plaque, gingival inflammation, and bleeding on probing in schoolchildren participating in SaludARTE. Study Design: This was a pragmatic cluster randomized intervention, with two parallel branches. Four randomly selected schools participating in SaludARTE (n=200) and one control school, which did not participate in the program (CG) (n=50), were assessed. Clusters were not randomly allocated to intervention. The main outcomes were as follows: mean percentage gingival units with no inflammation, dental surfaces with no dental plaque, and gingival margins with no bleeding. The independent variable was supervised tooth brushing at school once a day after a meal. Guardians and children responded to a questionnaire on sociodemographic and oral hygiene practices, and children were examined dentally. Mean percentage differences were compared (baseline and follow-up). Results: A total of 75% of guardians from the intervention group (IG) and 77% from the CG answered the questionnaire. Of these, 89.3% were women, with a mean age of 36.9±8.5 years. No differences in sociodemographic variables were observed between groups, and 151 children from the IG and 35 from the CG were examined at baseline and follow-up. Mean percentage differences for plaque-free surfaces (8.8±28.5%) and healthy gingival units (23.3%±23.2%) were significantly higher in the IG. Conclusion: The school-supervised tooth brushing program is effective in improving oral hygiene and had a greater impact on plaque and gingivitis than on gingival bleeding. It is necessary to reinforce the oral health education component of the program.


2014 ◽  
Vol 19 (10) ◽  
pp. 1185-1197 ◽  
Author(s):  
Bethany A. Caruso ◽  
Matthew C. Freeman ◽  
Joshua V. Garn ◽  
Robert Dreibelbis ◽  
Shadi Saboori ◽  
...  

2014 ◽  
Vol 8 (3) ◽  
pp. e2621 ◽  
Author(s):  
Franziska A. Bieri ◽  
Yue-Sheng Li ◽  
Li-Ping Yuan ◽  
Yong-Kang He ◽  
Darren J. Gray ◽  
...  

2018 ◽  
Vol 19 (12) ◽  
pp. 1086-1091 ◽  
Author(s):  
Jane A. Weintraub ◽  
Sheryl Zimmerman ◽  
Kimberly Ward ◽  
Christopher J. Wretman ◽  
Philip D. Sloane ◽  
...  

Bone ◽  
2013 ◽  
Vol 55 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Ursina Meyer ◽  
Dominique Ernst ◽  
Lukas Zahner ◽  
Christian Schindler ◽  
Jardena J. Puder ◽  
...  

2019 ◽  
Vol 59 (1) ◽  
pp. 69-78
Author(s):  
Reguig Madani ◽  
Mohammed Zerf ◽  
SBA Bouabdellah

Summary In 2001 Algerian Governmental created Sport High School (HSA). Its main mission is education, training and development of young talents by providing all the conditions to serve their healthy sports path. Firstly, by intensifying their daily sports as school-based health education program designed to improve their physical status relates to their healthy lifestyle. Disclosed by evaluation tool design to detect their physical abilities as well as their longitudinal followings. Used in present as evaluation scale to inspect imprudence related to the objectives of Algerian public schools (HPA). For proposing this comparative study test 1 000 High School student, 800 boys and 200 girls for academic years 2017 – 2018. The evaluation focused on measuring anthropometric parameters - age, weight, height and BMI as well as physical qualities - speed (30 m), the explosive force vertical (VJ), explosive force of the arms (medicine ball throw 3 kg (MB), flexibility trunk (FT)), endurance abdominal muscles (maximum of <4 sit-ups > in one minute (EAM) and aerobic endurance (20m shuttle test (VO2max)). Controlled by rating scales produced by Iaiche Rezoug. Based on the scale provided by this latter, our results proclaims the generalization of perspectives implemented in Algerian Sport High School as school-based physical health education program designed to reduce the consequences of overweight on health-related to physical performance. Estimated by rating scales produced by Iaiche Rezoug, which could serve as a model database refining the impact of the two Algerian educational systems, as an approach suggesting a clear direction for the development of adequate programs for the larger populations of Algerian scholars.


2018 ◽  
Vol 22 (1) ◽  
pp. 15-27 ◽  
Author(s):  
Vanessa M Oddo ◽  
Airin Roshita ◽  
Jee Hyun Rah

AbstractObjectiveThe present study aimed to take stock of nutrition interventions that warrant consideration as a minimum package of interventions in Indonesia to improve four key nutrition indicators for adolescents: stunting, thinness, overweight and anaemia.DesignWe conducted a review of the peer-reviewed literature published between 1995 and 2017 on nutrition-specific and nutrition-sensitive interventions that target adolescents in Indonesia. The search to identify studies was conducted in PubMed, Google Scholar and EMBASE, using key search terms. We also explored programmatic and policy documents from the grey literature as they related to adolescents and/or Indonesia. Our search yielded thirty-five peer-reviewed articles and programmatic documents.SettingIndonesia.SubjectsAdolescent girls and boys.ResultsThere is very limited evidence on the impact of interventions specifically among adolescents in Indonesia. Nevertheless, findings from our review suggest the minimum package of interventions in Indonesia could include the following nutrition-specifc interventions: (i) iron–folic acid supplements, paired with antihelminths delivered at scale via school-based platforms and through health centres; and (ii) diet counselling and nutrition education provided through school-based platforms, adolescent youth centres/peer education and technology-based platforms. The minimum package could also include the following nutrition-sensitive interventions: (i) improving access to reproductive health services; and (ii) increasing the coverage of interventions designed to increase school attendance.ConclusionsProgrammes and policies targeting adolescent nutrition are relatively new and coverage is low. To improve the nutritional status of this vulnerable population, additional evaluations of adolescent programming and surveillance data on adolescents are needed.


Author(s):  
Vally ◽  
McMichael ◽  
Doherty ◽  
Li ◽  
Guevarra ◽  
...  

A school-based water, sanitation, and hygiene (WASH) intervention in the Philippines was evaluated. Students and households from four schools that received the WASH intervention (intervention schools) were compared with four schools that had not (comparison schools). Knowledge of critical handwashing times was high across all schools, but higher in intervention schools. Students reported higher rates of handwashing after toilet use (92% vs. 87%; RR = 1.06; p = 0.003) and handwashing with soap (83% vs. 60%; RR = 1.4; p < 0.001) in intervention versus comparison schools. In intervention schools, 89% of students were directly observed to handwash after toilet use versus 31% in comparison schools (RR = 2.84; p < 0.0001). Observed differences in handwashing with soap after toilet use were particularly marked (65% vs. 10%; RR = 6.5; p < 0.0001). Reported use of school toilets to defecate (as opposed to use of toilet elsewhere or open defecation) was higher among intervention versus comparison schools (90% vs. 63%; RR = 1.4; p < 0.001). Multilevel modelling indicated that students from intervention schools reported a 10-fold reduction in odds (p < 0.001) of school absence due to diarrhoea. In addition to school-based findings, self-reported handwashing at critical times was found to be higher among household members of students from intervention schools. This school-based WASH program appeared to increase knowledge and hygiene behaviours of school students, reduce absences due to diarrhoea, and increase handwashing at critical times among household members.


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