Elementary-School Pupils as Health Educators: Role of School Health Programmes in Primary Health-Care

Rohde, J; Sadjimin, Tonny

doi:10.1016/s0140-6736(80)91797-3

Cited by 23 publications

(29 citation statements)

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“…These studies have indicated that practical exercises and approaches can change schoolchildren's hygiene behaviour (35, 46) and that children and teachers are enthusiastic about action-oriented lessons due to clear goals and observable results (36). A study among primary schoolchildren in Kenya specifically highlighted that action-oriented health education can develop increased ownership of the new knowledge and thereby transform children's behaviour through their participation (47).…”

Section: Discussionmentioning

confidence: 99%

Teaching handwashing with soap for schoolchildren in a multi-ethnic population in northern rural Vietnam

Xuan

Rheinländer

Hoat

et al. 2013

Global Health Action

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BackgroundIn Vietnam, initiatives have been started aimed at increasing the practice of handwashing with soap (HWWS) among primary schoolchildren. However, compliance remains low.ObjectiveThis study aims to investigate responses to a teacher-centred participatory HWWS intervention in a multi-ethnic population of primary schoolchildren in northern rural Vietnam.DesignThis study was implemented in two phases: a formative research project over 5 months (July–November 2008) and an action research project with a school-based HWWS intervention study in two rural communes during 5 months (May, September–December 2010). Based upon knowledge from the formative research in 2008, schoolteachers from four selected schools in the study communes actively participated in designing and implementing a HWWS intervention. Qualitative data was collected during the intervention to evaluate the responses and reaction to the intervention of teachers, children and parents. This included semi-structured interviews with children (15), and their parents (15), focus group discussions (FGDs) with schoolchildren (32) and school staff (20) and observations during 15 HWWS involving children.ResultsObservations and interview data from children demonstrated that children were visibly excited and pleased with HWWS sessions where teachers applied active teaching methods including rewards, games and HWWS demonstrations. All children, schoolteachers and parents also viewed the HWWS intervention as positive and feasible, irrespective of ethnicity, gender of schoolchildren and background of schoolteachers. However, some important barriers were indicated for sustaining and transferring the HWWS practice to the home setting including limited emphasis on hygiene in the standard curriculum of schools, low priority and lack of time given to practical teaching methods and lack of guidance and reminding HWWS on a regular basis at home, in particular by highland parents, who spend most of their time working away from home in the fields. Access to soap and water at the household level did not seem a barrier for the uptake of HWWS but continuous access to these might be a challenge at schools.ConclusionsThis study demonstrated that it is feasible to engage teachers and implement active teaching methods for behaviour change of HWWS in a group of multi-ethnic primary schoolchildren without the need for major investments in water and hygiene infrastructures. However, in those areas there was limited transfer of practice from school promotion to home. Continuous access to soaps at schools needs to be invested.

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Section: Discussionmentioning

confidence: 99%

Teaching handwashing with soap for schoolchildren in a multi-ethnic population in northern rural Vietnam

Xuan

Rheinländer

Hoat

et al. 2013

Global Health Action

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“…The main concepts in this approach are action and participation, with students' direct involvement in the process 5 . This sharing of information on visceral leishmaniasis was also organized as a homework assignment, thus encouraging discussion between students and family, as well as between students and teachers 3,5 . Table 1 Mean number of correct answers and improvement in a questionnaire on visceral leishmaniasis among 5 th and 8 th grade students from the intervention school (IS) and control school (CS) prior to and 90 days after a class on the disease.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to recall that the intervention only occurred once. Additional interventions by students could further improve their families' knowledge 3,5 .…”

Section: Discussionmentioning

confidence: 99%

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Dissemination of information on visceral leishmaniasis from schoolchildren to their families: a sustainable model for controlling the disease

Magalhães

Silva²,

Haddad

et al. 2009

Cad. Saúde Pública

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“…Programs involving teacher training could be developed, which would provide for mental health education over longer periods of time (Rahman et al, 1998), including at the secondary level (Pinfold et al, 2003). Providing children with health care teaching has been shown to produce effects that reach others in the community (Rohde & Sadjimin, 1980). It has been said that the acceptance of community-based psychiatry must come with the will and the drive of the people in the community and not solely from specialized healthcare workers (Goldberg, 1989).…”

Section: Discussionmentioning

confidence: 99%

The use of puppets with elementary school children in reducing stigmatizing attitudes towards mental illness

Pitre¹,

Stewart²,

Adams³

et al. 2007

Journal of Mental Health

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Background: Mental health reform has resulted in individuals with mental illness, who previously resided in psychiatric institutions, being moved into the community. These individuals potentially face multi-faceted discrimination, which may impair their recovery. Aims: Most anti-stigma campaigns have been directed at adults or adolescents. We targeted children in order to evaluate the effectiveness of a puppet program to reduce stigmatizing attitudes in grades 3 -6 students. Method: Children received a pre and posttest of their attitudes as measured by the re-factored. Opinions About Mental Illness Scale. The experimental group watched a series of three plays in which hand puppets portrayed individuals with schizophrenia, depression/anxiety, and dementia. The plays were designed to challenge stereotypes and erroneous beliefs regarding mental illness, while appealing to children. Results: Scores for the children exposed to the puppet plays improved significantly on three of the six factors of the OMI, including, Separatism, Restrictiveness and Stigmatization. Conclusions: Anti-stigma programs using puppetry show some effectiveness and should be further studied.

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Elementary-School Pupils as Health Educators: Role of School Health Programmes in Primary Health-Care

Cited by 23 publications

References 1 publication

Teaching handwashing with soap for schoolchildren in a multi-ethnic population in northern rural Vietnam

Teaching handwashing with soap for schoolchildren in a multi-ethnic population in northern rural Vietnam

Dissemination of information on visceral leishmaniasis from schoolchildren to their families: a sustainable model for controlling the disease

The use of puppets with elementary school children in reducing stigmatizing attitudes towards mental illness

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