School-based participatory health education for malaria control in Ghana: engaging children as health messengers

Ayi, Irène; Nonaka, Daisuke; Adjovu, Josiah K; Hanafusa, Shigeki; Jimba, Masamine; Bosompem, Kwabena M.; Mizoue, Tetsuya; Takeuchi, Tsutomu; Boakye, Daniel; Kobayashi, Jun

doi:10.1186/1475-2875-9-98

Cited by 124 publications

(162 citation statements)

References 27 publications

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“…59 Nevertheless, a study in Ghana investigating a school-based participatory health education intervention for malaria showed no changes in malaria parasite prevalence between the intervention and the control groups, but malaria knowledge was significantly higher in the intervention group. 60 Education can, therefore, play an important role in malaria control efforts. Education has the potential to increase household incomes as women find better-paying jobs, and it also improves women's knowledge of the best ways to protect themselves and their children from various diseases, including malaria.…”

Section: Discussionmentioning

confidence: 99%

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Njau¹,

Stephenson²,

Menon³

et al. 2014

The American Journal of Tropical Medicine and Hygiene

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Abstract. The relationship between maternal education and child health has intrigued researchers for decades. This study explored the interaction between maternal education and childhood malaria infection. Cross-sectional survey data from three African countries were used. Descriptive analysis and multivariate logistic regression models were completed in line with identified correlates. Marginal effects and Oaxaca decomposition analysis on maternal education and childhood malaria infection were also estimated. Children with mothers whose education level was beyond primary school were 4.7% less likely to be malaria-positive (P 0.001). The Oaxaca decomposition analysis exhibited an 8% gap in childhood malaria infection for educated and uneducated mothers. Over 60% of the gap was explained by differences in household wealth (26%), household place of domicile (21%), malaria transmission intensities (14%), and media exposure (12%). All other correlates accounted for only 27%. The full adjusted model showed a robust and significant relationship between maternal education and childhood malaria infection.

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Section: Discussionmentioning

confidence: 99%

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Njau¹,

Stephenson²,

Menon³

et al. 2014

The American Journal of Tropical Medicine and Hygiene

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“…[66] Despite being recognized as key players in malaria control, little evidence exists on the involvement of school children in prevention activities. [67] Teaching malaria lessons in primary schools effectively increased knowledge and made children in a Kenyan rural community change agents, [67] with significantly improved hygiene in school and home environments, hence, decreased malaria prevalence. However, it is less organisationally feasible because it will add workload, demand more teachers and face complex administrative procedures to update Participation: An In-Depth Review curricula, [67] hence, likely unacceptable.…”

Section: Strategies To Address Community Educationmentioning

confidence: 99%

“…[67] Teaching malaria lessons in primary schools effectively increased knowledge and made children in a Kenyan rural community change agents, [67] with significantly improved hygiene in school and home environments, hence, decreased malaria prevalence. However, it is less organisationally feasible because it will add workload, demand more teachers and face complex administrative procedures to update Participation: An In-Depth Review curricula, [67] hence, likely unacceptable. Despite its long term benefit of improvement in school attendance and performance, it is not financially feasible because it demands additional expenditures on teachers and pupils.…”

Section: Strategies To Address Community Educationmentioning

confidence: 99%

“…[66] However, it is highly sustainable because it cultivates behaviour change, with long term positive impacts. [67] d) Training of mothers and caregivers Mothers and caregivers spend most of their time with the under-fives who are most affected by malaria, hence, the need for them to gain skills in managing the disease, whose benefit will also reduce morbidity and mortality among women, especially those who are pregnant.…”

Section: Strategies To Address Community Educationmentioning

confidence: 99%

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Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review

Mbako¹

2017

CAJPH

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Abstract:Despite 66 percent reduction in mortality between 2000 and 2015, malaria remains a major global public health problem, affecting mostly Sub-Saharan Africa. Cameroon remains endemic to malaria, with about 41 percent suffering at least one episode of malaria, annual overall mortality of 30 to 35 percent and 67 percent childhood mortality. Cameroon government's subsidy on artemisinin combination therapy (ACT) for uncomplicated malaria, intermittent preventive treatment for pregnant women (IPTp), free distribution of insecticide treated bed nets (ITNs) to pregnant women and under-fives have been more of a top-down approach, with the affected communities mainly at the receiving end. Challenges of failed adherence to test results, drug and insecticide resistance, substandard and self-medication, low ITN ownership and utilisation have been identified, especially in the rural areas. This study reviews malaria prevention in Cameroon and proposes community based context-specific complementary interventions strategies that will promote community participation in prevention and mitigate the effects of poverty towards achievement of the sustainable development goals targets for malaria. The study involved an in-depth review of secondary data from electronic and non-electronic documents. Electronic search was done in Global Health, PubMed, governmental and non-governmental organisation websites, journals and google scholar. Non-electronic documents from the University of Leeds and World Health Organisation (WHO), Geneva libraries were also used. A conceptual framework on integrated community-based approach on intervention to prevent neglected tropical diseases and infectious diseases of poverty was adapted and used, while different intervention strategies were analysed. A total of 96 publications were eligible for inclusion. Analysis of the factors influencing malaria prevention in Cameroon, reveals that current measures alone are insufficient. Therefore, a combination of multiple delivery strategies using an integrated community-based approach is likely to be more effective in breaking the transmission cycle than single programme interventions. Concurrent implementation of community mobilisation through social groups and Village Development Committees, education on house screening, training of mothers and caregivers and health promotion through environmental management were recommended as the best and most feasible strategies to complement current interventions in Cameroon.

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“…Likewise, in Europe, Christensen (2004:379) suggests that we should develop strategies to facilitate children becoming 'health-promoting actors … pro-active in health processes as they grow up'. This potential has been recognised in Africa through child-to-child health education schemes, aimed at building health knowledge and effective agency (Onyango-Ouma et al, 2005;Ayi et al, 2010).…”

Section: Figure 1 About Herementioning

confidence: 99%

Out of the reach of children? Young people’s health-seeking practices and agency in Africa’s newly-emerging therapeutic landscapes

Hampshire¹,

Porter²,

Owusu³

et al. 2011

Social Science & Medicine

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Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in Social science medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be re ected in this document. Changes may have been made to this work since it was submitted for publication. A de nitive version was subsequently published in Social science medicine, 73/5, 2011, 10.1016/j.socscimed.2011.06.035 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. OUT OF THE REACH OF CHILDREN? YOUNG PEOPLE'S HEALTH-SEEKING AGENCY IN AFRICA'S NEWLY-EMERGING THERAPEUTIC LANDSCAPES AbstractDespite a dominant view within Western biomedicine that children and medicines should be kept apart, a growing literature suggests that children and adolescents (in both Western and developing-country contexts) often take active roles in healthseeking. Here, we consider young people's health-seeking practices in Ghana: a country with a rapidly changing therapeutic landscape, characterised by the recent introduction of health insurance, mass advertising of medicines, and increased use of mobile phones. Qualitative and quantitative data are presented from eight field-sites in urban and rural Ghana, including 131 individual interviews, focus groups, plus a questionnaire survey of 1005 9-to-17-year-olds. We show that many young people take active responsibility for their own (and others') healthcare. However, there is substantial variation in healthseeking practices and associated agency; these processes are shaped by (and also shape) resources available, including economic, social, cultural, psychological, informational and locational forms of capital. Dynamic interactions between resources and healthseeking agency operate within a wider, rapidly-changing therapeutic landscape, which has opened access to a greater range of healthcare possibilities. We conclude by considering implications for health and wellbeing, and suggest possible interventions for facilitating young people to seek healthcare safely and effectively.

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School-based participatory health education for malaria control in Ghana: engaging children as health messengers

Cited by 124 publications

References 27 publications

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review

Out of the reach of children? Young people’s health-seeking practices and agency in Africa’s newly-emerging therapeutic landscapes

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