• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Gastroenterology

Community members successfully implement school-based health programs

byKate AndersonandCordelia Ross
March 14, 2019
in Gastroenterology, Infectious Disease, Pediatrics, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. The Incidence of diarrheal illness decreased by almost 50% among rural primary school children at low-cost private schools in rural India who received school health program interventions implemented by lay community members, compared to those who did not.

2. Intervention coverage rates exceeded 90% of eligible children, and children in the intervention group at both low-cost private schools and government schools demonstrated improved health-knowledge acquisition compared to control groups.

Study Rundown: Most children spend a significant amount of time at school, thus this setting has been recognized as an important and effective environment to implement positive changes in health behaviors, with the potential to significantly reduce morbidity and mortality among children, particularly in low- and middle-income countries (LMICs). The World Health Organization (WHO) developed the health-promoting school framework for schools to make these changes, however implementation has been challenging, in part due to lack of trained delivery agents. In this study, investigators evaluated the impact of using lay community members to implement a Comprehensive Health and Hygiene Improvement Program (CHHIP) in resource-limited primary schools in the Himalayan region of India. Results showed a decrease in rates of diarrheal illness among children receiving the intervention at low-cost private schools, as well as improved health-knowledge acquisition among the intervention groups at both private and government schools. Coverage rates and health-knowledge acquisition were both >90%. Quality assessments showed stakeholders at both types of schools had positive perceptions of the impact of the field-worker-implemented improvement projects. Of note, lay-workers received immense support with their projects during the study, which may not be realistic in real-world conditions and may limit overall generalizability. Nevertheless, results suggest that this model of training community members to implement health improvement projects may be an effective way to improve health behaviors among children in LMICs.

Click to read the study, published today in Pediatrics 

Recommended reading: The WHO health promoting school framework for improving health and well-being of students and their academic achievement.

In-depth [non-randomized, cluster-controlled study]: Investigators in this study evaluated the effectiveness of using trained lay-field workers to implement CHHIP in 22 rural Indian primary schools (13 government, 9 low-cost private) to improve health outcomes and health-knowledge among children in kindergarten through 4th grade. The study took place over a 5-year time period (2100 student-years intervention, 933 student-years control). Four community members were trained in CHHIP implementation and spent 1 day per week teaching CHHIP at each of their 4 assigned schools. The cost of program implementation was roughly $2300 per school. Results showed students at low-cost private schools who received the intervention were significantly less likely to contract diarrheal disease compared to those in the control group (incidence rate ratio [IRR] 0.58; 95% CI 0.47-0.71, P<.001), whereas no difference was seen among the two groups in government schools (IRR 0.87; 95% CI 0.68-1.12, P=.29). Children who received intervention at both school types showed evidence of higher health-knowledge acquisition compared to the control group as measured by pre- and post-test assessments (mean difference 12.6%; 95% CI 8.8-16.4; P<.001). Feedback from parents and teachers showed these stakeholders had strong positive perceptions of the impact of CHHIP, as manifested by student weight gain, positive behavior change, and improved school learning environments. The cumulative intervention coverage rate was 93.9% (SD 2.0%), and SHA performance assessments had a mean value of 3.45 out of 5, (N=92; SD 0.69) which were both above the predefined threshold for quality and consistency of implementation.

Image: PD

RELATED REPORTS

BNT162b2 booster is safe and reduces COVID-19 transmission in older adults

Bisphosphonates, denosumab, abaloparatide, teriparatide, and romosozumab reduce postmenopausal fracture risk

Vaccines for Zaire Ebola virus disease are safe and generate an immune response

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: diarrheaglobal healthhealth educationpublic health
Previous Post

Midlife diet unlikely to affect dementia risk

Next Post

Quick Take: State Gun Laws, Gun Ownership, and Mass Shootings in the US: Cross-Sectional Time Series

RelatedReports

Social networks play key roles in parental vaccination decisions
Infectious Disease

BNT162b2 booster is safe and reduces COVID-19 transmission in older adults

January 30, 2023
Romosozumab significantly increases bone mineral density in postmenopausal women
Chronic Disease

Bisphosphonates, denosumab, abaloparatide, teriparatide, and romosozumab reduce postmenopausal fracture risk

January 30, 2023
2 Minute Medicine Rewind November 23 – November 30, 2014
Emergency

Vaccines for Zaire Ebola virus disease are safe and generate an immune response

January 4, 2023
Shorter moxifloxacin-containing regimens ineffective for treating TB [REMoxTB trial]
Chronic Disease

Oral BPaLM regimen is noninferior to standard of care for rifampin-resistant tuberculosis

January 4, 2023
Next Post
Quick Take: State Gun Laws, Gun Ownership, and Mass Shootings in the US: Cross-Sectional Time Series

Quick Take: State Gun Laws, Gun Ownership, and Mass Shootings in the US: Cross-Sectional Time Series

#VisualAbstract: A Randomized Trial of Lymphadenectomy in Patients with Advanced Ovarian Neoplasms

#VisualAbstract: A Randomized Trial of Lymphadenectomy in Patients with Advanced Ovarian Neoplasms

Placebo formulation impacts effectiveness of pain control in osteoarthritis

Tramadol may be associated with increased mortality among patients with osteoarthritis

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • BNT162b2 booster is safe and reduces COVID-19 transmission in older adults
  • Bisphosphonates, denosumab, abaloparatide, teriparatide, and romosozumab reduce postmenopausal fracture risk
  • Epstein-Barr viral load monitoring reduces risk of post-liver transplant lymphoproliferative disease
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options