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Title: Keys to success for a school-based malaria control program in primary schools in Thailand
Authors: Hironori Okabayashi
Pimpimon Thongthien
Pratap Singhasvanon
Jitra Waikagul
Sornchai Looareesuwan
Masamine Jimba
Shigeyuki Kano
Somei Kojima
Tsutomu Takeuchi
Jun Kobayashi
Seiki Tateno
Mahidol University
National Center for Global Health and Medicine
Thailand Ministry of Education
University of Tokyo
International University of Health and Welfare
Keio University School of Medicine
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Jun-2006
Citation: Parasitology International. Vol.55, No.2 (2006), 121-126
Abstract: School-based malaria control has been recognized as a new approach for the control of this disease in the Greater Mekong Subregion since 2000. We evaluated a school-based malaria control program near the western border of Thailand using a before-after intervention study. The major intervention activities included teacher training with specialized malaria teaching materials and participatory learning methods. The target population was 17 school principals, 111 teachers and 852 schoolchildren of grade 3, 4, and 5 in 17 schools. After the intervention, the teachers taught about malaria more actively than before. The teachers who could design a lesson plan on malaria increased from 30.7% to 47.7% (p = 0.015) and the teachers who had taught about malaria increased from 71.9% to 84.3% (p = 0.035). As a result of the program, the schoolchildren changed their behavior positively towards malaria prevention with significant difference in 6 of 7 questions. For example, the schoolchildren 'who always took care of mosquito bites' increased from 42.7% to 62.1% (p < 0.001) and the schoolchildren 'who always reported their parents or teachers when they had fever' increased from 36.0% to 56.0% (p < 0.001). In conclusion, the keys to a successful intervention lie in good teaching materials and a participatory approach utilizing the well-established Thailand's school health system. Beyond Thailand, school-based malaria control could be applied to other Greater Mekong Subregion countries with careful analysis of school health context in each country. © 2005 Elsevier Ireland Ltd. All rights reserved.
ISSN: 13835769
Appears in Collections:Scopus 2006-2010

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