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School-based Health Programs on Children's Wellbeing in Lusaka, Zambia

NCT ID: NCT03607084

Last Updated: 2018-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

614 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-17

Study Completion Date

2016-07-28

Brief Summary

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This study evaluates the impact of a new and comprehensive school-based health program implemented in Lusaka, Zambia.

Detailed Description

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While school-aged children in low- and middle-income countries remain highly exposed to acute infections, programs targeting this age group remain limited in scale and scope. In this study, we evaluate the impact of a new and comprehensive primary school-based health intervention program on student health outcomes and academic performance in Lusaka, Zambia. The intervention involved the training of teachers to become school health workers and the provision of vitamin A supplementation and deworming medication on a bi-annual basis. Teachers in intervention schools were trained to deliver health lessons and to refer sick students to care. This study is designed as a prospective matched control study. Students from the seven intervention schools are matched with students from control schools.

Conditions

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Acute Disease Morbidity

Keywords

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school-aged children school-based health program Zambia child and adolescent health

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention

The intervention group receives a school health program that has two components: the training of selected teachers to become school Health Workers and bi-annual health screenings of all students.

Group Type EXPERIMENTAL

School Health Worker Program

Intervention Type BEHAVIORAL

The intervention trains selected teachers to deliver health lessons to students, perform basic first aid, recognize common illnesses, refer student to skilled medical attention when needed. The intervention provides schools with basic medical supplies including pain relief medication, thermometers, bandages, antiseptics, and oral rehydration solution. Vitamin A supplementation and presumptive deworming medication are administered to students during biannual health screenings.

Control

The control group receives regular school programming.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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School Health Worker Program

The intervention trains selected teachers to deliver health lessons to students, perform basic first aid, recognize common illnesses, refer student to skilled medical attention when needed. The intervention provides schools with basic medical supplies including pain relief medication, thermometers, bandages, antiseptics, and oral rehydration solution. Vitamin A supplementation and presumptive deworming medication are administered to students during biannual health screenings.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Children attending one of the 14 schools in the study.

Exclusion Criteria

* Children not attending one of the 14 schools in the study.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Healthy Kids/Brighter Future

UNKNOWN

Sponsor Role collaborator

Harvard School of Public Health (HSPH)

OTHER

Sponsor Role lead

Responsible Party

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Günther Fink

Adjunct Associate Professor of Global Health

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Wei D, Brigell R, Khadka A, Perales N, Fink G. Comprehensive school-based health programs to improve child and adolescent health: Evidence from Zambia. PLoS One. 2019 May 31;14(5):e0217893. doi: 10.1371/journal.pone.0217893. eCollection 2019.

Reference Type DERIVED
PMID: 31150484 (View on PubMed)

Other Identifiers

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IRB15-1539

Identifier Type: -

Identifier Source: org_study_id