A schistosomiasis health education intervention among rural Malawian school children : lessons learned

dc.contributor.advisorFoster, Donald
dc.contributor.authorBandawe, Chiwoza Rutendo
dc.date.accessioned2023-09-06T10:00:38Z
dc.date.available2023-09-06T10:00:38Z
dc.date.issued2000
dc.date.updated2023-09-06T10:00:22Z
dc.description.abstractThis thesis is the product of a two-year intervention aimed at controlling the prevalence of schistosomiasis (Bilharzia), a parasitic disease, among school children in a rural area of11angochi District, Malawi between 1996 and 1998. The question this thesis addresses as its focus is, which degree of health education input is the most efficient in controlling schistosomiasis? Guided by the. empirically supported social psychology theories of reasoned action (Ajzen & Fishbein, 1980) and planned behaviour (Ajzen, 1991), three varying degrees of health education input were provided to three primary schools, in the Koche catchment area of Mangochi. Each school was randomly assigned a different input. One school received "minimum" input consisting of basic information provision through a brief talk given by a health professional. Another school was given the "medium" condition which was similar but had the addition of multimedia input to the school through peers in the form of clubs and the third school deemed the "maximum" condition had the addition of pupil interaction with the local community. The framework that guided the intervention was Green's PRECEDE-PROCEED model (Green & Kreuter, 1991). It was used to guide the planning, implementation and evaluation of the intervention. Qualitative and quantitative research methods were employed to assess the three schools pre and post intervention. Comparisons were made across the schools as well as within two of the schools, comparing members of Bilharzia clubs established with non-members. No significant differences were observed across the input conditions. However, a subsection of the participants, the school club members experienced the most positive shifts in knowledge, attitude, behavioural intention and practice, Reduction of the prevalence of the disease was dependent on ongoing medication. It is concluded that the most efficient health education input was intense weekly input through the formation of clubs othenNise a brief lecture has the same effect on knowledge and practice as multimedia campaigns. Intentions of the sample were predominantly under non-native control prompting recommendations for further culturally based research using discursive approaches.
dc.identifier.apacitationBandawe, C. R. (2000). <i>A schistosomiasis health education intervention among rural Malawian school children : lessons learned</i>. (). ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/38411en_ZA
dc.identifier.chicagocitationBandawe, Chiwoza Rutendo. <i>"A schistosomiasis health education intervention among rural Malawian school children : lessons learned."</i> ., ,Faculty of Humanities ,Department of Psychology, 2000. http://hdl.handle.net/11427/38411en_ZA
dc.identifier.citationBandawe, C.R. 2000. A schistosomiasis health education intervention among rural Malawian school children : lessons learned. . ,Faculty of Humanities ,Department of Psychology. http://hdl.handle.net/11427/38411en_ZA
dc.identifier.ris TY - Doctoral Thesis AU - Bandawe, Chiwoza Rutendo AB - This thesis is the product of a two-year intervention aimed at controlling the prevalence of schistosomiasis (Bilharzia), a parasitic disease, among school children in a rural area of11angochi District, Malawi between 1996 and 1998. The question this thesis addresses as its focus is, which degree of health education input is the most efficient in controlling schistosomiasis? Guided by the. empirically supported social psychology theories of reasoned action (Ajzen &amp; Fishbein, 1980) and planned behaviour (Ajzen, 1991), three varying degrees of health education input were provided to three primary schools, in the Koche catchment area of Mangochi. Each school was randomly assigned a different input. One school received "minimum" input consisting of basic information provision through a brief talk given by a health professional. Another school was given the "medium" condition which was similar but had the addition of multimedia input to the school through peers in the form of clubs and the third school deemed the "maximum" condition had the addition of pupil interaction with the local community. The framework that guided the intervention was Green's PRECEDE-PROCEED model (Green &amp; Kreuter, 1991). It was used to guide the planning, implementation and evaluation of the intervention. Qualitative and quantitative research methods were employed to assess the three schools pre and post intervention. Comparisons were made across the schools as well as within two of the schools, comparing members of Bilharzia clubs established with non-members. No significant differences were observed across the input conditions. However, a subsection of the participants, the school club members experienced the most positive shifts in knowledge, attitude, behavioural intention and practice, Reduction of the prevalence of the disease was dependent on ongoing medication. It is concluded that the most efficient health education input was intense weekly input through the formation of clubs othenNise a brief lecture has the same effect on knowledge and practice as multimedia campaigns. Intentions of the sample were predominantly under non-native control prompting recommendations for further culturally based research using discursive approaches. DA - 2000_ DB - OpenUCT DP - University of Cape Town KW - Psychology LK - https://open.uct.ac.za PY - 2000 T1 - A schistosomiasis health education intervention among rural Malawian school children : lessons learned TI - A schistosomiasis health education intervention among rural Malawian school children : lessons learned UR - http://hdl.handle.net/11427/38411 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/38411
dc.identifier.vancouvercitationBandawe CR. A schistosomiasis health education intervention among rural Malawian school children : lessons learned. []. ,Faculty of Humanities ,Department of Psychology, 2000 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/38411en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Psychology
dc.publisher.facultyFaculty of Humanities
dc.subjectPsychology
dc.titleA schistosomiasis health education intervention among rural Malawian school children : lessons learned
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationlevelPhD
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