Health Education Research Advance Access published online on January 21, 2008
Health Education Research, doi:10.1093/her/cym097
Evaluating a school-based trachoma curriculum in Tanzania
1 Kilimanjaro Centre for Community Ophthalmology, Tumaini University/KCMC, PO Box 2254, Moshi, Tanzania
2 Helen Keller International, PO Box 34424, Dar es Salaam, Tanzania
3 Helen Keller International, 352 Park Avenue South, Suite 1200, New York, NY 10010, USA
Correspondence to: * Correspondence to: P. Courtright. E-mail: pcourtright{at}kcco.net
Trachoma remains a public health problem in a number of sub-Saharan Africa countries; behavioral change and environmental improvements are cornerstones of prevention efforts. Evidence of successful health education are few in Africa. Health education efforts through primary schools have recently been developed and adopted in Tanzania. We evaluated changes from 2004 to 2005 in knowledge and reported behavioral change as well as nasal and ocular discharge and clean faces in selected schools in central Tanzania. This was a mixed-methods study involving both schoolchildren and schoolteachers. We found a significant reduction in nasal discharge (from 4.5% to 0.5%) and dirty faces (from 3.6% to 0.9%) and improvements in some knowledge- and behavior-related indices by primary schoolchildren in the intervention villages. The teachers viewed the trachoma curriculum positively but reported that the lack of water at the schools limited application of the health education messages. The disparity between health education messages and environmental capacities for implementing these messages (no wells at the schools and minimal latrine facilities at the schools and homes) limited usefulness of the curriculum.
Received on November 22, 2006; accepted on November 20, 2007