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Integrated delivery of school health interventions through the school platform: Investing for the future
- Source :
- PLoS Neglected Tropical Diseases, Vol 13, Iss 1, p e0006449 (2019), PLoS Neglected Tropical Diseases
- Publication Year :
- 2019
- Publisher :
- Public Library of Science (PLoS), 2019.
-
Abstract
- School health and nutrition (SHN) programmes are recognized as a significant contributor to both health and education sector goals. The school system offers an ideal platform from which to deliver basic health interventions that target the most common health conditions affecting school-age children (SAC) in low-income countries, leading to improved participation and learning outcomes. However, governments require evidence to cost, design, and implement these programmes. In Ethiopia, prevalent health conditions affecting SAC's education participation and learning outcomes include infection with soil-transmitted helminths (STHs), hunger, and malnutrition. In recognition of the multiple issues affecting the health and education of SAC, the government has taken a proactive approach, coordinating an integrated SHN programme designed to be implemented in partnership and monitored and financed through a single, integrated mechanism. The programme, known as the Enhanced School Health Initiative (ESHI), integrates three complimentary health interventions: deworming; school feeding; and provision of a water, sanitation, and hygiene (WASH) package in schools, which in delivery aim to maximize the benefits of each of the individual components. Operational research surrounding the ESHI programme includes both qualitative and quantitative analyses. Here, we present an overview of the ESHI programme and its genesis. We also introduce three additional supporting papers that provide in-depth analyses of key findings, including the baseline situational analysis, the costs, and community perceptions of the programme. The findings from ESHI provide initial evidence to develop an understanding of the related costs and synergies of integrating multiple health interventions onto a single platform. The work has translated into strengthened institutional capacity and improved cross-sectoral coordination. The government is now committed to supporting 25 million school children in Ethiopia through SHN. The ESHI model serves as a reference point for other countries looking to scale up targeted SHN interventions.
- Subjects :
- 0301 basic medicine
Program evaluation
Health Knowledge, Attitudes, Practice
Sanitation
Economics
Psychological intervention
Helminthiasis
Social Sciences
Pediatrics
Soil
Families
0302 clinical medicine
Sociology
Surveys and Questionnaires
Medicine and Health Sciences
Public and Occupational Health
Child
Children
Schools
lcsh:Public aspects of medicine
Child Health
Hygiene
Public relations
Infectious Diseases
Work (electrical)
Health Education and Awareness
Helminth Infections
General partnership
Child, Preschool
Environmental Health
Neglected Tropical Diseases
lcsh:Arctic medicine. Tropical medicine
lcsh:RC955-962
030231 tropical medicine
Nutritional Status
Education
03 medical and health sciences
Helminths
Parasitic Diseases
Animals
Humans
Baseline (configuration management)
School Health Services
Nutrition
Government
business.industry
Policy Platform
Public Health, Environmental and Occupational Health
Biology and Life Sciences
lcsh:RA1-1270
Tropical Diseases
Health Care
030104 developmental biology
Soil-Transmitted Helminthiases
Age Groups
People and Places
Population Groupings
Ethiopia
business
Finance
Situation analysis
Program Evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 19352735 and 19352727
- Volume :
- 13
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- PLoS Neglected Tropical Diseases
- Accession number :
- edsair.doi.dedup.....b0a6e857c1b7ad9b60780f30211d273b