Celone Mike, Person Bobbie, Ali Said M, Lyimo Jameelat H, Mohammed Ulfat A, Khamis Alippo N, Mohammed Yussra S, Mohammed Khalfan A, Rollinson David, Knopp Stefanie
Zanzibar Neglected Tropical Diseases Program, Ministry of Health, P.O. Box 236, Zanzibar Town, Unguja, United Republic of Tanzania.
Consultant of the Schistosomiasis Consortium for Operational Research and Evaluation, University of Georgia, Athens, GA, United States of America.
Acta Trop. 2016 Nov;163:142-8. doi: 10.1016/j.actatropica.2016.08.004. Epub 2016 Aug 3.
In Zanzibar, United Republic of Tanzania, Madrassa schools are influential institutions, where children and adults can learn about the interpretation of the Koran. We aimed to explore the involvement of Madrassa teachers for behavior change interventions in a randomized operational research trial designed to investigate the impact of multiple approaches to eliminate urogenital schistosomiasis transmission from Zanzibar. Madrassa teachers performing in the 30 communities of the behavior change study arm were trained in new interactive and participatory teaching methods by the local behavioral team and provided with schistosomiasis-teaching tools for teaching about transmission and prevention in their Madrassa. In July 2014, in a qualitative research study, we conducted 25 semi-structured interviews with Madrassa teachers to find out how they perceived their involvement in interventions against schistosomiasis. In 2014, 5926 among the 8497 registered Madrassa students in 30 communities on Unguja and Pemba islands received health education and participated in interactive behavior change exercises about schistosomiasis. Madrassa teachers reported that they valued their inclusion in the study and the opportunity to educate their students about schistosomiasis transmission, prevention, and treatment. They also perceived personal and community benefits as a result of their training and strongly supported the inclusion of additional Madrassa teachers in future intervention activities. Madrassa teachers are influential in the Zanzibari society, and hence are important change agents within our community-level behavioral intervention. They might constitute an untapped resource that can help to expand and increase acceptance of and participation in schistosomiasis and other neglected tropical disease control activities in African Muslim communities.
在坦桑尼亚联合共和国的桑给巴尔，宗教学校是有影响力的机构，儿童和成年人可以在那里学习《古兰经》的解读。我们旨在探讨宗教学校教师在一项随机操作研究试验中的行为改变干预参与情况，该试验旨在调查多种方法对消除桑给巴尔泌尿生殖系统血吸虫病传播的影响。在行为改变研究组的30个社区中任教的宗教学校教师由当地行为团队进行新的互动式和参与式教学方法培训，并获得血吸虫病教学工具，以便在其宗教学校教授传播和预防知识。2014年7月，在一项定性研究中，我们对宗教学校教师进行了25次半结构化访谈，以了解他们如何看待自己参与血吸虫病干预措施。2014年，在奔巴岛和昂古贾岛30个社区登记在册的8497名宗教学校学生中，有5926名接受了健康教育，并参与了关于血吸虫病的互动行为改变练习。宗教学校教师报告说，他们重视自己被纳入研究以及有机会向学生传授血吸虫病传播、预防和治疗知识。他们还认为培训给自己和社区带来了好处，并大力支持在未来的干预活动中纳入更多宗教学校教师。宗教学校教师在桑给巴尔社会中有影响力，因此是我们社区层面行为干预中的重要变革推动者。他们可能是一种尚未开发的资源，有助于在非洲穆斯林社区扩大和提高对血吸虫病及其他被忽视热带病控制活动的接受度和参与度。
