Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
ICMR-National Institute of Malaria Research, Field unit, Chennai, India.
Am J Trop Med Hyg. 2022 Aug 29;107(4):827-832. doi: 10.4269/ajtmh.22-0297. Print 2022 Oct 12.
Student messengers act as change agents for health and modify the behavior of their families as well as the community. Integration of the school health programs with malaria education enhances the participation of school teachers, parents, as well as the local community in malaria elimination. The objective of this review is to strengthen the evidence for school-based health educational interventions for malaria control and prevention activities. We searched six databases namely PubMed Central, Science Direct, CINAHL with full text, Google Scholar, Cochrane Library, and Pro-Quest to find relevant studies between January 2001 and March 2022 based on PRISMA guidelines. Randomized controlled trial, before-after intervention, and quasi-experimental study designs were included and a meta-analysis was carried out using the random-effect model to pool out the results by using Rev-man 5.4 software. In this review, 13 studies were included. The pooled outcome of school-based educational interventions on malaria was moderate (Standardized Mean Difference-2.59) and a significant difference was observed in intervention and control schools (Z = 7.33, P < 0.00001). In conclusion, this review identified the facts for the prevention and control of malaria through school-based educational interventions. Our findings strengthen the concept of malaria elimination through student messengers to mobilize the local community.
学生信使作为健康的变革推动者，不仅能改变他们家庭的行为，还能改变社区的行为。将学校卫生计划与疟疾教育相结合，增强了学校教师、家长以及当地社区对消除疟疾的参与。本综述的目的是为基于学校的健康教育干预措施在疟疾控制和预防活动中提供更强有力的证据。我们根据 PRISMA 指南，在 2001 年 1 月至 2022 年 3 月期间，在六个数据库（PubMed Central、Science Direct、CINAHL with full text、Google Scholar、Cochrane Library 和 Pro-Quest）中搜索了相关研究。纳入了随机对照试验、前后干预试验和准实验研究设计，并使用随机效应模型进行荟萃分析，使用 Rev-man 5.4 软件汇总结果。在本综述中，纳入了 13 项研究。基于学校的教育干预对疟疾的综合效果为中度（标准化均数差-2.59），干预组和对照组学校之间存在显著差异（Z = 7.33，P < 0.00001）。总之，本综述确定了通过基于学校的教育干预来预防和控制疟疾的事实。我们的研究结果加强了通过学生信使来动员当地社区消除疟疾的概念。
