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2017 ; 10
(1
): 236
Nephropedia Template TP
gab.com Text
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English Wikipedia
Development and testing of Schisto and Ladders?, an innovative health educational
game for control of schistosomiasis in schoolchildren
#MMPMID28659195
Ejike CU
; Oluwole AS
; Mogaji HO
; Adeniran AA
; Alabi OM
; Ekpo UF
BMC Res Notes
2017[Jun]; 10
(1
): 236
PMID28659195
show ga
BACKGROUND: Schistosomiasis remains a public health problem in many regions of
the world, including Nigeria. Current control strategy involves mass drug
administration with praziquantel to the endemic population. To complement and
sustain on-going preventive chemotherapy, we developed a health educational game
named Schisto and Ladders? and tested its potential for the control of
schistosomiasis among schoolchildren living in Imala-Odo, a highly endemic
community near Abeokuta, Nigeria. METHODS: One hundred school children were
randomly selected and divided into intervention and control groups through
balloting. Their knowledge, attitudes and practices (KAP) concerning
schistosomiasis transmission, control and prevention were assessed using
structured questionnaires. Schisto and Ladders? game were given to the
intervention group and the popular Snake and Ladders? game to the control group.
Both games were played for 2 months under the supervision of their class
teachers. A post-KAP assessment was carried out in both groups, including focus
group discussions (FGDs) to investigate knowledge and the impact of the games.
RESULTS: Knowledge about urinary schistosomiasis and its transmission
significantly improved (P = 0.000) in the intervention group (68.0%) compared to
the control group (8.0%). FGDs showed that the frequency of visits to dam water
also significantly reduced (P = 0.048) in the intervention group (18.0%) compared
to the control group (40.0%). There was a significant increase in knowledge
regarding risk behaviours, prevention and control of schistosomiasis among the
intervention group, but no new knowledge gained in the control group.
CONCLUSIONS: This study demonstrates the potential of the health education game
Schisto and Ladders? for teaching basic health education and promoting
behavioural changes among schoolchildren in endemic communities.