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TEACHERS AS MULTIPLIERS OF KNOWLEDGE ABOUT SCHISTOSOMIASIS: A POSSIBLE APPROACH FOR HEALTH EDUCATION PROGRAMMES
Área endêmica
Educação saudável
Mobilização
Esquistossomose mansônica
Treinamento de professor
Alunos
Endemic area
Health education
Mobilisation
Schistosomiasis mansoni
Schoolchildren
Teacher training
Author
Affilliation
Fundação Oswaldo Cruz, Instituto Leônidas E Maria Deane (ILMD). Manaus, AM, Brasil / Instituto de Pesquisa Clínica Carlos Borborema. Fundação de Medicina Tropical Dr. Heitor Vieira Dourado., Manaus, AM, Brasil / Universidade do Estado Do Amazonas. Escola Superior de Ciências da Saúde. Manaus, AM, Brasil.
Fundação Oswaldo Cruz, Instituto René Rachou. Belo Horizonte, MG, Brasil.
Instituto de Pesquisa Clínica Carlos Borborema. Fundação de Medicina Tropical Dr. Heitor Vieira Dourado., Manaus, AM, Brasil / Universidade do Estado Do Amazonas. Escola Superior de Ciências da Saúde. Manaus, AM, Brasil.
Fundação Oswaldo Cruz, Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz, Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz, Instituto René Rachou. Belo Horizonte, MG, Brasil.
Instituto de Pesquisa Clínica Carlos Borborema. Fundação de Medicina Tropical Dr. Heitor Vieira Dourado., Manaus, AM, Brasil / Universidade do Estado Do Amazonas. Escola Superior de Ciências da Saúde. Manaus, AM, Brasil.
Fundação Oswaldo Cruz, Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz, Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Abstract
Background: In the past decade, Brazil has signifcantly reduced the prevalence of schistosomiasis through a
combined efort of early treatment of infected people, expansion of basic sanitation infrastructure and educational
measures. Despite these eforts, in some areas, prevalence of schistosomiasis exceeds 20% of the school population,
who lack knowledge of the risks of the disease. Action can be taken in schools to empower this population about
their health condition. This paper describes the role of the teacher as a multiplier of knowledge about schistosomiasis
and proposes two diferent approaches to training these teachers.
Methods: This study used mixed methods to evaluate training of teachers and educational intervention with those
teachers’ pupils. Two training courses, each with 40 h of face-to-face activity, were ofered to 19 teachers, using two
diferent but complementary approaches, based on theoretical references and specifc educational strategies: Critical
Pedagogical Approach (Training Course I, held in 2013) and Creative Play Approach (Training Course II, held in 2014).
The courses included classroom activities, laboratory and feld work. After the training, the teachers conducted activities on schistosomiasis with their pupils. These activities involved constructing educational materials and cultural productions. The pupils’ knowledge about the disease was evaluated before the activities and 12 months later. The teachers’ acceptance and perceptions were assessed through structured interviews and subsequent thematic analysis. The
Shistosoma mansoni infection status of teachers and their students was also assessed using the Kato Katz stool test.
Results: The parasitological study showed 31.6% of the teachers and 21.4% of the pupils to be positive for S. mansoni.
The teachers’ knowledge of important aspects of schistosomiasis transmission and prevention was fragmented and
incorrect prior to the training. The teachers’ knowledge changed signifcantly after the training and they were strongly
accepting of the pedagogical methods used during the training. The level of their pupils’ knowledge about the disease had increased signifcantly (p<0.05). However, pupils responded that, even after the educational activities, they
still had contact with the city’s contaminated waters (p>0.05).
Conclusions: The results of this study underline the importance of schools and teachers as partners in controlling
and eliminating schistosomiasis. Teacher training on the disease signifcantly increases their pupils’ knowledge, refecting empowerment with regard to local health conditions.
Keywords in Portuguese
BrasilÁrea endêmica
Educação saudável
Mobilização
Esquistossomose mansônica
Treinamento de professor
Alunos
Keywords
BrazilEndemic area
Health education
Mobilisation
Schistosomiasis mansoni
Schoolchildren
Teacher training
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