Integrated delivery of school health interventions through the school platform: Investing for the future
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...
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| creator | Appleby, Laura J Tadesse, Gemechu Wuletawu, Yonas Dejene, Nigussie G Grimes, Jack E T French, Michael D Teklu, Askale Moreda, Berhanu Negussu, Nebiyu Kebede, Biruck Yard, Elodie Gardiner, Iain Drake, Lesley J |
| description | 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. |
| doi_str_mv | 10.1371/journal.pntd.0006449 |
| format | Article |
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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. 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The ESHI model serves as a reference point for other countries looking to scale up targeted SHN interventions.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0006449</identifier><identifier>PMID: 30703087</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Access to education ; Age ; Analysis ; Anemia ; Animals ; Biology and Life Sciences ; Child ; Child development ; Child, Preschool ; Children ; Children & youth ; Collaboration ; Cost analysis ; Costs ; Countries ; Disease control ; Disease transmission ; Education ; Elementary school students ; Enrollments ; Epidemiology ; Ethiopia - epidemiology ; Grade repetition ; Health aspects ; Health Knowledge, Attitudes, Practice ; Health promotion ; Helminthiasis - epidemiology ; Helminthiasis - prevention & control ; Helminths - isolation & purification ; Humans ; Hunger ; Hunger (physiology) ; Hygiene ; Hygiene - education ; Infection ; Infectious diseases ; Learning ; Low income areas ; Low income groups ; Malnutrition ; Medicine and Health Sciences ; Nutrition ; Nutritional Status ; Operations research ; People and Places ; Policy Platform ; Program Evaluation ; Programmes ; Public health ; Qualitative analysis ; Retirement benefits ; Sanitation ; School food services ; School Health Services ; School hygiene ; Schools ; Social Sciences ; Soil ; Soil - parasitology ; Student health services ; Surveys and Questionnaires ; Systematic review ; Tropical diseases ; Water ; Work capacity ; Zoonoses</subject><ispartof>PLoS neglected tropical diseases, 2019-01, Vol.13 (1), p.e0006449-e0006449</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Appleby et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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. 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The ESHI model serves as a reference point for other countries looking to scale up targeted SHN interventions.</description><subject>Access to education</subject><subject>Age</subject><subject>Analysis</subject><subject>Anemia</subject><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Child</subject><subject>Child development</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Collaboration</subject><subject>Cost analysis</subject><subject>Costs</subject><subject>Countries</subject><subject>Disease control</subject><subject>Disease transmission</subject><subject>Education</subject><subject>Elementary school students</subject><subject>Enrollments</subject><subject>Epidemiology</subject><subject>Ethiopia - epidemiology</subject><subject>Grade repetition</subject><subject>Health aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health promotion</subject><subject>Helminthiasis - 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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. 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| issn | 1935-2735 1935-2727 1935-2735 |
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| recordid | cdi_plos_journals_2262852108 |
| source | PubMed Central (Open Access); MEDLINE; Public Library of Science; Free E-Journal (出版社公開部分のみ）; Directory of Open Access Journals (Open Access); PubMed Central Open Access |
| subjects | Access to education Age Analysis Anemia Animals Biology and Life Sciences Child Child development Child, Preschool Children Children & youth Collaboration Cost analysis Costs Countries Disease control Disease transmission Education Elementary school students Enrollments Epidemiology Ethiopia - epidemiology Grade repetition Health aspects Health Knowledge, Attitudes, Practice Health promotion Helminthiasis - epidemiology Helminthiasis - prevention & control Helminths - isolation & purification Humans Hunger Hunger (physiology) Hygiene Hygiene - education Infection Infectious diseases Learning Low income areas Low income groups Malnutrition Medicine and Health Sciences Nutrition Nutritional Status Operations research People and Places Policy Platform Program Evaluation Programmes Public health Qualitative analysis Retirement benefits Sanitation School food services School Health Services School hygiene Schools Social Sciences Soil Soil - parasitology Student health services Surveys and Questionnaires Systematic review Tropical diseases Water Work capacity Zoonoses |
| title | Integrated delivery of school health interventions through the school platform: Investing for the future |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T13%3A41%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Integrated%20delivery%20of%20school%20health%20interventions%20through%20the%20school%20platform:%20Investing%20for%20the%20future&rft.jtitle=PLoS%20neglected%20tropical%20diseases&rft.au=Appleby,%20Laura%20J&rft.date=2019-01-01&rft.volume=13&rft.issue=1&rft.spage=e0006449&rft.epage=e0006449&rft.pages=e0006449-e0006449&rft.issn=1935-2735&rft.eissn=1935-2735&rft_id=info:doi/10.1371/journal.pntd.0006449&rft_dat=%3Cgale_plos_%3EA571883857%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2262852108&rft_id=info:pmid/30703087&rft_galeid=A571883857&rft_doaj_id=oai_doaj_org_article_ebddaed277ca450f9d99ea3570b34fcf&rfr_iscdi=true |