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Horizontal schools-based health programme in rural Kenya.

James Bogie1, Ben Eder1, Dan Magnus2

  • 1Faculty of Medicine and Dentistry, University of Bristol, Bristol, UK.

Archives of Disease in Childhood
|April 19, 2017
PubMed
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A school health and nutrition program in Kenya improved child nutrition and academic performance. This complex intervention reduced underweight and stunting, showing positive health and learning outcomes in a low-income setting.

Area of Science:

  • Global Health
  • Public Health Interventions
  • Pediatric Nutrition

Background:

  • Primary school children in low-income countries face significant health risks impacting learning.
  • School health and nutrition strategies are a global priority but under-tested in low-income settings.

Purpose of the Study:

  • To implement and evaluate a complex school health and nutrition program in Western Kenya.
  • To assess the program's impact on child health, nutrition, and academic performance.

Main Methods:

  • A 3-year complex intervention involving health policy, education, infrastructure, and disease prevention.
  • Implementation by a local NGO with community and government involvement.
  • Outcome measures included nutritional status, anemia prevalence, academic performance, and school attendance.
Keywords:
Comm Child HealthFRESH frameworkSchool Healthglobal health

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Main Results:

  • Significant improvements in nutrition: reduced underweight (20% to 11%) and stunting (29.9% to 20%).
  • Improved academic performance with a 74% reduction in failing assessment odds.
  • Reduced anemia prevalence (17.2% to 11%); no significant effect on school attendance.

Conclusions:

  • Complex school health programs can yield substantial gains in health, nutrition, and academic performance.
  • Further evaluation of comprehensive school health interventions in resource-poor communities is warranted.