Knowledge, Attitude, and Practice Survey: A Midterm Assessment of Shishuder Jonno's School Health and Nutrition Program in Meherpur, Bangladesh Open Access

Roy, Wrijoya (2014)

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Background: Save the Children is implementing a 10-year multi-sector, child-focused program in Meherpur, Bangladesh, supported through a sponsorship funding mechanism, titled SHISHUDER JONNO, meaning For the Children in Bangla. The School Health and Nutrition (SHN) sector of Shishuder Jonno began implementation since the program's inception in Meherpur in 2008. The interventions for SHN aim to prevent and treat health issues that affect children's ability to learn, while creating a safe and supportive school environment that promotes healthy behaviors and contributes to children's participation in quality education. To achieve this, four simple SHN interventions are implemented, namely the school-based delivery of health and nutrition services, water and sanitation (WASH) services, health education, and community support.

Methodology: The research was a quantitative cross-sectional survey assessing Health-related knowledge, attitudes and practices (KAP) among children aged 10-12 years in Meherpur, Bangladesh. The objective of the KAP survey was to identify any achievements, gaps, and priority areas of the SHN sector. The sample frame was 24 primarily randomly selected institutions in the three Meherpur sub-districts. (12 in Sadar, 4 in Mujibnagar, and 8 in Gangni). 20 respondents per school were conveniently recruited for participation on the same day as data collection. A final sample size totalled to be 457 participants from the 4th and 5th grade (50.8% females and 49.2% males) from Sadar, Gangni, and Mujibnagar.

Discussion: Over all, Sadar emerged as having significant advancement in health outcomes, compared to Gangni and Mujibnagar. Length of implementation of SHN program interventions may have influenced the differing effects across the three sub-districts: Sadar, being the first sub-district to begin SHN interventions at schools (2008). Additionally, availability and access to resources, economic development within sub-districts (income levels), and differing implementation strategies between Save the Children (in Sadar) and Jagorani Chakra Foundation (in Gangni and Mujibnagar) may have caused such discrepencies among children's health knowledge and behaviour. Four recommendations were made with hopes to benefit the upcoming years of implementation. If children remain healthy, they will be able to stay in school, attend classes more regularly, develop their interest in learning--thus, becoming healthier and more productive adults

Table of Contents

Chapter 1: Introduction, Background, and Literature Review
Political Climate...2
Save the Children: 'Shishuder Jonno' Program...3
Program components...4
Project Area and Implementation teams...4
Chapter 2: Shishuder Jonno's School Health and Nutrition (SHN) Sector...6
Literature Review...6
SHN Background...7
SHN Strategic Objectives...8
SHN Program Activities...10
Implementation teams...13
Implementation area...14
Midterm KAP Survey...14
Chapter 3: Methodology...16
Study Design...16
Sample Size, Frame, and Population Sampling...16
Survey team...17
Data Collection...19
Minimization of Bias...19
Selection Bias...19
Information Bias...20
Respondents' incentives...20
Data Entry and Cleaning...20
Data Analysis...21
Chapter 4: Results and Discussion...22
Background Characteristics...22
Seven Healthy Habits...23
Nutrition and Food Choices...24
Food choice...25
Toilet Use...27
Personal Hygiene...29
Key personal-hygiene guidelines...33
Chapter 5: Conclusion, Limitations and Recommendation...46
Limitations to the Study...39

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