Effects of a School-Based Health Intervention Program in Marginalized Communities of Port Elizabeth, South Africa (the KaziBantu Study): Protocol for a Randomized Controlled Trial

The burden of poverty-related infectious diseases remains high in low- and middle-income countries, while noncommunicable diseases (NCDs) are rapidly gaining importance. To address this dual disease burden, the KaziBantu project aims at improving and promoting health literacy as a means for a health...

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Published in:JMIR research protocols 2019-07, Vol.8 (7), p.e14097-e14097
Main Authors: Müller, Ivan, Smith, Danielle, Adams, Larissa, Aerts, Ann, Damons, Bruce P, Degen, Jan, Gall, Stefanie, Gani, Zaahira, Gerber, Markus, Gresse, Annelie, van Greunen, Darelle, Joubert, Nandi, Marais, Tracey, Nqweniso, Siphesihle, Probst-Hensch, Nicole, du Randt, Rosa, Seelig, Harald, Steinmann, Peter, Utzinger, Jürg, Wadhwani, Christina, Walter, Cheryl, Pühse, Uwe
Format: Article
Language:English
Subjects:
Body measurements
Children & youth
Childrens health
Chronic illnesses
Clinical trials
Diabetes
Disease
Ethics
Exercise
Health care
Health education
Infections
Malnutrition
Nutrition
Nutritional status
Physical education
Physical fitness
Protocol
Public health
Schools
Socioeconomic factors
Tropical diseases
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Summary:The burden of poverty-related infectious diseases remains high in low- and middle-income countries, while noncommunicable diseases (NCDs) are rapidly gaining importance. To address this dual disease burden, the KaziBantu project aims at improving and promoting health literacy as a means for a healthy and active lifestyle. The project implements a school-based health intervention package consisting of physical education, moving-to-music, and specific health and nutrition education lessons from the KaziKidz toolkit. It is complemented by the KaziHealth workplace health intervention program for teachers. The aim of the KaziBantu project is to assess the effect of a school-based health intervention package on risk factors for NCDs, health behaviors, and psychosocial health in primary school children in disadvantaged communities in Port Elizabeth, South Africa. In addition, we aim to test a workplace health intervention for teachers. A randomized controlled trial (RCT) will be conducted in 8 schools. Approximately 1000 grade 4 to grade 6 school children, aged 9 to 13 years, and approximately 60 teachers will be recruited during a baseline survey in early 2019. For school children, the study is designed as a 36-week, cluster RCT (KaziKidz intervention), whereas for teachers, a 24-week intervention phase (KaziHealth intervention) is planned. The intervention program consists of 3 main components; namely, (1) KaziKidz and KaziHealth teaching material, (2) workshops, and (3) teacher coaches. After randomization, 4 of the 8 schools will receive the education program, whereas the other schools will serve as the control group. Intervention schools will be further randomized to the different combinations of 2 additional intervention components: teacher workshops and teacher coaching. This study builds on previous experience and will generate new evidence on health intervention responses to NCD risk factors in school settings as a decision tool for future controlled studies that will enable comparisons among marginalized communities between South African and other African settings. The KaziKidz teaching material is a holistic educational and instructional tool designed for primary school teachers in low-resource settings, which is in line with South Africa's Curriculum and Assessment Policy Statement. The ready-to-use lessons and assessments within KaziKidz should facilitate the use and implementation of the teaching material. Furthermore, the KaziHealth interventions s
ISSN:1929-0748
1929-0748
DOI:10.2196/14097