Utilizing Traditional and Modern Music Performance in Eye Health Education to Improve Child Eye Health Service Uptake in Zanzibar
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,295
- 试验地点
- 1
- 主要终点
- Change in the proportion of children accessing eye health services
研究概览
简要总结
In Zanzibar, around 22,000 children (4% of those aged 6 to 12) need treatment for eye issues like conjunctivitis or require glasses. A 2017 study found that 42% of rural children needing glasses didn't have them. Many locals distrust Western medicine and prefer traditional remedies, rejecting public health efforts such as posters and brochures.
Globally, eye health promotion has been underfunded and overlooked. Research suggests community-designed interventions and behavior change studies are needed to promote sustainable eye health practices. Arts-based interventions using traditional storytelling and performances have been effective in Africa, improving health outcomes in areas like food hygiene and mental health. Health campaigns in schools might be less effective since parents make health decisions for their children.
This study aims to see how well using both traditional and modern music performances in an eye health education program can break down cultural barriers and increase children's use of eye health services in schools and communities. The investigators want to answer three main questions:
- How effective is a 6-month music-based eye health education program in schools and communities at improving eye health knowledge and service use among parents and children?
- What factors influenced the success of the 6-month music-based eye health education program?
- What are the costs and benefits of this 6-month program in increasing eye health service use among children in schools and communities?
详细描述
Problem: Zanzibar has about 22,000 children (4% of 6-to-12-year-old children) needing conjunctivitis treatment or spectacle correction (Ministry of Health, unpublished report). A 2017-case study showed that about 42% of children in rural Zanzibar communities who needed a pair of glasses did not have them.(1) Local stakeholders engagement revealed that underlying suspicions of Western medicine and public health initiatives led people to continue using traditional, less effective healing methods. Although health posters and brochures have successfully increased service uptake in other contexts,(2) our engagement with stakeholders revealed rejection of such initiatives among the Zanzibari community, such as when the posters were removed or vandalized.
Worldwide, eye health promotion has received limited attention and funding.(2) A Cochrane review(3) and The Lancet Global Health Commission on Global Eye Health(4) suggested that behavior change and co-design studies are needed to provide evidence on promoting sustainable behavior changes among the community and children with eye problems. Health-focused arts-based interventions have been shown to catalyze behavioral changes in Africa because they are built on traditional oral and performance methods.(5) A review(6) has shown that traditional music incorporated into health promotion campaigns to improve food hygiene, perinatal mental health and Ebola in Gambia yielded highly positive results. Less effective may be health promotion strategies implemented in school settings only because parents are the ultimate decision-makers of health choices for their children.
Research questions: The study aims to explore "the effectiveness of utilizing traditional and modern music performances in an eye health education strategy implemented in school and community settings to reduce socio-cultural barriers and subsequently increase child eye health service uptake". The specific research questions are:
- How effective is a 6-month arts-based eye health education strategy implemented in school and community settings to improve parents' and children's eye health literacy and eye service uptake?
- Which factors influenced the uptake of the 6-month arts-based eye health education strategy?
- What are the cost and benefits of a 6-month arts-based eye health education strategy on improving eye health service uptake among children in school and community settings?
A: Assess the effectiveness of a 6-month arts-based eye health education program implemented in school and then community settings to improve parents' and children's eye health literacy and eye service uptake
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Care Provider)
盲法说明
Care providers will not be able to know whether the children referred are from intervention not comparator group as they will only receive a generic referral form from the project.
入排标准
- 年龄范围
- 6 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •primary and secondary schools with student school-going rates of approximately 75%
- •schools with similar number of boys and girls
- •schools within 5km of the nearest eye centres.
- •school children who have either an obvious eye disease tested using a pen torch test and/or a presenting distance visual acuity ≤6/12 in either eye, and their parents.
排除标准
- •primary and secondary schools with student school-going rates of less than 75%
- •schools with imbalance number of boys and girls
- •schools above 5km of the nearest eye centres.
- •school children who do not have either an obvious eye disease tested using a pen torch test and/or a presenting distance visual acuity ≤6/12 in either eye, and their parents.
结局指标
主要结局
Change in the proportion of children accessing eye health services
时间窗: Three months and six months after the intervention is implemented
Proportion of children who have gone for eye treatment at the referral sites over those who failed eye health screening and referred to the referral site; measured in percentage, the higher the percentage the better the referral rate
次要结局
- Parents knowledge and attitude(Three months and six months after the intervention is implemented)
- Cost effectiveness analysis(Through study completion, 6 months after the intervention is implemented.)
- Children eye drops usage compliance(Three months and six months after the intervention is implemented)
- Cost-benefit analysis(Through study completion, 6 months after the intervention is implemented.)
- Children's knowledge and attitude(Three months and six months after the intervention is implemented)
- Children spectacle compliance(Three months and six months after the intervention is implemented)
研究者
Ving Fai Chan
Senior Lecturer
Queen's University, Belfast