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London School of Hygiene & Tropical Medicine Malaria Centre

Malaria research in epidemiology

Malaria prevention in Kenyan school children.

LSHTM investigators:
Sian Clarke, Daniel Chandramohan, Badara Cisse, Paul Milligan, Simon Brooker & Chris Drakeley.
External collaborators:
Jean-Francois Trape, Cheikh Sokhna & Alioune Badara Ly (Institut de recherché pour le developpement, Senegal); Oumar Gaye, Jean-Louis Ndiaye (Université Cheikh Anta Diop, Senegal); Malick Sembene, Aliou Dia & Khady Diallo (Ministry of Education, Senegal); Fatou Ba Fall (National Malaria Control Programme, Senegal); Matthew Jukes (Harvard Graduate School of Education, USA).
Funding body:
Wellcome Trust

Malaria can adversely affect schoolchildren, the full scale of which is yet to be investigated. An ongoing study is evaluating the impact of regular intermittent screening and treatment (IST) for malaria on the health and educational achievement of schoolchildren living on the south coast of Kenya.

Alongside the IST intervention, a training programme for teachers to improve literacy instruction has been introduced to investigate the interactions between health and education interventions. The evaluation uses a cluster-randomized design, with a total of 101 primary government schools randomly assigned to one of four groups (IST; education intervention; IST + education intervention; neither intervention). Baseline health and education surveys were conducted between January and March 2010. The first round of follow-up assessments was carried out between January and April 2011 and the second round between February and April 2012. The primary outcomes are educational achievement and anaemia, the hypothesised mediating variables through which education is affected. Secondary outcomes include malaria parasitaemia, school attendance and school performance. A nested process evaluation, using semi-structured interviews, focus group discussion and a stakeholder analysis is investigating the community acceptability, feasibility and cost-effectiveness of the interventions.