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The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria

In most endemic sub-Saharan African countries, repeated infections with soil-transmitted helminth (STH) occur as early as six weeks after the end of mass drug administration (MDA) with albendazole. In this study, we designed a new health educational board game Worms and Ladders and evaluated its pot...

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Autores principales: Bassey, Dorcas B., Mogaji, Hammed O., Dedeke, Gabriel A., Akeredolu-Ale, Bolanle I., Abe, Eniola M., Oluwole, Akinola S., Adeniran, Abdulhakeem A., Agboola, Olagunju A., Mafiana, Chiedu F., Ekpo, Uwem F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549763/
https://www.ncbi.nlm.nih.gov/pubmed/32976501
http://dx.doi.org/10.1371/journal.pntd.0008486
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author Bassey, Dorcas B.
Mogaji, Hammed O.
Dedeke, Gabriel A.
Akeredolu-Ale, Bolanle I.
Abe, Eniola M.
Oluwole, Akinola S.
Adeniran, Abdulhakeem A.
Agboola, Olagunju A.
Mafiana, Chiedu F.
Ekpo, Uwem F.
author_facet Bassey, Dorcas B.
Mogaji, Hammed O.
Dedeke, Gabriel A.
Akeredolu-Ale, Bolanle I.
Abe, Eniola M.
Oluwole, Akinola S.
Adeniran, Abdulhakeem A.
Agboola, Olagunju A.
Mafiana, Chiedu F.
Ekpo, Uwem F.
author_sort Bassey, Dorcas B.
collection PubMed
description In most endemic sub-Saharan African countries, repeated infections with soil-transmitted helminth (STH) occur as early as six weeks after the end of mass drug administration (MDA) with albendazole. In this study, we designed a new health educational board game Worms and Ladders and evaluated its potential to complement MDA with albendazole and reduce reinfection rates through the promotion of good hygiene practices among school-aged children. The evaluation employed a randomized control trial (RCT) design. Baseline knowledge, attitude and practices (KAP) relating to STH were obtained using a questionnaire from 372 pupils across six schools in Abeokuta, Nigeria. Schools were randomly assigned into intervention and control group, with the former and latter receiving Worms and Ladders and the common Snake and Ladder board game respectively. Fresh stool samples were also collected at baseline for STH diagnosis before administering 400mg single dose albendazole. Follow-up assessments of STH burden and KAP were conducted three and six months' post-intervention. Data generated from the study were analyzed using SPSS 20.0 software, with confidence interval set at 95%. Prevalence of STH dropped from 25.0% to 10.4% in the intervention group and 49.4% to 33.3% in the control group at three months' post-intervention. The prevalence further dropped to 5.6% in the intervention group at six months’ post-intervention. However, it increased to 37.2% in the control group at six months' post-intervention. There was a significant difference (p<0.05) in prevalence after intervention among the groups. KAP on transmission, control and prevention of STH significantly improved (p<0.05) from 5.2% to 97.9% in the intervention group compared to 6.2% to 7.1% in the control group. The Worms and Ladders board game shows the potential to teach and promote good hygiene behavior among SAC. These findings posit the newly developed game as a reliable tool to complement mass drug administration campaigns for STH control.
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spelling pubmed-75497632020-10-20 The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria Bassey, Dorcas B. Mogaji, Hammed O. Dedeke, Gabriel A. Akeredolu-Ale, Bolanle I. Abe, Eniola M. Oluwole, Akinola S. Adeniran, Abdulhakeem A. Agboola, Olagunju A. Mafiana, Chiedu F. Ekpo, Uwem F. PLoS Negl Trop Dis Research Article In most endemic sub-Saharan African countries, repeated infections with soil-transmitted helminth (STH) occur as early as six weeks after the end of mass drug administration (MDA) with albendazole. In this study, we designed a new health educational board game Worms and Ladders and evaluated its potential to complement MDA with albendazole and reduce reinfection rates through the promotion of good hygiene practices among school-aged children. The evaluation employed a randomized control trial (RCT) design. Baseline knowledge, attitude and practices (KAP) relating to STH were obtained using a questionnaire from 372 pupils across six schools in Abeokuta, Nigeria. Schools were randomly assigned into intervention and control group, with the former and latter receiving Worms and Ladders and the common Snake and Ladder board game respectively. Fresh stool samples were also collected at baseline for STH diagnosis before administering 400mg single dose albendazole. Follow-up assessments of STH burden and KAP were conducted three and six months' post-intervention. Data generated from the study were analyzed using SPSS 20.0 software, with confidence interval set at 95%. Prevalence of STH dropped from 25.0% to 10.4% in the intervention group and 49.4% to 33.3% in the control group at three months' post-intervention. The prevalence further dropped to 5.6% in the intervention group at six months’ post-intervention. However, it increased to 37.2% in the control group at six months' post-intervention. There was a significant difference (p<0.05) in prevalence after intervention among the groups. KAP on transmission, control and prevention of STH significantly improved (p<0.05) from 5.2% to 97.9% in the intervention group compared to 6.2% to 7.1% in the control group. The Worms and Ladders board game shows the potential to teach and promote good hygiene behavior among SAC. These findings posit the newly developed game as a reliable tool to complement mass drug administration campaigns for STH control. Public Library of Science 2020-09-25 /pmc/articles/PMC7549763/ /pubmed/32976501 http://dx.doi.org/10.1371/journal.pntd.0008486 Text en © 2020 Bassey et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bassey, Dorcas B.
Mogaji, Hammed O.
Dedeke, Gabriel A.
Akeredolu-Ale, Bolanle I.
Abe, Eniola M.
Oluwole, Akinola S.
Adeniran, Abdulhakeem A.
Agboola, Olagunju A.
Mafiana, Chiedu F.
Ekpo, Uwem F.
The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria
title The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria
title_full The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria
title_fullStr The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria
title_full_unstemmed The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria
title_short The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria
title_sort impact of worms and ladders, an innovative health educational board game on soil-transmitted helminthiasis control in abeokuta, southwest nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549763/
https://www.ncbi.nlm.nih.gov/pubmed/32976501
http://dx.doi.org/10.1371/journal.pntd.0008486
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