Simon Brooker|George Okello|Kiambo Njagi|Margaret Dubeck|Katherine E. Halliday|Hellen N. Inyega|Matthew Jukes
Improving educational achievement and anaemia of school children: design of a cluster randomised trial of school-based malaria prevention and enhanced literacy instruction in Kenya
Kenya Medical Research Institute|Kenya Medical Research Institute|Ministry of Health|College of Charleston|London School of Hygiene & Tropical Medicine|University of Nairobi|Harvard University
improving health schoolaged children yield substantial benefits cognitive development educational achievement however limited experimental evidence benefits schoolbased malaria prevention health interventions interact efforts improve education quality study aims evaluate impact schoolbased malaria prevention enhanced literacy instruction health educational achievement school children kenya factorial cluster randomised trial implemented 101 government primary schools coast kenya interventions intermittent screening treatment malaria schools public health workers ii training workshops support teachers promote explicit systematic literacy instruction schools randomised one four groups receiving either malaria intervention alone ii literacy intervention alone iii interventions combined iv control group neither intervention implemented children classes 1 5 randomly selected followed 24 months primary outcomes educational achievement anaemia hypothesised mediating variables education affected secondary outcomes include malaria parasitaemia school attendance school performance nested process evaluation using semistructured interviews focus group discussion stakeholder analysis investigate community acceptability feasibility costeffectiveness interventions across africa governments committed improve health education schoolaged children seek clear policy technical guidance optimal approach address malaria improved literacy evaluation one first simultaneously evaluate impact health education interventions improvement educational achievement reflection made practical issues encountered conducting research schools africa national institutes health nct00878007