Children's role in enhanced case finding in Zambia
Abstract:OBJECTIVE: To evaluate information dissemination by children and attitudes among children towards a school-based tuberculosis (TB) reduction strategy that asked children to address TB symptoms, testing and stigma in their homes.
SETTING AND DESIGN: Qualitative research was conducted with schoolchildren before, and 2 years into, an intervention to promote early detection of TB using sputum microscopy in Zambia. The baseline study in 2005 involved 38 children at five sites. The evaluation in 2008 included 209 children in schools at four sites. Research with schoolchildren included discussions, drawings, role plays and narratives.
RESULTS: The baseline study revealed children's enthusiasm to learn about TB and the human immunodeficiency virus (HIV), but it also revealed children's anxieties about the possible conflicts related to discussing HIV and TB with adults. Children in the evaluation demonstrated more accurate knowledge about TB and HIV than in the baseline study. Children were enthusiastic about discussing TB and HIV at home. Their responses suggested that they did so with respect and adult approval, circumventing the intergenerational conflict expected during the baseline study.
CONCLUSION: The present study demonstrates that schoolchildren have a role to play in enhanced case finding. Schoolchildren are already familiar with TB in areas of high burden, but they need more information about the link between TB and HIV and about antiretroviral treatment.
Document Type: Regular Paper
Affiliations: 1: Health Policy Unit, Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK; and ZAMBART Project, University of Zambia, Lusaka, Zambia 2: ZAMBART Project, University of Zambia, Lusaka, Zambia 3: Department of Social Anthropology, University of Cambridge, Cambridge, UK 4: ZAMBART Project, University of Zambia, Lusaka, Zambia; and Clinical Research Unit, Department of Infectious and Tropical Disease, London School of Hygiene & Tropical Medicine, London, UK 5: Clinical Research Unit, Department of Infectious and Tropical Disease, London School of Hygiene & Tropical Medicine, London, UK 6: Anthropology Department, Northwestern University, Evanston, Illinois, USA
Publication date: 2010-10-01
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website
- Editorial Board
- Information for Authors
- Subscribe to this Title
- International Journal of Tuberculosis and Lung Disease
- Public Health Action
- Ingenta Connect is not responsible for the content or availability of external websites