IDEAS home Printed from https://ideas.repec.org/a/plo/pntd00/0006449.html
   My bibliography  Save this article

Integrated delivery of school health interventions through the school platform: Investing for the future

Author

Listed:
  • Laura J Appleby
  • Gemechu Tadesse
  • Yonas Wuletawu
  • Nigussie G Dejene
  • Jack E T Grimes
  • Michael D French
  • Askale Teklu
  • Berhanu Moreda
  • Nebiyu Negussu
  • Biruck Kebede
  • Elodie Yard
  • Iain Gardiner
  • Lesley J Drake

Abstract

School health and nutrition (SHN) programmes are recognized as a significant contributor to both health and education sector goals. The school system offers an ideal platform from which to deliver basic health interventions that target the most common health conditions affecting school-age children (SAC) in low-income countries, leading to improved participation and learning outcomes. However, governments require evidence to cost, design, and implement these programmes. In Ethiopia, prevalent health conditions affecting SAC's education participation and learning outcomes include infection with soil-transmitted helminths (STHs), hunger, and malnutrition. In recognition of the multiple issues affecting the health and education of SAC, the government has taken a proactive approach, coordinating an integrated SHN programme designed to be implemented in partnership and monitored and financed through a single, integrated mechanism. The programme, known as the Enhanced School Health Initiative (ESHI), integrates three complimentary health interventions: deworming; school feeding; and provision of a water, sanitation, and hygiene (WASH) package in schools, which in delivery aim to maximize the benefits of each of the individual components. Operational research surrounding the ESHI programme includes both qualitative and quantitative analyses. Here, we present an overview of the ESHI programme and its genesis. We also introduce three additional supporting papers that provide in-depth analyses of key findings, including the baseline situational analysis, the costs, and community perceptions of the programme. The findings from ESHI provide initial evidence to develop an understanding of the related costs and synergies of integrating multiple health interventions onto a single platform. The work has translated into strengthened institutional capacity and improved cross-sectoral coordination. The government is now committed to supporting 25 million school children in Ethiopia through SHN. The ESHI model serves as a reference point for other countries looking to scale up targeted SHN interventions.

Suggested Citation

  • Laura J Appleby & Gemechu Tadesse & Yonas Wuletawu & Nigussie G Dejene & Jack E T Grimes & Michael D French & Askale Teklu & Berhanu Moreda & Nebiyu Negussu & Biruck Kebede & Elodie Yard & Iain Gardin, 2019. "Integrated delivery of school health interventions through the school platform: Investing for the future," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 13(1), pages 1-8, January.
    • Handle: RePEc:plo:pntd00:0006449
    DOI: 10.1371/journal.pntd.0006449
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0006449
    Download Restriction: no
    File URL: https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0006449&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pntd.0006449?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. David K. Evans & Arkadipta Ghosh, 2008. "Prioritizing Educational Investments in Children in the Developing World," Working Papers WR-587, RAND Corporation.
    2. Battaglia, Marianna & Lebedinski, Lara, 2015. "Equal Access to Education: An Evaluation of the Roma Teaching Assistant Program in Serbia," World Development, Elsevier, vol. 76(C), pages 62-81.
    3. Verónica Amarante & Marco Manacorda & Edward Miguel & Andrea Vigorito, 2016. "Do Cash Transfers Improve Birth Outcomes? Evidence from Matched Vital Statistics, Program, and Social Security Data," American Economic Journal: Economic Policy, American Economic Association, vol. 8(2), pages 1-43, May.
    4. Kirill Borusyak & Peter Hull & Xavier Jaravel, 2023. "Design-Based Identification with Formula Instruments: A Review," NBER Working Papers 31393, National Bureau of Economic Research, Inc.
    5. Mark D. Manuszak & Krzysztof Wozniak, 2017. "The Impact of Price Controls in Two-sided Markets : Evidence from US Debit Card Interchange Fee Regulation," Finance and Economics Discussion Series 2017-074, Board of Governors of the Federal Reserve System (U.S.).
    6. Hoffmann, Bridget, 2018. "Do non-monetary prices target the poor? Evidence from a field experiment in India," Journal of Development Economics, Elsevier, vol. 133(C), pages 15-32.
    7. Lay, Jann, 2010. "MDG Achievements, Determinants, and Resource Needs: What Has Been Learnt?," GIGA Working Papers 137, GIGA German Institute of Global and Area Studies.
    8. John A. List, 2024. "Optimally generate policy-based evidence before scaling," Nature, Nature, vol. 626(7999), pages 491-499, February.
    9. McNamara, Paul E. & Ulimwengu, John M. & Leonard, Kenneth L., 2010. "Do health investments improve agricultural productivity? Lessons from agricultural household and health research," IFPRI discussion papers 1012, International Food Policy Research Institute (IFPRI).
    10. Annette N. Brown & Drew B. Cameron & Benjamin D. K. Wood, 2014. "Quality evidence for policymaking: I'll believe it when I see the replication," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 6(3), pages 215-235, September.
    11. Randee J Kastner & Elisa Sicuri & Christopher M Stone & Gabriel Matwale & Ambrose Onapa & Fabrizio Tediosi, 2017. "How much will it cost to eradicate lymphatic filariasis? An analysis of the financial and economic costs of intensified efforts against lymphatic filariasis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 11(9), pages 1-20, September.
    12. Tanguy Bernard & Sylvie Lambert & Karen Macours & Margaux Vinez, 2019. "Adoption of Improved Seeds, Evidence from DRC," Working Papers halshs-02422695, HAL.
    13. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    14. Brown, Drusilla K. & Downes, Thomas & Eggleston, Karen & Kumari, Ratna, 2009. "Human Resource Management Technology Diffusion through Global Supply Chains: Buyer-directed Factory-based Health Care in India," World Development, Elsevier, vol. 37(9), pages 1484-1493, September.
    15. Philipp Ager & Casper Worm Hansen & Peter Z. Lin, 2023. "Medical Technology and Life Expectancy: Evidence from the Antitoxin Treatment of Diphtheria," Working Papers 0241, European Historical Economics Society (EHES).
    16. Ellis, Jimmy R. & Gershenson, Seth, 2016. "LATE for the Meeting: Gender, Peer Advising, and College Success," IZA Discussion Papers 9956, Institute of Labor Economics (IZA).
    17. Aggarwal, Khushboo & Barua, Rashmi & Vidal-Fernandez, Marian, 2024. "Still Waters Run Deep: Groundwater Contamination and Education Outcomes in India," Economics of Education Review, Elsevier, vol. 100(C).
    18. Martin, Will, 2021. "Tools for measuring the full impacts of agricultural interventions," IFPRI-MCC technical papers 2, International Food Policy Research Institute (IFPRI).
    19. Bharti Nandwani & cjain@3ieimpact.org, 2022. "Female representation in school management and school quality," Indira Gandhi Institute of Development Research, Mumbai Working Papers 2022-002, Indira Gandhi Institute of Development Research, Mumbai, India.
    20. Riphahn, Regina T., 2004. "The Enrollment Effect of Secondary School Fees in Post-War Germany," IZA Discussion Papers 1295, Institute of Labor Economics (IZA).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pntd00:0006449. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosntds (email available below). General contact details of provider: https://journals.plos.org/plosntds/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.