A School Health Project Can Uplift the Health Status of School Children in Nepal

BackgroundSchool health is effective in helping students achieve health literacy, enhance their health-related behaviors, and thereby improve their health status. However, in resource-limited countries, evidence is limited to show the impact of school health. We determined the association of the school health and nutrition (SHN) project activities on students’ a) health knowledge, b) hygiene practices, and c) health outcomes, one year after the project completion.MethodsThis is a cross-sectional study conducted among the schools with the SHN project and without the project in four districts of Nepal. We recruited 604 students from six schools in the project group and 648 students from other six schools in the comparison group. We used a self-administered questionnaire to collect the data, and analyzed them using regression models and a structural equation model (SEM).ResultsStudents from the SHN project group reported the decreased odds of worm infestation (AOR = 0.50, 95% CI: 0.34 to 0.75) and diarrhea/ dysentery infection (AOR = 0.67, 95% CI: 0.47 to 0.97) compared to those in the comparison group. Furthermore, the SEM analysis also showed that the students in the project group were more likely to have better health outcomes (β = 0.03, p< 0.05).ConclusionStudents in the SHN project group were more likely to have better health outcomes compared to those in the comparison group, even after one year of the project completion. As it can bring about sustainable changes for students, it should be scaled up in other parts of the country.     

Building a Global Health Program at the University of Pittsburgh Graduate School of Public Health

This is a report of our experience over the past year in developing our program in global health at the University of Pittsburgh Graduate School of Public Health. Key steps have included an analysis of our needs and strengths, recruitment of interested faculty from existing departments, strategic meetings of faculty, formation of a vision for a Center for Global Health, design of an introductory cross-disciplinary course taught by faculty from departments in Public Health and other programs at the University of Pittsburgh, and recruitment of a recognized leader in global health to direct the program. Although we have had some successes, the process is still at an early stage. Because of this, our case may be instructive to other schools beginning similar programs.