Safety and hygiene interventions to protect learners in the school environment: PPE considerations for primary school learners in Zimbabwe.
Keywords:
Health and safety hazards, Personal Protective Equipment (PPE), Intervention, Water, Sanitation and Hygiene (WASH), LearnersAbstract
Many children in developing countries learn in unsanitary conditions, exposing them to diseases that threaten their educational performance and progress. As the world continues to evolve, and new challenges emerge, there is a need to review measures taken to mitigate the spread of disease and injury of learners as they clean the school environment. This study discussed potential hazards learners encounter and measures that are being implemented to safeguard the health and safety of learners during school cleaning activities. It also focused on generating prototype designs for personal protective equipment (PPE) that are appropriately sized, provide enhanced protection for learners, and are better suited for the specific activities involved. The study was underpinned by Bronfenbrenner’s bio-ecological model as well as Dunlap’s Protection Theory. A multiple-site case study, mixed methods approach was used to study four rural and four urban primary schools in two districts in the Midlands Province of Zimbabwe. Purposive sampling was employed to select a sample of eight schools based on the extent to which learners are involved in cleaning activities as well as 16 teachers and 96 learners. Potential hazards identified during the study include respiratory infections, dysentery, cholera, diarrhea, bilharzia, soil-transmitted worms, and injuries as potential hazards in primary schools. The results indicated a lack of PPE usage in most schools. Observations showed that during cleaning the majority of learners either wore school uniforms or substituted them with old clothes. For the schools that had any, the PPE was adult-sized and not suitable for primary school learners. The study recommends that the government puts in place legislation that would guide schools in safeguarding the health and safety of learners in schools.
References
Assembly, U. G. 1989. Convention on the rights of the child. United Nations, Treaty Series, 1577(3), 1-23.
Bolatova, Z. et al. 2021. Challenges of access to WASH in schools in low-and middle-income count case study from rural central Kazakhstan. International Journal of Environmental Research and Public Health, 18(18), 9652.
Bronfenbrenner, U. 1994. Ecological models of human development. In T. Husen & T. Postlethwaite (Eds.). The International Encyclopedia of Education 2nd Edition, Volume 3 (p. 1643-1647). Pergamon.
Caruso et al. 2014. Assessing the impact of a school-based latrine cleaning and handwashing program on pupil absence in Nyanza Province, Kenya: A clusterrandomized trial Trop Med Int Health. 2014 Oct; 19(10): 1185–1197.
Chard, A. N.et al. (2019). Impact of a school-based water, sanitation, and hygiene intervention on school absence, diarrhea, respiratory infection, and soil-transmitted helminths: results from the WASH HELPS cluster-randomized trial. Journal of Global Health, 9(2).
Creswell, J. W. and Creswell, J. D. 2018. Research design qualitative, quantitative, and mixed methods approaches. Fifth edition. Los Angeles: SAGE.
Creswell, J. W. 2014. A concise introduction to mixed methods research. SAGE Publications.
Creswell, J. W. and Plano Clark. V. L. 2011. Designing and conducting mixed-method research. 2nd ed. Sage. CA: Thousand Oaks.
Dawadi, S., Shrestha, S. and Giri, R. A. (2021). Mixed-methods research: A discussion on its types, challenges, and criticisms. Journal of Practical Studies in Education, 2(2), 25-36.
Department for International Development (DFID). ED Covid-19 Handbook 2021. Roadmap to Reopening Safely and Meeting All Students’ Needs. Department of Education; USA)
Dunlap, K. 1928. The development and function of clothing, The Journal of General Psychology, 1:1, 64-78, DOI: 10.1080/00221309.1928.9923412.
Etikan, I., Musa, S. A. and Alkassim, R. S. 2016. Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1-4.
Fotso, J. 2006. Child health inequities in developing countries: differences across urban and rural areas. International Journal for Equity in Health 5. https://doi.org/10.1186/1475-9276-5-9.
Gebrehiwot, T., Geberemariyam, B. S., Gebretsadik, T., and Gebresilassie, A. 2020. Prevalence of diarrheal diseases among schools with and without water, sanitation and hygiene programs in rural communities of north-eastern Ethiopia: a comparative cross-sectional study. Rural and Remote Health, 20(4), 1-9.
Gerrard, D. F. 1998. The use of padding in rugby union: an overview. Sports Medicine, 25, 329-332.
Global Alliance for Disaster Risk Reduction and Resilience in the Education Sector, 2022. https://gadrrres.net/comprehensive-schol-safety-framework.
Gunhu M., R, Mugweni M. R. and Dhlomo, T 2011. Integrating early childhood development (ECD) into mainstream primary school education in Zimbabwe: Implications to water, sanitation and hygiene delivery. Journal of African Studies and Development 3(7), pp. 135-143. http://www.academicjournlas.org/JASD.
Habybabady, R. H., Sis, H. N., Paridokht, F., Ramrudinasab, F., Behmadi, A., Khosravi, B. AND Mohammadi, M. 2018. Effects of dust exposure on the respiratory health symptoms and pulmonary functions of street sweepers. The Malaysian Journal Of Medical Sciences: MJMS, 25(6), 76.
Hazazi, A., Chandramohan, S., Khan, J., & AL-Mohaithef, M., 2019. Knowledge Attitude and Practices Regarding Personal Hygiene among the Male Primary School Children in Abha, Kingdom of Saudi Arabia: A Cross-Sectional Study. Helix Vol. 8(2): 3215-3223.
Human rights watch. https://www.hrw.org/world-report/2023
Idakwo, B. AND Baruwa, I. B. 2022. In Loco Parentis: A Cliché Begging for Analysis in the Contemporary Pedagogy. https://orcid.org/0000-0002-0385-9772.
ILO Home Occupational Safety and Health - A Guide for Labour Inspectors and other stakeholders. 1996-2023 International Labour Organisation.
Khan, W., Khan, J., Khan, N., Iqbal, R., Ullah, A., Ghaffar, R. and Ullah, F. 2019. Soil-transmitted helminth infections in school children of three districts of Malakand region, Khyber Pakhtunkhwa, Pakistan. Pakistan Journal of Pharmaceutical Sciences, 32(2), 799-803.
Kumar, J., Kumar, S., Singh, R., Jiyaullah, M. and Kumar, P., 2018. Knowledge and practice of personal hygiene among senior secondary school students of rural areas: an innovative study. International Journal of Scientific and Research Publications, 8 (12): 28.
Madani, R. A. 2019. Analysis of Educational Quality, a Goal of Education for All Policy. Higher Education Studies, 9(1), 100-109.
Majuru, B., Suhrcke, M. and Hunter, P. R. 2016. How do households respond to unreliable water supplies?
Pradhan, N. A., Mughis, W., Ali, T. S., Nasee, M. and Karmaliani, R. 2020. School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study. BMC Public Health (2020) 20:481. 481.
Putri, K. D. M. (2013). Finitte Element Analysis of Knee Pad (Doctoral Thesis, UMP).
ReliefWeb. (2019). The water crisis fact sheet No. 2, 2019. 5 October. Informing humanitarians worldwide 24/7 —a service provided by UN OCHA.
Shrestha, A. and Angolkar, M. 2014. Impact of health education on the knowledge and practice regarding personal hygiene among primary school children in Urban Areas of Karnataka, India. IOSR Journal of Dental and Medical Sciences (IOSRJDMS). 3 (4) Ver. VII. (Apr. 2014), pp. 86-89.
Sibiya, J. E. and Gumbo, J. R., Knowledge, Attitude and Practices (KAP) Survey on Water, Sanitation and Hygiene in Selected Schools in the Vhembe District, Limpopo, South Africa. Int. J. Environ. Res. Public Health 2013, 10(6), 2282-2295; https://doi.org/10.3390/ijerph10062282.
Sudheshna, A. A. 2023. 13. Protective Clothing: A brief discussion and general requirements. Innovation and Recent Advancement in Fashion and Textile, 137.
Taghizadeh, M. H., Shahinfar, S, Bahreini, A, Ajilian, A. M., Fazli, F, & Saeidi, M. Adolescence Health: The Needs, Problems and Attention. International Journal of Pediatrics 2016; 4(2): 1423-38.
Taonameso, S., Mudau, L. S., Traoré, A. N. & Potgieter, N. (2022). Urban water conundrums in Zimbabwe – the role of water policy and its implementation gaps. Water Supply Volume 22, Issue 3 Water Supply (2022) 22 (3): 3526–3539.
The African Charter on the Rights and Welfare of the Child 1990.
The Canadian Centre for Occupational Health & Safety (1997- 2015).
The Dakar Framework for Action (2000). Education for all: Meeting our Collective Commitments.UNDP 2015. The Millennium Development Goals
UNICEF 2022. Hand washing around the world. https://www.unicef.org/supply/stories/handwashing-around-world
WaterAid’s Campaigns Team, (2014). From promise to reality: The urgent need for Southern African leaders to deliver on their water, sanitation and hygiene commitments. South Africa.
WHO (2018). Preferred Product Characteristics for Personal Protective Equipment for the Health Worker on the Frontline Responding to Viral emorrhagic Fevers in Tropical Climate. https://creativecommons.org/licenses/by-nc-sa/3.0/igo.
WHO (World Health Organization) (2017a). Health Is a Fundamental Human Right. https://www.who.int/news-room/commentaries/detail/health-is-a-fundamentalIUhuman-right.
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