Abstract
Background: In tropical settings, malaria education at school is Potentially useful, but textbook content related to malaria
education has so far received little attention. This study Aimed to examine Whether school textbooks Contain sufficient
knowledge and skills to help children in primary and lower secondary schools and their family members to cope with
malaria.
Methodology / Principal Findings: This was a descriptive, cross-country study. We collected textbooks that were used by
children in grades one to nine from nine countries endemic for malaria: Laos, Cambodia, Nepal, Bangladesh, Sri Lanka,
Zambia, Niger, Benin, and Ghana. Two Reviewers per country identified descriptions about malaria by seeking the term
'' malaria '' or a local word that corresponds to malaria in languages other than English. The authors Categorized the
identified descriptions According to the content of the descriptions. Additionally, the authors Examined Whether the
identified contents addressed life skills messages. Of a total of 474 textbooks collected, 35 contained descriptions about
malaria. The most commonly included content was transmission mode / vector (77.1%), Followed by preventive measures
(60.0%), epidemiology (57.1%), cause / agent (54.3%), signs / symptoms (37.1%) and treatment (22.9% ). Treatment-related
content was not included in any textbooks from four countries and textbooks failed to recommend the use of insecticidetreated bed nets in five countries. Very few textbooks included content that facilitated the prompt treatment, protection of risk
groups, and use of recommended therapy.
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