Teachers' health literacy and its influence on pupils’ health-related knowledge in selected primary schools in Morogoro municipality, Tanzania

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Date

2022

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Publisher

Sokoine University of Agricurture

Abstract

Despite efforts by the government in Tanzania involving numerous stakeholders to improve health literacy (HL), there exists low and problematic HL. The extent to which influential stakeholders in health promotion, socialisation agents, and schools inclusive, have been involved is not empirically known. The schools are considered capable to promote HL and health-related knowledge (HRK) hence healthier lives. It is in this context that the study assessed teachers’ HL, and the extent it has influenced HRK on pupils. A cross-sectional research design was adopted, data were collected from 939 respondents through a questionnaire survey, focus group discussions, and key informant interviews. Descriptive and inferential analyses were done using IBM - SPSS (v20). Results show that all teachers had high HL, while 89.1% (95% CI: 86.8 to 91.2) and 10.9% (95% CI: 8.8 to 13.2) of the pupils had low HRK, and moderate HRK respectively. No significant association between pupils’ HRK and teachers’ HL was observed with a p- value of 0.108. Environments and pupils’ inspections 50.3% (95% CI: 82 to 108), health education provision (25.9%; 95% CI: 38 to 61); the presence of learning materials 23.8% (95% CI: 34 to 57) were SBEs found. Determinants of HL in schools included: radios, televisions, and newspapers 40% (95% CI: 105 to 165), participation in community health programmes 17% (95% CI: 38 to 75), receiving health-related training 11% (95% CI: 27 to 49), frequency visiting the medical doctors 21% (95% CI: 45 to 86, and discussions with friends on health issues 11% (95% CI: 28 to 50). Inadequate time for health education 38.6% (95% CI: 52 to 94), insufficient health materials 28% (95% CI: 46 to 71), shortage of health seminars 19.0% (95% CI: 26 to 47), and insufficient fund for health promotion 14.4% (95% CI: 16 to 42) were among the challenges facing HL promotion in schools. Enhancing health education can support efforts to influence HRK which is still low in schools. It is recommended that in promoting HL and HRK stakeholders should support SBEs to influence HL in schools.

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Dissertation

Keywords

Teachers' health literacy, Pupils’health-related knowledge, Morogoro municipality, Tanzania, Primary schools

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