School and community driven dengue vector control and monitoring in Myanmar

School and community driven dengue vector control and monitoring in Myanmar (MY-SCHOOL): Study protocol for a cluster randomized controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN78254298

Enrollment

1840

Registered

2022-05-31

Start date

2023-01-01

Completion date

Unknown

Last updated

2023-02-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dengue Infections and Infestations

Interventions

The interventions consist of integrated sets of vector control and educational/knowledge transfer interventions will be implemented simultaneously. The vector control intervention has four components:

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Schools: 1. High and middle schools in selected townships in Yangon 2. Schools that have =40 6th grade students 3. Approval by the headmaster of school through signed informed consent and Letter of Agreement 4. Approval by relevant teachers by signed informed teacher consent Students: 1. Will start 6th grade in June Year 1 2. Signed informed assent 3. Signed informed consent by parents

Exclusion criteria

Exclusion criteria: Schools: 1. Schools with other ongoing dengue interventions 2. International schools not using the national curriculum and Burmese as language of instruction 3. Boarding schools Students: 1. Students who are seriously ill and not considered physically fit to participate 2. Students whose parents do not provide consent

Design outcomes

Primary

Measure	Time frame
Dengue incidence rate in communities measured continuously during the intervention period by passive case detection using dengue rapid diagnosis tests (RDT) in public hospitals and health centers. Rate is given as the confirmed number of dengue cases (numerator) and the estimated population in each school catchment area (denominator).	—

Secondary

Measure	Time frame
1. Dengue incidence rates in schools measured by seroconversion rates in school children between baseline, and after 4 months and 8 months 2. Mosquito adult index in schools and households given as the mean number of adult female Ae. aegypti and Ae. albopictus mosquitoes per school/household measure by indoor and outdoor mosquito collections using a battery-driven mechanical aspirator at baseline, and after 4, 8, and 12 months 3. Breteau index in schools and households given by the number of Aedes positive containers per 100 schools/households at baseline, and after 4, 8, and 12 months 4. Knowledge, attitudes, and practice scores in students and parents given as sum scores on a scale from 1-10, where ten indicates the highest score, determined by KAP questionnaires at baseline, and after 4, 8, and 12 months 5. Behavioral assessment of students and parents on dengue control and prevention given as human decision-making in the uptake of vector control activities assessed by responses to statements on a 5-point Likert scale using questionnaires and structural equation modelling at baseline, and after 4, 8, and 12 months 6. Engagement assessment among students is the degree of engagement in education/knowledge transfer activities among students measured by photographs and qualitative data collected by photovoice methodology and group discussions once at 5 months after the intervention 7. Engagement assessment among parents and teachers is the degree of engagement in education/knowledge transfer activities among parents and teachers measured by qualitative data qualitative methods: in-depth interviews and focus group discussions and code book. Assessments in parents will be done once during parent-teacher meetings at 5 months after the start of the intervention. Assessments in teachers will be done three times at 1, 5, and 9 months after the start of the intervention.	—

Measure

Time frame

1. Dengue incidence rates in schools measured by seroconversion rates in school children between baseline, and after 4 months and 8 months 2. Mosquito adult index in schools and households given as the mean number of adult female Ae. aegypti and Ae. albopictus mosquitoes per school/household measure by indoor and outdoor mosquito collections using a battery-driven mechanical aspirator at baseline, and after 4, 8, and 12 months 3. Breteau index in schools and households given by the number of Aedes positive containers per 100 schools/households at baseline, and after 4, 8, and 12 months 4. Knowledge, attitudes, and practice scores in students and parents given as sum scores on a scale from 1-10, where ten indicates the highest score, determined by KAP questionnaires at baseline, and after 4, 8, and 12 months 5. Behavioral assessment of students and parents on dengue control and prevention given as human decision-making in the uptake of vector control activities assessed by responses to statements on a 5-point Likert scale using questionnaires and structural equation modelling at baseline, and after 4, 8, and 12 months 6. Engagement assessment among students is the degree of engagement in education/knowledge transfer activities among students measured by photographs and qualitative data collected by photovoice methodology and group discussions once at 5 months after the intervention 7. Engagement assessment among parents and teachers is the degree of engagement in education/knowledge transfer activities among parents and teachers measured by qualitative data qualitative methods: in-depth interviews and focus group discussions and code book. Assessments in parents will be done once during parent-teacher meetings at 5 months after the start of the intervention. Assessments in teachers will be done three times at 1, 5, and 9 months after the start of the intervention.

—

Countries

Myanmar

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 19, 2026