title: School non-enrollment and its relation with health and schistosomiasis knowledge, attitudes and practices in rural Egypt.
abstract: Children who are not enrolled in school are deprived of schistosomiasis treatments delivered through school health programmes. We explored perceptions of barriers to school enrolment and health and schistosomiasis knowledge, attitude and practices among 58 enrolled and 41 non-enrolled children and 80 adults in a village in El-Fayoum governate, Egypt. Economic factors, cultural factors and the school system were perceived as barriers. Maternal education had a significant role in enrolment. Non-enrolled children were more anaemic and had more signs of vitamin deficiency. Enrolled children had better schistosomiasis knowledge and attitudes, but not practice; both groups had high Schistosoma mansoni infection rates (51.7% enrolled and 65.8% non-enrolled). Education and health policies should tackle perceived barriers. Introduction
authors.affiliation: Department of Community and Social Medicine, Theodor Bilharz Research Institute, Imbaba, Cairo, Egypt. shahinazmekheimer@yahoo.com
authors.forename: S I
authors.initials: SI
authors.lastname: Mekheimar
authors.forename: M
authors.initials: M
authors.lastname: Talaat
mesh_terms: D000293:Adolescent; D000328:Adult; D000740:Anemia / Q000453:epidemiology; D001294:Attitude to Health / Q000208:ethnology; D002648:Child; D015362:Child Nutrition Disorders / Q000453:epidemiology; D004522:Educational Status; D004534:Egypt / Q000453:epidemiology; D017144:Focus Groups; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000458:organization & administration; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008403:Mass Screening; D010290:Parents / Q000193:education / Q000523:psychology; D036301:Qualitative Research; D011787:Quality of Health Care / Q000458:organization & administration; D012423:Rural Health / Q000706:statistics & numerical data*; D012552:Schistosomiasis / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control; D012572:School Health Services / Q000458:organization & administration; D012959:Socioeconomic Factors; D013332:Student Dropouts / Q000193:education / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires