In Zanzibar, around 22,000 children (4% of those aged 6 to 12) need treatment for eye issues like conjunctivitis or require glasses. A 2017 study found that 42% of rural children needing glasses didn't have them. Many locals distrust Western medicine and prefer traditional remedies, rejecting public health efforts such as posters and brochures. Globally, eye health promotion has been underfunded and overlooked. Research suggests community-designed interventions and behavior change studies are needed to promote sustainable eye health practices. Arts-based interventions using traditional storytelling and performances have been effective in Africa, improving health outcomes in areas like food hygiene and mental health. Health campaigns in schools might be less effective since parents make health decisions for their children. This study aims to see how well using both traditional and modern music performances in an eye health education program can break down cultural barriers and increase children's use of eye health services in schools and communities. The investigators want to answer three main questions: 1. How effective is a 6-month music-based eye health education program in schools and communities at improving eye health knowledge and service use among parents and children? 2. What factors influenced the success of the 6-month music-based eye health education program? 3. What are the costs and benefits of this 6-month program in increasing eye health service use among children in schools and communities?
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Change in the proportion of children accessing eye health services
Timeframe: Three months and six months after the intervention is implemented