中文摘要：

目的 评价综合干预对贫困农村小学环境卫生和个人卫生的干预效果.方法 采用整群抽样的方法,以甘肃省陇南某贫困县33所农村小学校及其学生为干预对象,以校内饮用水、环境卫生、学生个人卫生知识及行为、学生肠道寄生虫病患病及生长发育情况作为干预效果评价,比较干预措施实施的效果.结果 干预后学校水、环境学生状况明显改善;学生健康知识知晓率和健康行为持有率提高,干预前后差异有统计学意义;肠道寄生虫感染率由20.0％下降到13.3％;贫血、消瘦和生长发育迟缓患病率分别由17.7％、23.2％及 28.6％下降到5.8％、11.6％和20.0％,干预前后差异有统计学意义.结论 综合干预可以有效改善贫困地区农村小学校环境卫生状况和提高学生健康水平,应积极予以推广.

英文摘要：

OBJECTIVE Evaluation of the impacts of integrated water, sanitation and hygiene interventions in rural primary schools. METHODS An integrated water, sanitation and hygiene interventions was implemented in 33 rural schools in one of Poverty Counties in Longnan Prefecture, Gansu province. A baseline and endline survey were conducted before and after interventions, including on-site investigation of water, sanitation and hygiene in schools, laboratory works on sanitation improvement, assess children＇s knowledge, altitude and practices of water, sanitation and hygiene using questionnaires and physical examination were used to evalu- ate the change of children＇s intestinal parasitic infections and growth. RESULTS After interventions, the improvement of water and sanitation status in schools is significant, children＇s knowledge, altitude and practices were also increased. The difference was statis- tically significant before and after the interventions. The rate of intestinal parasitic infections was decreased from 20.0% to 13.3%, the rate of anemia, angular and stunting were decreased from 17.7% to 5.8%, 23.2% to 11.6% and 28.6% to 20.0% individually. The difference was statistically significant before and after the interventions. CONCLUSION The integrated water, sanitation and hy- giene interventions were effective to improve the school quality and children＇s health status, it was encouraged to be promoted and replicated. However, the current situation of water, sanitation and hygiene in rural schools is severe, the sustainable intervention mechanism need to be developed.