Aim: To evaluate registered nurse led school clinics in 61 primary and intermediate schools in Counties Manukau
Methods: The evaluation (conducted August-December, 2014) collated evidence concerning service delivery, outcomes, value for money and effectiveness.
Results: 97% (23,756/24,497) of eligible children were consented, 11% (20,696/191,423) of throat swabs taken (February 2013-September 2014) were culture positive for Group A Streptococcus (GAS);20,176 were treated. Mana Kidz teams treated (includes cleaning and covering alone) 17,593 skin infections and actioned 4178 school health referrals. Hospitalisations for acute rheumatic fever (ARF) for children aged 5-12 years living in Counties Manukau are declining and this appears to be temporally related to the introduction of the Mana Kidz programme.
Effective engagement with children, parents/ wh?nau and improved health literacy was demonstrated, especially knowledge about sore throats, ARF, medication adherence and skin infection. The programme was delivered at $280 per participating child in the 2013/14 financial year.
Conclusion: Mana Kidz is an effective programme with a substantial contribution to health care for children, aged 5-12 years, identified at increased risk of poor health outcomes.
Counties Manukau Health