Assessing literacy on the interconnection between non-communicable diseases and climate change among youth in Nairobi, Kenya: An interventional study

Abstract

This study investigates the efficacy of mixed-method educational interventions in enhancing literacy levels among youth in Nairobi concerning the intricate relationship between climate change and non-communicable diseases (NCDs). The education methods used in this study included a continuous trainer-of-the-trainer approach, and peer learning combined with digital health interventions including the NCDs 365 App and the NCDs for Public Health Online course. Utilizing a rigorous methodology, the study engaged 70 participants at baseline and 65 at endline, with a minimal attrition rate. The study focused on key indicators, including literacy levels, positive behavioral changes, and the integration of digital health technologies. Results indicate a commendable increase in literacy levels, with 95.4% of respondents accurately recognizing NCDs at the endline, compared to 81.4% at baseline. Positive shifts were evident in the understanding of examples and major risk factors of NCDs. Climate change awareness notably improved, with 76.9% defining it as a long-term shift in weather patterns at the endline, compared to 44.3% at baseline. The association between climate change and NCDs was acknowledged by 86.2% at endline, up from 57.1% at baseline. Attitudinal and behavioral changes were prominent, as 95.4% expressed intent to participate in NCDs and climate change activities at the endline, compared to 81.4% at baseline. Digital health technologies demonstrated substantial engagement, with 87.7% downloading the NCD365 app. Further, 93.8% enrolled in the online course, and 75.4% frequently used the NCD365 app. Encouragingly, 94.7% would recommend the app to friends. The study concludes that educational interventions significantly enhance knowledge, attitudes, and behaviors related to climate change and NCDs among youth in Nairobi. Recommendations include expanding similar initiatives, incorporating interactive elements, and continuous monitoring for long-term impact assessment. This research contributes pivotal insights to addressing 21st-century challenges through targeted education and technological integration.