Abstract In small islands of low and middle-income countries, schoolchildren rely on canoe transport to access education. Although this is associated with rampant drowning and barriers to access schooling, there is little empirical evidence in the drowning prevention and rural transport literature. Consequently, there are high school dropouts among children in rural islands. This study investigates inland water transport barriers and the factors influencing the adoption of canoes in rural areas. A household survey of 350 parents/caregivers was conducted in 17 small islands of Ukerewe District, Tanzania. Based on the Health Belief Model, structural equation modeling was performed to measure how perceived susceptibility, severity/risk, self-efficacy, and barriers can affect intentions to use inland water transport using perceived benefits as a moderator. Overall, schoolchildren ride canoes without the aid of adults, exposing them to negative health effects such as injury, tiredness, and drowning. Notably, only perceived severity had statistically significant effects on the adoption of water transport to school when mediated by the perceived benefits. These findings imply that the provision of safer transport modes and policies aimed at reducing the perceived risks can enhance inland water transport adoption and reduce the rate of child drowning and school dropouts in rural islands.

    Graphical abstract Display Omitted

    Highlights First study in developing countries to use Health Belief Model constructs to explore schoolchildren’s inland water transport adoption. Involved a household survey of 350 parents of schoolchildren in 17 rural islands. Found high child risk to drowning and lack of access to safe modes of transport to school. It was found that schoolchildren ride canoes to school without the aid of adults. Holistic planning and sustained investment in education, and employment are required.


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    Titel :

    Schoolchildren's inland water transport adoption barriers in Tanzania: Health belief model application




    Erscheinungsdatum :

    2022-08-31




    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Elektronische Ressource


    Sprache :

    Englisch




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