J Glob Health Sci. 2021 Dec;3(2):e11. English.
Published online Nov 23, 2021.
© 2021 Korean Society of Global Health.
Brief Communication

Is Bangladesh ready to open its schools? School closure and opening policy dilemma of Bangladesh

Md Shariful Islam,1 Khainoor Zahan,2 Md Mofijul Islam Bulbul,3 Ahmed Gamal Abouarab,4 Nurun Naher,5 Abu Talha Bin Fokhrul,6 Sirajum Munira,6 Attaullah Ahmadi,7,8 Don Eliseo III Lucero-Prisno,9 and Sheikh Mohammed Shariful Islam10
    • 1Public Health Foundation Bangladesh, Dhaka, Bangladesh.
    • 2Bangladesh National Nutrition Council, Dhaka, Bangladesh.
    • 3National Nutrition Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh.
    • 4Faculty of Medicine, Ain Shams University, Cairo, Egypt.
    • 5DASCOH Foundation, Dhaka, Bangladesh.
    • 6Sylhet MAG Osmani Medical College & Hospital (SOMCH), Sylhet, Bangladesh.
    • 7Medical Research Center, Kateb University, Kabul, Afghanistan.
    • 8Department of Public Health, International School of Medicine, Bishkek, Kyrgyzstan.
    • 9London School of Hygiene and Tropical Medicine, London, United Kingdom.
    • 10Institute for Physical Activity and Nutrition (IPAN), Deakin University, Burwood, Australia.
Received July 04, 2021; Accepted November 15, 2021.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

The novel coronavirus disease 2019 (COVID-19) pandemic has ravaged most countries in the world. The first human cases of COVID-19 were reported in Wuhan City, China, in December 2019. Around 185 million people have been infected by COVID-19 worldwide leading to 4 million deaths as of July 5, 2021 and counting. COVID-19 has not spared Bangladesh, a low-middle income country in South Asia and one of the most densely populated countries (1,260 population/sq km) with a fragmented health care system struggling to provide services for around 180 million people. Bangladesh declared the first three known cases on March 8, 2020.1 From the beginning, like other countries, Bangladesh also took many restrictive measures, such as the closure of educational institutes, national lockdown, and suspension of air flights and so on to control the spread of COVID-19. During improved COVID situation of first and second wave in Bangladesh, all restrictive steps have been suspended, except the closure of educational institutions. As school closure continue since March 2020, it affected around 3.7 million students in Bangladesh.2, 3, 4

In response to the COVID-19 pandemic, like in many other countries, Bangladesh implemented school closures nationally since the beginning as part of the measures.5 Schools can be a hot spot for the spread of COVID-19 as children congregate in poorly ventilated classrooms for hours. Teachers, school staff, bus drivers and others spend significant amounts of time with students in enclosed spaces, where they are at a relatively high risk of contracting COVID-19 from children as well as from one another. Children going to school by public transport, often with their parents, allow greater mixing. Even if children are less susceptible than adults to infection, they could carry at least some infections home to family members—who could face far worse health threats and spread the virus more effectively among the general population.6 Unfortunately, the susceptibility and fatality of children due to COVID-19 in Bangladesh is higher compared to other countries.7

School closure was one of the strategic decisions to combat COVID-19 spread all over the country at the very beginning and before other preventive measures to stop spreading. The most important and direct impact is interrupted learning. For example, during the year 2013–2014, schools of West Africa were affected severely and studies showed that after prolonged school closure there was a reduction in school attendance, and an increased rate of dropouts. There was a long-term impact on the community like increase risk of violence and abuse, teenage pregnancy and child labour.5 The other negative effects are poor nutrition due to missing school, confusion and stress among the teachers, distance-learning or home-schooling issues and challenges along with unintended pressure of continuing, breaches of child care, and an economic burden. On May 8, 2021, a nine-grade student committed suicide in Dhaka, the capital city of Bangladesh due to depression staying at home for a long time.8 There is some long-term impact like increasing rate of dropout, economic aftermath, social and institutional isolation and severe impact on mental health.9

COVID-19 pandemic has had an unprecedented negative impact on all educational systems worldwide with no exceptions. A total of 200 countries closed the schools which affected approximately 1.6 billion students in April 2020. In general, once the curve of daily COVID-19 cases is flattened, countries considered reopening.10 A benefit/ risk ratio assessment must take place, and the benefits should outweigh the risks to consider what is best for the community’s health and the children’s learning and overall well-being.11 According to UNESCO, on January 12, 2021, schools were fully reopened in 90 countries, partially reopened in 47 countries, while 34 countries had a nationwide school closure and were shifting to distant learning. However, those numbers have been and will keep on changing throughout the pandemic as countries close and re-open their schools according to their COVID-19 situation.12

A major dilemma for the government of Bangladesh is when to open its schools. Before making decisions to continue school closure or reopen, the government of Bangladesh should first gather and analyze carefully crucial data on how well the students, parents, and teachers, are keeping up with the pandemic. Data should include information like how well and for how long can remote learning be delivered and sustained, the quality and accessibility of online education compared to that of face-to-face learning, whether the intended learning outcomes can be achieved from online learning alone, the ability of teachers and students to use online learning platforms, and what school services are being compromised in the process. At the same time, the government should also collect data on the socio-economic and health effects caused by school closures, the preparedness of schools to implement protective measures and what public health and healthcare risks are being introduced if schools reopen. Such data can be collected using rapid response surveys. The government can use these data to evaluate the value of reopening, benefits from face-to-face learning versus distant learning, and the risks arising from resuming schools once again. Based on these scenarios, we propose that the government of Bangladesh should consider the following recommendations when taking the next steps:

Text box 1. Recommendations to consider for opening schools in Bangladesh

If government decides to reopen:

  • · If the Bangladesh government decides to reopen schools, it needs to provide well-defined guidelines on school preparedness and measures. Reopening schools can be in a stepwise manner and progressive to test the efficiency of the decision.

  • · After that, governments should develop strict and easily understandable protocols on protective and hygiene measures that will be imposed on students and teachers and in schools and train the administrative staff and teachers on how to implement such measures.

  • · They should also form policies on absenteeism and policies that will protect students, teachers and staff who are at risk of attending schools such as those with chronic diseases.

  • · Regular evaluation thereafter is very critical to assess the efficiency of the decisions, policies, and measures and in-turn will guide the government later in decision-making. There is a need to develop evidence-based policy and guidelines for schools in Bangladesh during the current pandemic.

If government justifies continuing closing school:

  • · If the government justifies keeping schools closed for the next months, it is crucial to take nationwide strategies to reduce the burden of school closure.

  • · The government needs to strengthen the quality of online learning systems. At the same time, to improve the mental health of children, psychosocial support is needed.

  • · The government also needs to reduce the inequality of education and school meal access among marginalized groups.

We recommend that the government of Bangladesh should audit the emerging situation taking into consideration past and new data, develop clear guidelines for school opening, and take all measures to protect the education and health of its young citizens.

Notes

Conflict of Interest:The authors declare that they have no competing interests.

Author Contributions:

  • Conceptualization: Shariful Islam M, Lucero-Prisno DEI, Islam SMS.

  • Methodology: Lucero-Prisno DEI.

  • Supervision: Lucero-Prisno DEI, Islam SMS.

  • Visualization: Naher N.

  • Writing - original draft: Shariful Islam M, Zahan K, Bulbul MMI, Abouarab AG, Naher N, Fokhrul ATB, Munira S.

  • Writing - review & editing: Zahan K, Bulbul MMI, Abouarab AG, Naher N, Fokhrul ATB, Munira S, Islam SMS.

References

    1. WorldMeter. COVID live update: 184,744,115 cases and 3,996,038 deaths from the coronavirus. [Updated 2021]. [Accessed July 5, 2021].
    1. Rahman T, Ahmed R. In: Combatting the impact of COVID-19 school closures in Bangladesh. [Updated 2021]. [Accessed July 5, 2021].
    1. UNICEF. COVID-19: schools for more than 168 million children globally have been completely closed for almost a full year, says UNICEF. [Updated 2021]. [Accessed July 5, 2021].
    1. Rahman T, Sharma U. In: A Simulation of COVID-19 School Closure Impact on Student Learning in Bangladesh. Washington, D.C., USA: World Bank; 2021.
    1. Viner RM, Russell SJ, Croker H, Packer J, Ward J, Stansfield C, et al. School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review. Lancet Child Adolesc Health 2020;4(5):397–404.
    1. Mallapaty S. How schools can reopen safely during the pandemic. Nature 2020;584(7822):503–504.
    1. Jamal CY, Rahman SA. The higher fatality rate of children from COVID-19 in Bangladesh is it ethnicity or malnutrition or else? Bangladesh J Child Health 2020;44(1):1–3.
    1. Jumuna TV. Child suicide. [Updated 2021]. [Accessed July 5, 2021].
    1. UNESCO. Adverse consequences of school closures. [Updated 2021]. [Accessed January 26, 2021].
    1. United Nations. Education during COVID-19 and beyond August 2020. San Francisco, CA, USA: United Nations; 2020.
    1. UNICEF. Framework for reopening schools. [Updated 2020]. [Accessed January 26, 2021].
    1. UNESCO. School closures caused by coronavirus (Covid-19). [Updated 2021]. [Accessed January 26, 2021].

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