The overall objective is to evaluate the effectiveness of a school-centered primary and secondary prevention program on the prevalence of latent rheumatic heart disease among schoolchildren in Nepal, and to investigate the role of socioeconomic and environmental factors in the development and progression of rheumatic heart disease.
Age 5-16 years
Attending Tulsi Secondary Boarding School in Tulsipur, Nepal.
Children / primary caregivers not providing informed consent to participate
Children not attending Tulsi Secondary Boarding School in Tulsipur.