Move over Chutes & Ladders: Schisto & Ladders has educational value plus worms
The game "Schisto & Ladders" is introduced to students in an elementary school in a part of Nigeria where the neglected tropical disease schistosomiasis, spread by parasitic worms, affects many reside
The game "Schisto & Ladders" is introduced to students in an elementary school in a part of Nigeria where the neglected tropical disease schistosomias
Read Full Story at NPR News →Why This Matters
Innovative public health education must meet communities where they are—both literally and figuratively. By repurposing a familiar game format to address a debilitating yet preventable disease, this initiative bridges cultural comfort with critical health literacy, potentially reshaping how neglected tropical diseases are perceived and prevented in endemic regions.
Background Context
Schistosomiasis, caused by parasitic worms transmitted through contaminated freshwater, has plagued tropical and subtropical regions for centuries, yet remains underfunded and overlooked despite affecting over 200 million people worldwide. In Nigeria, where access to clean water and sanitation is uneven, the disease disproportionately impacts school-aged children, exacerbating cycles of poverty and poor educational outcomes.
What Happens Next
If this pilot program proves effective, similar hybrid educational tools could be scaled across Nigeria’s endemic zones, with potential expansion into other countries battling schistosomiasis. Observers will watch whether the game’s playful approach translates into measurable reductions in infection rates or sustained behavioral changes in hygiene practices among students.
Bigger Picture
This intervention reflects a growing trend in global health: leveraging low-cost, culturally resonant methods to combat longstanding diseases. As climate change and water scarcity intensify, creative public health strategies like this one may become essential in addressing the intersection of environmental and health crises in vulnerable communities.

