A preliminary study to assess the use of a "Snakes and Ladders" board game in improving the knowledge of elementary school children about taeniasis. Academic Article uri icon


  • The Snakes and Ladders board game was modified so that it contained information on taeniasis. A quantitative approach was used to evaluate if elementary school children were able to answer correctly more questions about Taenia saginata and Taenia solium transmission and control after playing the game compared to before playing the game. In total, 78 children (9-12 years of age) from Dukuh elementary school in Karangasem District, Bali, Indonesia, were evaluated. The children were asked to complete a pre- and post-test assessment before and after playing the game a single time. Overall proportion of correct answers was 40.3% before playing the game and 58.8% after playing the game. There was a greater proportion of correct answers for questions pertaining to the transmission route for T. saginata (p<0.001) and T. solium (p<0.001), human infection type with T. solium (p=0.035) and T. saginata (p<0.001), and animal infection type with T. solium or T. saginata (p<0.001) after playing the game compared to before playing the game. However, there was no significant difference for any question for the youngest grade level. Use of this popular board game appears to be a promising tool for teaching older (10 years of age and above) children about taeniasis in endemic areas.

published proceedings

  • Acta Trop

author list (cited authors)

  • Swasti Wulanyani, N. M., Pratama, Y. S., Swastika, K., Sudarmaja, I. M., Wandra, T., Yoshida, T., Budke, C. M., & Ito, A.

citation count

  • 7

complete list of authors

  • Swasti Wulanyani, Ni Made||Pratama, Yoga Sukma||Swastika, Kadek||Sudarmaja, I Made||Wandra, Toni||Yoshida, Takahiko||Budke, Christine M||Ito, Akira

publication date

  • January 2019