Background Health knowledge of younger generations in rural developing areas may be changed through formal education. For example, young people learn concepts in school that aid them in understanding the causes and spread of illness. This study compares knowledge about illness, germs, and water contamination among adolescents and 23 adults living in a rural Maasai community in Tanzania. It also examines whether adolescents share what they have learned about these concepts with community and family members outside of school. Methods Participants included 40 adolescents in secondary school and 23 adults with little to no schooling. A survey was created and used with both age groups. Data were collected using a translator at a school for adolescents and in the village for adults. Results Findings revealed much similarity in participants’ knowledge of stomach illness and water safety, but adolescents had more knowledge of the biological processes of illness, especially in relation to how germs function. Adolescents reported sharing what they learn in school about health with people at home, both children and adults. Implications for health education in similar communities are discussed.
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