school health 1234

M A K I N G T H E C O N N E C T I O N : H E A L T H A N D S T U D E N T A C H I E V E M E N T A S T H O • S S D H P E R © 2 0 0 2

Presented By:

Dr.Salequr Rahman

Dep. Of Community

Medicine

SCHOOL HEALTH


Definition

School health service is a branch of community health which provides promotive , preventive & curative health care services to the school children.


A) General objective :

To provide comprehensive health

care to school students in order to

prepare them physically, mentally

& socially.

Objective


Objective

B) Specific objective :

Promotion of Positive Health

Prevention of Diseases

Early Diagnosis, Treatment & Follow up of defects.

Awakening Health consciousness in children.


Essential Components of School Health Programme

1. Screening of school children :

Height

Weight

Acuity of vision

Hearing

Skin condition

Intestinal worms



2. Healthful school environment :

Satisfactory toilet facilities.

Pure water supply.

Good lighting & ventilation.

Clean environment .

Rest room & play ground.

Suitable chairs & desks.



3. Location:

The school should ideally be located at a place -

Away from busy places.

Keep free from all hazards.



4. Class room:

Height of the class room about 12 feet

Floor should be smooth

Room soundproof & dustproof

Area not less then 480sq feet

Floor space 15sq feet / child



5. Play ground:

For a primary school it should be 0.5 to 1 acre.

For a secondary school it should be 5 to 14 acres.



6. Seats & Desks:

A.Zero desk:

Here the posterior edge of the

desk is vertically in line with the

anterior edge of the seat.

Singal seats and desks are ideal

Zero & minus desks are suitable

for reading & writing.



B. Plus desk:

In this type there is a space between the anterior edge of the seat and the posterior edge of the desk.

C. Minus desk:

Here the vertical line from the posterior edge of the desk falls on the seat.



The seat should take 2/3 rd of the child’s thigh

Thigh remain horizontal

Leg remain vertical

Back of the seat should support the spine in the lumber region .



7. Sanitary Convenience:

For the 1st 100 pupils

1 pan for every 10

For next 100 pupils

1 pan for every 15

1 urinal for 60 student

Arrangements should be separately made for boys and girls.



8. Water supply.

9. Fast aid.

10. Communicable disease control.

11. Health education.


Health problem of the school child

Malnutrition:

1. Under nutrition (P.E.M)

2. Over nutrition (Obesity)

Communicable diseases:

1. Measles

2. Chicken pox

3. Diphtheria


Health problem of the school child

Intestinal parasites

(Hook worm, Round worm)

Disease of skin(Scabies, Ring worm)

Disease of eye

(Defective vision, Conjunctivitis )

Disease of ear ( Otitis media)

Dental caries


Strategies and approaches

Provision of safe drinking water.

Promotion of healthful environment .

Health instruction & health education for the improvement of knowledge.

Periodic physical examination of student.


Strategies and approaches

Improving the capability of the teachers & class monitors about any deviation from normal health.

Establishment of proper referral system.

Provision of legal support of a comprehensive school health programme.


School health team

Medical officer (M.O)

Public health nurse (P.H.N)

School teacher

Pharmacist

Support staff


Duties & responsibilities of (S.M.O)

1) PERIODICAL MEDICAL INSPECTION OF SCHOOL CHILDREN.

2) ANNUAL MEDICAL CHECK-UP.

3) ARRANGEMENT FOR IMMUNIZATION OF CHILDREN ( IN GIRLS, ESPECIALLY IMMUNIZATION AGAINST TETANUS. )

4) ADVISE TO PARENTS ON THE MENTAL & PHYSICAL CONDITIONS OF CHILDREN.

5) INSPECTION OF PHYSICAL TRAINING PROGRAM.


Duties & responsibilities of (S.M.O)

6) PERIODICAL INSPECTION OF WATER- SUPPLY, SANITARY CONVENIENCES

7)PERIODICAL VISITS TO HOSTELS

8)SCHOOL BUILDING INSPECTION .

9)ADVISE TO SCHOOL AUTHORITIES


Establishing a link between the school, family & school health unit.

To implement de-warming programme.

To actively participate in health education programme.

To organize debate on environmental health and personal hygiene.

Duties of Public Health Nurse (P.H.N)


School Lunch Service

School lunch programme is a part of the education programme .

Ti is known as Mid Day Meal Programme (M.D.M.P)

Principles or Criteria :

The meal should be a supplemented and not a substitute to the home diet.

The cost of the meal should be low.


School Lunch Service

Locally available food should be used.

The meal should supply at least 1/3 rd of the total energy requirement.

It should supply ½ of the protein need.

It should be frequently changed.


School health programme in Bangladesh

Following the preparation of a Master plan, in 1993 for the development of a comprehensive school health programme.

The project was signed in June 1996 for the implementation of School Health Pilot Project (S.H.P.P) in 4 districts under the World Bank.



Objective:

To provide preventive, promotive & curative services to the school student .



Planned activities :

Traning courses for school teachers.

Development of a referral system to provide curative service.

De-warming of school children.

Promotion & monitoring of iodized salt consumption.


REFERENCE

1) BY Textbook :k park

2)By textbook : Rashid, Khabir, Hyder’s.

school health 1234

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