SlideShare ist ein Scribd-Unternehmen logo
1 von 46
Downloaden Sie, um offline zu lesen
School Health Program
Dr. Ramya S
Outline
1. Introduction
2. School Health program
3. School Health Services
4. RBSK
5. Mid Day Meal Scheme
6. Other programs
Introduction
WHO Definition:
School health program encompasses
1. School health services
2. School health education
3. School health environment
4. Health promotion for school personnel
5. School-community projects and outreach
6. Nutrition and food safety
7. Physical education and recreation
8. Mental health, counselling and social support
WHO technical report series
School Health – Evolution in India
1909
• Medical examination of school children carried out in Baroda City for
the first time
1946
• Bhore Committee- School health services practically non existent in
India
1960
• Government of India constituted a School Health Committee
1992
• World wide Convention of the rights of the child signed by many
countries
1996
• Government of India launched the School Health Scheme
School health program- INDIA
1. Program for school health service under NRHM
2. Integration of health in schools through decentralized
management
3. Implemented in all Government and private aided schools
(12,88,750) covering around 22 Crore students
4. Main focus:
– Nutrition interventions, counselling, education
– Health needs of children – both physical and mental
http://nrhm.gov.in/nrhm-components/rmnch-a/adolescent-health/school-
health-programme-shp/
Components of School Health Program
1. Health service provision
a) Screening, health care and referral
b) Immunisation
c) Micronutrient (Vitamin A & IFA) management
d) De-worming
e) Health Promoting Schools
2. Capacity building
3. Monitoring & Evaluation
4. Mid Day Meal
Health problems of school
children
Malnutrition
Infectious diseases
Intestinal parasite
Diseases of skin ,eye and ear
Dental caries
Objectives of school Health
Promotion of
positive health
Prevention of
diseases
Early diagnosis,
treatment and
follow up of
defects
Awakening
health
consciousness in
children
Provision of
healthful
environment
ASPECTS
Health appraisal of school children &personnel
Remedial measures and follow up
Prevention of communicable diseases
Healthful school environment
Nutritional services
First aid and emergency care
ASPECTS
Mental health
Dental health
Eye health
Health education
Education of handicapped children
Proper maintenance and use of school health records
HEALTH APPRAISAL
1.PERIODIC MEDICAL EXAMINATION
- At the time of entry and thereafter every 4
years.(The school health committee
recommendation, 1961)
- History, physical and clinical examination
2.SCHOOL PERSONNEL
HEALTH APPRAISAL
3.DAILY MORNING INSPECTION:
a) Unusually flushed face(any rash or spots)
b) Symptoms of acute cold(coughing, sneezing, sore
throat)
c) Rigid neck
d) Nausea , vomiting
e) Red or watery eyes
f) Headache, chills, fever
g) Listlessness ,sleepiness, disinclination to play
h) Pains in the body
i) Skin conditions like scabies, ringworm, pediculosis
REMEDIAL MEASURES AND FOLLOW-UP
• Treatment and follow up
• Special clinics should be conducted exclusively for
children in rural(PHC) and in urban areas(for 5000
children in a selected school)
• Clinics days and time should
be intimated to concerned school
PREVENTION OF COMMUNICABLE
DISEASES
Control through immunization
Immunization record should be maintained
HEALTHFUL SCHOOL ENVIRONMENT
Location
Site
Structure
Classroom
Furniture
Doors and windows
Color
Lighting
Water supply
Eating facilities
Lavatory
SCHOOL ENVIRONMENT
1.LOCATION:
-Properly fenced & kept free from all hazards.
2.SITE:
-On suitable highland
-For higher elementary schools -10 acres
-For primary schools -5 acres
-an additional one acre of land per 100 students
3.STRUCTURE:
-Nursery and secondary schools – single storied
-Exterior wall thickness –min 10 inches & heat resistant
SCHOOL ENVIRONMENT
4.CLASSROOM:
- 40 students
- percapita space – 10 sq.feet
5.FURNITURE:
- Desks: minus type
- Chairs: with proper back rests
6.DOORS AND WINDOWS:
- 2’-6” from floor level
- atleast 25% of the floor area
-Cross ventilation
SCHOOL ENVIRONMENT
7.COLOR:
-white and periodically white-washed
8.LIGHTING:
-Natural lighting adequate and from left.
9.WATER SUPPLY:
-Independent ,safe, continuous
10.EATING FACILITIES:
-Separate room for mid day meals.
11.LAVATORY:
-one urinal for 60 students &one latrine for 100 students
NUTRITIONAL SERVICES
1. Mid day school meal:
-to combat malnutrition
-to provide a good nourishing meal (atleast 1)
-no profit no loss basis
-provides one third of the daily calorie requirement and about
half of the daily protein requirement.
NUTRITIONAL SERVICES
2.APPLIED NUTRITION PROGRAMME:
• assisted by UNICEF
• implements, seeds, manure and water supply equipment.
• for developing school gardens
• utilized in school feeding programs
FIRST AID & EMERGENCY CARE
In every school a fully equipped first aid post
should be provided.
1. Accidents leading to minor and serious injuries
2. Medical emergencies - gastroenteritis, colic,
epileptic fits , fainting etc.
MENTAL HEALTH
• Juvenile delinquency, maladjustment and drug addiction
- common
• The school and the school teacher has a positive and
preventive role.
• The school routine should be planned with enough
relaxation
• No distinction should be made
• Guided by vocational counselors and psychologists.
DENTAL HEALTH
• Common Dental diseases in India :
1. Dental caries
2. Periodontal disease
• Examination should be done atleast once a year
EYE HEALTH SERVICES
• Early detection of refractive errors
• Treatment of squint
• Detection & treatment of eye infections(trachoma)
• Administration of vitamin A to children at risk
HEALTH EDUCATION
1.Personal hygiene:
• Hygiene of skin, hair, teeth & clothing
• Attention to postures(sitting & standing)
2.Environmental health
3.Family life
EDUCATION OF HANDICAPPED
CHILDREN
Goal
1. To assist the handicapped child and his family
for reaching his maximum potential
2. To lead as normal a life as possible
3. To become as independent as possible
4. To become a productive and self supporting
member of the society.
Requires the cooperation of health, welfare ,
social and educational agencies.
SCHOOL HEALTH RECORDS
It Contains
1.Identifying data
2.Past health history
3.Record of findings of physical
examination, screening tests & services
provided
School health Record
• Findings
• Outlook: Lean/ Moderate/ Obese
• Skin & Hair: Boils/ Ulcers/ Scars/ Lice
• Hands & Nails: Ulcer in web of fingers/ Deformity/
• Cleanliness of nails
• Eye: Pallor/ Icterus/ Squint/ Redness/ Watery eyes/
• Eye Sight defects/ Bitot’s spots
• Ear: Discharge/ Pain/ Deformity/ Wax/ Hearing Defects
• Nose: Bleeding/ Running nose/ Irritation
• Mouth: Ulcers/ Dental Caries/ Gum bleeding/ Cleft Lip palate/
Tonsillitis
• Abdomen: Pain/ Worms/ Not eating well
• Neck: Lymph node Swelling/ Thyroid swelling
School health record contd..
• Speech: Stammering
• Chest: Wheezing/ Cough/ Pain/ Deformity
• Skeletal System/ Bones: Deformities in shoulder
/ Limb/ Pigeon chest
• Pedal Edema
• Visual Acuity: Lt Eye - Rt Eye -
• Behaviour: Tiredness/ Lack of attention/ Furious/
• Frequent absence
• Any Complaint:
• Diagnosis:
• Advice:
Medical Officer Sign
SCHOOL HEALTH ADMINISTRATION
 School health service is administered by the Departments
of Health and Education.
 Integral part of general health services.
 Important function of the PHCs.
 Medical officer to cover 5000 to 6000 children/yr.
SCHOOL HEALTH COMMITTEES
• Should mobilize resources and make the program
continuous and self supporting.
•The National school health council will be an
advisory and coordinating body.
RBSK…
1. Health screening is expanded to cover all children:
– Birth to 18 years of age
2. Early detection and management of 4D’s prevalent in
children
I. Defects at birth
II. Diseases in children
III. Deficiency conditions
IV. Developmental Delays including Disabilities
School Health Program: Puducherry
1. Implemented in all 4 regions under RBSK
2. Under this programme: Puducherry – 4 teams
Karaikal – 3 teams
Mahe – 1 team
Yanam – 1 team
3. Each dedicated team: – 2 Doctors
– 1 Nurse
– 1 Counsellor
4. Of the 66946 students to be covered during 2013-14
– 60077 students were screened for 30 diseases
5. 32208 students – provided IFA
National Programme of Mid Day Meal in School(MDMS)-Annual Work Plan and
Budget, pondicherry,2014–15
School Health Program: Puducherry…
1. % of Anaemia and Obesity – more among urban girls in
government schools than in rural areas
2. Low BMI – more among the rural boys
3. Vitamin deficiency – 3% among urban and 2% among
rural school children
4. Skin infections, dental problems and worm infestations
are more among rural school children
http://health.puducherry.gov.in/PSHM
MID-DAY MEAL SCHEME
1. National Program of Nutritional Support to Primary Education
2. Launched on 15 August 1995
3. To improve: – School attendance
– Reduce drop out
– Beneficial impact on child nutrition
4. It is the largest school feeding program in the world – covering
10.44 crore children in 12.12 lakh schools
5. Survey – Scheme operational in 87% schools
Around 92% children were beneficiaries
Annual report 2012-13, Ministry of HRD, Govt. of India
OTHER PROGRAMS IN SCHOOL AGE
GROUP
School Eye Screening Program
1. Integral part of NPCB since 1994
2. Planning of SES - respective District Health Societies
(DHS)
3. Usually carried out during April-September
4. From each school, one teacher is selected for a one-day
training course
5. During the training, teachers are provided with a kit for
screening the children in their schools
6. The teacher’s kit contains – Measuring tape
– Standard vision screening “E”
– Referral card for children with
suspected poor vision
– Educational material
School Mental Health Program
1. Included in 11th five year plan: under NMHP
2. District mental health team will facilitate the program
3. Life Skills Approach is used – empowerment of adolescents
a) Critical thinking & creative thinking
b) Decision making & problem solving
c) Communication skills & Interpersonal relations
d) Coping with emotions & stress
e) Self awareness & empathy
School Dental Health Program
1. Part of School Health Scheme under National Oral Health
Program
– At least 1 dental surgeon/district to be in charge of
School dental health program
2. Oral health awareness through Dental health education –
private sector involvement
– Colgate-Palmolive India:
Over 4 million school children
(6-12yr) covered
School AIDS Education Program
1. Under Adolescence Education Program - NACO
2. To raise the awareness level among school
students
3. Includes training of teachers, peer educators
4. Life Skills – debates, discussions, role play
12 – by – 12
1. Initiative launched by MOHFW, FOGSI, UNICEF, WHO –
2007
2. Aim: Every child – Hb of 12g by age of 12
3. Children (10-14yr) are screened:
– If Hb < 12 : Iron supplements started
Thank You

Weitere ähnliche Inhalte

Was ist angesagt?

Urban health mission
Urban health missionUrban health mission
Urban health missionSubraham Pany
 
School health services
School health servicesSchool health services
School health servicesutpal sharma
 
National water supply and sanitation programme
National water supply and sanitation programmeNational water supply and sanitation programme
National water supply and sanitation programmeMADHURIMAGOPINATH1
 
FAMILY HEALTH CARE
FAMILY HEALTH CAREFAMILY HEALTH CARE
FAMILY HEALTH CARESuraj Dhara
 
Behavioural change communication
Behavioural change communicationBehavioural change communication
Behavioural change communicationSrinivas rao
 
Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)fredrick_Stephen
 
Unit:-2. Health and welfare committees
Unit:-2. Health and welfare committeesUnit:-2. Health and welfare committees
Unit:-2. Health and welfare committeesSMVDCoN ,J&K
 
Adolescent health and national health programmes
Adolescent health and national health programmesAdolescent health and national health programmes
Adolescent health and national health programmesDr.Preeti Tiwari
 
IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards) IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards) Nagamani Manjunath
 
School health services
School health servicesSchool health services
School health servicesEktapatel108
 
National nutritional program
National nutritional programNational nutritional program
National nutritional programSantosh Bista
 
POSHAN ABHIYAAN.pptx
POSHAN ABHIYAAN.pptxPOSHAN ABHIYAAN.pptx
POSHAN ABHIYAAN.pptxVipinGoyal31
 
NCPCDS presentation
NCPCDS presentationNCPCDS presentation
NCPCDS presentationSahil Thakur
 
Depth study school health
Depth study school healthDepth study school health
Depth study school healthalka mishra
 
Nutritional Rehabilitation
Nutritional RehabilitationNutritional Rehabilitation
Nutritional RehabilitationKunal Modak
 

Was ist angesagt? (20)

Urban health mission
Urban health missionUrban health mission
Urban health mission
 
Antenatal Care
Antenatal CareAntenatal Care
Antenatal Care
 
School health services
School health servicesSchool health services
School health services
 
National water supply and sanitation programme
National water supply and sanitation programmeNational water supply and sanitation programme
National water supply and sanitation programme
 
FAMILY HEALTH CARE
FAMILY HEALTH CAREFAMILY HEALTH CARE
FAMILY HEALTH CARE
 
Behavioural change communication
Behavioural change communicationBehavioural change communication
Behavioural change communication
 
Anganwadi centre
Anganwadi centre Anganwadi centre
Anganwadi centre
 
Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)
 
MID DAY MEALS PROGRAMME-INDIA
MID DAY MEALS PROGRAMME-INDIAMID DAY MEALS PROGRAMME-INDIA
MID DAY MEALS PROGRAMME-INDIA
 
Unit:-2. Health and welfare committees
Unit:-2. Health and welfare committeesUnit:-2. Health and welfare committees
Unit:-2. Health and welfare committees
 
Adolescent health and national health programmes
Adolescent health and national health programmesAdolescent health and national health programmes
Adolescent health and national health programmes
 
IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards) IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards)
 
School health services
School health servicesSchool health services
School health services
 
National nutritional program
National nutritional programNational nutritional program
National nutritional program
 
POSHAN ABHIYAAN.pptx
POSHAN ABHIYAAN.pptxPOSHAN ABHIYAAN.pptx
POSHAN ABHIYAAN.pptx
 
Rmnch +a 2019
Rmnch +a 2019Rmnch +a 2019
Rmnch +a 2019
 
NCPCDS presentation
NCPCDS presentationNCPCDS presentation
NCPCDS presentation
 
School health program
School health programSchool health program
School health program
 
Depth study school health
Depth study school healthDepth study school health
Depth study school health
 
Nutritional Rehabilitation
Nutritional RehabilitationNutritional Rehabilitation
Nutritional Rehabilitation
 

Ähnlich wie schoolhealthprogram-210819060111.pdf

Adolescent Health Programs for UG.24.4.23.pptx
Adolescent Health Programs for UG.24.4.23.pptxAdolescent Health Programs for UG.24.4.23.pptx
Adolescent Health Programs for UG.24.4.23.pptxShreyashMehta10
 
SCHOOL HEALTH SERVICES.ppt
SCHOOL HEALTH SERVICES.pptSCHOOL HEALTH SERVICES.ppt
SCHOOL HEALTH SERVICES.pptSHAIKHZUBAIR22
 
DR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.ppt
DR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.pptDR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.ppt
DR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.pptFeniksRetails
 
Health Services in Educational Institutes of India
Health Services in Educational Institutes of India Health Services in Educational Institutes of India
Health Services in Educational Institutes of India Ajit Kumar
 
SDHP phd.pptx
SDHP phd.pptxSDHP phd.pptx
SDHP phd.pptxJocy Reni
 
School health services
School health services School health services
School health services Tarun Dhyani
 
Schoolhealthprogramme
SchoolhealthprogrammeSchoolhealthprogramme
SchoolhealthprogrammeBongAntonio
 
School health programme
School health programme  School health programme
School health programme Kalyan Singh
 
School health services
School health servicesSchool health services
School health servicesKalpana B
 
School health services
School health servicesSchool health services
School health servicesShivraj Dandgi
 
Family health/ Community Health Nursing I
Family health/ Community Health Nursing IFamily health/ Community Health Nursing I
Family health/ Community Health Nursing IPratiksha Rai
 
School Health Services
School Health ServicesSchool Health Services
School Health ServicesCing Sian Dal
 
School Health Services
School Health ServicesSchool Health Services
School Health ServicesMd Yusuf Ali
 

Ähnlich wie schoolhealthprogram-210819060111.pdf (20)

Adolescent Health Programs for UG.24.4.23.pptx
Adolescent Health Programs for UG.24.4.23.pptxAdolescent Health Programs for UG.24.4.23.pptx
Adolescent Health Programs for UG.24.4.23.pptx
 
SCHOOL HEALTH SERVICES.ppt
SCHOOL HEALTH SERVICES.pptSCHOOL HEALTH SERVICES.ppt
SCHOOL HEALTH SERVICES.ppt
 
School health
School healthSchool health
School health
 
School health service
School health serviceSchool health service
School health service
 
DR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.ppt
DR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.pptDR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.ppt
DR OLATUNYA SHP MEDICAL STUDENTS LECTURE Jan 2019.ppt
 
Health Services in Educational Institutes of India
Health Services in Educational Institutes of India Health Services in Educational Institutes of India
Health Services in Educational Institutes of India
 
SDHP phd.pptx
SDHP phd.pptxSDHP phd.pptx
SDHP phd.pptx
 
School health services
School health services School health services
School health services
 
Schoolhealthprogramme
SchoolhealthprogrammeSchoolhealthprogramme
Schoolhealthprogramme
 
school health service.docx
school health service.docxschool health service.docx
school health service.docx
 
School health service
School health serviceSchool health service
School health service
 
School health lecture ppt
School health lecture pptSchool health lecture ppt
School health lecture ppt
 
School health programme
School health programme  School health programme
School health programme
 
school health services
school health servicesschool health services
school health services
 
School health services
School health servicesSchool health services
School health services
 
School health services
School health servicesSchool health services
School health services
 
Family health/ Community Health Nursing I
Family health/ Community Health Nursing IFamily health/ Community Health Nursing I
Family health/ Community Health Nursing I
 
SCHOOL HEALTH SERVICES
SCHOOL HEALTH SERVICESSCHOOL HEALTH SERVICES
SCHOOL HEALTH SERVICES
 
School Health Services
School Health ServicesSchool Health Services
School Health Services
 
School Health Services
School Health ServicesSchool Health Services
School Health Services
 

Mehr von PriyankaSharma89719

Presentation.pptx kohgddsdfhjkoiutrssdghbbvc
Presentation.pptx kohgddsdfhjkoiutrssdghbbvcPresentation.pptx kohgddsdfhjkoiutrssdghbbvc
Presentation.pptx kohgddsdfhjkoiutrssdghbbvcPriyankaSharma89719
 
vitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgf
vitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgfvitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgf
vitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgfPriyankaSharma89719
 
171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd
171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd
171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxdPriyankaSharma89719
 
teez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvcc
teez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvccteez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvcc
teez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvccPriyankaSharma89719
 
HECP-nutrition-and-health-ppt.pptxmjhggghhj
HECP-nutrition-and-health-ppt.pptxmjhggghhjHECP-nutrition-and-health-ppt.pptxmjhggghhj
HECP-nutrition-and-health-ppt.pptxmjhggghhjPriyankaSharma89719
 
4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn
4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn
4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmnPriyankaSharma89719
 
Dr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptx
Dr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptxDr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptx
Dr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptxPriyankaSharma89719
 
Prof. M. S. Bhagel Ayurvedic Research – need of paradigm shift.ppt
Prof. M. S. Bhagel Ayurvedic Research – need of paradigm shift.pptProf. M. S. Bhagel Ayurvedic Research – need of paradigm shift.ppt
Prof. M. S. Bhagel Ayurvedic Research – need of paradigm shift.pptPriyankaSharma89719
 
chapter 6 nutrition.ppthgfdfghhgfdghjiu6yh
chapter 6 nutrition.ppthgfdfghhgfdghjiu6yhchapter 6 nutrition.ppthgfdfghhgfdghjiu6yh
chapter 6 nutrition.ppthgfdfghhgfdghjiu6yhPriyankaSharma89719
 
03_Presentation MCH for UG 2014.ppt
03_Presentation MCH for UG 2014.ppt03_Presentation MCH for UG 2014.ppt
03_Presentation MCH for UG 2014.pptPriyankaSharma89719
 
Presentation_about_WATER_PURIFICATION.pptx
Presentation_about_WATER_PURIFICATION.pptxPresentation_about_WATER_PURIFICATION.pptx
Presentation_about_WATER_PURIFICATION.pptxPriyankaSharma89719
 
Junk_food_and_its_harmful_effects.pptx
Junk_food_and_its_harmful_effects.pptxJunk_food_and_its_harmful_effects.pptx
Junk_food_and_its_harmful_effects.pptxPriyankaSharma89719
 
introductoin to Biostatistics ( 1st and 2nd lec ).ppt
introductoin to Biostatistics ( 1st and 2nd lec ).pptintroductoin to Biostatistics ( 1st and 2nd lec ).ppt
introductoin to Biostatistics ( 1st and 2nd lec ).pptPriyankaSharma89719
 
25_Anderson_Biostatistics_and_Epidemiology.ppt
25_Anderson_Biostatistics_and_Epidemiology.ppt25_Anderson_Biostatistics_and_Epidemiology.ppt
25_Anderson_Biostatistics_and_Epidemiology.pptPriyankaSharma89719
 

Mehr von PriyankaSharma89719 (20)

Presentation.pptx kohgddsdfhjkoiutrssdghbbvc
Presentation.pptx kohgddsdfhjkoiutrssdghbbvcPresentation.pptx kohgddsdfhjkoiutrssdghbbvc
Presentation.pptx kohgddsdfhjkoiutrssdghbbvc
 
vitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgf
vitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgfvitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgf
vitamins.pdf bhfdrgjkm9hhfdsawryioolljjhgf
 
171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd
171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd
171-Careers-Physician.pptnhgfdsswethjioplmnbbvcxd
 
teez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvcc
teez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvccteez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvcc
teez.pptxnjhhfbnkkojhgfdsaqwetyiopllmnvcc
 
HECP-nutrition-and-health-ppt.pptxmjhggghhj
HECP-nutrition-and-health-ppt.pptxmjhggghhjHECP-nutrition-and-health-ppt.pptxmjhggghhj
HECP-nutrition-and-health-ppt.pptxmjhggghhj
 
4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn
4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn
4.01C_Nutrients.pptghjnhjknbhggfbhgfdswetuolcvbjkmn
 
Dr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptx
Dr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptxDr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptx
Dr. RM Pandey -Importance of Biostatistics in Biomedical Research.pptx
 
Prof. M. S. Bhagel Ayurvedic Research – need of paradigm shift.ppt
Prof. M. S. Bhagel Ayurvedic Research – need of paradigm shift.pptProf. M. S. Bhagel Ayurvedic Research – need of paradigm shift.ppt
Prof. M. S. Bhagel Ayurvedic Research – need of paradigm shift.ppt
 
chapter 6 nutrition.ppthgfdfghhgfdghjiu6yh
chapter 6 nutrition.ppthgfdfghhgfdghjiu6yhchapter 6 nutrition.ppthgfdfghhgfdghjiu6yh
chapter 6 nutrition.ppthgfdfghhgfdghjiu6yh
 
influenza.pdf
influenza.pdfinfluenza.pdf
influenza.pdf
 
03_Presentation MCH for UG 2014.ppt
03_Presentation MCH for UG 2014.ppt03_Presentation MCH for UG 2014.ppt
03_Presentation MCH for UG 2014.ppt
 
Presentation_about_WATER_PURIFICATION.pptx
Presentation_about_WATER_PURIFICATION.pptxPresentation_about_WATER_PURIFICATION.pptx
Presentation_about_WATER_PURIFICATION.pptx
 
Fast-food.ppt
Fast-food.pptFast-food.ppt
Fast-food.ppt
 
Junk_food_and_its_harmful_effects.pptx
Junk_food_and_its_harmful_effects.pptxJunk_food_and_its_harmful_effects.pptx
Junk_food_and_its_harmful_effects.pptx
 
95313_CH07_PP.ppt
95313_CH07_PP.ppt95313_CH07_PP.ppt
95313_CH07_PP.ppt
 
Session1b.ppt
Session1b.pptSession1b.ppt
Session1b.ppt
 
introductoin to Biostatistics ( 1st and 2nd lec ).ppt
introductoin to Biostatistics ( 1st and 2nd lec ).pptintroductoin to Biostatistics ( 1st and 2nd lec ).ppt
introductoin to Biostatistics ( 1st and 2nd lec ).ppt
 
17411.ppt
17411.ppt17411.ppt
17411.ppt
 
25_Anderson_Biostatistics_and_Epidemiology.ppt
25_Anderson_Biostatistics_and_Epidemiology.ppt25_Anderson_Biostatistics_and_Epidemiology.ppt
25_Anderson_Biostatistics_and_Epidemiology.ppt
 
NPCBVI.pptx
NPCBVI.pptxNPCBVI.pptx
NPCBVI.pptx
 

schoolhealthprogram-210819060111.pdf

  • 2. Outline 1. Introduction 2. School Health program 3. School Health Services 4. RBSK 5. Mid Day Meal Scheme 6. Other programs
  • 3. Introduction WHO Definition: School health program encompasses 1. School health services 2. School health education 3. School health environment 4. Health promotion for school personnel 5. School-community projects and outreach 6. Nutrition and food safety 7. Physical education and recreation 8. Mental health, counselling and social support WHO technical report series
  • 4. School Health – Evolution in India 1909 • Medical examination of school children carried out in Baroda City for the first time 1946 • Bhore Committee- School health services practically non existent in India 1960 • Government of India constituted a School Health Committee 1992 • World wide Convention of the rights of the child signed by many countries 1996 • Government of India launched the School Health Scheme
  • 5. School health program- INDIA 1. Program for school health service under NRHM 2. Integration of health in schools through decentralized management 3. Implemented in all Government and private aided schools (12,88,750) covering around 22 Crore students 4. Main focus: – Nutrition interventions, counselling, education – Health needs of children – both physical and mental http://nrhm.gov.in/nrhm-components/rmnch-a/adolescent-health/school- health-programme-shp/
  • 6. Components of School Health Program 1. Health service provision a) Screening, health care and referral b) Immunisation c) Micronutrient (Vitamin A & IFA) management d) De-worming e) Health Promoting Schools 2. Capacity building 3. Monitoring & Evaluation 4. Mid Day Meal
  • 7.
  • 8. Health problems of school children Malnutrition Infectious diseases Intestinal parasite Diseases of skin ,eye and ear Dental caries
  • 9. Objectives of school Health Promotion of positive health Prevention of diseases Early diagnosis, treatment and follow up of defects Awakening health consciousness in children Provision of healthful environment
  • 10. ASPECTS Health appraisal of school children &personnel Remedial measures and follow up Prevention of communicable diseases Healthful school environment Nutritional services First aid and emergency care
  • 11. ASPECTS Mental health Dental health Eye health Health education Education of handicapped children Proper maintenance and use of school health records
  • 12. HEALTH APPRAISAL 1.PERIODIC MEDICAL EXAMINATION - At the time of entry and thereafter every 4 years.(The school health committee recommendation, 1961) - History, physical and clinical examination 2.SCHOOL PERSONNEL
  • 13. HEALTH APPRAISAL 3.DAILY MORNING INSPECTION: a) Unusually flushed face(any rash or spots) b) Symptoms of acute cold(coughing, sneezing, sore throat) c) Rigid neck d) Nausea , vomiting e) Red or watery eyes f) Headache, chills, fever g) Listlessness ,sleepiness, disinclination to play h) Pains in the body i) Skin conditions like scabies, ringworm, pediculosis
  • 14. REMEDIAL MEASURES AND FOLLOW-UP • Treatment and follow up • Special clinics should be conducted exclusively for children in rural(PHC) and in urban areas(for 5000 children in a selected school) • Clinics days and time should be intimated to concerned school
  • 15. PREVENTION OF COMMUNICABLE DISEASES Control through immunization Immunization record should be maintained
  • 16. HEALTHFUL SCHOOL ENVIRONMENT Location Site Structure Classroom Furniture Doors and windows Color Lighting Water supply Eating facilities Lavatory
  • 17. SCHOOL ENVIRONMENT 1.LOCATION: -Properly fenced & kept free from all hazards. 2.SITE: -On suitable highland -For higher elementary schools -10 acres -For primary schools -5 acres -an additional one acre of land per 100 students 3.STRUCTURE: -Nursery and secondary schools – single storied -Exterior wall thickness –min 10 inches & heat resistant
  • 18. SCHOOL ENVIRONMENT 4.CLASSROOM: - 40 students - percapita space – 10 sq.feet 5.FURNITURE: - Desks: minus type - Chairs: with proper back rests 6.DOORS AND WINDOWS: - 2’-6” from floor level - atleast 25% of the floor area -Cross ventilation
  • 19.
  • 20. SCHOOL ENVIRONMENT 7.COLOR: -white and periodically white-washed 8.LIGHTING: -Natural lighting adequate and from left. 9.WATER SUPPLY: -Independent ,safe, continuous 10.EATING FACILITIES: -Separate room for mid day meals. 11.LAVATORY: -one urinal for 60 students &one latrine for 100 students
  • 21. NUTRITIONAL SERVICES 1. Mid day school meal: -to combat malnutrition -to provide a good nourishing meal (atleast 1) -no profit no loss basis -provides one third of the daily calorie requirement and about half of the daily protein requirement.
  • 22. NUTRITIONAL SERVICES 2.APPLIED NUTRITION PROGRAMME: • assisted by UNICEF • implements, seeds, manure and water supply equipment. • for developing school gardens • utilized in school feeding programs
  • 23. FIRST AID & EMERGENCY CARE In every school a fully equipped first aid post should be provided. 1. Accidents leading to minor and serious injuries 2. Medical emergencies - gastroenteritis, colic, epileptic fits , fainting etc.
  • 24. MENTAL HEALTH • Juvenile delinquency, maladjustment and drug addiction - common • The school and the school teacher has a positive and preventive role. • The school routine should be planned with enough relaxation • No distinction should be made • Guided by vocational counselors and psychologists.
  • 25. DENTAL HEALTH • Common Dental diseases in India : 1. Dental caries 2. Periodontal disease • Examination should be done atleast once a year
  • 26. EYE HEALTH SERVICES • Early detection of refractive errors • Treatment of squint • Detection & treatment of eye infections(trachoma) • Administration of vitamin A to children at risk
  • 27. HEALTH EDUCATION 1.Personal hygiene: • Hygiene of skin, hair, teeth & clothing • Attention to postures(sitting & standing) 2.Environmental health 3.Family life
  • 28. EDUCATION OF HANDICAPPED CHILDREN Goal 1. To assist the handicapped child and his family for reaching his maximum potential 2. To lead as normal a life as possible 3. To become as independent as possible 4. To become a productive and self supporting member of the society. Requires the cooperation of health, welfare , social and educational agencies.
  • 29. SCHOOL HEALTH RECORDS It Contains 1.Identifying data 2.Past health history 3.Record of findings of physical examination, screening tests & services provided
  • 30. School health Record • Findings • Outlook: Lean/ Moderate/ Obese • Skin & Hair: Boils/ Ulcers/ Scars/ Lice • Hands & Nails: Ulcer in web of fingers/ Deformity/ • Cleanliness of nails • Eye: Pallor/ Icterus/ Squint/ Redness/ Watery eyes/ • Eye Sight defects/ Bitot’s spots • Ear: Discharge/ Pain/ Deformity/ Wax/ Hearing Defects • Nose: Bleeding/ Running nose/ Irritation • Mouth: Ulcers/ Dental Caries/ Gum bleeding/ Cleft Lip palate/ Tonsillitis • Abdomen: Pain/ Worms/ Not eating well • Neck: Lymph node Swelling/ Thyroid swelling
  • 31. School health record contd.. • Speech: Stammering • Chest: Wheezing/ Cough/ Pain/ Deformity • Skeletal System/ Bones: Deformities in shoulder / Limb/ Pigeon chest • Pedal Edema • Visual Acuity: Lt Eye - Rt Eye - • Behaviour: Tiredness/ Lack of attention/ Furious/ • Frequent absence • Any Complaint: • Diagnosis: • Advice: Medical Officer Sign
  • 32. SCHOOL HEALTH ADMINISTRATION  School health service is administered by the Departments of Health and Education.  Integral part of general health services.  Important function of the PHCs.  Medical officer to cover 5000 to 6000 children/yr.
  • 33. SCHOOL HEALTH COMMITTEES • Should mobilize resources and make the program continuous and self supporting. •The National school health council will be an advisory and coordinating body.
  • 34.
  • 35. RBSK… 1. Health screening is expanded to cover all children: – Birth to 18 years of age 2. Early detection and management of 4D’s prevalent in children I. Defects at birth II. Diseases in children III. Deficiency conditions IV. Developmental Delays including Disabilities
  • 36.
  • 37. School Health Program: Puducherry 1. Implemented in all 4 regions under RBSK 2. Under this programme: Puducherry – 4 teams Karaikal – 3 teams Mahe – 1 team Yanam – 1 team 3. Each dedicated team: – 2 Doctors – 1 Nurse – 1 Counsellor 4. Of the 66946 students to be covered during 2013-14 – 60077 students were screened for 30 diseases 5. 32208 students – provided IFA National Programme of Mid Day Meal in School(MDMS)-Annual Work Plan and Budget, pondicherry,2014–15
  • 38. School Health Program: Puducherry… 1. % of Anaemia and Obesity – more among urban girls in government schools than in rural areas 2. Low BMI – more among the rural boys 3. Vitamin deficiency – 3% among urban and 2% among rural school children 4. Skin infections, dental problems and worm infestations are more among rural school children http://health.puducherry.gov.in/PSHM
  • 39. MID-DAY MEAL SCHEME 1. National Program of Nutritional Support to Primary Education 2. Launched on 15 August 1995 3. To improve: – School attendance – Reduce drop out – Beneficial impact on child nutrition 4. It is the largest school feeding program in the world – covering 10.44 crore children in 12.12 lakh schools 5. Survey – Scheme operational in 87% schools Around 92% children were beneficiaries Annual report 2012-13, Ministry of HRD, Govt. of India
  • 40. OTHER PROGRAMS IN SCHOOL AGE GROUP
  • 41. School Eye Screening Program 1. Integral part of NPCB since 1994 2. Planning of SES - respective District Health Societies (DHS) 3. Usually carried out during April-September 4. From each school, one teacher is selected for a one-day training course 5. During the training, teachers are provided with a kit for screening the children in their schools 6. The teacher’s kit contains – Measuring tape – Standard vision screening “E” – Referral card for children with suspected poor vision – Educational material
  • 42. School Mental Health Program 1. Included in 11th five year plan: under NMHP 2. District mental health team will facilitate the program 3. Life Skills Approach is used – empowerment of adolescents a) Critical thinking & creative thinking b) Decision making & problem solving c) Communication skills & Interpersonal relations d) Coping with emotions & stress e) Self awareness & empathy
  • 43. School Dental Health Program 1. Part of School Health Scheme under National Oral Health Program – At least 1 dental surgeon/district to be in charge of School dental health program 2. Oral health awareness through Dental health education – private sector involvement – Colgate-Palmolive India: Over 4 million school children (6-12yr) covered
  • 44. School AIDS Education Program 1. Under Adolescence Education Program - NACO 2. To raise the awareness level among school students 3. Includes training of teachers, peer educators 4. Life Skills – debates, discussions, role play
  • 45. 12 – by – 12 1. Initiative launched by MOHFW, FOGSI, UNICEF, WHO – 2007 2. Aim: Every child – Hb of 12g by age of 12 3. Children (10-14yr) are screened: – If Hb < 12 : Iron supplements started