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A HEALTH AND
NUTRITION PROMOTING
       SCHOOL
                      1
Overview
 Introduction
 Objectives of the School Health Programme in relation to
  CFS
 Role of School Health in Education
 Factors affecting Learners’ Health
 School Health Policies
 Skills - based Health Education
 Creating a Health and Nutrition Promoting School.
 Indications that Learners are Healthy
 Recap
 Conclusion

                                                         2
Introduction
Good health and nutrition are indispensable for effective
  learning as learners can reap maximum benefits from
  the teaching and learning process if they are healthy.
  The school health program is an important component of
  the total school program and schools have a legal and
  moral responsibility to ensure learners have a safe
  sanitary and healthy environment.
“ Health is a state of complete physical, mental and social
  well-being and not merely the absence of disease.” A
  school health program can be viewed as the school
  procedures that contribute to the maintenance and
  improvement of the health of learners and personnel.
  The school health program should be a shared
  responsibility involving the school, sponsors, parents and
  the community.
                                                           3
Objectives of the Sch- Health
 programme in Relation to CFS
The overall objective of the school health program is to
  promote, maintain and contribute to the knowledge of
  learners and staff about healthy living. Specifically, the
  school health program seeks to:
 Impart knowledge, skills, practices and proper attitudes
  to learners in relation to health.
 Promote and maintain good health practices among the
  learners
 Monitor and appraise the health status of the learners
  through health screening and examinations.
 To provide first line emergency services to learners and
  teachers injured or taken ill.
 To collaborate with health agencies, parents and
  communities on issues relating to learners’ health.
 To counsel and give guidance to learners and parents on
  matters relating to health.                                4
The Role of School Health in
          Education
The role of Sch Health in education is justified on the
  following grounds:
 Good health facilitates and enhances teaching and
  learning.
 Health and nutrition education values eventually
  translate to the general populace hence a national health
  and nutrition culture.
 Teachers are better placed to impart proper and
  accurate knowledge, attitudes and skills to learners on
  health matters than their peers or their parents.
 Teachers are educated and adequately skilled to
  facilitate simple health interventions such as deworming
  and vitamin A supplementation.


                                                          5
Cont…
 Learners tend to have a lot of faith in and hold in high
  esteem their teachers and will therefore readily
  internalize health education messages from teachers.
 It is easier to sustain in adult life the knowledge, attitudes
  and skills learnt earlier in school as compared to
  obtaining the same later on from health practitioners.
 Schools provide grounds for more effective large scale
  desermination of Health and Nutrition messages as such
  messages tend to reach more recipients with minimal
  resources.
 Implementing School Health and Nutrition Programmes
  strengthens the capacity of the MOE and relevant
  stakeholders in providing quality education.


                                                               6
Factors Affecting Learners’
             Health
School , home and community based factors have
  implications on the health of learners. Such factors
  include:
 The state and condition of physical infrastructure such as
  classrooms, dormitories, toilets, playgrounds; the care of
  floors, walls; the placement of furniture; use of toilets; the
  state of the playgrounds, corridors, driveways, and
  walkways have implications on the health of learners .
  For example, a dusty, unclean floor can result in
  respiratory problems for learners.
 Lighting, ventilation and acoustics also affecting learners’
  health. Poor lighting can, for example, lead to eye
  problems. Poorly ventilated rooms can also lead to the
  spread of respiratory diseases and communicable
  diseases. Poor acoustics not only lead to learning            7
  distractions but also to hearing problems
Cont…
 Food safety.
    Food safety refers to access and consumption of
     wholesome food that promotes good health and
     optimal body functioning. Access and consumption
     of safe food by learners is important because safe and
     wholesome food promotes health and in turn,
     effective learning. Research has shown that learners
     who have access to wholesome (safe) food have more
     enjoyable and successful learning experiences.
    Learners eat food prepared by the school, brought by
     their parents or purchased from food vendors. The
     nutritional status, preparation of foodstuffs and the
     health of those preparing food have far-reaching
     implications on the health of learners.
 The emotional health of the learners is equally affected by
  the length of the school day, school rules and
  regulations, and ways of handling learner behavior          8
                                                              8
Cont...
 Water supply and disposal.
   In the school, waste materials may be generated from
    the kitchen , classrooms, labs, construction sites or
    from daily compound cleaning. Each school should
    have rules for the management of its waste materials
    and should make provision for orderly segregation
    and destruction of wastes.
   It is important for learners to have access to clean and
    safe drinking water and water for cleanliness as
    contaminated water can lead to a number of health
    problems, among them, typhoid, cholera and
    dysentery. In addition, poor disposal of liquid and
    solid waste can also result to health problems.


                                                           9
School Health Policies
 School health policies state what actions we will take to
  improve the overall health, hygiene and nutrition of the
  learners and especially those with diverse backgrounds
  and abilities. Ensuring that all learners are healthy and
  are able to learn is an essential part of a child – friendly
  school.
 Involving many partners including teachers, learners,
  parents, community leaders and social service providers
  is the best way to develop school health policies.
 Improving the health and nutrition of learners through
  school health and nutrition programmes is not new.
  Many schools have such programmes because they
  realize that children's ability to attain their full potential
  depends on good health and nutrition and a safe
  learning environment. Learners are also able to learn to
  their fullest when they feel the safest.                       10
Cont…
 It is therefore important for school administrators and
  stakeholders to supplement learners’ meals through
  various strategies as most parents hardly provide
  adequate and nutritious meals for their children. Such
  interventions would be in keeping with the government’s
  initiative of promoting Primary Health Care.
 Teachers should be sensitive to the nutritional and
  health status of all learners in order to give appropriate
  advice to parents and guardians.
 The process of formulating school health policies should
  involve the following:
    Assembling a School Health team by creating a
       Community Health Advisory Committee.
    Building consensus
    Developing Sch Health Policies and advocacy
       messages.
    Communicating this to stakeholders with a view to 11
Cont…
 Developing relevant themes and slogans and
  operationalizing them such as by having:
   • School health day (s)
   • A school health club
   • Sponsoring a street display in a busy area.
   • Using Art classes to encourage learners to come
     up with health promotion artwork to decorate the
     school or community centers with.
   • Promoting the need for Sch Health policies and
     programmes through public education techniques
     such as flyers, brochures, posters e.t.c



                                                        12
Examples of School Health Policies
Policy Issues        Examples of School Policies

Sanitation and       •Adequate and Separate latrines for male and
hygiene              female teachers as well as boys and girls.
                     •Clean and safe water for drinking and general use.
                     •Active commitment from the PTA/SMC/BOG in
                     maintaining water and sanitation facilities


Delivery of Simple   •Training and use of teachers to deliver simple
School Health and    health and nutrition interventions in collaboration
Nutrition Packages   with relevant stakeholders and with the involvement
                     of the local community.
                     •Regulation of food vendors and the quality,
                     hygiene and standards of the food provided.


                                                                       13
Cont…
School Feeding and   •Provision of a hot meal to all
meals                learners per day with an effort to
                     ensure that the dietary needs of
                     learners with special needs are
                     catered for.
                     •All food handlers should have
                     valid medical certificates and/ or
                     trade licenses.
                     •Provision of safe preparation and
                     storage facilities for food.



                                                      14
Skills – Based Health Education
 All learners and particularly those with diverse
  backgrounds and abilities, need skills to be able to use
  their health knowledge to practice healthy habits and
  avoid unhealthy ones. One way to impart these skills is
  through Skills – based health education .
 Most schools teach some form of health Education.
  However skills – based health education focuses on
  changing specific health behaviours in terms of
  knowledge, skills and attitudes. These help the child to
  choose and practice (not simply learn about) healthy
  behaviours.
 Skills – based health education programmes are planned
  around learners’ needs and rights and therefore, are
  relevant to the daily lives of young people.

                                                        15
Cont…
 Five of the most important attitudes that need to be developed
  through skills – based education are:
    Self respect: I want to be clean, smart, fit and healthy
    Self esteem and self confidence: I know I can make a
     difference to the health of my family even though I am still
     a child.
    Respect for others: I need to listen to others, to respect
     them and their customs even when they are different or
     when I cannot agree with them.
    Concern for others: I want to do my best to help others
     become healthier, particularly those who are
     disadvantaged.
    Dealing with peer pressure is also central to effective Sch
     based health Education.
   When learners adopt such skills they are likely to sustain a
     healthy lifestyle during schooling and in their future lives.
                                                                16
Cont…
 Although health issues constitute part of the syllabi of
  various subjects the integrated teaching approach
  should be used to effectively aid learning about health.
 In teaching health related issues, teachers should use
  learner centered methods that allow greater learner
  participation such as problem solving, demonstration,
  discussions, dramatization, excursions and field trips.
 Health instruction should be enriched through use of up
  to date information and materials from relevant
  authorities such as MOPHS, NEMA and National Aids
  Council.
 All teachers should be trained in first aid skills.
                                                             17
Group Activity
What strategic intervetions are necessary in facilitating the following
    components of a Health and Nutrition Promoting School:
       a) The School Feeding Programme e.g. strengthen the
           promotion of sanitation and hygiene in schools.
       b) The Safe Water, Sanitation and Hygiene Programme e.g.
           put in place appropriate water treatment methods such as
           filtration, boiling and chlorination.
       c) The Child Health and Nutrition Programmes e.g. ensuring
           that pupils are regularly dewormed.
       d) Skills based Health Education e.g. capacity building of
           teachers.




                                                                          18
Sch Feeding and Meals
 Provide school meals to targeted children from the most
  vulnerable, food – insecure regions and pockets of
  poverty.
 Mobilize strategic partners for accelerated scale up and
  sustainability of School Feeding Programme.
 Strengthen the promotion of Sanitation and Hygiene in
  Schools.
 Promote the establishment of school gardens or
  livestock rearing, where appropriate, with focus on using
  the gardens to teach and demonstrate methods of safe
  food production.
 Food preservation and preparation.
                                                          19
Cont…
 Establishment of micro – economic enterprise in schools
  to enhance institutional capacity in order to access
  nutritionally adequate foods.
 Promote time and energy saving technologies.




                                                        20
Safe Water, Sanitation and
             Hygiene
 The school community to ensure that safe water is
  available in the school. Possible water sources include
  rainwater harvesting, springs, borehole water and
  protected shallow wells, piped water schemes, pans and
  other sources.
 Appropriate local level methods for water treatment to be
  put in place by filtration, boiling and chlorination.
 SMS / BOGs /PTAs to ensure that water is stored safely
  to avoid any contamination.
 Appropriate technology use in storage of water including
  plastic tanks, cement tanks and ordinary drums / water
  containers with all storage facilities being fitted with
  drawing taps to avoid contamination.                     21
Cont…
 Encourage learners to take part in provision and
  maintenance of clean safe water.
 Learners / vendors who bring water to school to do so in
  clean containers.
 Communities to be involved in and sensitized on the
  importance of provision and maintenance of water
  sources and facilities for each school.
 In cases where safe water in not available appropriate
  water harvesting technologies should be put in place.



                                                         22
Child Health and Nutrition
 Monitoring of the health of learners on a regular basis.
 Checking the immunization status of all learners entering
  the school.
 Liaising with the MOPHS and parents to ensure that
  learners are immunized against common diseases.
 Ensuring that learners are dewormed regularly.
 Provision of first aid and basics of child health.
 Training of teachers in first aid and basics of child health
 Ensuring that pupils who fall sick in the school are tested
  in the nearest health facilities but in consultation with
  parents


                                                             23
Creating a Health and Nutrition
       Promoting School
To promote good health and hygiene among the learners,
  schools should:
 Provide school based education on prevention of
  endemic conditions as well as care of the affected and
  infected.
 Collect and keep (accurate and up to- date)
  comprehensive medical data on every learner in the
  school.
 Establish health policies to provide guidelines regarding
  what takes place in case of health related incidences.
 Organize for regular medical checkups of learners, for
  early detection and management of infectious diseases /
  outbreaks in collaboration with health service providers
  and local authorities.

                                                          24
Cont…
 Have adequately trained teachers in health education
  and ensure working and adequate First Aid kits and
  facilities to provide emergency care in schools.
 Promote environmental sanitation and hygiene practices
  in schools through regular health practices.
 Promote and encourage the adoption of health
  promoting habits such as healthy eating, reduced risk
  taking behaviour associated with HIV / STD infections
  and avoidance of unplanned pregnancies, drug and
  substance abuse, violence and injury.
 Provide adequate and safe water for drinking and use by
  learners and staff.



                                                            25
Cont…

 Provide adequate sanitation facilities which are sensitive
  to gender and culture.
 Protect children with special needs with regard to their
  health and hygiene by working closely with parents.
 Undertake immediate steps to close the school when
  there is a threat of an epidemic outbreak.
 Implement measures that protect those not yet infected
  from those who already show symptoms of infections of
  contagious diseases through isolation, quarantine and
  vaccination.



                                                           26
Indications that Learners are
           Healthy
There are ways teachers can tell when learners are in
good health by looking out for the following signs.
Whether the learner:
  Is able to carry out routine learning activities in
   school, homework and assignments without undue
   fatigue or emotional support
  Is able to participate regularly in physical education
   and other physical activities in the school curriculum
   in addition to demonstrating skills in games and basic
   body movements appropriate for their age, sex and
   body type.
  Shows progressive gain in weight and height without
   unusually wide variations.
                                                       27
Cont…
 Has smooth clear skin, without discoloration,
  eruptions, or excessive dryness or oiliness.
 Has good appetite
 Is interested in and enthusiastic about most activities
  that are popular with classmates
 Is able to control emotions like other children.




                                                            28
What have we learnt?
 Learners with diverse backgrounds and abilities are
  particularly susceptible to poor nutrition, health and
  sanitation.
 Schools can effectively deliver some health, nutrition and
  sanitation services if they address problems that are
  prevalent and recognized as important within the
  community and are simple, safe and familiar.
 Effective school nutrition, health and sanitation practices
  can be valuable means for teaching learners important
  life skills.
 Skills- based health education programmes focus on
  changing specific health behaviour that is related to
  health needs of both girls and boys (gender sensitive).
  Learners actively participate in learning and more
  importantly, how to turn their knowledge into immediate
  actions.
                                                                29
Cont….
 Through Sch based health education learners develop their
  knowledge, attitudes and life skills. They can then make
  decisions and take positive actions to promote healthy and
  nutrition promoting behaviour and environments.
 Some of the important life skills that learners need include
  communication and interpersonal skills, decision making
  and critical thinking skills, as well as coping and self
  management skills. These life skills help learners to deal
  with such issues as the prevention of substance abuse, as
  well as to promote healthy nutrition, sanitation hygiene and
  mental health. They are particularly valuable in preventing
  HIV and AIDS as well as reducing stigmatization for those
  who are affected.
 Some of the ways we can integrate a skills – based
  education programmes into our teaching is through using
  interactive learning approaches.
                                                          30
What can schools do?
   Be action informed and active.
   Establish partnerships.
   Provide leadership
   Introduce open communication.
   Use participatory teaching methods.
   Use innovative teaching sessions.
   Use gender – responsive approaches.
   Deal with culturally sensitive content.
   Emphasize the value of peer based support.
   Actively use skills – based education.

                                                 31
Conclusion

Our schools should be examples for the community and
  our learners. We should not only teach good health,
  nutrition and hygiene habits; we should also practice
  them by being good role models.




                                                          32
THANK YOU




            33

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A health and nutrition promoting schools

  • 1. A HEALTH AND NUTRITION PROMOTING SCHOOL 1
  • 2. Overview  Introduction  Objectives of the School Health Programme in relation to CFS  Role of School Health in Education  Factors affecting Learners’ Health  School Health Policies  Skills - based Health Education  Creating a Health and Nutrition Promoting School.  Indications that Learners are Healthy  Recap  Conclusion 2
  • 3. Introduction Good health and nutrition are indispensable for effective learning as learners can reap maximum benefits from the teaching and learning process if they are healthy. The school health program is an important component of the total school program and schools have a legal and moral responsibility to ensure learners have a safe sanitary and healthy environment. “ Health is a state of complete physical, mental and social well-being and not merely the absence of disease.” A school health program can be viewed as the school procedures that contribute to the maintenance and improvement of the health of learners and personnel. The school health program should be a shared responsibility involving the school, sponsors, parents and the community. 3
  • 4. Objectives of the Sch- Health programme in Relation to CFS The overall objective of the school health program is to promote, maintain and contribute to the knowledge of learners and staff about healthy living. Specifically, the school health program seeks to:  Impart knowledge, skills, practices and proper attitudes to learners in relation to health.  Promote and maintain good health practices among the learners  Monitor and appraise the health status of the learners through health screening and examinations.  To provide first line emergency services to learners and teachers injured or taken ill.  To collaborate with health agencies, parents and communities on issues relating to learners’ health.  To counsel and give guidance to learners and parents on matters relating to health. 4
  • 5. The Role of School Health in Education The role of Sch Health in education is justified on the following grounds:  Good health facilitates and enhances teaching and learning.  Health and nutrition education values eventually translate to the general populace hence a national health and nutrition culture.  Teachers are better placed to impart proper and accurate knowledge, attitudes and skills to learners on health matters than their peers or their parents.  Teachers are educated and adequately skilled to facilitate simple health interventions such as deworming and vitamin A supplementation. 5
  • 6. Cont…  Learners tend to have a lot of faith in and hold in high esteem their teachers and will therefore readily internalize health education messages from teachers.  It is easier to sustain in adult life the knowledge, attitudes and skills learnt earlier in school as compared to obtaining the same later on from health practitioners.  Schools provide grounds for more effective large scale desermination of Health and Nutrition messages as such messages tend to reach more recipients with minimal resources.  Implementing School Health and Nutrition Programmes strengthens the capacity of the MOE and relevant stakeholders in providing quality education. 6
  • 7. Factors Affecting Learners’ Health School , home and community based factors have implications on the health of learners. Such factors include:  The state and condition of physical infrastructure such as classrooms, dormitories, toilets, playgrounds; the care of floors, walls; the placement of furniture; use of toilets; the state of the playgrounds, corridors, driveways, and walkways have implications on the health of learners . For example, a dusty, unclean floor can result in respiratory problems for learners.  Lighting, ventilation and acoustics also affecting learners’ health. Poor lighting can, for example, lead to eye problems. Poorly ventilated rooms can also lead to the spread of respiratory diseases and communicable diseases. Poor acoustics not only lead to learning 7 distractions but also to hearing problems
  • 8. Cont…  Food safety.  Food safety refers to access and consumption of wholesome food that promotes good health and optimal body functioning. Access and consumption of safe food by learners is important because safe and wholesome food promotes health and in turn, effective learning. Research has shown that learners who have access to wholesome (safe) food have more enjoyable and successful learning experiences.  Learners eat food prepared by the school, brought by their parents or purchased from food vendors. The nutritional status, preparation of foodstuffs and the health of those preparing food have far-reaching implications on the health of learners.  The emotional health of the learners is equally affected by the length of the school day, school rules and regulations, and ways of handling learner behavior 8 8
  • 9. Cont...  Water supply and disposal.  In the school, waste materials may be generated from the kitchen , classrooms, labs, construction sites or from daily compound cleaning. Each school should have rules for the management of its waste materials and should make provision for orderly segregation and destruction of wastes.  It is important for learners to have access to clean and safe drinking water and water for cleanliness as contaminated water can lead to a number of health problems, among them, typhoid, cholera and dysentery. In addition, poor disposal of liquid and solid waste can also result to health problems. 9
  • 10. School Health Policies  School health policies state what actions we will take to improve the overall health, hygiene and nutrition of the learners and especially those with diverse backgrounds and abilities. Ensuring that all learners are healthy and are able to learn is an essential part of a child – friendly school.  Involving many partners including teachers, learners, parents, community leaders and social service providers is the best way to develop school health policies.  Improving the health and nutrition of learners through school health and nutrition programmes is not new. Many schools have such programmes because they realize that children's ability to attain their full potential depends on good health and nutrition and a safe learning environment. Learners are also able to learn to their fullest when they feel the safest. 10
  • 11. Cont…  It is therefore important for school administrators and stakeholders to supplement learners’ meals through various strategies as most parents hardly provide adequate and nutritious meals for their children. Such interventions would be in keeping with the government’s initiative of promoting Primary Health Care.  Teachers should be sensitive to the nutritional and health status of all learners in order to give appropriate advice to parents and guardians.  The process of formulating school health policies should involve the following:  Assembling a School Health team by creating a Community Health Advisory Committee.  Building consensus  Developing Sch Health Policies and advocacy messages.  Communicating this to stakeholders with a view to 11
  • 12. Cont…  Developing relevant themes and slogans and operationalizing them such as by having: • School health day (s) • A school health club • Sponsoring a street display in a busy area. • Using Art classes to encourage learners to come up with health promotion artwork to decorate the school or community centers with. • Promoting the need for Sch Health policies and programmes through public education techniques such as flyers, brochures, posters e.t.c 12
  • 13. Examples of School Health Policies Policy Issues Examples of School Policies Sanitation and •Adequate and Separate latrines for male and hygiene female teachers as well as boys and girls. •Clean and safe water for drinking and general use. •Active commitment from the PTA/SMC/BOG in maintaining water and sanitation facilities Delivery of Simple •Training and use of teachers to deliver simple School Health and health and nutrition interventions in collaboration Nutrition Packages with relevant stakeholders and with the involvement of the local community. •Regulation of food vendors and the quality, hygiene and standards of the food provided. 13
  • 14. Cont… School Feeding and •Provision of a hot meal to all meals learners per day with an effort to ensure that the dietary needs of learners with special needs are catered for. •All food handlers should have valid medical certificates and/ or trade licenses. •Provision of safe preparation and storage facilities for food. 14
  • 15. Skills – Based Health Education  All learners and particularly those with diverse backgrounds and abilities, need skills to be able to use their health knowledge to practice healthy habits and avoid unhealthy ones. One way to impart these skills is through Skills – based health education .  Most schools teach some form of health Education. However skills – based health education focuses on changing specific health behaviours in terms of knowledge, skills and attitudes. These help the child to choose and practice (not simply learn about) healthy behaviours.  Skills – based health education programmes are planned around learners’ needs and rights and therefore, are relevant to the daily lives of young people. 15
  • 16. Cont…  Five of the most important attitudes that need to be developed through skills – based education are:  Self respect: I want to be clean, smart, fit and healthy  Self esteem and self confidence: I know I can make a difference to the health of my family even though I am still a child.  Respect for others: I need to listen to others, to respect them and their customs even when they are different or when I cannot agree with them.  Concern for others: I want to do my best to help others become healthier, particularly those who are disadvantaged.  Dealing with peer pressure is also central to effective Sch based health Education. When learners adopt such skills they are likely to sustain a healthy lifestyle during schooling and in their future lives. 16
  • 17. Cont…  Although health issues constitute part of the syllabi of various subjects the integrated teaching approach should be used to effectively aid learning about health.  In teaching health related issues, teachers should use learner centered methods that allow greater learner participation such as problem solving, demonstration, discussions, dramatization, excursions and field trips.  Health instruction should be enriched through use of up to date information and materials from relevant authorities such as MOPHS, NEMA and National Aids Council.  All teachers should be trained in first aid skills. 17
  • 18. Group Activity What strategic intervetions are necessary in facilitating the following components of a Health and Nutrition Promoting School: a) The School Feeding Programme e.g. strengthen the promotion of sanitation and hygiene in schools. b) The Safe Water, Sanitation and Hygiene Programme e.g. put in place appropriate water treatment methods such as filtration, boiling and chlorination. c) The Child Health and Nutrition Programmes e.g. ensuring that pupils are regularly dewormed. d) Skills based Health Education e.g. capacity building of teachers. 18
  • 19. Sch Feeding and Meals  Provide school meals to targeted children from the most vulnerable, food – insecure regions and pockets of poverty.  Mobilize strategic partners for accelerated scale up and sustainability of School Feeding Programme.  Strengthen the promotion of Sanitation and Hygiene in Schools.  Promote the establishment of school gardens or livestock rearing, where appropriate, with focus on using the gardens to teach and demonstrate methods of safe food production.  Food preservation and preparation. 19
  • 20. Cont…  Establishment of micro – economic enterprise in schools to enhance institutional capacity in order to access nutritionally adequate foods.  Promote time and energy saving technologies. 20
  • 21. Safe Water, Sanitation and Hygiene  The school community to ensure that safe water is available in the school. Possible water sources include rainwater harvesting, springs, borehole water and protected shallow wells, piped water schemes, pans and other sources.  Appropriate local level methods for water treatment to be put in place by filtration, boiling and chlorination.  SMS / BOGs /PTAs to ensure that water is stored safely to avoid any contamination.  Appropriate technology use in storage of water including plastic tanks, cement tanks and ordinary drums / water containers with all storage facilities being fitted with drawing taps to avoid contamination. 21
  • 22. Cont…  Encourage learners to take part in provision and maintenance of clean safe water.  Learners / vendors who bring water to school to do so in clean containers.  Communities to be involved in and sensitized on the importance of provision and maintenance of water sources and facilities for each school.  In cases where safe water in not available appropriate water harvesting technologies should be put in place. 22
  • 23. Child Health and Nutrition  Monitoring of the health of learners on a regular basis.  Checking the immunization status of all learners entering the school.  Liaising with the MOPHS and parents to ensure that learners are immunized against common diseases.  Ensuring that learners are dewormed regularly.  Provision of first aid and basics of child health.  Training of teachers in first aid and basics of child health  Ensuring that pupils who fall sick in the school are tested in the nearest health facilities but in consultation with parents 23
  • 24. Creating a Health and Nutrition Promoting School To promote good health and hygiene among the learners, schools should:  Provide school based education on prevention of endemic conditions as well as care of the affected and infected.  Collect and keep (accurate and up to- date) comprehensive medical data on every learner in the school.  Establish health policies to provide guidelines regarding what takes place in case of health related incidences.  Organize for regular medical checkups of learners, for early detection and management of infectious diseases / outbreaks in collaboration with health service providers and local authorities. 24
  • 25. Cont…  Have adequately trained teachers in health education and ensure working and adequate First Aid kits and facilities to provide emergency care in schools.  Promote environmental sanitation and hygiene practices in schools through regular health practices.  Promote and encourage the adoption of health promoting habits such as healthy eating, reduced risk taking behaviour associated with HIV / STD infections and avoidance of unplanned pregnancies, drug and substance abuse, violence and injury.  Provide adequate and safe water for drinking and use by learners and staff. 25
  • 26. Cont…  Provide adequate sanitation facilities which are sensitive to gender and culture.  Protect children with special needs with regard to their health and hygiene by working closely with parents.  Undertake immediate steps to close the school when there is a threat of an epidemic outbreak.  Implement measures that protect those not yet infected from those who already show symptoms of infections of contagious diseases through isolation, quarantine and vaccination. 26
  • 27. Indications that Learners are Healthy There are ways teachers can tell when learners are in good health by looking out for the following signs. Whether the learner:  Is able to carry out routine learning activities in school, homework and assignments without undue fatigue or emotional support  Is able to participate regularly in physical education and other physical activities in the school curriculum in addition to demonstrating skills in games and basic body movements appropriate for their age, sex and body type.  Shows progressive gain in weight and height without unusually wide variations. 27
  • 28. Cont…  Has smooth clear skin, without discoloration, eruptions, or excessive dryness or oiliness.  Has good appetite  Is interested in and enthusiastic about most activities that are popular with classmates  Is able to control emotions like other children. 28
  • 29. What have we learnt?  Learners with diverse backgrounds and abilities are particularly susceptible to poor nutrition, health and sanitation.  Schools can effectively deliver some health, nutrition and sanitation services if they address problems that are prevalent and recognized as important within the community and are simple, safe and familiar.  Effective school nutrition, health and sanitation practices can be valuable means for teaching learners important life skills.  Skills- based health education programmes focus on changing specific health behaviour that is related to health needs of both girls and boys (gender sensitive). Learners actively participate in learning and more importantly, how to turn their knowledge into immediate actions. 29
  • 30. Cont….  Through Sch based health education learners develop their knowledge, attitudes and life skills. They can then make decisions and take positive actions to promote healthy and nutrition promoting behaviour and environments.  Some of the important life skills that learners need include communication and interpersonal skills, decision making and critical thinking skills, as well as coping and self management skills. These life skills help learners to deal with such issues as the prevention of substance abuse, as well as to promote healthy nutrition, sanitation hygiene and mental health. They are particularly valuable in preventing HIV and AIDS as well as reducing stigmatization for those who are affected.  Some of the ways we can integrate a skills – based education programmes into our teaching is through using interactive learning approaches. 30
  • 31. What can schools do?  Be action informed and active.  Establish partnerships.  Provide leadership  Introduce open communication.  Use participatory teaching methods.  Use innovative teaching sessions.  Use gender – responsive approaches.  Deal with culturally sensitive content.  Emphasize the value of peer based support.  Actively use skills – based education. 31
  • 32. Conclusion Our schools should be examples for the community and our learners. We should not only teach good health, nutrition and hygiene habits; we should also practice them by being good role models. 32
  • 33. THANK YOU 33