School health services

School Health Program
School Health
Health Promoting School

3. SCHOOL HEALTH SERVICES
PROF. DR ATHAR KHAN
DEPARTMENT OF COMMUNITY MEDICINE
LIAQUAT COLLEGE OF MEDICINE & DENTISTRY
[email protected]

4. LEARNING OBJECTIVES
•Discusstheschoolhealthservices.
•Describehowcommunityandschoolpolicies
protectthehealth,welfare,andsafetyof
students.

5. •Adolescent/Teen
•Young People
•Youth
•Adult
•Child
•Infant /Baby
•Toddler
•Pre-school
•Adolescent:10-19
•YoungPeople:10-24
•Youth:15-24(WHO)
•Anadultisapersonolder
than19yearsofage(WHO)
•Achildisaperson19years
oryounger.(WHO)
•0-12months
•1-3years
•3-5years

6. •WHO‘sGLOBALSCHOOLHEALTHINITIATIVE
–launchedin1995,seekstomobiliseand
strengthenhealthpromotionandeducation
activitiesatthelocal,national,regionalandglobal
levels.
•HEALTHPROMOTINGSCHOOL
–Isonethatconstantlystrengthensitscapacityasa
healthysettingforliving,learningandworking.

7. HEALTH PROMOTING
SCHOOL
Health
Promoting
School
Policies
Safe &
Healthy
Learning
Environment
Skills-based
Health
Education
School-based
Health
& Nutrition
Services

9. WHO and UNESCO are launching a new initiative “Making
Every School a Health Promoting School”

12. Core Set of Competences for School Health Professionals

13. •ItisanimportantbranchofCommunity
Health
•Comprehensivecareofthehealthandwell
beingofchildrenthroughouttheschoolyears.
•Atokenservicesbecauseofshortageof
resourcesandinsufficientfacilities.

14. •Dental caries
•Diseases of skin, eye, ear
•Malnutrition
•Infectious diseases
•Intestinal parasites

17. Definition
SchoolHealthServiceisabranchofPreventive
medicinewhichdealswithcurative,preventiveand
promotiveaspectsofhealthinschoolsetting.

21. Coversstudents,teachersandotherschoolpersonnel
Consistsof:
Periodicmedicalexamination:atentryandevery4
years
Observationofchildrenbytheclassteacher
Daily

22. OnespecialclinicinschoolordispensariesorPHCfor
5000children
Throughimmunization

23. Building
SiteEquipment
Emotional, social and personal health

24. High Land
Higher elementary school: 10 acres
Primary school: 5 acres
Single storied
Wall thickness: 10 inches
1 classroom <40 students
Space for each student >10 sq.ft (15 sq.ft)
Minus desk
Wall color white
One urinal for 60 students
One latrine for 100 students (one washroom for 50
students)

25. Mid day school meal
Atleast one nourishing meal
Juveniledelinquency(participationinillegalbehavior),
maladjustmentanddrugaddiction
Schoolsaremoststrategicplaceforshapingthe
child’sbehaviorandpromotingmentalhealth

26. Commonproblems:dentalcariesandperiodontal
(gum)diseases
Dentalexamination:onceayear
MostimportantelementofSHS
Functionofaschoolteacher
Personalhygiene,environmentalhealth,familylife

27. Healthofschoolchildistheresponsibilityof:
Parents
Teachers
Healthadministrators
Community
InPHC,onemedicalofficercover5000–6000
childrenayear.

28. Coordinated School Health Program

29. Coordinated School Health Program
Components
1.Health Education
2.Health Services
3.Health/safe school environment
4.Nutrition services
5.Involvement of parents and Community
6.Physical Education
7.Staff health promotion
8.Counseling, Psychological, and Social Services

30. •FRESH:Focusingresourcesforeffectiveschool
healthprogram-2000
•Schoolhealthrooms:comprehensiveschool
healthservicesofferschoolhealthprogram
throughsettingupofschoolclinics.

31. SCHOOLHEALTHTEAM
•SCHOOL MEDICAL OFFICER (Doctor)
•NURSE
•ATTENDANT
•One school health team per <5000 students

32. DUTIES OF
SCHOOL MEDICAL OFFICER
•Conduct a periodical routine medical inspection at the
age of 5, 9, 13& 17years during school of a child.
•Inspect the hostels

33. DUTIES OF
SCHOOL MEDICAL OFFICER
•Periodicalinspectionofwatersupply,toilet
rooms&ventilationofbuildings.
•Bylectures&demonstrations,educatethe
teachersinrecognizingcommonailments&
defectsofschoolchildreninthepracticeoffirst
aidinschoolenvironment.
•Attendseminars

34. DUTIES OF
SCHOOL HEALTH NURSE
•AssistSMO
•Recordandmaintenanceofhealthrecords
•Superviseshygieneofchildren
•Visithomesoftheschoolchild
•Shouldattendstaffconferencesarrangedby
theseniormedicalofschool.

35. EQUIPMENT FOR SCHOOL CLINIC
•Weighing machine.
•Tape measure.
•Height measuring rod.
•Snellen’s eye testing chart.
•Tongue depressor and
Torch.
•Nasal speculum
•BP apparatus ( mercury)
•Vaccination equipment.
•Disposable syringe.
•Ear speculum.
•Sterilizer and sprit lamp.
•Wash basin and towel
stand.
•Scissors and surgical
forceps.
•Nebulizer

36. Negative (Minus)
Zero Positive (Plus)
Types of Desks
MINUSDESK:averticallinedrawnfromtheedgeofthe
deskfallsontheseat
‘ZERO’DESK:averticallinefromtheedgeofthedesk
touchestheedgeoftheseat
‘PLUS’DESK:averticallinedrawnfromtheedgeofthe
deskfallsoutsidetheedgeofthechair Postural deformities:
kyphosis, scoliosis

37. •Records:healthcard,dailyOPDregister,high
riskcaseregister,referralcasesregister
•Functionsofschoolhealthservices:
–Primary:healtheducation,accidentprevention,
immunization,teacherstraining
–Secondary:completegeneralphysical
examination,follow-upofcases,treatmentof
minorailment,preventionofcommunicable
diseases,
–Tertiary:remedialclassesforautistic,ADHD,
learningdisabilities,assistanceforfamiliesand
schoolinmanagingchildrenwithchronicdiseases

38. The most recommended desk at school is:
a) minus desk
b) plus desk
c) zero desk
d) both a & c
Not the part of school health team:
a) school medical officerb) public health nurse
c) senior medical officerd) attendant
At school one sanitary latrine is recommended for:
a) 10 b) 20
c) 30 d) 50

39. It is not the duty of school medical officer:
a) to train teachersb) to visit hostels
c) to go to the homes of childrend) to attend seminars
It is not aim and objective of school health service:
a) awakening health consciousness
b) promoting ethical values
c) provision of healthy environment
d) minimizing chance of spread of communicable
diseases
The recommended area per students in the class room
is:
a) 2 sq ftb) 4 sq ft
c) 6 sq ft d) 10 sq ft

40. Periodic routine examination of children at school is
carried out annually at the following years except:
a) 5 b) 8
c) 13 d) 17
Equipment not present at school clinic:
a) Ultrasound machineb) nasal & ear speculum
c) vaccination equipmentd) tongue depressor &
torch