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
matharm@yahoo.com

4. LEARNING OBJECTIVES
• Discuss the school health services.
• Describe how community and school policies
protect the health, welfare, and safety of
students.

5. • Adolescent/Teen
• Young People
• Youth
• Adult
• Child
• Infant /Baby
• Toddler
• Pre-school
• Adolescent: 10-19
• Young People: 10-24
• Youth: 15-24 (WHO)
• An adult is a person older
than 19 years of age (WHO)
• A child is a person 19 years
or younger. (WHO)
• 0-12 months
• 1-3 years
• 3-5 years

6. • WHO‘s GLOBAL SCHOOL HEALTH INITIATIVE
– launched in 1995, seeks to mobilise and
strengthen health promotion and education
activities at the local, national, regional and global
levels.
• HEALTH PROMOTING SCHOOL
– Is one that constantly strengthens its capacity as a
healthy setting for living, learning and working.

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. • It is an important branch of Community
Health
• Comprehensive care of the health and well
being of children throughout the school years.
• A token services because of shortage of
resources and insufficient facilities.

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

17. Definition
School Health Service is a branch of Preventive
medicine which deals with curative, preventive and
promotive aspects of health in school setting.

21. Covers students, teachers and other school personnel
Consists of:
 Periodic medical examination: at entry and every 4
years
 Observation of children by the class teacher
Daily

22. One special clinic in school or dispensaries or PHC for
5000 children
Through immunization

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
Juvenile delinquency (participation in illegal behavior),
maladjustment and drug addiction
Schools are most strategic place for shaping the
child’s behavior and promoting mental health

26. Common problems: dental caries and periodontal
(gum) diseases
Dental examination : once a year
Most important element of SHS
Function of a school teacher
Personal hygiene, environmental health, family life

27. Health of school child is the responsibility of:
Parents
Teachers
Health administrators
Community
In PHC, one medical officer cover 5000 – 6000
children a year.

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: Focusing resources for effective school
health program - 2000
• School health rooms: comprehensive school
health services offer school health program
through setting up of school clinics.

31. SCHOOL HEALTH TEAM
• 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 & 17 years during school of a child.
• Inspect the hostels

33. DUTIES OF
SCHOOL MEDICAL OFFICER
• Periodical inspection of water supply, toilet
rooms & ventilation of buildings.
• By lectures & demonstrations, educate the
teachers in recognizing common ailments &
defects of school children in the practice of first
aid in school environment.
• Attend seminars

34. DUTIES OF
SCHOOL HEALTH NURSE
• Assist SMO
• Record and maintenance of health records
• Supervises hygiene of children
• Visit homes of the school child
• Should attend staff conferences arranged by
the senior medical of school.

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
MINUS DESK: a vertical line drawn from the edge of the
desk falls on the seat
‘ZERO’ DESK: a vertical line from the edge of the desk
touches the edge of the seat
‘PLUS’ DESK: a vertical line drawn from the edge of the
desk falls outside the edge of the chair Postural deformities:
kyphosis, scoliosis

37. • Records: health card, daily OPD register, high
risk case register, referral cases register
• Functions of school health services:
– Primary: health education, accident prevention,
immunization, teachers training
– Secondary: complete general physical
examination, follow-up of cases, treatment of
minor ailment, prevention of communicable
diseases,
– Tertiary : remedial classes for autistic, ADHD,
learning disabilities, assistance for families and
school in managing children with chronic diseases

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 officer b) public health nurse
c) senior medical officer d) 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 teachers b) to visit hostels
c) to go to the homes of children d) 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 ft b) 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 machine b) nasal & ear speculum
c) vaccination equipment d) tongue depressor &
torch