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1. INTRODUCTION TO SCHOOL HEALTH
PROGRAMME
BY
Dr OLATUNYA O.S.
MBBS, FMCPaed, Ph.D

2. INTRODUCTION
SHP is a group of coordinated activities which
promote the health and development of the
school community.
It uses multidisciplinary approach and foster
intersectorial collaboration to enhance
sustainable human, economic, community
and nation development.
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3. HISTORICAL BACKGROUND
Earliest efforts came from Europe
1790- free school meals in Germany
1833-France enacted laws on SHP
WW1&2-Biggest stimulus for SHP
Nigeria-1929 first effort
-1952 (Western region) – more robust
-2005 (FGN) - school feeding relaunched
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4. PHILOSOPHY AND OBJECTIVES OF SHP
School going period - formative years
A child spends quality time at school
Exposed to various influences/variables
SHP helps a child to inculcate healthy habits and
remain in good health to benefit maximally from
school education.
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5. SHP ADMINISTRATION IN NIGERIA
SHP is on the Concurrent list of governments:
1. –Federal Government
2. –State Government
3. –Local Government Authority
-At school level
Head teacher/other teachers
Health professionals
Community participation
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6. COMPONENTS OF SHP
In Nigeria, 3 main areas have been identified:
-Healthful school environment (HSE)
-School health instruction (SHI)
-School health services(SHS)
A fourth component of school-home-community
relationship is now being considered
In USA, SHP- 8 components model(1987)
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7. SCHOOL HOME COMMUNITY
RELATIONSHIP
Coordination of what the child learns and
experiences in school and their equivalent in
the home and community
Components:
-Home visits
-Communication(school/parents)
-Community participation(outreach services)
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8. HEALTHFUL SCHOOL
ENVIRONMENT(HSE)
All the consciously organised , planned and
executed efforts to ensure safety and healthy
condition of the school environment
Components
1-Physical
2-Biological
2-Social
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9. HSE-CONTD
Physical- visible infrastructural facilities
within/around school viz: location, buildings,
water supply, classrooms, waste management,
accident prevention/safety measures,
play/sporting facilities, food service areas.
Biological- all living things in the school
environment viz: microbes, helminths, animals,
Social- social milieu within which a child operates in
the school
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13. SCHOOL HEALTH INSTRUCTION (SHI)
Education of the school community about health
matters thus helping them to achieve maximum -
physical mental, and social wellbeing.
Components:
personal health, growth/devpt, sex/drug educatn,
HIV/AIDS, safety eductn, commu health, envtal
health, social/emotnal hth.
Methods: Personal, impersonal, combination
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14. Teaching aid materials
Use of these materials encourage better understanding of health education

15. SCHOOL HEALTH SERVICES (SHS)
Preventive and curative services provided for the school
community
Components
-Health appraisal services: through Physical examinations
& investigations during routine inspections OR through
school health records at the clinic
-Treatment of common minor ailments
-Control of communicable dxs
-Special health supports: Child with disability, &
prolonged hospitalisation
-Immunization services
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16. SHS Contd.
Nutrition- Good nutrition is central to normal
growth & effective learning.
A good school meal should satisfy the following
conditions in addition to being free/subsidised:
Hygienic
Nutritious i.e. contains all necessary nutrients
Supplies at least 2/3rd of child`s daily protein
need
Supplies at least 1/3rd of child`s daily energy
need

18. SHS Contd
Disease control in school through:
 Isolation & treatment of infectious diseases
 Prompt referal
Immunisation: Ensure compliance with
National immunisation requirements
 Encourage uptake of special vaccines e.g 5
doses of Tetanus Toxoid during school years
Vaccination of girls with HPV vaccine to
prevent cervical cancer

21. Unhealthy food choices

22. BENEFICIAL FOODS

23. BENEFICIAL FOODS

24. Fruits contd Banana
Healthy food choices are cardinal to school childrens’ nutrition and education

25. Some Beneficial School Meals Fruits
Carrots, Oranges, Mangoes

26. First Aid Box
Essential drugs /items for treating common ailments/injuries are kept here

27. Toilet Facilities
Good toilet facilities are important parts of healthful school environment

28. Waste Disposal
Proper Waste disposal prevents diseases

29. Washing Hand Basin
Cleanliness is next to Godliness, this is possible through regular hand washing

30. Wash Hand Basin
Cleanliness is next to Godliness, this is possible through regular hand washing

31. Sporting Facilities
Recreational activities are important aspect of healthful school environment

32. CONCLUSION
• Successful SHP implementation needs the
cooperation of all stake holders
• Inter sectorial collaboration is the KEY

33. Intersectorial collaboration

34. TRIAL EXERCISES/ASSIGNMENTS
• 1. List 10 important contents of first Aid box
• 2. List 10 harmful physical school environment
components that you know
• 3. List 10 harmful biological school
environment components that you know
• 4. List 5 examples of harmful social school
environment

35. • THANKS