SCHOOL HEALTH SERVICES Dr Pracheth R Outline Introduction

SCHOOL HEALTH SERVICES Dr. Pracheth R

Outline • • • Introduction History Health problems Objectives Aspects Administration

Introduction • Economical, powerful means: community health • Narrow : medical examination- health, well being

History • • • 1909: Baroda Bhore Committee 1953: Secondary Education Committee 1960: School Health Committee Five year plans Token service

Health problems • • • Malnutrition Infectious diseases Intestinal parasites Diseases of skin, eye and ear Dental caries

Objectives • • • Positive health Prevent diseases Early diagnosis, treatment, follow-up Awaken health consciousness Healthful environment

Health appraisal • Periodic Medical Examination ØHistory, examination, vision, urine ØParents , teachers: quarterly height • School personnel • Daily morning inspection:

Remedial measures and followup • Special clinics: primary health centers • Clinic days: intimated • Beds: referral hospitals

Prevention of communicable diseases • Immunization, record same

Healthful school environment • Location: ØCentral, roads ØAway: cinema , factories, busy places • Site: ØSuitable high land, no damp/induntation Ø 10 acres: high, 5 acres: primary

Contd…. • Structure: Ø Nursery, secondary schools: single storied ØExterior walls: 10 inches, heat resistant • Classroom: ØVerandahs attached to classrooms ØNo classroom : more than 40 ØPer capita space: 10 sq feet

Contd…. • Furniture: ØSuit age of students ØSingle desks and chairs ØDesks: minus type, chairs: back rests • Doors and windows: ØWindows : broad, height 2 to 6 feet –ground ØDoor+window : 25% floor space

Contd…. • Colour: Ø Inside colour white, periodically white washed • Lighting: ØSufficient natural light • Water supply: independent safe, portable • Eating facilities: vendors, mid day meals-room • Lavatory: 60, 100 students

Nutritional services • Mid-day school meal: Ø At least one nourishing meal, no profit no loss • Applied Nutrition Programme: Ø UNICEF: form of implements, seeds, manure, water supply

First aid and emergency care • Teachers training programme • Tackle emergencies met: Ø Accidents leading to minor/serious injuries ØMedical emergencies: gastroenteritis, colic, epileptic fits • Fully equipped first aid kit

Mental health • Juvenile delinquency, maladjustment, drug addiction • School teacher shapes students • Counsellors, psychologists

Dental health • Provide dental examination once a year • School dentist: preliminary inspection of teeth, prophylactic cleansing

Eye health services • Early detection of refractive errors, squint, amblyopia • Treat eye infections: trachoma

Health education • Personal hygiene • Environmental health • Family life

Educate handicapped children • Assist handicapped, maximum potential • Productive, independent member of society School health records • Identifying data, past health history, record: physical examination

School health administration • Responsibility of parents, teachers, health administrators, community • Effective coordination • Part of general health services • Primary health centers in rural areas: whole time medical officer cover 5, 000 to 6, 000 children • School Health Committees: at village, block, district level. Mobilize community services.

Summary

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