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School Health Service

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SCHOOL HEALTH SERVICE

INTRODUCTION

• School health service is an important aspect of community aspect of


community health. It is possible to increase the health level of community and achieve
growth in the health of future generation through school health service.

DEFINITION OF SCHOOL HEALTH

School health refers to a state of complete physical, mental, social and spiritual
well being and not merely the absence of disease or infirmity among pupils, teachers
and other school personnel - k. k. gilani

DEFINITION OF SCHOOL HEALTH SERVICES

School health service refers to need based comprehensive service rendered to


pupils, teachers and other personnel in the school to promote, protect their health,
prevent and control disease and maintain their health. - k. k. gulani

AIM

The ultimate aim of school health services is to promote, protect and maintain
health of school children and reduce morbidity and mortality in them.

OBJECTIVES OF SCHOOL HEALTH SERVICE

• The promotion of positive health

• The prevention of diseases

• Early diagnosis, treatment and follow up of defects

• Awakening health consciousness in children

• The provision of healthful environment.

GOALS OF SCHOOL HEALTH SERVICES

• To prepare the younger generation to adopt measures to remain healthy


so as to help them to make the best use of educational facilities, to utilize
leisure in productive and constructive manner, to enjoy recreation and to
develop concern for others
• To help the younger generation become healthy and useful citizen who
will be able to perform their role effectively for the welfare of
themselves, their families and the community at large and country as a
whole.

NEED FOR SCHOOL HEALTH SERVICES

• School children constitute a vital and substantial segment of


population.

• Schoolchildren are vulnerable section of population by virtue of their


physical, mental, emotional and social growth and development during
this period.

• School children are expressed to various stressful situations.

• Children coming to school belong to different socio economic and


cultural background which affect their health and nutritional status and
require help and guidance in promoting, protecting and maintaining their
health and nutritional status.

• Children in school age are prone to get specific health problems.


PRINCIPLES OF SCHOOL HEALTH SERVICES

• It is based on health needs of school children

• It is planned in co-ordination with school health personnel,


parents and community people

. • It emphasize on health education to promote, protect, improve


and maintain health of children and staff.

• It emphasize on promotive and preventive, aspects.

. • It emphasize on health education to promote, protect, improve


and maintain health of children and staff.

• It emphasize on learning through active and desirable


participation.

• It is an ongoing and continuous program.


• It has an effective system of record keeping and reporting.
COMPONENTS OF SCHOOL HEALTH PROGRAMME

• Health appraisal of school children and school personnel • Remedial


measures and follow up ]

• Prevention of communicable disease

• Healthful school environment

] • Nutritional service

• First aid and emergency care

• Mental health

. • Dental health

• Eye health

• Health education

• Education of the handicapped children

• Maintenance and use of school health records

1. Daily morning inspection by the teachers unusually flushed face, rashes,


spots, signs of acute cold, coughing and sneezing, sore throat, rigid neck,
nausea, vomiting, watery eyes, headache, chills, fever, etc. Tuberculin testing/
screening for Hansen's annual testing of vision, regular and quarterly wt/ht
checking.  Clinical examination for nutritional deficiency, examination of
faeces.  Routine physical examination needs to be done.  Medical
examination on entry- 4 years  Periodical medical examination of school
children, teacher, health personnel. 1. Health appraisal of school children and
school personnel
2. Referral hospital must provide for beds for children who are admitted and
provide relevant treatment. Specialist should be employed in schools for the
same.  Special clinics should be conducted in the health units.  Following
the regular examination, respective referral services. 2. Remedial measures
and follow up
3. Protection of all schoo3. Preventive of communicable diseases School should
serve as exemplary place to reflect sanitation. A good school environment
promotes physical, social and emotional health of the pupils.  An optimal
school environment, location, building and equipment's are important pre-
requisites for a school health. l going children against preventable disease by
immunization according to the National Immunization Schedule. 4. Healthful
school environment
4. The teachers should receive adequate training during teacher training program
or in service training programs to prepare themselves to carry out this
obligation. The school must have an arrangement for providing first aid and
emergency care to children who get injured or sick at the school.  A nutritious
mid-day meal for children in the school is considered as a practical solution to
combat malnutrition in children. 6. First aid and emergency care  Good
nutrition is very essential not only for optimal health growth and development
of the school child but also for his/her educational achievement. 5. Nutritional
services
5. During the dental check up should focus on prophylactic cleansing and dental
hygiene classes. Dental hygienist and dentist are to be employed.  School
health should incorporate dental health components too.  School children
usually suffer from dental diseases and defects.  Juvenile delinquency,
maladjustment and drug addiction are becoming problems among school
children. so, teachers need to plan and organize well-balanced curricular
activities so that students are not over burdened and have sufficient relaxation
and recreation, etc. 8. Dental health  The mental health of the child affects his
physical health and the learning process. 7. Mental health
6. Health education content areas include personal hygiene, environmental health,
nutrition, prevention and control of communicable and non-communicable
diseases. Health education is very important for school children as it creates
awareness, gives knowledge regarding health matter, gives knowledge
regarding health matter, develops motivation and promotes change in health
behavior and health attitudes.  Vitamin A administration could be done. 10.
Health education  Teachers are in key position to detect reflective errors, refer
for treatment for squints, amblyopia and to detect eye infections. 9. Eye
health services
7. The schools have cumulative health records providing pertinent information
and serves as tool to evaluate the school health services.Every child
irrespective of the disability, should be encouraged to become productive and
self supporting. 12. School health records 11. Education of handicapped
children
NATURE AND SCOPE

• It is an integral part of community health. It is that phase of community health


and family health service that promotes the well-being of the children and his
education for healthy living

. • It can be a powerful influence for shaping health behavior. There is a unique


opportunity to promote, maintain and improve health and well-being since
teacher reach most people early in life, where attitudes and values are most
readily developed.

• School health service is a personal health service. It stresses the role of the
child as a "change agent for community". A child has greater capacity to
observe, learn, experiment and then transfer knowledge to others.

• School health helps to impart information of health habits and practices of


healthful living throughout school life, which are very important during the
formative period of one's life.

• School health program help the younger generation become healthy and
useful citizen who will be able to perform their role effectively for the welfare
of themselves, their families, etc

SCHOOL HEALTH TEAM

• The school principal

• The school teacher

• The parents

• The community

• The children

• The medical officer

• The school health nurse/ community health nurse


ROLE OF NURSE

• Administrator

• Educationist

• Service provider

• Researcher

• Initiation and implementation

• Liaison activities

• Co-ordination

• Evaluation

• Training and guidance

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