This document outlines the key aspects of school health services in India. It discusses the historical development of school health services, the need for such services, and the goals and objectives which aim to promote students' positive health and prevent diseases. It describes the various components of school health programs, including health appraisals, nutrition services, and aspects that ensure a healthful school environment. The roles and responsibilities of nurses in delivering school health services are also highlighted.

1. SCHOOL HEALTH SERVICES
PRESENTED BY:
MRS. POURNIMA KULKARNI

2. SCHOOL HEALTH
SERVICES
• School health services are
the services provided to the
school children in order to
promote their health &
prevent the diseases.

3. HISTORICAL DEVELOPMENT
 In India it had its beginning in 1909 when
first time medical exam was conducted for
school children in Baroda city.
 In 1946 Bhore committee reported the school
health services were non-existent in India
 In 1953, the secondary education committee
felt the need for medical inspection of pupils
& school feeding programme
 In 1960, the government of India constituted
a school health committee to assess the health
& nutritional status of the
children & recommended
ways & means to improve them.

4. NEED OF SCHOOL
HEALTH
• Children between the age of 5-14
years form 1/4th of India's
population, so progress of nation
depends on their care & development
• The growth of the child (physical,
emotional & social) is rapid during this
age
• Children at this age are very
receptive to new knowledge

5. CONCEPTS OF SCHOOL
HEALTH PROGRAM
• To prepare the younger
generation to adopt measures
to remain healthy & become
healthy & useful citizens to
perform their role effectively.

6. GOALS OF SCHOOL
HEALTH PROGRAM
• To prepare the younger generation to adopt
measures to remain healthy so as to make the
best use of educational facilities, to utilize
leisure in productive & constructive manner, to
enjoy recreation & to develop concern for
others.
• To help the younger generation become healthy
& useful citizens who will be able to perform
their role effectively for the welfare of
themselves, their families, the
community at large & country as a whole.

7. AIMS OF SCHOOL
HEALTH PROGRAM
• Protection from diseases
• Appropriate medical & dental
care including emergency
services of injury & sudden
sickness

8. OBJECTIVES OF SCHOOL
HEALTH SERVICES
1. PROMOTION OF POSITIVE HEALTH
2. PREVENTION OF DISEASES
3. EARLY DIAGNOSIS TREATMENT &
FOLLOW-UP OF DEFECTS
4. AWAKENING HEALTH
CONSCIOUSNESS IN CHILDREN
5. THE PROVISION OF HEALTHFUL
ENVIRONMENT

10. ASPECTS OF SCHOOL
HEALTH SERVICES
• HEALTH APPRAISAL OF SCHOOL CHILDREN &
SCHOOL PERSONNEL
• REMEDIAL MEASURES & FOLLOW-UP
• PREVENTION OF COMMUNICABLE DISEASES
• HEALTHFUL SCHOOL ENVIRONMENT
• NUTRITIONAL SERVICES
• FIRST AID & EMERGENCY CARE
• MENTAL HEALTH
• DENTAL HEALTH
• EYE HEALTH
• HEALTH EDUCATION
• EDUCATION OF HABDICAPPED CHILDREN
• PROPER MAINTENANCE & USE OF SCHOOL HEALTH
RECORDS

11. HEALTH APPRAISAL
a. Periodic medical check-up
b. medical check-up of school
personnel
c. Daily morning inspection

12. REMEDIAL MEASURES
& FOLLOW-UP
• After the physical examination
the children need to be
followed-up either at home or
at school. The result of
treatment must be recorded &
informed.

13. PREVENTION OF
COMMUNICABLE DISEASES
• Immunization

14. HEALTHFUL SCHOOL
ENVIRONMENT
LOCATION

15. NOISE

16. HEALTHFUL SCHOOL
ENVIRONMENT
• SITE :
- Suitable high land
- 10 acres for high elementary
school & 5 acres for primary school
& additional one acres land per 100
stydents.

17. FACILITIES FOR PLAY

18. Structure
• Nursery & Secondary
schools as far as possible,
be single storied. Exterior
walls should have minimum
thickness of 10 inches &
should be heat resistant.

19. HUMIDITY THERMOMETER

20. Class-room
• Verandas should be attached to
class-room
• No class-room should
accommodate more than 40
students
• Per capita space for students in a
class-room should not be less
than 10 sq. ft.

21. AIR MOVEMENT

22. Furniture
• Suitable to the age group of
students
• Desirable to provide single
desks & chairs
• Chairs should be with proper
back rest, with facilities of
desk work

24. Doors & windows
• Broad with bottom still at a height
of 2’-6’ from the floor level
• Doors & windows should be at least
25% of the floor space
• Windows should be placed on
different walls for cross ventilation

25. VENTILATION

26. Colour
• Inside colour of the
classroom should be
periodically white-
washed

27. Lighting
• Classroom should have
sufficient natural light,
preferably from the left
& should not be from the
front

28. Water supply
• There should be an
independent source of
safe & portable water
supply which should
continuous & distribute
from the taps.

29. SAFE WATER
SUPPLY

30. Eating
• Eating facilities ventures
others than those approved by
the school authorities should
not be allowed inside school
premises, there should be
separate room provided for
mid-day meals

31. SEPARATE ROOM
FOR EATING

32. SAFE WATER

33. 5. NUTRITIONAL
SERVICES
• A child who is physically weak
will be mentally weak & cannot
be expected to take full
advantage of schooling

34. Mid-day meal
- In order to combat malnutrition &
improve health of school children.
- Providing mid ay meal trough their
own cafeteria on a ‘no profit no
loss’.
- It should provide at least one-third
of the daily calorie requirement &
about half of daily requirement of
the child.
- It assure at least one nourishing
meal

35. Applied nutrition
programme
• UNICEF is assisting in the
implementation of the applied
nutrition program in the form
of implements seeds, manure
& water supply equipment

36. SPECIFIC NUTRIENTS
• Advances in the knowledge of
nutrition have revealed that specific
nutrients may be necessary for the
prevention of some nutrients
disorder. Dental caries, endemic
goiter, night blindness, protein
malnutrition, anemia & a host of
other nutrient disorders are
eminently preventable

37. Lavatory
• Privies & urinals should be provided
one urinal for 60 students & one
latrine for 100 students
arrangements should be separately
made for boys & girls

38. FIRST AID &
EMERGENCY CARE
• The emergencies commonly met
within schools are-
- Accidents leading to minor or
serious injuries &
- Medical emergencies such as
gastroenteritis colic, epileptic fits,
fainting etc

39. MENTAL HEALTH
• Juvenile delinquency, mal-
adjustment & drug addiction
are becoming problems
among school children. The
school teacher has both a
positive & preventive role, so
that they may develop into
mature responsible & well
adjusted adults.

41. DENTAL HEALTH
• Dental diseases &
periodontal disease
are the two common
dental diseases in
India. A school
health program
should have
provision for dental
exam. at least once
in a year

42. EYE HEALTH
• School should be
responsible for early
detection of refractive
errors. Treatment of
squint & amblyopic &
detection & treatment of
eye infections s.a
trachoma, administration
of vit. A to children at
risk

43. EAR HEALTH

44. HEALTH EDUCATION
• Health education
in school children
- Personal health
- Environment health
- Family life

46. EDUCATION OF
HABDICAPPED CHILDREN
• The ultimate goal is to
assist the handicapped
child & his family, so that
the child will be able to
reach his maximum
potential, to become as
dependent as possible to
become a productive &
self-supporting member of
society

48. SICK ROOM

49. SCHOOL HEALTH
RECORDS
• A cumulative records contain
- Identification data
- Past history of illness
- Recording of findings of physical
exam & screening test & records of
service provided

50. PROBLEMS OF SCHOOL
CHILD
Health problems
1. Malnutrition
2. Infectious diseases
3. Intestinal parasites
4. Diseases of skin, eye & ear
5. Dental caries

51. BEHAVIOURAL PROBLEMS
The behavioral problems are as
follows
a. Antisocial- stealing, lying,
gambling, destructiveness
b. Habit disorders- nail biting,
thumb sucking, bed wetting
c. Educational difficulties-
backwardness in studies, school
fear, school failures etc.

52. CURRENT STATUS OF
SCHOOL HEALTH IN INDIA
• The present status of school health
is not so rosy. Very low priority is
given to the health promotion
within the school & community
• The health of the children &
teachers is seen only for the
curative point of view.

55. ROLE OF NURSE IN
SCHOOL HEALTH SERVICES
• Direct care provider
• Preventor of illness
• Health supervisor
• Health counselor
• Health educator
• Clinician
• Administrator
• Manager
• Advisor
• collaborator

56. THANK YOU