Presentation held at GIZ FIT workshop on 8 January 2013

1. Fit for School
Introduction
GIZ/UNICEF
WASH for All Schools Learning Exchange
Day 2 | Manila | 27.11.2012 |
Tuesday, January 8, 13

2. What is Fit for School?
?
Innovative school health concept
Simple and modular - Evidence-based
interventions
Focus on daily skills-based activities rather
than health education
Active involvement of non-health
professionals (teachers)
Simple and uniform supportive messages
Very cost-effective
Tuesday, January 8, 13

3. What are integrated approaches in
school health?
Integrated approaches deliver a range of
interventions that address multiple
needs through coordination across a
variety of sectors and with
participation of all relevant stakeholders
to achieve common goals.
Tuesday, January 8, 13

4. Prioritising public health challenges
Diarrhea & respiratory tract
infections
66% infected with intestinal worms
Dental decay & dental infection
97% of 6-yr-olds have caries with 9
decayed teeth at average
30% have BMI below normal
20% have toothache
Tuesday, January 8, 13

5. Daily Handwashing Daily Toothbrushing Biannual Deworming
Handwashing with Toothbrushing with Supervised ingestion of
soap fluoride toothpaste albendazole
Group activity Group activity Supervised by teachers
Part of daily school Part of daily school Parent consent
routine routine Reduction in worm
No piped water needed No piped water needed load by 50%
Supervised by teachers Supervised by teachers
and children & children
Reduction of infections Reduction in tooth
by 30-50% decay by 40-56%
Evidence-based interventions
Tuesday, January 8, 13

6. Creating a supportive
school environment
Functional and child-friendly
washing facilities
Appropriate water access -
minimizing consumption
Daily group activities
Making things convenient
and as simple as possible
Tuesday, January 8, 13

7. Standardised minimum facilities
Material cost <40 USD
Tuesday, January 8, 13

8. Making it simple and
affordable - consumables
Simplified procurement -
consumables come prepackaged
Material costs for consumables
• Soap $0.08 (50g)
• Toothpaste $0.22 (60ml)
• Toothbrush $0.16
• Albendazole $0.05 (2x400mg)
0.25 PhP / $0.50
per child/year
Tuesday, January 8, 13

9. Creating a Capacity
supportive building across
sectors
environment
Guidelines Community
Manuals Mobilisation
Templates
Advocacy
for
supportive
policies
Tuesday, January 8, 13

10. Clear program management
Clear roles & responsibilities of all
involved
Using children's leadership skills
for daily activities - little extra work
for teachers
Community involvement in
construction of facilities
Detailed & simple guidance
through templates and manuals
Tuesday, January 8, 13

11. Monitoring &
Evaluation
Regular process &
outcome monitoring
Strengthening evidence
of progam by evaluating
health & education
impact
Outcomes motivate staff
and ensure sustained
government funding
Tuesday, January 8, 13

12. Major Achievements
Coverage: > 2 million children reached
(>40 provinces, >7,000 schools)
Changes in government policies and
legislation
Allocation of government budgets
National coordination of Global
Handwashing Day
Recognition through awards and
scientific papers
Expansion to Cambodia, Lao & Indonesia
!
Tuesday, January 8, 13

13. Key success factors
Prioritising public health challenges
Sustained funding from
government budgets (central-local)
Local ownership & accountability
Creation of incentives & motivation
based on analysis of interests
Competition & politics
Task shifting to teachers
Supervision & training through
school health personnel
Tuesday, January 8, 13

14. Challenges ahead.....
!
Keeping momentum
Ensuring continued funding in spite of:
Changing administrations
Competing priorities
Possibility of national funding
Underestimation of complexity
Rapid growth & organisational challenges
Management challenges even with online
monitoring system
Tuesday, January 8, 13

15. "It is clear that without proper
education, health suffers.
And without proper health,
good education is not
possible."
Gro Harlem Brundtland
Former Director General of the WHO
Tuesday, January 8, 13

16. Thank you!
Tuesday, January 8, 13