School Health progamme RKSK India Commuity Medicine

1. Usheem Syed

2.  1909: School health services, Baroda.
 1960: School Health Committee.
 1996-7: School health Scheme.
 Now: The NHM has sought to strengthen the school health programme within the
context of RMNCH+A.

3. 1. Health appraisal of school children
2. Remedial measure & follow up
3. Prevention of communicable diseases
4. Healthful environment
5. Nutritional services
6. Mental health
7. Health education.
8. Menstrual hygiene Scheme

4.  Periodic Medical examination: At the time of entry and every four years.
 Weight and Height
 Laboratory assessment for anaemia: Severe cases referred. Mild treated with IFA and
Deworming.
 Eye examination
 Ear Discharge/Hearing problems
 Dental problems
 Common Skin Problems
 Disability.
 Daily Morning Inspection, Personal Hygiene.

5.  Minor injuries and ailments managed in the school with the help of a First Aid
Kit.
 Special clinics
 At PHCs in rural areas
 One of selected schools/dispensaries for a group of 5000 children in urban areas.
 Provision of spectacles, hearing aids, supportive equipment.
 Correction of anaemia and Vitamin A deficiency at the school.

6.  A record of all immunisations should be maintained as a part of the school health
records.
 School children are to be given
 DPT at 6 years and
 Td at 10 years and 16 years as per the National Schedule.

7.  Location
 Central, Fenced Premises
 Site
 High Land, Drained properly.
 10 acres- Higher elementary
 5 acres- Primary
 Structure
 Nursery/Secondary: Single storeyed as far as possible.
 Thick exterior wall 10 inches.
 Classroom
 </= 40 students
 10 sq.ft per capita
 Furniture
 Minus type desks
 Proper backrests

8.  Doors and windows:
 2-6” from the floor.
 Door and Windows at least 25% of the floor
space
 Cross ventilation
 Color
 White
 Periodically white washed
 Lighting
 Natural light
 Preferably from the left
 Water
 Safe and potable water source
 Continuous through taps
 Vendors, other than those allowed by school
facilities should not be allowed.
 Lavatory
 One urinal/60 students
 One latrine/100 students.

9.  Mid day School Meal:
 Is a supplement to home diet.
 1/3 of TER, ½ of the protein need.
 Low cost
 Easily prepared in schools
 Locally available foods
 Frequently changed

10.  Mid day Meal Scheme
 Free supply of food grain from the nearest Food Corporation of India Godown
 100g/student/day
 300 kcal and 8-12g proteins.
 Class I too V.
 Single Dish
 Cereal to Pulse= 3:5
 Vegetables washed
 Rice water mixed with dal
 Unpolished rice, Parboiled.
 Iodised salt

11. Infants from the age of 6 months onwards up to
the age of five years shall receive iron
supplements in liquid formulation in doses of
20mg elemental iron and 100mcg folic acid per
day per child for 100 days in a year.
Children 6-10 years of age shall receive iron in
the dosage of 30 mg elemental iron and 250mcg
folic acid for 100 days in a year.
Children above this age group would receive iron
supplements in the adult dose: WIFS with an IFA
tablet containing 100mg elemental iron and
500mcg Folic Acid for 52 weeks in a years
.

14.  Vocational counsellors and psychologists play a role.
 School routine carefully planned, relaxed periods between work.
 No discrimination.

15.  Launched by MOHFW: Scheme for Promotion of menstrual hygiene.
 Community based health education.
 Sanitary napkins provided by NHM’s brand, “Freedays”.
 6 sanitary napkins to those BPL at a cost of 1 rupee/ pack, and to those APL at 6
rupees per pack.

16.  Personal Hygiene
 Environmental Health
 Family Life
 These can be
 Formal and Curriculum based (Hygiene, sanitation, Balanced diet)
 Formal, not curriculum based (Life Skills, First Aid)
 Non Formal

17.  At least three dedicated Mobile Health Team/Block.
 Children will be screened at Aganwadi centres at least twice a year.
 Mobile Health Team members:
 Medical Officers(AYUSH)- 1 male and 1 female
 ANM/staff Nurse
 Pharmacist with proficiency in computer/data management.
 Tool Kit
 Vision Charts
 BP Apparatus
 Manual and Chart(with milestones)
 Anthropometry( Weighing Scale, stadiometer)

18.  District early Intervention Center established at the District Hospital for those
children who have been detected with health conditions during the screening.
 Team
 Paediatrician
 Medical officer
 Staff Nurse
 Paramedics
 A Nodal Officer identified at the State, District, and Block level for monitoring.

19.  Planning for screening and referral
 Draw a schedule of visits by health personnel.
 Fix dates with referral centers.
 Equipment
 Weighing scales,, Snellen Charts, etc.
 First Aid Kits
 One/250 students/ Year
 Supplied by the Health deptt.
 Provision for transport.

20. RKSK 2018
 Two teachers, preferably one male and one
female in every school designated “Health and
Wellness Ambassadors”
 Trained to transact Health Promotion and Disease
Prevention.
 <45 years, promotions, incentives.
 In the form of interesting activities 1 hour/week.
 Every Tuesday may be the Health and wellness
Day in schools.
 Two peer educators(Saathiya), one boy and girl
will support the Health and Wellness
ambassadors.
 15-19yr old
 Motivated, good communication skills.