It help the RGNM students, B.sc Nursing Students.

1. MD YUSUF ALI

2. NEED FOR SCHOOL HEATH
1.1951-209671 PRIMARY SCHOOLS.
2.1995-581305 PRIMARY SCHOOLS
3.1951-19.2 MILLION-SCHOOL ENROLLMENT.
4.1995-108 MILLION-SCHOOL ENROLLMENT.
MD YUSUF ALI

3. NEED
MAJOR HEALTH PROBLEMS ENCOUNTERED.
1.Malnutrition.
2.Infectious diseases
3.Intestinal parasites.
4.Diseases of skin, eye, & ear
5.Dental carries...
MD YUSUF ALI

4. DEVELOPMENT OF SCHOOL HEALTH
IN INDIA
1909-Medical examination for
school children.
2.1946-Bhore committee report on
non existence of adequate school
health facilities.
MD YUSUF ALI

5. 3. 1953-The secondary education
committee stressed on the need for
regular examination & school feeding
programme.
4.II FYP –Initiatives for school health
feeding prog.
5.1960-Constitution of school health
committee at vill, state, national level.
MD YUSUF ALI

6. 5.1960-Constitution of school health
committee at vill, state, national level
Recommendations-.
School health services by 1962,63.
School health through primary school
by 66 -71. MD YUSUF ALI

7. 1960-The Children's Act –
care
,maintenance,welfare,training,
education & rehabilitation of
delinquent children
1986-Juvenile Justice Act-
uniform legal framework for
MD YUSUF ALI

8. OTHER SUPPORTIVE PROGS-
1974-75-ICDS
1980-83-ADDCP,ARI Cont prog.
Welfare programme are linked
with school health prog.
MD YUSUF ALI

9. OBJECTIVES OF SCHOOL HEALTH PROG
1.To promote health of the school
children through health supervision,
health care & nutrition progs.
2.To prevent communicable & non-
communicable diseases.
MD YUSUF ALI

10. 3.To inculcate healthy habits by
proper.To create health consciousness
in children,parent & teacher.
4.To prepare the child for education
&for good citizenship
5.To provide healthful school
environment
MD YUSUF ALI

11. COMPONENTS OF
SCHOOL HEALTH PROG
1.The task of school health are
multidimensional
2.The interventions vary according to the
context of the society, however broadly
MD YUSUF ALI

12. 3The following are some aspects, components
of SHP
.
1.Health appraisal of school children & school
personnel
2.Remedial measures & follow-up
3.Prevention of communicable diseases.
4.Healthful school environment
MD YUSUF ALI

13. 5.Nutrition serves
6.First aid & emergency care.
7.Mental health
8.Dental health
9.Eye health.
MD YUSUF ALI

14. 10.Health education.
11.Education of the handicapped
children
12.Maintenance & use of school health
records..
MD YUSUF ALI

15. COMPONENTS OF SCHOOL HEALTH
1.Periodical medical examination-
schoolchildren,teachers,health personnel
2.Medical examination on entry- 4 yrs
3.Routine P/E needs to be done
4.Clinical examination for nutritional
deficiency, examination of faeces..MD YUSUF ALI

16. 5.Tuberculin testing/screening for
Hansen's annual testing of vision,
regular & quarterly Wt/Ht checking
MD YUSUF ALI

17. 6.Daily morning inspection by the teachers-
unusually flushed face,rashes,spots,s/s acute
cold, coughing & sneezing, sore throat,rigid
neck,nausea,vomiting watery
eyes,headache,chills fever,sleepiness,dis-
inclination to play, diarrhea,skin
conditions-scabies or ringworm..
MD YUSUF ALI

18. REMEDIAL MEASURES & FOLLOW UP
1.Following the regular
examination,respective referral services
2.Special clinics should be conducted in
the health units.
3.Specialist should be employed in schools
for the same..
MD YUSUF ALI

19. 4.Referral hospital must provide for
beds for children who are admitted &
provide relevant treatment.
MD YUSUF ALI

20. PREVENTION OF COMMUNICABLE
DISEASE.
1.By means of immunization.
2.The above should be maintained in the scho
health records.
MD YUSUF ALI

21. HEALTHFUL SCHOOL
ENVIRONMENT
1.An optimal school environment-
location,building & equipment are
important pre-requisites for a school
health.
2.A good school environment promotes
physical,social & emotional health of the
pupils.
MD YUSUF ALI

22. 3.Schools should serve as exemplary places
to reflect sanitation.
MD YUSUF ALI

23. SUGGESTED STANDARDS.
1.Location-Centrally situated,fairly
away from busy places,roads,cinema
theatre,houses,factory,railway tracks &
market places.
2.The school premises should be fenced.
MD YUSUF ALI

24. SITE-1.on high land.
SHC-10 Acre-higher elementary
school.
5 Acre-primary school.
Additional.- with 1 acre land- 100
students.
MD YUSUF ALI

25. STRUCTURE.
Nursery & Secondary schools must be
single storied
Ext walls should be 10 inches thick &
should be heat resistant.
MD YUSUF ALI

26. CLASS ROOMS.
Verandas should be attached to class rooms
A class should comfortably accommodate
40 students.
The per capita space for a student should
be 10 sq ft & more.
MD YUSUF ALI

27. FURNITURE.
Furniture provided should suit the age group
of the students
Single desks & chairs should be provided
The chairs should have proper back rest
MD YUSUF ALI

28. DOORS & WINDOWS.
1.The combined door & window should
be >25% of the floor space
2.The class should have cross
ventilation
3.Class rooms should have ventilators.-
>2% of the floor area.
4.The windows should be broad located
at 2-6 Ft from the floor level.MD YUSUF ALI

29. COLOUR
White & the class room should be
periodically white washed.
MD YUSUF ALI

30. LIGHTING.
The class room should have sufficient
natural lighting (room left).
MD YUSUF ALI

31. WATER SUPPLY
There should be an independent,
safe & portable water supply
distributed from taps.
MD YUSUF ALI

32. EATING FACILITIES.
There should be separate room for
dining purposes. Only approved
vendors should be allowed.
MD YUSUF ALI

33. LAVATORY
Privies &urinals should be provided.
1 urinal/ 60 students.
1 urinals/ 100 students.
Facilities should be separate for boys
& girls.
MD YUSUF ALI

34. NUTRITIONAL SERVICES
Studies in India have reveled that
nutritional deficiency is prevalent
among school children.
1961-SHC recommended one
nourishing meal –1/3 of protein
& calorie requirement.
MD YUSUF ALI

35. Implementation of ANP with the
assistance of UNICEF
Maintenance of school kitchen &
veg gardens.
Measures should be taken to combat
nutritional deficiencies.
MD YUSUF ALI

36. FIRST AID & EMERGENCY CARE.
The first aid management for sick
children rests with the teachers & the
teachers could be trained during
teacher’s training programme.
First aid box should be made available.
MD YUSUF ALI

37. MENTAL HEALTH
The teachers in the school have a
positive & preventive role in
fostering a positive mental health
among the learners.
Suitably modify learning
strategies, incentives.- rest,
relaxation MD YUSUF ALI

38. DENTAL HELTH.
School children usually suffer from
dental diseases & defects.
School health should incorporate
dental health components too.
Dental hygienist & dentist are to be
employed.
MD YUSUF ALI

39. During the dental check up should focus
on prophylactic cleansing & dental
hygiene classes.
MD YUSUF ALI

40. EYE HEALTH SERVICES.
Teachers are in key position to detect
reflective errors, refer for treatment of
squints,ambylopia & to detect eye
infections.
Vit A administration could be done.
MD YUSUF ALI

41. HEALTH EDUCATION.
The health education is an important
component in the school health prog.
The H/E should aim at imparting
desirable changes among students.
H/E- focus on, personal
hygiene,environmental health.MD YUSUF ALI

42. EDUCATION OF HANDICAPPED
Every child irrespective of the
disability, should be encouraged to
become productive & self
supporting.
MD YUSUF ALI

43. SCHOOL HEALTH RECORDS.
The schools should have cumulative
health records providing pertinent
information and serve as tools to
evaluate the school health services.
MD YUSUF ALI

44. NATURE & SCOPE.
A good school health prog has larger
implications to the society in the
following sense.
It addresses the anti social problems-
stealing, lying,gambling,personality
disorders & educational difficulties.
MD YUSUF ALI

45. Antisocial problems-
stealing,lying,gambling destructiveness
sexual offences
Habit disorders-nail biting,thumb
sucking & bed wetting.
Personality disorders-temper
tantrums,shyness,day dreaming,jealousy.
Educational difficulties-backward in
studies,school fear,school failure.
MD YUSUF ALI

46. ROLE OF A NURSE.
ADMINISTRATOR
EDUCATIONIST
RESEARCHER
SERVICE PROVIDER
MD YUSUF ALI

47. ADMINISTRATOR
Co-ordinate the SHP initiatives of
the state with school administration.
Organize school health progs at all
levels.
Serve as liaison between the
community & the school in
organizing & implementing SHPMD YUSUF ALI

48. Co-ordinate with the state in
mobilizing funds & grant in aids
Evolve relevant policy for
implementation of SHP.
Organize & conduct workshop,
conferences & meetings on SHP.
Co-ordinate & serve as liaison for the
NGO’s & voluntary agencies.
MD YUSUF ALI

49. Incorporate the aspects & elements of
SHP in PHC
Organize school health camps,
involving community & mass media.
Design & disseminate health
education materials relevant to
SHP.
Co-ordinate with allied sectors in
promoting & implementing school
health initiatives
MD YUSUF ALI

50. Maintain epidemiological profile
of school going & school related
maters.
Serve as information providers to
the policy makers on school health
& its related aspects.
MD YUSUF ALI

51. EDUCATIONIST
Design a curriculum for schools &
health science subjects incorporating SH
aspects.
Implement & monitor the
implementation of school curriculum in
the educational settings.
MD YUSUF ALI

52. Organize Trg prog & educational
preparation for nurses to be placed in
schools & educational institutions.
Evaluate the school health
programme implementation.
Refer appropriate cases to referral
center
MD YUSUF ALI

53. SERVICE PROVIDER
Conduct SHP in the area of
employment.
Co-ordinate with NGO/VHAI in
implementing SHP.
Supply & monitor articles,drugs &
equipments for SHP
MD YUSUF ALI

54. Co-ordinate /implement the various
health prog of the community,
ICDS,SHP,Anemia Prevention
Prog,Mid Day Meal Prog,Vit A
prophy prog.
Periodically conduct SH surveys &
maintain health status of the childrenMD YUSUF ALI

55. RESEARCHER
Carry out R & disseminate the
finding.
Identify researchable area in SH.
Create data base in SH for
research.
Serve as school health nurse
scientist. MD YUSUF ALI

56. MD YUSUF ALI