This document summarizes the results of a school visit to assess physical considerations and identify areas for improvement. The school's location, floors, playing grounds, walls, ventilation, lighting, corridors, entries/exits, classrooms, sewage/water, and lack of health programs were found to be non-standard. A student's health assessment revealed he was underweight based on his BMI. Recommendations included improving the school's infrastructure, increasing health services, and advising students on nutrition. Common childhood diseases and a reference are also listed.

1. Zainal MohammedIsa Universityof Duhok
College of Nursing
School visit
To assess the physical consideration of school building such as
A-Shape:
(U) Shape Kurdayeti primary School is standard.
B-location:
Non-standard because residential area
Standard should be non-residential area and should be quite area & far from
street to prevent Right Traffic Accident and to prevent constipation cause of
constipation related to gases in the car also should be far from factories to
prevent noise and also may interrupt during student at classroom.
C-Floor:
Non-standard
Standard should be cover by tartan to risk for falls & injury at second and third
floor...
D-playing ground:
Non-standard
Standard should be cover by tartan to prevent injury & should be not have
columns to prevent injury.
E-Walls:
Non-standard
Standard should be circular not sharp & caver by tartan to prevent injury.
F-Ventilation:
Non-standard

2. Zainal MohammedIsa Universityof Duhok
College of Nursing
Standard should be good ventilation reach to the school, not found factories
near the school & far from street & not found homes around the school for
good ventilation to the school.
G-Lightening:
Lightening in the school standard because good sun reach to the school &
school becomes hot to prevent humidity (to prevent growth of the bacteria).
H-Corridors:
Non-standard
Standard should not be less than 2.5cm
I-entries & exist:
Non-standard
Standard should be contain three doors
One for entry, one for exist, and one for emergent care.
 To assess the physical situation of the school
classroom
A-not include:
B-Ventilation:
Non-standard
Standard should be good ventilation in the classroom at school if not good
cause respiratory problem and not found gases in the classroom and should
be found little student in the classroom to reach good ventilation to the each
student.
C-Lightening:

3. Zainal MohammedIsa Universityof Duhok
College of Nursing
Lightening in the classroom standard because distance between window and
wall 20%.
D-Heating system:
Non-standard
Standard should be quite air & should be found cloud for ventilation to prevent
air pollution.
E-desks: numbers:
Non-standard
Standard should be contain 12 desk in the each classroom.
F-Number of student:
Non-standard
Standard should be contain 24 student in the each classroom.
 to assess sewage disposal and water supply at the
school
A-Drinking water base:
Non-standard
Standard should be place for hand washing and drinking different.
B-water taps: number per student and position.
Non-standard because total taps = 9 taps
Total student depend on the 9 taps & position of taps downward.
Standard should be every 40 student depend on the one tap & position should
be upward to prevent injury during drinking.

4. Zainal MohammedIsa Universityof Duhok
College of Nursing
C-Washing sinks; number:
Non-standard because not have sinks
Standard should be found sinks in the school & should be clean and should
be place for drinking & washing different area.
D- Toilet; location, design, number per student, lightening, ventilation
and cleanness
Not-standard
Very load on W.C
 Assessment of student health status:-
 Weight Status Category Percentile Range
Underweight Less than the 5th
percentile
Normal or Healthy Weight 5th percentile to less than the 85th
percentile
Overweight 85th to less than the 95th
percentile
Obese Equal to or greater than the 95th
percentile
The following is an example of how sample BMI numbers would be interpreted for a 10-
year-old boy.

5. Zainal MohammedIsa Universityof Duhok
College of Nursing
A-Name of student: Reger Neman
B-Grade: 4th class
C-Age: 10 years
D-Gender: male
E-Height: 120 cm
F-Weight: 19kg
BMI=13
Less than 5th percentile is underweight

6. Zainal MohammedIsa Universityof Duhok
College of Nursing
G-Assessment of student health problem:
Should be assessment nutrition for student like
1-Advice the student not eating unhealthy foods, such as sweets, cake,
chocolate, and sugary.
2-Base your meals on starchy carbohydrates, such as broad, pasta, rice or
potatoes.
3-Eat at least five portions a day of a variety of fruit and vegetables.
4-Choose some lean protein, which can come from meat, fish, eggs, beans,
pulses and other nondairy sources.
5-Include some milk and dairy foods, such as cheese and yoghurt. These are
great sources of protein and calcium.
6-Have just a small amount of foods high in fat or sugar, or eat them less
often.
7-Cut down on saturated fat, found in processed meats, pies, cakes and
biscuits.
8-Cut down on sugary foods and drinks such as chocolate, cakes, and
biscuits, and sugary soft drinks.
Note: The point very important eating a balanced diet.
 Assessment of school health care programs:-
1-No health education.
2-No nutrition environment and services.
3-No counseling, psychological, and social services.
4-No healthy and safe school environment.
5-No physical environment.
6-No health services.
7-No family / community involvement.

7. Zainal MohammedIsa Universityof Duhok
College of Nursing
8-No health promotion for staff.
Note: just we have vaccination.
 Common diseases of children at school age:-
1-Rubella.
2-Chickenpox.
3-Measles.
4-Scarlet fever.
5-Roseola infantum.
6-flu
7-mumpus
8-poor nutrition
Reference
http://www.who.int/growthref/who2007_bmi_for_age/