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BY CYNTHIA BOSUMTWI-SAM. NATIONAL SCHOOL HEALTH EDUCATION PROGRAMME (SHEP) IN GHANA. BACKGROUND OF SHEP. 1964-Welfare unit school meals programme initiated by Ghana Education Service. Current SHN programme initiated out of 1990 World Conference on EFA (Jomtien).
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BY CYNTHIA BOSUMTWI-SAM NATIONAL SCHOOL HEALTH EDUCATION PROGRAMME (SHEP) IN GHANA
BACKGROUND OF SHEP • 1964-Welfare unit school meals programme initiated by Ghana Education Service. • Current SHN programme initiated out of 1990 World Conference on EFA (Jomtien). • Feb/March 1991-School health survey conducted in 4 regions by health education unit of the MOH • A joint programme initiated by Ministry of Education Science & Sports (MoESS) and the Ministry of Health (MoH), in 1992. • MoESS given the lead role; MoH provides technical support.
BACKGROUND OF SHEP CONT’D • The Ministry of Local Government, Rural Development and Environment (MLGRDE) through the Environmental Health Officers has responsibility for inspection of premises and certification of food vendors. • Other Ministries, Departments and Agencies and stakeholders contribute to school health education in Ghana.
POLICY GOALS • Two out of Ten Policy Goals for Education Delivery in Ghana are directly related to the implementation of school health interventions: “Promote and inculcate the values of good health and environmental sanitation in schools and institutions of higher learning” (Goal 4) “Identify and promote educational programmes that will assist in the prevention and management of HIV/AIDS” (Goal 9)
VISION OF SCHOOL HEALTH EDUCATION A well informed healthy school population equipped with life skills, to maintain healthy behaviour.
COMPONENT AREAS • Skills-based health education Beneficiaries acquire knowledge and skills, through curricular and co-curricular activities to make informed choices for healthy living.
COMPONENT AREAS CONT’’D • School Sanitation & Hygiene Education • Disease control: • Diarrhoea • Deworming: Intestinal, Guinea worm, Bilharzias and others • STIs, HIV & AIDS • Malaria • Food & Nutrition • Substance & Drug abuse • (Road) Safety & Security • First Aid, Physical Education etc.
COLLABORATORS • Government Ministries, Departments and Agencies • Parent Teacher Associations / School Management Committees • Development Partners –UNICEF, Danida, WHO, JICA, etc • Non Governmental Organisations, Community Based Organisations, Faith Based Organisations etc
SHEP NATIONAL LEVEL LINKAGES Development Partners DANIDA, UNICEF, JICA,, WHO,WFP etc MOH – Nutrition Reproductive & Child Health, School Health, Health Promotion, Disease Control, Eye Care etc MLGRD Policy Planning & Management Unit MoESS SHEP • Narcotics Control Board • Road Safety Commission • Red Cross Society MWRW&H CWSA NGOs CONIWAS, WVI, Plan Ghana etc.
SSHE ACTIVITIES • Encourage access to safe water in schools • Provide latrines & Hand-Washing facilities • Form and train School Health Committees in user education, operation & maintenance of facilities • Support training of Food Vendors • Provide Capacity building for School Health Coordinators • Develop Monitoring & Supervision system and provide training • Support training of School Health Committees
SSHE ACTIVITIES CONT’D • Produce IE&C materials for school children • Produce Teaching aids & manuals • Support Hygiene education & promotion campaigns for & with school children (PPPHW) • Encourage Formation of School Health Clubs • Competition & Quiz with school children
DISTRICT LEVEL LINKAGES GES SHEP Coordinator • DISTRICT ASSEMBLY • District Water & Sanitation Team • Environmental Health Assistants • HIV/AIDS Focal Person GHS DISTRICT HEALTH MGT.TEAM Community Health Nurse NGOs
SCHOOL LEVEL LINKAGES School Health Committee Head teacher, School-based Health Coordinator, Pupils Reps Community Rep PTA Food Vendors SMC Health Worker
MATERIALS • Sanitation and Hygiene Manual has been revised. • IE& C materials on sanitation and hygiene have been developed. • School Health Guidelines have been jointly developed with GHS- it spells out roles and responsibilities of the various Govt actors
CHALLENGES • Vandalisation of institutional latrines • Construction Defects in latrines • NGOs working directly in districts/schools • Inadequate funding for SHEP activities • Competing demands for capitation grant • Lack of support by some school communities • Lack of sanitation facilities in some schools