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SCHOOL HEALTH SERVICES. Dr. Pracheth R. Objective. Explain the objectives and components of School Health Service in detail. Outline. Introduction History Health problems Objectives Aspects Administration. Introduction. Economical, powerful means: community health
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SCHOOL HEALTH SERVICES Dr. Pracheth R
Objective Explain the objectives and components of School Health Service in detail
Outline • Introduction • History • Health problems • Objectives • Aspects • Administration
Introduction • Economical, powerful means: community health • Earlier only medical examination- now: health, well being of school children
History • Baroda: 1909 • Bhore Committee • Secondary Education Committee: 1953 • School Health Committee: 1960 • Five year plans • Used to be token service- now evolved
Health problems of school child • Malnutrition • Infectious diseases • Intestinal parasites • Diseases of skin, eye and ear • Dental caries
Objectives • Positive health • Prevent diseases • Early diagnosis, treatment, follow-up • Awaken health consciousness • Healthful environment
Health appraisal • Periodic Medical Examination • History, examination, vision, urine • Parents , teachers: quarterly height • Role of school personnel • Daily morning inspection
Remedial measures and follow-up • Special clinics: primary health centers • Clinic days: intimated • Beds: referral hospitals
Prevention of communicable diseases • Immunization, records
Healthful school environment • Location: • Central, roads • Away: cinema , factories, busy places • Site: • Suitable high land, no dampness • Around 10 acres: high school, 5 acres: primary school
Continued…. • Structure: • Nursery, secondary schools: single storied • Exterior walls: 10 inches, heat resistant • Classroom: • Verandahs attached to classrooms • No classroom : more than 40 • Per capita space: 10 square feet
Continued…. • Furniture: • Suit age of students • Single desks and chairs • Desks: minus type, chairs: back rests • Doors and windows: • Windows : broad, height 2 to 6 feet –ground • Door+ window :25% of floor space
Continued…. • Colour: • Inside colour white, periodically white washed • Lighting: • Sufficient natural light • Water supply: independent safe, portable • Eating facilities: vendors, mid day meals-room • Lavatory:
Nutritional services • Mid-day school meal: • At least one nourishing meal, no profit no loss • Applied Nutrition Programme: • UNICEF: form of implements, seeds, manure, water supply
First aid and emergency care • Teachers training programme • Tackle emergencies: • Accidents leading to minor/serious injuries • Medical emergencies: gastroenteritis, colic, epileptic fits • Fully equipped first aid kit
Mental health • Juvenile delinquency, maladjustment, drug addiction- few problems • School teacher shapes students- prevents problems • Counselors, psychologists
Dental health • Provide dental examination once a year • School dentist: preliminary inspection of teeth, prophylactic cleansing
Eye health services • Early detection of refractive errors, squint,amblyopia • Treat eye infections: trachoma • School personnel: important role-screening • Ophthalmic assistants: identify, treat refractive errors
Health education • Personal hygiene • Environmental health • Family life
Educate handicapped children • Assist handicapped, maximum potential • Productive, independent member of society School health records • Identifying data, past health history • Records: physical examination
School health administration • Primary health centers in rural areas: whole time medical officer cover 5,000 to 6,000 children • School Health Committees: at village, block, district level
Summary • Health appraisal • Remedial measures, follow-up • Prevent communicable diseases • Healthful school environment • Nutrition
Continued….. • First aid , emergency care • Mental health • Dental health • Eye health services • Health education
Continued….. • Educate handicapped children • School health records * Weekly assignment uploaded -Yengage
Questions • Describe in detail the importance and objectives of school health services in India. Mention various aspects of school health services that are to be provided (2+4=6 marks) 2. Describe the organization of school health services programme in your state (3 marks)