Health Promoting Schools Programme

1. Health Promoting Schools Programme HPS Conference UWC 14 – 16 Sept 2006 Vimla Moodley Programme Manager: Health Promotion Programme KwaZulu Natal Department of Health

2. Slow start in KZN HPS promoted thru monthly meetings with Sch. Health Nurses. Developed HPS criteria /tool / IEC In 2000, 4 District officials assess schools according to Prov. criteria. 1st Sch. Launched 9 Sept 2003- Carrisbrooke Pr. Sch. Background………………..

3. Background cont…………….. • 2004 HPS gains momentum with appointment of Prov. Ass.Man. • Provincial HP Assessment Team est. • 11 District HP forums & assessment Teams established. • On going in-service training on HPS by Prov. + attendance of District officials at Winter / Summer School Courses on HPS - UWC

4. PROFILE OF HPS PROGRAMME PROVINCE / DISTRICTS • Provincial level: HPS part of HP Prog. -1 Prog. Manager - 2 Assistant Managers • District level: 1 Cluster Assistant Manager (manages MCWH, Nutrition & HP) • No dedicated HPS Facilitators on District level. • HPS facilitated by different categories of Health Workers i.e EHO’s, Dieticians, Oral Hygienists, School Nurses.

5. HPS Implementation Process • No. of entry points used for HPS-, Schools Essay Competition, Oral Health • District facilitation + assessments • Application for Provincial Assessment. • Prov. Ass. conducted with rep. from other Health Programmes + District officials. • Status - awarded / not awarded- via Healthy Lifestyle event with the community.

6. CRITERIA / ASSESSMENT TOOL • COMMUNITY INVOLVEMENT • Is there involvement at the school? • What does the community do in the school together with the school staff/ learners? • Is there evidence that the School Governing Body is committed and responsible? • Frequency of SGB Meetings? • Record of SGB Minutes • Frequency of Parent Meetings • Is there a record of the number of parents attending the meetings? • Is there Parent’s involvement at school? • What do the parents do? • NGO / CBO / FBO involvement at school. • List the activities that they do? • Volunteerism by parents • School - Community Projects-Clean up campaigns • Are there community gardens near the school or a spin off from the school? • Community Leaders involvement • Is there Municipality involvement?

7. POST HPS STATUS: ANNUAL EVALUATION • To assess whether school activities have been linked with other health programmes e.g. Mental Health, Nutrition, Chronic Diseases, Oral Health etc. • To establish if there is a profile of health problems in the school, whether it has been communicated to the local PHC facility, e.g. any physical, emotional, mental or social problem • To evaluate the impact of Health Promotion in the school on the disease profile, • To identify the phase/stage of the Health Clinical/Assessment process by school health teams at the school • To ascertain if there is a community profile of resources at the school • To establish whether the community is participating in activities at school and having their skills developed at the school

8. STATISTICS KZN Schools per category: • Primary: 3831 • Secondary: 1489 • Combined: 373 • Intermediate & middle: Nil TOTAL= 5693

9. KZN HPS DATA BASE

10. CASE STUDY Sokhela Pr. Sch.: Deeply rural area, no electricity, High unemployment, poverty….. • OBJS – sustain PSNP, establish food garden, improve oral health, improve rain H2O harvesting, eradicate Scabies, assist learners with barriers to educ. • Implementation: Needs assessment – shortage of H2O, hunger (Vit A), rabies,scabies,access to hand washing tools, no kitchen facilities, limited access to potable H20, • Implementation Plan: Plans – build a Kitchen, cont. of PSNP, gutters /tanks(harvest rain H20),recycle gray H20 for use in veg. gardens + fencing, training of learners + community on veg.prod., establish pilot garden site, Scabies educ prog., Oral Health intervention, hand washing prog, & “Tippy Taps” learners with barriers identified & assisted. Linking all above to curriculum. • Monitoring & Evaluation: Scabies eradicated. Rabies – Nil. Oral Health improved. Food gardens established + training on food prod. Duck / chick pilot project. • Stakeholders: Oral Hygenist, Sch Health Nurse, EHP, Dept. Agriculture, Veterinary Services, Members of Community, SGB, Local Councillor, Local Municipality.

11. KZN….. OPPORTUNITIES • 2001 – 2006 Schools Essay Competition • Pilot Project – (NAP) Nutrition & Physical Activity @ schools. • Partnership with DOE growing. • Collaboration with HPC (Health Promoting Clinics) Programme. • Closer working relationship with local municipalities. • Involvement of other Health Programmes / PHC / Community Health Component. • Establishment of Sub District Teams in some Districts.

12. CONSTRAINTS • Need to strengthen & sustain partnerships • No dedicated HPS facilitators on District level. • High level of attrition amongst staff – constantly build capacity & train on HPS. • Need standardized national HPS criteria / tool. • Resources differ from District to District – some weak / others strong. • Need additional staff @ Provincial level to accelerate the process / progress.

13. Future Plans = C U R E D • Continue with Schools Essay Competition as entry point for HPS • Use entry points for HPS-: • Malaria Control Programme • TB as entry point for HPS in eThekwini District (NDOH) Roll out NAP in all HPS schools. • Establish Cluster Team to do Final HPS assessments. • DOE to be supported with HPS initiative in the Schools Centres of Care & Support for sustainability.

14. Ethekwini District Essay writing competition “What must I do to lead a healthy lifestyle in 2006 Thank you for your attention KwaZulu Natal Department of Health