lt h P r o g ra m s i n

School Hea
r S tr e n g t h s a n d
India & Thei
Weaknesses

sha Tomer
Submitted To – Dr. Vidi
6121 66)
bm itt ed By – A.K . Kanchana Dassanayake (11
Su
72)
Nuwan Malinga(116121
)
Venu Madhav(11612959
 INTRODUCTION
• School health programs are integrated set of planned,
sequential, school-affiliated strategies, activities, and
services designed to promote the optimal physical,
emotional, social, and educational development of students.

• It’s has been necessitated and launched in fulfilling the

vision of NRHM to provide effective health care to
population throughout the country.
• The beginning of school health service in India date back to
1909, in Baroda city.

• In 1961 the five year plan, many state provided for school
health and school feeding program.

• Those focused on effective integration of health concerns

through decentralized management at district with
determinant of health like sanitation, hygiene, nutrition, safe
drinking water, gender and social concern.
 AIM & OBJECTIVES
Comprehensive care’ for the health & well being of all
children.
1.Promotion of positive health
2.Prevention of diseases.
3.Early diagnosis, treatment & follow up of defects.
4.Awakening health consciousness in children.
5.Provision of healthful environment
 Four Levels Of Health Care

SCHOOLS & ANGANWADIS

BASIC By Teachers/ASHA/ MPHW

SCHOOLS & ANGANWADIS

PRIMARY By Medical Officers

CHC / DISTRICT HOSPITALS

SECONDARY
By Specialist Doctors

INSTITUTE / APEX
TERTIARY
HOSPITALS
 COMPONENTS OF SCHOOL HEALTH
PROGRAM

• Screening, health care and referral

• Immunization
• Micronutrient (Vitamin A & Iron, Folic Acid) management
• De-worming
• Health promoting schools
• Capacity building
• Monitoring & evaluation
• Mid day meal
 HEALTH PROBLEM OF THE SCHOOL
CHILD

1. Malnutrition
2. Infectious Diseases
3. Intestinal Parasites
4. Disease Of Skin, Eye And Ear
5. Dental Caries
 SERVICES PROVIDED
• Health check up
• Prevention of communicable disease
• Spot treatment
• Free spectacles
• Free super specialty treatment for heart , kidney and cancer disease
including renal transplant

• Nutritional services(MDM, applied nutritional program, specific

nutrition)
 MODELS OF SCHOOL HEALTH
• The three component model (1900-1980s)
• The eight component model/CDC (center for
disease control and prevention) model (1980s)

• Family-School-Community model (1990)

• ACCESS (Administration, Community,
Curricula, Environment, School, and Services)
model (1990)

• Full-service schools (DRYFOOS, 1994)

• Health promoting schools (HPS) (1995)
• Complementary ecological model of the CSHP
 HEALTH PROMOTING
SCHOOL (HPS)

DEFINITION –

A health promoting school is one that constantly

strengthens its capacity as a healthy setting for
living, learning and working (WHO)
 MODELS
The Three-Component Model –
This considered as the traditional model of a school
health program. originating in the early 1900s and
evolving through the 1980s.
Basic components –
1. Health education
2. Health services
3. A healthful environment
THE EIGHT-COMPONENT MODEL –
Eight-component model called as a “comprehensive school health program. It’s consisting of the following components –
1.
Health education
2.
Health services
3.
Healthy school environment
4.
Physical education
5.
Nutrition services
6.
Health promotion for school staff
7.
Counseling, psychological, and social services
8.
Parent and community involvement
Full-Service Schools -

• Full-service school model

involves a one-stop, seamless
institution, where the school is
the center for providing a wide
range of health, mental health,
social, and/or family services in
addition to quality education
 OBJECTIVES OF SCHOOL HEALTH
SERVICES

• Promotion of positive health

• Prevention of diseases
• Provision of healthful environment
• Early diagnosis, treatment and follow-up of defects
• Awakening health consciousness in children
 ASPECTS OF SCHOOL HEALTH
SERVICE
• Nutritional services
• First aid and emergency care
• Prevention of communicable diseases
• Healthful school environment
• Mental, dental, eye health
• Health education
• Education of children with special needs
 SCHOOL HEALTH PROGRAMMES

• Mid day meal programmes

• Supplied nutrition programme
• Applied nutrition programme
MID DAY MEAL PROGRAM(MDM)

•First to initiated in primary schools during 1962-63 by Tamil Nadu to

improves three areas - school attendance , reduced dropouts & a
beneficial impact on children’s nutrition.
•In 2001 MDMs became a cooked mid day meal scheme under which every
child in every government and government aided primary school was to be
served a prepared mid day meal with a minimum content of 300 calories of
energy and 8-12 gram protein per day for a minimum of 200 days.
•In July 2006 , the nutritional norm was revised to 450 calories and 12 gram
of protein & October 2007, the scheme was extended to cover children of
upper primary classes
 OBJECTIVES OF THE MID DAY
MEAL SCHEME
• Improving the nutritional status of children in classes I – VIII
in government, local body and government aided schools,
and EGS and AIE centers

• Encouraging poor children, belonging to disadvantaged

sections, to attend school more regularly and help them
concentrate on classroom activities.

• Providing nutritional support to children of primary stage in

drought-affected areas
 APPLIED NUTRITION PROGRAMME

• Introduced as a pilot scheme in Orissa in 1963 which later

on extended to Tamil Nadu and Uttar Pradesh with the
objectives of - promoting production of protective food
such as vegetables and fruits and ensure their consumption
by pregnant and nursing mothers and children.

• During 1973, it was extended to all the state of the country.

• The nutritional education was the main focus and efforts
were directed to teach rural communities through
demonstration how to produce food for their consumption
through their own efforts

• The beneficiaries are children between 2-6 years and

pregnant and lactating mothers.

• Nutrition worth of 25 paisa per child per day and 50 paisa

per woman per day are provided for 52 days in a year. no
definite nutrient content has been specified.
 Strengths School Health Programs

1. Widely accessible communication network

2. Easily retrievable health data through micro planning for the
entire project.
3. Appreciation & reward system for the peripheral health provider
4. Dedicated team for the program
5. Designated referral centers for the screened out children
6. The beneficial results obtained so far
 Weakness School Health Programs
Component
Program Management and Staffing
Program Planning and Monitoring
Professional Development Events
and Technical Assistance
Partnerships
Other
Weakness
Limited professional development
opportunities for staff
Lack of staff skills in collecting and
analyzing data for program planning
training cadre too small
No working relationship with department
of education assessment unit
Insufficient work space and storage