School Health Programme

School health programme
By. Dr. Surbhi Gupta

Background
• India is home to 47.3 crore children (0–18 years) comprising

39 percent of the country’s total population (Census 2011)
• The recent data suggests around 26 crore children in the age
group of 6-18 years are attending schools.
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Objectives
• To provide age appropriate information about health and nutrition

to the children in schools.
• To promote healthy behaviors among the children that they will
inculcate for life.
• To detect and treat diseases early in children and adolescents
including identification of malnourished and anemic children with
appropriate referrals to PHCs and hospitals.
• To promote use of safe drinking water in schools
• To promote safe menstrual hygiene practices by girls
• To promote yoga and meditation through Health & Wellness
Ambassadors.
• To encourage research on health, wellness and nutrition for
children.
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Target Population
• The school health promotion activities will be implemented in

all the government and government aided schools in the
country.
• This will be achieved through the joint efforts and close

coordination between Ministry of Health & Family Welfare
and Department of School Education and Literacy, Ministry
of Human Resource and Development at all levels (Centre
and State).
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Organogram
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Package of Services under School Health
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Operationalization of the School Health
Programme
• Two teachers, preferably one male and one female, in every
school designated as “Health and Wellness Ambassadors”
will be trained to transact health promotion and disease
prevention information in the form of interesting activities for
one hour every week.
• These health promotion messages will also have bearing on
improving health practices in the country as students will act
as Health and Wellness Messengers in the society.
• Every Tuesday may be dedicated as Health and Wellness Day
in the schools.
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Capacity Building of Health and Wellness
Ambassadors
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Components
Curative services:
• The SHNs takes proper medical care of minor ailments of the
children under her charge.
• Preliminary Medical Screening all the students once a year
and enter relevant data in the health record.
• Timely referral of students in need to the appropriate health
facilities.
• Multi Speciality Medical campsare conducted block wise
once a year. Specialities such as dermatology, dental,
ophthalmology and gynaecology were included.
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Components
Preventive services:
• Health education classes by SHN, Medical Officers Supervisory
Staff and Vaccination services
Counseling: The JPHNs identifies various emotional and
behavioural problems in students refer them to appropriate
authorities.
Documentation: The details of screening done by the SHN are
recorded in Health record on daily basis. Other data such as
record of treatment given for minor ailments, health
awareness programme done, medical camps stock at school
etc are done in registers provided.
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Role of Health Department is to provide
• Manpower
• Medicines
• Equipments
• Display boards, Registers for documentation of day to day activities,
Health awareness materials
• Role of Education Department is to provide
• Infrastructure facility for Health corner
• Room/Private space
• Chairs, Tables Bench Almirah
• Temporary facility for the conduct
• Medical camps, exhibitions, seminars etc
• Assign 2 nodal teachers (female & male)
• Provide necessary arrangement for Health activities
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Equpment Kits provided to the schools
BP apparatus
stethoscope
Snellens chart
Thermometer
height and weight measuring apparatus
Basic Medicine
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Structure of Activities
AHD: Adolescent health days
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School Health Promotion Activities
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Health Screening
• Rashtriya Bal Swasthya Karyakram (RBSK) is an important initiative aiming

at early identification and early intervention for children from birth to 18
years to cover 4 ‘D’s viz.
• Defects at birth
• Deficiencies
• Diseases
• Development delays including disability
• The 0-6 years’ age group will be specifically managed at District Early
Intervention Center (DEIC) level while for 6-18 years’ age group,
management of conditions will be done through existing public health
facilities.
• DEIC will act as referral linkage for both the age groups.
• Once the child is screened and referred from school, it would be ensured
that the necessary treatment/intervention is delivered at zero cost to the
family.
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Provision of Services
• Deworming
• Menstrual Hygiene Management
• Health Screening
• Physical and Mental Fitness
• Research
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Upgrading Skills in Emergency Care
• Students and teachers should know the basics of first aid and
should be able to respond to emergencies.
• There should be a first aid box available in each school.
• The teachers and students will be made aware of the various
services available to attend to emergencies like the
ambulance, fire brigade, police, closest health facilityetc.
• Sessions on basic first aid will be taken up and linkages with
local disaster response teams will be made, to build the
capacity of school teachers and children to respond to
emergencies.
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Flow chart of convergence between Department of
Health and Family Welfare and Education
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Flow chart of convergence between Department of
Health and Family Welfare and Education
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Monitoring and Supervision Plan
• Designated teams from the MoHFW and MHRD will monitor

the activities by randomly visiting schools across all
States/UTs.
• Similarly, States/UTs, Districts from Health and Education
departments will also designate teams/officials for field
monitoring.
• States/UTs and Districts will be provided with the necessary
budget for conducting this activity effectively.
• The Block Medical Officer, BRC Coordinators from Education
department, RBSK teams at the block level and Block
Adolescent Health Coordinators will carry out programme
supervision and monitoring on a periodic basis. District Nodal
Officer may decide the periodicity of these visits.
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Monitoring and Supervision Plan
• Block Adolescent Health Coordinators will ensure the

implementation of monitoring plan at the block level.
• All monitoring teams and officials from all levels will use a
standardized common format for field level monitoring.
• The key performance indicators will be used to assess the

performance annually
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Identified Health Conditions for Child Health
Screening and Early Intervention Services
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Roles and Responsibilities of different
Stakeholders
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Stakeholders
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Stakeholders
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Stakeholders
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Display boards and Registers
• In the initial phase of SHP, Display boards were placed in

schools implementing the programme.
• For recording various data a comprehensive health record
and 7 types of registers are provided at all schools.
1. Minor ailments register
2. Health record register
3. Medical camp register
4. Health education class register
5. Observance of important Health days register
6. Health club activity register
7. Stock register
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School health programme

By. Dr. Surbhi Gupta

• India is home to 47.3 crore children (0–18 years) comprising

• To provide age appropriate information about health and nutrition

• The school health promotion activities will be implemented in

• This will be achieved through the joint efforts and close

height and weight measuring apparatus

AHD: Adolescent health days

• Rashtriya Bal Swasthya Karyakram (RBSK) is an important initiative aiming

• Designated teams from the MoHFW and MHRD will monitor

• Block Adolescent Health Coordinators will ensure the

• The key performance indicators will be used to assess the

• In the initial phase of SHP, Display boards were placed in

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