Modified School Health Programme ppt

MODIFIED SCHOOL HEALTH PROGRAMME: 

MODIFIED SCHOOL HEALTH PROGRAMME Dr.P.Vadivelan , MBBS., DPH Joint Director (HEB)

INTRODUCTION: 

INTRODUCTION Children must be healthy to be educated and must be educated to be healthy Schools are the place where students, staff can experience and learn comprehensive health, fitness, skills and healthy behaviours which have lifelong value

Health Situation Among Students: 

Health Situation Among Students The following facts expose the lacunae in health situation among students 44% of children <5 yrs are stunted or too short for their age 38% are under weight 90% of suffer from gum problems Prevalence of dental carries ranges around 40% 4.7% of students use some form of tobacco 36.9 % smoking initiation before the age of 10 amongst smokers 1.6% of students are overweight. Hence MSHP has been evolved to facilitate the growth & development of children of school age in Tamil Nadu. This program prevents and detects health problems and maintain and improve the health situation of the students.

PRINCIPLES OF MSHP: 

PRINCIPLES OF MSHP All children should have access to quality School Health Programme services Services should focus on prevention, early intervention and strengthening the health status of the children. Collaborative links between education, Health and other agencies should be developed to ensure co-ordination for effective implementation of school health services.

BENEFITS OF MSHP: 

BENEFITS OF MSHP Improve student’s health & school environment Increases school attendance Improve relationships between students & staff Maximise school & community resources through co-ordinated efforts Improve student, staff & community involvement in the life of the school

MODIFIED Means: 

MODIFIED Means New School Health Card Comprehensive Health Education Primary Screening by Teachers First Aid Management at schools Counseling Services Mobility support ( Fuel /Hiring) Hiring of Doctors ( In vacant posts) Sex wise collection of Morbidity Data New Initiatives

MSHP PACKAGES: 

MSHP PACKAGES

COMPONENTS OF MSHP: 

COMPONENTS OF MSHP I.COMPREHENSIVE SCHOOL HEALTH EDUCATION Provided students with the knowledge and skills to promote healthy behaviours HEAL MODULE LEARNING ( Health Education through active learning) For 6,7 & 8 th standards Comprising 24 lessons every year during Moral Instructions period on Fridays for 24 weeks

CONTENTS OF “HEAL” MODULES: 

CONTENTS OF “HEAL” MODULES Prevention & control of diseases Nutritional Health Physical Fitness Personal Hygiene, alcohol, tobacco & other drugs Safety & Accident Prevention Growth & Development

HEALTH PROMOTION COMMITTEE: 

HEALTH PROMOTION COMMITTEE Comprises of Head Master Physical Training Teacher Trained Teachers Student Representatives PTA Co-ordinator from PHC

ACTIVITIES OF HEALTH PROMOTION COMMITTEE: 

ACTIVITIES OF HEALTH PROMOTION COMMITTEE Arrange seminars/lectures regarding exercise, yoga, healthy food, hazards of tobacco/alcohol etc once in a week Tree Planting Ensure safe drinking water / Toilets Promoting NSS/NCC activities Arrangements of sports meets Develop First Aid clinics Promote Kitchen gardens Celebration of world Health day etc Rs.1000/- Seed Money for each committee

HEALTH SCREENING BY PHC TEAM: 

HEALTH SCREENING BY PHC TEAM MICRO PLAN - Annual microplan including all govt & Govt. Aided schools & hostels

MEDICAL SCREENING OF STUDENTS: 

MEDICAL SCREENING OF STUDENTS SCHOOL MEDICAL TEAM - THURSDAYS

SERVICES OF SCHOOL MEDICAL TEAM : 

SERVICES OF SCHOOL MEDICAL TEAM Minor ailment treatment Referral on Saturdays Immunisation Deworming IFA supplementation Health Education IEC

DRUG KIT FOR SCHOOL HEALTH VISIT: 

DRUG KIT FOR SCHOOL HEALTH VISIT Tab. Albendazole Tab IFA Tab Paracetamol ORS Gentamycin eye drops Gamma Benzene HeRachlocide Cetrimide cream Absorbant cotton Bandage Cloth Anti histamine- CPM Anti emetic Anti spasmodic

MOBILITY SUPPORT TO TEAMS: 

MOBILITY SUPPORT TO TEAMS Hiring / Fuel charges Rs.250/ visit (PHC without vehicles)

HIRING OF DOCTORS: 

HIRING OF DOCTORS Rs.1000/ Doctor / School Health Day ( Against sanctioned vacant posts)

REFERRAL & FOLLOW UP: 

REFERRAL & FOLLOW UP Referral to tertiary institutions Rs.100/ student for transport

IMMUNISATION: 

IMMUNISATION VACCINE Age Dose Route DT / DPT Booster 5-6 Yrs 0.5 ml Intramuscular TT -10 10 Yrs 0.5 ml Intramuscular TT-16 16 Yrs 0.5ml Intramuscular

EYE CARE: 

EYE CARE Screening by teachers first PMOA assessment for screened students

DEWORMING: 

DEWORMING Mass administration of albendazole Biannually ( July & February)

DENTAL CARE: 

DENTAL CARE Primary Screening by Teachers Filling / Extraction during School Dental Programme

ANAEMIA MANAGEMANT: 

ANAEMIA MANAGEMANT Weekly IFA to the adolescent girls on Thursdays – Iron Day Class Teachers distribute the tablets

ENVIRONMENT SANITATION: 

ENVIRONMENT SANITATION HI s should ensure - Safe water & clean sanitation - Hygienic class rooms & environment - Survey on Thursdays - Quality of food

COUNSELLING: 

COUNSELLING Mental & Behavioral Screening by Teachers & SHNS

NEW SCHOOL HEALTH CARD MAINTENANCE: 

NEW SCHOOL HEALTH CARD MAINTENANCE Complete Health profile for students Class teacher maintaining the card General information filled by teachers at the start of every year Para medicals fill the card before medical examination New cards for 1 st & 6 th std. students Cards should be issued along with TC

BMI SCREENING: 

BMI SCREENING BMI Assessment Referral of underweight & overweight for counseling

ONLINE DATA ENTRY: 

ONLINE DATA ENTRY Action under progress for online entry at PHC level. At present, the reports may be sent through excel format

MANAGEMENT STRUCTURE AT STATE LEVEL: 

MANAGEMENT STRUCTURE AT STATE LEVEL State level Committee District Level Committee District School Health Programme management Cell Activities of District School Health Programme management Cell MSHP Management at school level

Management Structure at State Level: 

Management Structure at State Level S . No Department Role 1 Director of Public Health & Preventive Medicine , (MSHP IMPLEMENTOR) School Medical Teams Mobility Support to Teams Hiring of Doctors Minor Ailment Management Referral and follow up Immunisation Eye Care Dental Care Environment and Sanitation Survey PHC level sensitization Provision of Drug Kits to School Medical Teams Ongoing Regular School Health Training

Management Structure at State Level: 

Management Structure at State Level S.No Department Role 2 School Education Department & Department of Elementary Education ( MSHP IMPLEMENTATIOR) Maintenance of New School Health cards Implementation of HEAL module Allotting MI period on Fridays for HEAL HPC Formation and Fictionalization Adolescent Anemia Management – “Iron Thursday” Deworming BMI Screening First Aid management School Level IEC 3 DTERT Training of Nodal Teachers / Teachers 4 SSA Regular School Health Training Fund Routing to Schools 5 State NCD cell Designing , Developing, capacity building documentation 6 State Health Society (Policy Insight And Leadership) Funding the programme

DISTRICT LEVEL COMMITTEE: 

DISTRICT LEVEL COMMITTEE Members District Health Society members Chief Education Officer Principal, DIET DEEO Activities Will be convened once in 3 months Review progress of MSHP Discuss issues relating implementing MSHP Take decisions for effective implementation of MSHP

District School Health Program Management Cell: 

District School Health Program Management Cell Deputy Director Dt.Training Team AD(SBHI) DMCHO

Activities of Dt.School Health Programme Management Cell: 

Activities of Dt.School Health Programme Management Cell Dt. Level annual School Medical team visit micro plan Provide training to teachers & Health workers To keep a vigilant check on cleanliness, sanitation & safe drinking water in all schools & school hostels Compilation of Monthly/ Quarterly / Annual reports Monitoring and supervision of implementation, referral services, funds, etc., Identify the hurdles & find remedial measures for smooth implementation of the programme

MSHP MANAGEMENT SCHOOL LEVEL: 

MSHP MANAGEMENT SCHOOL LEVEL

Activities & Responsibilities of Medical Team: 

Activities & Responsibilities of Medical Team The MO should conduct medical examination for students with the help of Para medical staff. Notify School authorities about the visit Students on 1, VI & XI std should be examined first & other students should be taken up School Medial Visit should be as per the plan & if any backlog special drive should be planned The medical examination of the student should be done in the presence of respective class teacher The MO should fill the treatment register compulsorily First Medical Examination is mandatory for one student

MEDICAL EXAMINATION: 

MEDICAL EXAMINATION General Health, Physical measurements & personal hygiene Eye Examination Ear discharge & hearing problems Common dental conditions Congenital Heart defects & Rheumatic arthritis Disabilities screening Learning disorders/behavioral disorders/ stress/anxiety Assess the prevalence of anemia in adol. Girls

MAINTENANCE OF SCHOOL HEALTH CARD: 

MAINTENANCE OF SCHOOL HEALTH CARD The class teacher should fill up the basic details n the month of June The teacher, paramedical staff and MO shall record the results of the medical screening & examination Confidential matters of medical examination SHOULD NOT be entered The School management is responsible for SH card. For updating, safekeeping & transfer to other schools along with TC The Head master, Medical Officer & the health representative in health promotion committee shall have access to the cards, treatment register & referral triplicate formats.

CLASS TEACHERS’ RESPONSIBILITY: 

CLASS TEACHERS’ RESPONSIBILITY Fill up of basic details in SH card Filling up of health observation component with all anthropometric measurements To identify students with special concerns, disabilities, learning disabilities or emotional disturbance & notify the VHN & MO To inform students at least one day before about the visit of School Medical Team To encourage involvement of parents on the outcome of medical examination To organize health education classes on the day of Scl MEdl. Team visit To support the medical team along with health promotion committee members Inform in advance the health promotion committee members & their duies briefed To request head master to provide 4-5 teachers for assistance Preferable 20 students can be made to stand in queue To support follow up of referred cases Arrangements at the venue

RESPONSIBILITIES OF SHN, VHN & HI: 

RESPONSIBILITIES OF SHN, VHN & HI To work in close association of class teacher To treat minor ailments under supervision of MO Maintenance of SH card, follow up of referred cases & train school teacher on proper health observation technique To advise & assist in proper environmental sanitation in schools Maintain stock register Provide quality health education to teachers & students Supervise mid day meals programme and give advice on proper nutritional diet Responsible for proper immuisation under supervision of MO Home visits for follow up of referred students & provide health advice to parents Organise Observance of health days at schools Set up an anonymous question box in the school with lock & key. St a day for opening the box and answering the queries of students

PROGRAM IMPLEMENTATION: 

PROGRAM IMPLEMENTATION Training of Dist.TOT Training of Teachers Orientation to MOs & Field Health Staff Formation of Committees at Districts & Schools Monitoring of supply of materials to schools Monitoring supply of Drugs & First Aid kits Preparation of Annual Plan Visit of Medical Teams on the Fixed Days Survey of Environment & sanitation of schools & rectification of defects identified Follow up of referrals Report submission Review on the progress of the MSHP

CALENDER OF ACTIVITIES: 

CALENDER OF ACTIVITIES Sate level: Capsular Training of Trainers for DDHS & Principals of RTI Partcicpants Date Duration Venue Responsible Person Material 68 04.07.2011. 1 DAY HFWTC - Egmore DPH &PM MSHP, DENTAL, Health Card. District Level: b)Training of Trainers for DTT officials Partcicpants Date Duration Venue Responsible Person Material 210 07.07.2011 1 DAY All RTIs DPH &PM , DDHS, & Principals MSHP, DENTAL, Health Card.

CALENDER OF ACTIVITIES: 

CALENDER OF ACTIVITIES c) Training of M.O. PHCs, Dental Surgeons of PHCs [1589 M.O.s, and 218 Dental Surgeons ] Participants Date Duration Venue Responsible Person Material 1807 11.7.2011 ½ DAY O/o DDHS DDHS&DTT Members MSHP, DENTAL, Health Card. Block level: d) Sensitization for Health Staff [@ 60 persons x385 Blocks] Participants Date Duration Venue Responsible Person Material 23100 July 12 th 1 DAY At PHCs BTT officials & Field Health Functionaries. Instructional Guidelines.

CALENDER OF ACTIVITIES: 

e) Key Resource Persons ( KRP-) Training i.e. DIET Professors & School Teachers of DTERT-[ 1 team for 30 participant- i.e.2 faculties from Education Dept & 1 Faculty from Health Dept i.e. KRPs 430Batches x 3=1290 ] Participants Date Duration Venue Responsible Person Materials 1290 18 th,19 th ,20 th of –July 1 Day RTI Health Department [in co-ordination with Education Dept] MSHP Programme Guidelines & other materials. including DVD & IEC materials CALENDER OF ACTIVITIES

CALENDER OF ACTIVITIES: 

f) MSHP Prog -Teachers Training [@ of 2 teachers per school x 6446Schools = 12892] Participants Date Durati - on Venue Responsibl -e Person Materials 12900 July to Aug 1 Day Education Dept. Training Centres .(DIET) DTERT & DIET MSHP Programme Guidelines & other materials.including DVD & IEC materials. CALENDER OF ACTIVITIES

Slide 46: 

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