School Health

NATIONAL SCHOOL HEALTH SERVICES PROGRAMME

School Health Programme aims at providing medical examination of School children to detect ailments in them and to provide treatment and referral services.

The Activities to be under taken under the Programme involve Medical examination of all Primary School Children at least thrice during their primary school life, Treatment for minor ailments on the spot and to provide referral services to the sick children.

The DSMO is directly responsible for implementation of School Health Programme under the overall guidance of the Civil Surgeon. Senior Medical Officer of the Block is responsible for implementation of School Health Programme in his Block. The Medical Officers are responsible for carry out inspection of schools in their sectors.

 

ACTIVITIES CARRIED OUT

DISTRICT LEVEL

  • D.S.M.O. is directly responsible for implementation of school health programme in their respective districts. They work under the overall supervision of Civil Surgeon.
  • D.S.M.O ensures that medical inspections of all primary school children are carried out thrice during the school life of a child.
  • D.S.M.O ensures to enquire into the cases of out break of infections diseases in the schools and form strategies for further improvement in services under school health programme.
  • D.S.M.O ensures to impart necessary training to school teachers to detect common ailments and diseases in school children.
  • D.S.M.O ensures to impart first-aid training to teachers.
  • D.S.M.O also ensures to keep a vigilant check on the cleanliness and sanitary condition of all the schools and school hostels as well as the quality of food and water served to the children. All the tanks where water is stored to be cleaned daily as in homes and chlorination to be done. For Chlorination training is imparted by D.S.M.O. to the concerned school authorities.
  • D.S.M.O. ensures that health education on common ailments like carries, water-borne diseases, scabies and other skin infection, diarrhoeas and respiratory diseases etc. is imparted to school children and members of the community. D.S.M.O., Medical Officers and Health Workers visiting schools will give health education lectures.
  • D.S.M.O, in consultation with the Civil Surgeon, fixes a day, when children referred by Medical Officers/ Health Workers from schools are medically examined and given adequate treatment at PHCs, CHCs and District Hospitals.. The referral clinics for these children are made prominent by displaying signs on a big board. Regular reporting from these School Health clinics should is sent to the D.S.M.O to be incorporated in the monthly school Health report.

BLOCK LEVEL

  • Senior Medical Officer of the Block is entirely responsible for implementation of the school health programme in her/his respective block.
  • Medical Officers are responsible for carrying out the medical inspections of the schools falling in their respective sectors.
  • Block Extension Education assist and help S.M.O.s to conduct training of school teachers at Block Headquarters.
  • S.M.O ensure that equipment viz. weighing machines, standard weights chart, tape measures etc. are readily available for this purpose.
  • S.M.O ensure that medical examination of school children is carried out methodically and the following points should be taken into account during Medical examination of each child :
  • Name, age, Sex, address.
  • Name of School, address of school, date of inspection and
  • Measurement of height, weight, nutrition, cleanliness, clothing, footwear etc.
  • Special Examination of teeth, nose, throat, tonsils adenoids, eyes, ears, nails, mental disorders and nervous system etc.
  • Personal history, previous illness of any infection & disease, immunization status.
  • Diseases of deformities of heart and specific diseases of lungs, spleen, liver, skin, blood etc. and physical deformities.
  • General observation, direction to parents in-relation to diet, treatment etc.
  • Regular Health Education in the school.
  • Arrangements by S.M.O. and D.S.M.O. are made to provide shellon’s eye testing cards, tongue depressors etc. at the Block level.
  • S.M.O. ensure that through investigations are carried out in case of as outbreak of any infections diseases in the school and remedial measure taken accordingly.
  • S.M.O. in consultation with D.S.M.O will help the children suffering from mental defects, in getting specialized services of psychiatrists at district hospitals and other health institutions.

MONITORING AND EVALUATION

Monitoring is an integral component in the implementation of the programme. It is important to see how many referred children or ill children are treated every month. D.S.M.O. personally monitor & report

BLOCK LEVEL

At Block level, S.M.O ensures to regularly monitor the programme in her/his respective blocks and send a detailed monthly report to D.S.M.O.

DISTRICT LEVEL

At District level D.S.M.O regularly monitors the programme and identify bottle necks in the smooth implementation of the programme and suggest remedial measures accordingly.

STATE LEVEL

Deputy Director (Health Education) is the Nodal Officer for school health programme at State Head Quarter working under the guidance of Director General Health Services, Haryana. & REPORTING to him.

REPORTS AND RETURNS

Civil Surgeons/D.S.M.O ensure to send monthly reports regularly to state headquarters about achievements under school health programme on the monthly Performa already circulated in the field by the 7th of each month.

MONTHLY PROFORMA FOR SCHOOL HEALTH ACTIVITIES

  • Name of the State : Haryana
  • Report for the month of
  • Total number of Primary Schools
    Rural, Urban, Total(Govt.) in the State.
  • Total student population
    Rural, Urban, Total
Sr. No.   DURING THE MONTH COMMULATIVE SINCE APRIL 2002
Rural Urban Total Rural Urban Total
1. No. of Schools visited during the month            
2. Total number of students attended the school during the month.            
3. Total number of students examined            
4. Total number of students found defective            
5. Total number of students referred to various hospitals/ referral Institutions            
6. No. of old cases followed up            
MAJOR HEALTH PROBLEMS / DISEASES OBSERVED DURING EXAMINATION
1. No. of students found anaemic            
2. No. of students found with Vit. ‘A’ deficiency (Night Blindness)            
3. No. of students found with Vit. ‘B’ deficiency (Angular stematitis, glossitis )            
4. No. of students found with Vit. ‘C’ deficiency (Scurvy Bleeding Gums)            
5. Any other deficiency observed            
Total (Sr.No. 1 to 5 above)            
    Skin Exam Cumulative since April
R U T R U T
1. Scabies            
2. Ringworm            
3. Any Other (Specify)            
Total (Sr. 1 to 3 above)            
Eye Exams
1. Refractive room            
2. Squint            
3. Night Blindness            
4. No. of cases advised use of spectacles.            
5. Other (Specify)            
Total (Sr. No. 1 to 5 above)            
Oro-Dental Hygiene
1. Dental Caries            
2. Pyorrhea            
3. Any other (Specify)            
Total (Sr. No. 1 to 3 above)            
E.N.T. Check up
1. Tonsils            
2. Nasal Voice            
3. Defective hearing            
4. Any other (specify)            
(Total Sr. No. 1 to 4 above)            
Worms Infestation
No. of Students advised for stool examination for R U T R U T
1. Roundworm            
2. Hookworm            
3. Thread worm            
4. Giardia            
Total 1 to 4            
Immunization services provided
D.T. R U T R U T
1. 1st dose (if not immunized)            
2. 2nd dose (ear lieratall)            
3. Booster (if fully immunized earlier)            
T.T. (10 years)            
1. 1st dose (if not immunized)            
2. 2nd dose (earlier at all)            
3. Booster            
Postural defects check up            
1. Postural defects observed            
2. Any deformity specify            
Total (Sr. 1 to 2 above)            
Training activities
  R U T R U T
1. No. of teacher trained            
2. No. of Medical Officers trained.            
3. Other (Specify)            
(Total Sr. No. 1 to 3 above)            
Health Education Activities
1. No. of Health talks given in schools            
2. No. of film shows held in schools            
3. No. of Health Education camp held in school            
4. No. of Health Education material distributed in the school.            
5. Any other Health activity under taken (please specify)