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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.
 
Budget
                        Non Plan- 2003-2004                         Rs. 74,55,000/-
                        Non Plan- 2004-2005                         Rs. 78,91,000/-
 
                                               
            The monthly reports on the prescribed proforma are being regularly submitted to Govt. of India. The targets, achievements in this programme and the major health problems detected in school children during 2003-2004 is as under :-
 
Achievements
 

Year 2003-2004
Students Examined
Found Defective
Students Referred
Teachers Trained
1468060
316737
45420
4172

 
            The diseases mainly observed are diseases of skin, dental caries, defective vision, anemia.
 
Diseases
Anemia                        102264
Skin Diseases              27877 
Defective Vision         17361 
Dental Caries              76513
                       
ACTIVITIES CARRIED OUT
 
DISTRICT LEVEL
 
1.                  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.
 
2.                  D.S.M.O ensures that medical inspections of all primary school children are carried out thrice during the school life of a child.
 
3.                  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.
 
4.                  D.S.M.O ensures to impart necessary training to school teachers to detect common ailments and diseases in school children.
 
5.                  D.S.M.O ensures to impart first-aid training to teachers.
 
6.                  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.
 
7.                  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.
 
8.                  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
 
1.                  Senior Medical Officer of the Block is entirely responsible for implementation of the school health programme in her/his respective block.
 
2.                  Medical Officers are responsible for carrying out the medical inspections of the schools falling in their respective sectors.
 
3.                  Block Extension Education assist and help S.M.O.s to conduct training of school teachers at Block Headquarters.
 
4.                  S.M.O ensure that equipment viz. weighing machines, standard weights chart, tape measures etc. are readily available for this purpose.
 
5.                  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 :-
 
(i)                 Name, age, Sex, address.
(ii)               Name of School, address of school, date of inspection and
(iii)             Measurement of height, weight, nutrition, cleanliness, clothing, footwear etc.
(iv)             Special Examination of teeth, nose, throat, tonsils adenoids, eyes, ears, nails, mental disorders and nervous system etc.
(v)               Personal history, previous illness of any infection & disease, immunization status.
(vi)             Diseases of deformities of heart and specific diseases of lungs, spleen, liver, skin, blood etc. and physical deformities.
(vii)           General observation, direction to parents in-relation to diet, treatment etc.
(viii)         Regular Health Education in the school.
(ix)             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.
(x)               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.
(xi)             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
 
1.         Name of the State :    Haryana
 
2.         Report for the month of
 
3.         Total number of Primary Schools                   Rural               Urban            Total
            (Govt.) in the State.
 
4.         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)
 
 
 
 
 
 

 



 
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website last updated on 29.03.2017