Key Features:
- No of Pages: 1 - 67
- No of Chapters: 1- 5
- Tables
- Questionnaire
Introduction:
Abstract
ABSTRACT
A healthful school environment is that which embraces the health and safety of learners and other members of the school community. This study of assessment of implementation of school health of implementation of school health programme in Jere local government area is aimed at assessing the health services provided by the schools. A non-experimental cross-sectional survey design was used and data was obtained from respondents using structured questionnaire in form of interview guide and checklist was also used. Data was analyzed using descriptive statistical technique. Teachers of various secondary schools were contacted at a time to obtain the relevant information as required. Most secondary schools did not provide health services and often neglect health education and consider it as a minor subject, but lay emphasis on other subjects like Mathematics and English.
Table of Content
TABLE OF CONTENT
Title page - - - - - - - - - - i
Certification - - - - - - - - - - ii
Dedication - - - - - - - - - - iii
Acknowledgement - - - - - - - - - iv
Table of contents - - - - - - - - - v
List of tables - - - - - - - - - -
Abstract - - - - - - - - - -
CHAPTER ONE
1.0 Introduction - - - - - - - - - 1
1.1 Statement of Problem - - - - - - - - 2
1.2 Aim and Objectives of the Study - - - - - - - 3
1.3 Research questions - - - - - - - - 3
1.4 Significance of the study - - - - - - - - 4
1.5 scope of the study - - - - - - - - - 4
1.6 operational definition of terms - - - - - - - 5
1.7 List of abbreviations - - - - - - - - 5
CHAPTER TWO
LITERATURE REVIEW
2.0 Introduction - - - - - - - - - 6
2.1 Historical Background of School Health Program - - - - 6
2.1.1 School health in Nigeria: National Strategy - - - - - 7
2.1.2 National School Health Education in Nigeria: a historical overview- - 8
2.2 Empirical Review - - - - - - - - - 9
2.3 Concept of School Health Program - - - - - - 15
2.3 Objectives of the school health program - - - - - - 16
2.4 Major Causes of ill-Health Among School Children - - - - 20
2.5 Components of School Health Program - - - - - - 20
2.6 Factors to be Considered in Planning, Implementing and monitoring
school health program. - - - - - - - - 25
2.7 Importance of school health program - - - - - - 27
2.8 Role of the school nurse in providing school health services - - - 27
2.9 Theoretical framework - - - - - - - - 29
2.9.1 Application of the theory to the study - - - - - - 31
CHAPTER THREE
RESEARCH METHODOLOGY
3.0 Introduction - - - - - - - - - 32
3.1 Research design - - - - - - - - 32
3.2 Area of the Study - - - - - - - - 32
3.3 The population of the study consisted of all the Teachers of Secondary schools in Jere - -- - - - - - - - - 33
3.4 Sample & Sampling Technique - - - - - - 33
3.5 Instrument for data collection - - - - - - - 34
3.6 Validity of the instrument - - - - - - - 35
3.7 Method of data collection - - - - - - - 35
3.8 Methods of data analysis - - - - - - - 35
3.9 Ethical considerations - - - - - - - - 36
CHAPTER FOUR
PRESENTATION AND ANALYSIS OF DATA
4.0 Introduction - - - - - - - - - 37
4.1 Results - - - - - - - - - - 37
4.1.1 Section A: Description of socio-demographic Characteristics - - 37
4.1.2 Percentage distribution of respondents socio-demography
Characteristics - - - - - - - - - 40
4.1.3 Section B: Table of distribution of responses on the health services
provided by the school - - - - - - - 41
4.1.4 Section C: Checklist for assessing the teaching the school
health education - - - - - - - - 43
4.1.5 Section D: Checklist for the resources available in providing
school health service and health instruction - - - - - 43
4.2 Summary of major findings - - - - - - - 44
CHAPTER FIVE
DISCUSSION, SUMMARY, CONCLUSION & RECOMMENDATION
5.0 Introduction - - - - - - - - - 45
5.1 Discussion - - - - - - - - - 45
5.2 Implication for nursing - - - - - - - 48
5.3 Summary - - - - - - - - - 49
5.4 Conclusion - - - - - - - - - 49
1.5 limitations of the study - - - - - - - 49
5.6 Recommendations - - - - - - - - 50
5.7 Suggestion for further studies - - - - - - - 50
References - - - - - - - - - 51
Appendix - - - - - - - - - 54
LIST OF TABLES
Table 4.1.1 Percentage distribution of respondents’ socio-demographic
characteristics. - - - - - - - -
4.1.2 Section B table of distribution of responses on the health services
provided by the schools - - - - - -
4.1.3 Section C Assessing the teaching of school health education
4.1.4 Section D checklist for assessing the resources available in providing school health services and health instruction - - - - -
Introduction
INTRODUCTION
Research and evaluation have demonstrated that school based health centres represent cost-effective investment of public resources. A study conducted by John Hopkins University School of public health attributes a reduction in medical expenditure related to inpatient drugs and emergency department to the use of school based health centre. School health program deals with all aspects of the total school health activities which contributed to the understanding, maintenance and improvement of the health of the school population, particularly the students’ learning environment safe and conducive for learning (American School Health Association, 2006).
According to American School Health Association (2011), school health program are those activities and procedures that contribute to the maintenance and improvement of the health of school children and staff including health services, healthful living and health education. The healthy development of children and adolescents is influenced by many societal institutions. After the family, school represents the second most influential environment in a child's life. The school is the primary institution responsible for the development of young people all over the world. (Centers for Disease Control and Prevention, 2011).
Schools have direct contact with more than 95 percent of the nation’s young
people aged 5–17 years, for about 6 hours a day, and for up to 13 critical years of their social, psychological, physical, and intellectual development. The health of young people is strongly linked to their academic success, and their academic success is strongly linked with their health. Thus, helping students stay healthy is a fundamental part of the mission of schools
(Centers for Disease Control and Prevention, 2011).
School health program is geared towards preventing, protecting and improving the health status of the school population to enable them benefit fully from the school system. The school provides a unique opportunity for health education and a means of establishing a firm foundation for the healthy habits of the future adult population of any nation (Federal Ministry of Education, 2006).
1.1 STATEMENT OF PROBLEM
Children spend a considerable part of their life in school and they are exposed to a variety of environmental, physical, emotional and social influences. Accident can occur in the classrooms, playground and on streets when going to school or home. The various types include- Laceration and wound which occur from sharp objects; Fractures and sprains which occur as a result of a fall from a height or from a direct blow. Foreign body in the ear, nose, eyes or throat, for example coin, stone, nuts, beads. Bites and stings from snake or scorpion, dog or human beings. (Clark, 2004).
A significant number of students engage in behaviours that threaten their health, such as unsafe sexual activity, suicide attempts, and substance use (Adolescent Health Research Group, 2003). In particular, students who are failing in education have exceptionally high healthcare needs (Denny, Clark & Watson, 2004). Also health-risk behaviours such as substance use, violence, and physical inactivity are consistently linked to academic failure and often affect students' school attendance, grades, test scores, and ability to pay attention in class (Federal Ministry of health, 2009).
The prevalent diseases in Nigeria include malaria, malnutrition, measles, respiratory infection, diarrheal diseases and sexually transmitted diseases (STDs), including HIV/AIDS. The findings of a recent study of health problems in a secondary school showed that the diseases are also prevalent among students. The study also showed that the health risk factors among students include drug use (32.2%), alcohol (9.6%) and smoking (4.2%). (Federal Ministry of Health, 2006).
The majority of the public schools in Jere are over populated and are located in bushy areas some kilo meters away from the community. Schools located within these areas do not have good drainage which accumulates stagnant water making it a good breeding site for mosquito, grasses grow long and harbour reptiles like snake and other harmful insect. There is no good water supply which exposes the school children to water borne diseases (Observation).
Despite all these problems, only a few schools do have school health centres some of which are not functioning or effective. For this purpose, this study will assess school health program in secondary schools in Jere LGA. There is therefore the need for simple and flexible system that will provide regular collected data that are available for use at the local, regional and national levels.
1.2 OBJECTIVES OF THE STUDY
This study is aim at assessing school health program in public secondary schools in Jere Local Government. The specific objectives of the study are:
• To assess the health services provided by the schools
• To assess the teaching of school health education/instruction
• To assess the resources available in providing school health services and school health instruction
1.3 RESEARCH QUESTIONS
• What are the health services provided by the schools?
• How is health education being taught in the schools?
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