HEALTH SERVICES IN

EDUCATIONAL INSTITUTES
Dr. Ajit
Asst. Professor
akumar24@amity.edu

ASPESS
AMITY UNIVERSITY
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 Health In India – Key Indicators

● United Nations calculations show that India’s

spending on public health provision, as a share of
GDP is the 18th lowest in the world (DISE,20011).
• India spends only 4% of GDP on health (WHO,
2013).
●India accounts for more than 20% of global
maternal and child deaths, and recorded the
highest maternal death toll in the world in 2012
(56000/yr).
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● Infant Mortality Rate (IMR) in India was 67.6
in 1998-99 and has come down to 57 in 2005-
06. Kerala heads the progress made so far
with an IMR of 15/1000 births. Uttar Pradesh
has the worst IMR in the country of 73/1000
births.

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● 79% of the children between the age of 6-35
months, and more than 50% of women, are
anemic, and 40% of the maternal deaths
during pregnancy and child-birth relate to
anemia and under-nutrition.

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 HEALTH

Health as a state of complete

physical, social and mental well-
being, and not merely the absence
of disease or infirmity (WHO,
1948).

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 Educational Health Services
.
• Health is a multidimensional concept
and is shaped by biological,physical,
psychological, social, economic,
cultural factors.

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 BACKGROUND
• 1909 in Vadodra, medical examination of school
children were conducted.
• 1946 Bhore Committee, stressed on imp of health
services.
• In 1953, the secondary education committee
emphasized the need for medical examination of
students and school feeding programme.
• In 1960, Gvt of India started school health committee
(Renuka Ray Committee) to assess the standard of
health and nutrition of school children

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 BACKGROUND
• . National Policy on Education (1986, Revised
1992) and in the National Health Policy 1983,
steps were initiated to look at school health
education in a more comprehensive manner
• The National Health Policy, 2002 envisages
giving priority to school health programmes
which aim at preventive-health education,
providing regular health check-ups, and
promotion of health-seeking behaviour among
children.

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 BACKGROUND

The National Curricular Framework 2005 by

NCERT has categorically stated that health is a
critical input for the overall development of
the child and it influences significantly
enrolment, retention and completion of
school. It advocates a holistic definition of
health within which physical education and
yoga contribute to the physical, social,
emotional and mental development of a child.
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 SIGNIFICANCE

• 25.9 million students are enrolled in higher

education in India (FICCI, 2012).
• 6times growth of universities in India (659)
and 30000 colleges (FICCI, 2012).
• Growth and development of children is at
rapid pace which needs to be supervised
• most cost-effective intervention towards
promotion of health in the society

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 OBJECTIVES
• Inculcate healthy habits and lifestyles to promote
healthy behavior and to learn values of hygiene.
• Training of teachers for health activities
• To improve healthy environment in the institutions
which includes safe water, safe disposal of excreta,
waste water and garbage disposal.
• To establish parent teacher association and regular
contact for counseling.

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 COMPONENTS OF HEALTH SERVICES IN
INSTITUTES/SCHOOLS

1. HEALTH APPRAISAL
2. REMEDIAL MEASURES AND FOLLOW UP
3. PREVENTION OF COMMUNICABLE DISEASES
4. HEALTHFUL SCHOOL ENVIRONMENT
5. NUTRITIONAL SEVICES
6. FIRST-AID AND EMERGENCY CARE
7. PSYCHOLOGICAL SERVICES
8. STUDENT HEALTH RECORD
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 1. HEALTH APPRAISAL

• Periodical examination and observation of students.

• Health check up of institutional staff is equally important

• The school health committee (1960) recommends

medical examinations of children at the time of
admission and there after every 4 years.
• Note: Staff should be adequately trained during in
service training course.

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 2. REMEDIAL MEASURES AND FOLLOW UP
• Feedback and reporting to the
parents
• Continuous monitoring
• Special clinics should be conducted
exclusively for students at PHC or RHC
or Dispensaries or Institution clinics
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 3. PREVENTION OF COMMUNICABLE DISEASES

Awareness programs for students about :

– Mumps (viral infectious disease characterized by
enlargement and pain of one or both salivary glands)
– Rubella (viral infection characterized by fever, nodular
swellings and rash)
– Hepatitis-B, Typhoid, Hepatitis-A
NOTE: Coordination with health agencies will be effective
Record should be maintained at school and parents should be
informed in advance.

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 4. HEALTHFUL SCHOOL ENVIRONMENT

The following minimum standards for institutes

have been suggested in India.
– Class room – The institutions should have proper
facilities commensurate with its requirement and
should provide minimum floor space of 1 sq. mtr.
per student in the class room.
• Every institute will also provide proper
facilities for physically challenged students.
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– Furniture- Should suit age groups. chairs should be
with back rest.
– Door and windows- Adequate ventilation for air and
emergency exits.
– Light- sufficient natural light
– Water supply and Sanitation- potable and continuous
water supply, urinals and latrine separately for boys
and girls. The school should scrupulously observe
prescription from the local authority regarding safety,
safe drinking water and sanitation.
– Eating Facility- vendors should not be allowed.
Separate rooms for mid day meal.

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 5. Nutritional Services
Diet should have all nutrients in proper
proportion, adequate for maintenance of
optimum health.
• Dietician should be appointed to set the menu
for mess, cafeteria or hostel.
• Junk foods to be avoided inside campus.

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 6. FIRST-AID AND EMERGENCY CARE

• Teachers and Staff should receive first-aid

training
• Common emergencies in institutes are –
– Accidents,
– Sports Injuries
– Gastroenteritis
– Fits and fainting

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 7. PSYCHOLOGICAL SERVICES
Mental health – juvenile delinquency, drug
addiction common in adolescents.

• There should be a counselor in education

institutes.

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 8. STUDENT HEALTH RECORD

These are useful in analyzing and evaluation school

health services and provides a useful link between
home, institute and community.
• Health record for each child should be
maintained
• Identification data
• Past history
• Physical examination reports
• Immunization history

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 RESPONSIBILITIES OF HEALTH COORDINATORS
•Ensuring that the various components of the Health Program
are integrated within the basic operations of the educational
institute, are efficiently managed, reinforce one another, and
present consistent messages for student learning;

•Developing procedures to ensure compliance with Health

Policies;

•Supervising implementation of institutional Health Policies and

procedures;
•Negotiating provisions for mutually beneficial collaborative
arrangements with other agencies, organizations, and businesses
in the community who have an interest in the health and well-
being of children and their families; 24
•Reporting on program implementation, results, and means
for improvement (to whom and how) regularly.

•Assisting the administrator/school principal and other

administrative staff with the integration, management, and
supervision of the School Health Program;

•Providing or arranging for necessary technical assistance and

resources

•Conducting evaluation activities that assess the

implementation and results of the School Health Program, as
well as assisting with reporting evaluation results.
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Your Questions are welcome

akumar24@amity.edu

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