scholarly journals Primary health problems in rural school children in Lebanon

Author(s):  
Mariana C. Helou ◽  
Salim M. Adib

Background: Primary health problems among school children are rarely disaggregated between urban and rural areas. This report describes findings in children examined during school health visits in a rural region in South Lebanon. Methods: Medical visits were carried out in four public schools in the Qana region, district of Sour, between December 2007 and May 2008. Results: A total number of 887 students were examined. Age varied between 4 and 16 years old.  The majority (78%) had a normal weight for their age. Around 7.1 % of males and 3.5 % of females were considered obese for their age. The most frequent abnormality found was dental caries (59%). In addition, 14% of students had cerumen earplugs, and 3.6% had untreated defective visual acuity. Cases of pediculosis (n=62) were found in just one school, indicating a local outbreak of limited scope. Conclusions: There were only minor differences between health problems in this rural area and those measured in an urban area 10 years earlier. Dental problems continued to be predominant. In future campaigns, health education sessions should be conducted about personal hygiene and adequate nutrition with students, teachers and/or parents, in parallel to conducting the medical visits.  

Author(s):  
Abdul Rauf Awan ◽  
Junaid Jamshed ◽  
Muhammad Mushtaq Khan ◽  
Zahid Latif

<p class="abstract"><strong>Background:</strong> Vision loss<strong> </strong>in childhood has serious implications in all stages of child’s growth and development. It poses social, educational and occupational challenges, with affected children being at greater risk of developing behavioral, psychological and emotional problems, lower self-esteem and poorer social integration. The aim of this study was to assess the prevalence and identify the causes of visual impairment and blindness in school children of UC Gojra, Muzaffarabad, Pakistan so that prevention strategies could be implemented.</p><p class="abstract"><strong>Methods:</strong> This was a<strong> </strong>school-based descriptive cross-sectional study conducted among public and private schools. A multi-stage stratified random sampling technique was used for selecting study participants aged 5-20 years from 24 schools in Muzaffarabad. The vision of school children was examined for visual acuity using standard Snellen chart. Those participants who had visual acuity of &lt;6/18 in either eye underwent a more detailed ophthalmic examination to diagnose the causes of VI. An exploration of demographic variables was conducted using Chi-square test.  </p><p class="abstract"><strong>Results:</strong> The mean age of participants was 10±2.83.<strong> </strong>The prevalence of visual impairment was 19.6% and 2.3% for severe visual impairment. The age group most affected by VI was 11-15 years (74.2%). There were increased chances of developing VI with advancing age of the participants. Males contributed 88.7% of the cases of VI while females contributed only 11.3%. The class category 5-6 had higher percentage of VI cases (32.7%). Public schools contributed 52.8% of the cases of VI while for private schools the corresponding percentage was 47.2%. The leading cause of VI was refractive error (89.3%) followed by amblyopia (5.0%). Other causes of VI included cataract (1.2%), corneal disease (1.8%), strabismus (1.8%) and nystagmus (0.6%).</p><p class="abstract"><strong>Conclusions:</strong> There is a need to implement school health policy on visual screening prior to admissions in schools and annual eye screening program for early detection and prompt treatment of eye problems among school children in Muzaffarabad.</p>


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Adaobi I. Bisi-Onyemaechi ◽  
Afonne N. Akani ◽  
Anthony N. Ikefuna ◽  
Beckie N. Tagbo ◽  
Josephat M. Chinawa ◽  
...  

School health services (SHS) have widespread impact on the health of a large number of children with implications on access to primary health care especially in developing countries. The aim of this study was to assess health services in primary schools in Enugu East Nigeria. Thirty-three head teachers of primary schools in Enugu east Nigeria and officials of Ministry of Education were interviewed using a questionnaire adapted from school health evaluation scale. Four private schools had health personnel. Only six private schools had a health room. Two public schools had a functional first aid box. There were no health records available in any of the schools. School lunch was given by only one private school. Of a maximum of 45, public and private schools had a mean score of 10.3 and 12.7 respectively on the school health evaluation scale (P=0.01). Three schools only attained the minimum acceptable score of 19. Health services are at a minimal level in primary schools in Enugu East Nigeria. A state school health policy should be developed through inter-sectoral collaboration of the relevant stakeholders to use the platform provided by schools to ensure access to primary health care and also act as bridge for more formal medical care for school children.


2021 ◽  
Vol 53 (02) ◽  
pp. 52-56
Author(s):  
Shaukat Kamal ◽  

Of the six vector-borne diseases prevalent in the country, dengue is the second largest cause of morbidity and mortality. The disease is widely prevalent in all parts of the country with variation in intensity including Uttar Pradesh, the largest state of India. Though the disease is known to be urban in nature, cases are being reported from rural areas too. Uttar Pradesh experienced a statewide outbreak of dengue in 2016 and reported 15033 cases and 42 deaths, of which 2772 cases (18.44% of the state) and 18 deaths (42.86% of the state) occurred in the district of Lucknow. The disease is tackled under the guidelines of the Directorate of the National Vector Borne Disease Control Programme (NVBDCP). Accordingly, source reduction and prevention from mosquito bites are the most important techniques in order to prevent the disease spread. Various means like pamphlets and posters containing signs and symptoms of the disease including source reduction and prevention from mosquito bites, written in simple language (Hindi), video clips etc. were used as health educational material. Selected secondary/junior schools were visited as per daily schedule during the month of July in 2017 and 2018, respectively. The sensitisation of the school children played a significant role in bringing down dengue morbidity by 83.73% and 74.74% and mortality by 88.89% and 94.44%, during 2017 and 2018, respectively in comparison to 2016, whereas the case fatality rate (CFR) declined from 0.65% in 2016 to 0.14% in 2018, as the school children along with their teachers played an important role in sensitisation towards the prevention of dengue, due to which they not only became actively involved but also communicated the required messages pertaining to the elimination of breeding sites and prevention from mosquito bites.


2017 ◽  
Vol 5 (1) ◽  
pp. 101
Author(s):  
Haritha S. Kumar ◽  
Sekar Pasupathy ◽  
Balaji Chinnasami ◽  
Balaji Ramraj

Background: School health programmes help in early detection of health problems but the literature about its effectiveness in India is sparse. Hence, this study was undertaken. The aim of the present study is to measure the weight, height and BMI in school children and to interpret it using the IAP growth charts, to estimate the prevalence of stunting, undernutrition, overweight, obesity, refractory errors, hearing impairment and dental caries in children and to compare the prevalence of above parameters among gender and age.Methods: This is a cross sectional study, conducted between January to March 2017 in 3 suburban schools in Chennai, Tamil Nadu. A total of 631 children in the age group of 6-18 years were screened by an expert team. Weight and height was measured using standard equipments, BMI was calculated and plotted on IAP growth charts. Vision was tested using Snellen chart by an optometrist. Dental evaluation was done by a dentist and hearing screening done by an audiologist using puretone audiometry. Statistical analysis was done using Chi-square test, P value of <0.05 was considered as significant. Results: Out of 631 children, 344 were boys and 287 were girls. 507 children belonged to the primary age group (6-12 years) and 124 children belonged to the secondary age group (12-18 years). The prevalence of stunting was 0.7% and was gradually decreasing with increasing age. The overall prevalence of thinness, overweight and obesity was 10.1%, 1.5% and 7.1% respectively. Underweight was more common among the primary age group whereas obesity was more commonly seen in secondary age group. The prevalence of weight abnormalities in both the age groups and sexes were statistically significant. 19% children had visual defects and the prevalence was more in older children. Dental caries was more commonly seen in primary dentition and the prevalence was 18.9%. Due to lack of ambient conditions, only severe hearing impairment was detected. 5 (0.8%) children had severe hearing impairment. Conclusions: The burden of health problems like malnourishment, refractory errors, dental caries and hearing impairment are high in school children. With the results of the present study, we can conclude that there is a need for implementation of school health screening programmes to detect these health problems at an early stage. To bring a significant change in the community, a dedicated national school health screening program is needed


2019 ◽  
Vol 2 (2) ◽  
pp. 102-106
Author(s):  
R Adah ◽  
G Adah ◽  
H Abdu ◽  
C John ◽  
S Okolo

Skin diseases are common causes of morbidity among children in developing Nations. An awareness of the types of skin morbidities seen in school children and the associated factors may enable individuals’ families and government carry out or direct preventive and therapeutic measures appropriately. The aim of this study was to assess the spectrum of skin diseases among primary school children in Jos North Local Government Area. Three hundred and ninety (390) pupils were recruited from some public and private primary schools using multistage sampling technique. Structured Interviewer-administered questionnaires were used to obtain information. Key diagnostics features were used for clinical diagnosis of major skin diseases. Data collected were analyzed using SPSS version 21. There were a total of 199 males and 191 females. Age range was between 6 and 12 years. Prevalence rate of skin disease was 36.2%. A total of 28 different types of skin diseases were seen among the pupils, with infections making up the bulk (47.3%). Among the infections, Tinea (23.9%) was the most prevalent. while dermatitis accounted for 20.7%. There was no sex predilection. Skin diseases were significantly more prevalent in children between 6-7 years ( p-0.014) and associated with lower socioeconomic class (p-0.001) and children from public schools (p-0.000). Preventive and curative health services should be provided in the school health programme especially in public schools for reduction of the prevalence of skin disorders.


2019 ◽  
Vol 2 (2) ◽  
pp. 102-106
Author(s):  
R Adah ◽  
G Adah ◽  
H Abdu ◽  
C John ◽  
S Okolo

Skin diseases are common causes of morbidity among children in developing Nations. An awareness of the types of skin morbidities seen in school children and the associated factors may enable individuals’ families and government carry out or direct preventive and therapeutic measures appropriately. The aim of this study was to assess the spectrum of skin diseases among primary school children in Jos North Local Government Area. Three hundred and ninety (390) pupils were recruited from some public and private primary schools using multistage sampling technique. Structured Interviewer-administered questionnaires were used to obtain information. Key diagnostics features were used for clinical diagnosis of major skin diseases. Data collected were analyzed using SPSS version 21. There were a total of 199 males and 191 females. Age range was between 6 and 12 years. Prevalence rate of skin disease was 36.2%. A total of 28 different types of skin diseases were seen among the pupils, with infections making up the bulk (47.3%). Among the infections, Tinea (23.9%) was the most prevalent. while dermatitis accounted for 20.7%. There was no sex predilection. Skin diseases were significantly more prevalent in children between 6-7 years ( p-0.014) and associated with lower socioeconomic class (p-0.001) and children from public schools (p-0.000). Preventive and curative health services should be provided in the school health programme especially in public schools for reduction of the prevalence of skin disorders.


Author(s):  
Threethambal Puckree ◽  
Pooveshni Naidoo ◽  
Prabashni Pillay ◽  
Therona Naidoo

Background: The prevalence of overweight and obesity in children has been increasing worldwide. South Africa has minimal data on childhood body weight.Objectives: This study determined whether school children in the eThekwini district in KwaZulu-Natal, South Africa, were underweight or overweight.Method: A survey with quantitative and qualitative components was conducted amongst 120 participants between 10 years and 12 years of age. The participants were randomly selected from six public schools in an urban district of the province. A calibrated Goldline bathroom scale was used to measure body weight and a KDS Freo non-elastic measuring tape was used to measure height. A questionnaire consisting of open and close-ended questions collected demographic and lifestyle information. Body mass index (BMI) was calculated from height and weight data. Proportions of obese, overweight and underweight children were calculated and subjected to chi-square tests at the p ≤ 0.05 significance level. All qualitative information was summarised.Results: According to World Health Organization criteria, 66% of the children were underweight, 28% were of normal weight and 5% were overweight. The proportion of underweight children increased with age (64% of children aged between 10 years and 11 years vs 70% for 12-year-olds). Of the underweight children, 41% were female and 51% were Indian.Only one child was obese. BMI was related to dietary patterns and activity levels during and outside school hours.Conclusion: A significant number of primary school children from the six selected public schools in the eThekwini district were underweight. More effort is required to improve the nutritional status of school children in the eThekwini district.


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