scholarly journals Status of Public Primary Schools: Safety, Health Service Provision and Environmental Health Facilities in Sokoto Metropolis, Northwestern Nigeria

2021 ◽  
pp. 22-31
Author(s):  
Auwal Usman Abubakar ◽  
Ismail Abdullateef Raji
Keyword(s):  
Health Service ◽  
Environmental Health ◽  
Service Provision ◽  
Primary Schools ◽  
School Health ◽  
Sampling Technique ◽  
First Aid ◽  
Health Facilities ◽  
Cross Sectional ◽  
Health Service Provision

Background: Provision of security, health services and environmental health facilities in schools is crucial in achieving the overall goals of the School Health Programme (SHP) because of their implications in all the areas of school health and plays an important role in the safety of school community and in retention and learning outcomes of students. We aimed to determine the status of public primary schools with respect to safety, health service provision and environmental health facilities in Sokoto metropolis, Northwestern Nigeria. Methods: We conducted a cross sectional descriptive study among 40 public primary schools by multistage sampling technique. We collected data with an observation checklist using an electronic Open Data Kit (ODK) and analysed for descriptive statistics using SPSS version 23. Results: The majority of schools had no security fence 21 (52.5%). Security/ safety teams were present in about a third 15 (37.5%) of the schools. None of the schools had a fire alarm. However, fire extinguisher was available in only 3 (7.5%) of the schools. Health room or sick bay 16 (40.0%) and health register 14 (35.0%) were available in less than half of the schools. Health personnel 3 (7.5%) and school ambulance or school bus 3 (7.5%) were available in only a few schools. First aid box was available in most, 38 (95.0%) of the schools. However, less than half, 17 (40.0%) of the schools had Iodine in their first aid boxes. Presence of handwashing facilities with soap was observed in only 3 (7.5%) of schools. All the schools use open dumping as means of refuse disposal; however, dustbin for refuse collection in classes was observed only in about a third, 15 (37.5%) of the schools. Traditional pit latrine was the most predominant toilet type 27 (67.5%) in schools. Conclusion: Resources concerning safety, health service provision and environmental health facilities were found to be grossly inadequate in most of the schools observed. Government agencies involved in school administration should collaborate with other stakeholder’s in ensuring the provision of adequate resources for school health program.

scholarly journals The Impacts of Cost Sharing in Health Services in Geita Distrct, Tanzania

2017 ◽  
Vol 4 (1) ◽  
pp. 15-24
Author(s):  
Robert Ngelela Shole
Keyword(s):  
Health Service ◽  
Health Services ◽  
Social Services ◽  
Service Provision ◽  
Cost Sharing ◽  
Service Providers ◽  
Health Workers ◽  
Cross Sectional ◽  
Health Service Provision ◽  
The Impact

A study on the impact of cost sharing in health services was carried out in Geita District focussing on health service provision. A sample size of 96 respondents includes 24 health workers and 72 households’ heads. Household heads were chosen to represent the community receiving health services. Health workers were chosen to represent health service providers who are providing health services in the study area. A cross sectional research design was adopted involving administration of structured questionnaires to both primary and secondary partners, complemented by relevant documentation. Statistical Package for Social services (SPSS) software was employed in data coding and analysis. The study revealed that the aim of cost sharing on health service is good. But the nature of the Tanzanians of being poor among the poorer and poor government procedure for sensitizing its policies before implementation impend the target and objectives of cost sharing on health service. More than 67% people earn less than 50,000 per month and more than 10% do not attend hospital services if they become sick. Also, more than 58% of people are not aware about cost sharing on health service. The study makes the following recommendations to improve health service provision under cost sharing policy. The spirit of working very hard in production activities should be done by all Tanzanians to reduce poverty. The government should educate its people at all levels such as villages, wards, division, district, region and national to make them aware on any policy like cost sharing on health service. Capacity building should be done to health workers to follow all the guidelines and conditions of cost sharing on health service provision.

Impact of the 2007 Ica Earthquake on Health Facilities and Health Service Provision in Southern Peru

2009 ◽  
Vol 24 (4) ◽  
pp. 326-332 ◽  
Author(s):  
Erica Chapin ◽  
Amy Daniels ◽  
Rosa Elias ◽  
Daniel Aspilcueta ◽  
Shannon Doocy
Keyword(s):  
Health Service ◽  
Service Provision ◽  
Disaster Response ◽  
Humanitarian Assistance ◽  
Health Facilities ◽  
Systematic Sampling ◽  
Western Coast ◽  
Health Service Provision ◽  
The Impact ◽  
Post Disaster

AbstractIntroduction:Few studies have examined post-disaster coping abilities of health facilities and hospitals. On 15 August 2007, a 7.9 (Richter) earthquake struck off the western coast of Peru near the Department of Ica that devastated the healthcare infrastructure. The impact of the earthquake on the health facilities in the four most affected provinces (Cañete, Chincha, Ica, and Pisco), the risk factors associated with the damages incurred, ability to provide services, and humanitarian assistance received were assessed.Methods:A stratified, systematic sampling design was used to interview a sample of 40 health facilities. The most senior healthcare provider at each facility was interviewed about the facility's experience with service provision following the earthquake.Results:Sixty percent of the facilities reported some damage due to the earthquake; four (10%) were completely destroyed. A total of 78% of the facilities reported providing medical care within the first 48 hours after the earthquake and public facilities were more likely to remain open than were private facilities (p = 0.030). Facilities with an emergency response plan were more likely to provide services than were those without a plan (p = 0.043). Six months after the earthquake, similar numbers of HIV and tuberculosis (TB) patients were receiving treatment at the sampled facilities as prior to the earthquake, and no difficulties were reported in obtaining medications. Some form of assistance, most commonly medications, was received by 60% of the facilities; receipt of assistance was not associated with the facility type, location, damage incurred, or post-disaster service provision.Conclusions:Response plans were an important factor in the ability to provide services immediately following an earthquake. While a facility's ability to provide services can be determined by structural impacts of the precipitating event, response plans help the staff to continue to provide services and care for affected populations, and appropriately arrange referrals when care cannot be provided at the facility. The findings suggest that health facilities in disasterprone areas should invest in developing and implementing disaster response plans in order to improve health service provision capacity during disasters.

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Prevalence and causes of visual impairment and blindness among school children in Muzaffarabad, Pakistan

2018 ◽  
Vol 4 (4) ◽  
pp. 93
Author(s):  
Abdul Rauf Awan ◽  
Junaid Jamshed ◽  
Muhammad Mushtaq Khan ◽  
Zahid Latif
Keyword(s):  
Visual Acuity ◽  
Public Schools ◽  
Visual Impairment ◽  
Private Schools ◽  
School Children ◽  
School Health ◽  
Vision Loss ◽  
Screening Program ◽  
Sampling Technique ◽  
Cross Sectional

<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>

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