QUALITY ASSESSMENT OF SECONDARY SCHOOL HEALTH PROGRAMME IN CALABAR

QUALITY ASSESSMENT OF SECONDARY SCHOOL HEALTH PROGRAMME IN CALABAR

Abstract

Introduction: School health programme is a cost effective investment to simultaneously improve education and health. Although it has been part of the Nigerian public health system for decades, very little is known about its current state as well as the health status of the Nigerian schoolchild.
Objective: This study was done to assess the quality of secondary school health programme in Calabar, Cross River State, Nigeria.
Methodology: A descriptive cross-sectional study using all secondary schools in the area and a representative sample of four hundred students selected by muti-stage and stratified random sampling.
Results – Government owned secondary schools accounted for 48% of these institutions and enrolled over three-quarters of the students. The ratios of human health resources to student population were abysmally poor, as shown by a ratio of 8.7 doctors and 49.4 nurses to 100,000 students respectively. School health committees and adolescent health clubs were found in 9.5% and 23.8% of schools respectively. Overcrowding in the classroom and poor physical environment conditions were prevalent in these schools. Only 23.8% of schools carry out minor clinical services and had first aid boxes or health rooms appropriately stocked with essential drugs and consumables like dressing materials, simple analgesics and 1st line antimalarials. This group also kept some form of health records. Referrals of sick children to formal health facilities were made in 28.6% and pre-enrolment medical examination was requested in 14.3%
of settings. Only one school provided reproductive health service. Health instructions were delivered in 78.6% of schools and the pattern were similar among the three different proprietors. Students showed more dissatisfaction with the sanitary conditions of their toilet than they did with other indicators assessed. Finally, the health status of the students, identified a significant unmet needs as over 4.5% and 1.5% had significant dental and visual abnormalities respectively, 6.8% were underweight, while 10% were stunted.
Conclusion: Quality school health programme which is meant to promote the health and educational performance of the school child, can only be guaranteed if the relevant stakeholders understand it’s priority nature and rise up to the task of achieving it.

Title Page———i

Certification——–ii

Dedication———iii

Acknowledgement——-iv

Abstract ———vi

Table of Content——–vii

 

Chapter One

1.0 Introduction ——-1

1.1 Statement of Problem——4

1.2 Purpose of the Study——5

1.3 Significance of Study——8

1.4 Limitation——–9

1.5 Scope of Study——-11

 

Chapter Two

2.0 Review of Related Literature —-12

2.6 Summary of Literature Review—- 19

 

Chapter Three

3.0 Research Methodology and Procedure—22

3.1 Population ——–22

3.2 Sample and Sampling Technique—-22

3.3 Validation of the Instrument —-23

3.4 Reliability of the Instrument —–23

3.5 Data Analysis——-23

 

Chapter Four

4.0 Presentation and Discussion of Result—24

4.1 Analysis and interpretaion of Data—25

4.2 Discussion of Results——38

 

Chapter Five

5.0. Summary, Conclusion, and Recommendation  –40

5.1 Summary——–40

5.2 Conclusion——–41

5.3 Recommendation——42

References ———45

Appendix 1——–47

Appendix ———50

QUALITY ASSESSMENT OF SECONDARY SCHOOL HEALTH PROGRAMME IN CALABAR

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