Health Promoting Schools Programme

1
Health Promoting Schools Programme

• HPS Conference
• UWC 14 16 Sept 2006
• Vimla Moodley
• Programme Manager Health Promotion Programme
• KwaZulu Natal Department of Health

2
Background..

• Slow start in KZN
• HPS promoted thru monthly meetings with Sch.
  Health Nurses.
• Developed HPS criteria /tool / IEC
• In 2000, 4 District officials assess schools
  according to Prov. criteria.
• 1st Sch. Launched 9 Sept 2003- Carrisbrooke Pr.
  Sch.

3
Background cont..

• 2004 HPS gains momentum with appointment of Prov.
  Ass.Man.
• Provincial HP Assessment Team est.
• 11 District HP forums assessment Teams
  established.
• On going in-service training on HPS by Prov.
  attendance of District officials at Winter /
  Summer School Courses on HPS - UWC

4
PROFILE OF HPS PROGRAMME PROVINCE / DISTRICTS

• Provincial level HPS part of HP Prog.
• -1 Prog. Manager
• - 2 Assistant Managers
• District level 1 Cluster Assistant Manager
  (manages MCWH, Nutrition HP)
• No dedicated HPS Facilitators on District level.
• HPS facilitated by different categories of Health
  Workers i.e EHOs, Dieticians, Oral Hygienists,
  School Nurses.

5
HPS Implementation Process

• No. of entry points used for HPS- , Schools Essay
  Competition, Oral Health
• District facilitation assessments
• Application for Provincial Assessment.
• Prov. Ass. conducted with rep. from other Health
  Programmes District officials.
• Status - awarded / not awarded- via Healthy
  Lifestyle event with the community.

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CRITERIA / ASSESSMENT TOOL

• COMMUNITY INVOLVEMENT
• Is there involvement at the school?
• What does the community do in the school together
  with the school staff/ learners?
• Is there evidence that the School Governing Body
  is committed and responsible?
• Frequency of SGB Meetings?
• Record of SGB Minutes
• Frequency of Parent Meetings
• Is there a record of the number of parents
  attending the meetings?
• Is there Parents involvement at school?
• What do the parents do?
• NGO / CBO / FBO involvement at school.
• List the activities that they do?
• Volunteerism by parents
• School - Community Projects-Clean up campaigns
• Are there community gardens near the school or a
  spin off from the school?
• Community Leaders involvement
• Is there Municipality involvement?

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• POST HPS STATUS ANNUAL EVALUATION
• To assess whether school activities have been
  linked with other health programmes e.g. Mental
  Health, Nutrition, Chronic Diseases, Oral Health
  etc.
• To establish if there is a profile of health
  problems in the school, whether it has been
  communicated to the local PHC facility, e.g. any
  physical, emotional, mental or social problem
• To evaluate the impact of Health Promotion in the
  school on the disease profile,
• To identify the phase/stage of the Health
  Clinical/Assessment process by school health
  teams at the school
• To ascertain if there is a community profile of
  resources at the school
• To establish whether the community is
  participating in activities at school and having
  their skills developed at the school

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STATISTICS

• KZN Schools per category
• Primary 3831
• Secondary 1489
• Combined 373
• Intermediate middle Nil
• TOTAL 5693

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KZN HPS DATA BASE
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CASE STUDY

• Sokhela Pr. Sch. Deeply rural area, no
  electricity, High unemployment, poverty..
• OBJS sustain PSNP, establish food garden,
  improve oral health, improve rain H2O harvesting,
  eradicate Scabies, assist learners with barriers
  to educ.
• Implementation Needs assessment shortage of
  H2O, hunger (Vit A), rabies,scabies,access to
  hand washing tools, no kitchen facilities,
  limited access to potable H20,
• Implementation Plan Plans build a Kitchen,
  cont. of PSNP, gutters /tanks(harvest rain
  H20),recycle gray H20 for use in veg. gardens
  fencing, training of learners community on
  veg.prod., establish pilot garden site, Scabies
  educ prog., Oral Health intervention, hand
  washing prog, Tippy Taps learners with
  barriers identified assisted. Linking all above
  to curriculum.
• Monitoring Evaluation Scabies eradicated.
  Rabies Nil. Oral Health improved. Food gardens
  established training on food prod. Duck / chick
  pilot project.
• Stakeholders Oral Hygenist, Sch Health Nurse,
  EHP, Dept. Agriculture, Veterinary Services,
  Members of Community, SGB, Local Councillor,
  Local Municipality.

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OPPORTUNITIES

• 2001 2006 Schools Essay Competition
• Pilot Project (NAP) Nutrition Physical
  Activity _at_ schools.
• Partnership with DOE growing.
• Collaboration with HPC (Health Promoting Clinics)
  Programme.
• Closer working relationship with local
  municipalities.
• Involvement of other Health Programmes / PHC /
  Community Health Component.
• Establishment of Sub District Teams in some
  Districts.

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CONSTRAINTS

• Need to strengthen sustain partnerships
• No dedicated HPS facilitators on District level.
• High level of attrition amongst staff
  constantly build capacity train on HPS.
• Need standardized national HPS criteria / tool.
• Resources differ from District to District some
  weak / others strong.
• Need additional staff _at_ Provincial level to
  accelerate the process / progress.

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Future Plans C U R E D

• Continue with Schools Essay Competition as entry
  point for HPS
• Use entry points for HPS-
• Malaria Control Programme
• TB as entry point for HPS in eThekwini District
  (NDOH)
• Roll out NAP in all HPS schools.
• Establish Cluster Team to do Final HPS
  assessments.
• DOE to be supported with HPS initiative in the
  Schools Centres of Care Support for
  sustainability.

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Ethekwini District Essay writing
competition What must I do to lead a healthy
lifestyle in 2006

Thank you for your attention

KwaZulu Natal Department of Health