ROLE OF DOCTOR IN SCHOOL HEALTH SERVICES

Dr. Syed Sanowar AliMBBS(Dow), DCH, MCPS, MPH, PhDAssociate Professor CHS - UMDC

DefinitionSchool Health Service is a branch ofPreventive medicine which deals with medical inspection of school children and their health protection, primarily in the environment of the school.

OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)

• Early detection of defects through a

program of periodical medical

examination of school children.

• Teaching of staff of the school to

detect the defects in school children.

OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)

• To minimize the chances of spread of

Communicable Disease.

OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)

• To protect the children from hazards which

may cause Injury , Disease or Disability

to them.

OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)

• Providing a healthy environment to the

school children.

OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)

SCHOOL HEALTH TEAM

• SCHOOL MEDICAL OFFICER (Doctor)

• NURSE

• ATTENDANT

DUTIES OF SCHOOL MEDICAL OFFICER• Conduct a periodical routine medical

inspection at the age of 5 , 9 , 13 & 17 years during school of a child.

• Annual inspection is be done by having school to stand in queues and any abnormality detected should be recorded for correction.

DUTIES OF SCHOOL MEDICAL OFFICER

• Arrange for immunization of children against infectious disease like Hepatitis B and maintain the record.

DUTIES OF SCHOOL MEDICAL OFFICER

• Advice the parents on the mental and physical conditions of children through school teacher or school nurse.

DUTIES OF SCHOOL MEDICAL OFFICER

• Any child is suspected to be suffering from any ailment or reported by teacher, medical officer will quickly examine the child & give treatment or such advise as necessary.

DUTIES OF SCHOOL MEDICAL OFFICER

• By lectures & demonstrations, educate the teachers in recognizing common ailments & defects of school children in the practice of first aid in school environment.

DUTIES OF SCHOOL MEDICAL OFFICER

• Periodical inspection of water supply, toilet rooms & ventilation of buildings.

DUTIES OF SCHOOL MEDICAL OFFICER

• Advise the school authorities on the construction of building with a view to proper ventilation, proper size of rooms, adequate seating arrangements & facilities like playgrounds.

DUTIES OF SCHOOL MEDICAL OFFICER

SEATING ARRANGEMENTS

DUTIES OF SCHOOL MEDICAL OFFICER

Negative (Minus) Zero Positive

(Plus)

Types of Desks Negative(Minus)

• Should attend staff conferences arranged by the senior medical of school.

DUTIES OF SCHOOL MEDICAL OFFICER

• During routine medical examination following things should be recorded

1. Intelligence e.g. DQ & IQ.2. Height.3. Weight.4. Chest and Abdomen measurement.5. Eye examination & Vision test.6. Examination of MOUTH , TEETH , TONSILS.

DUTIES OF SCHOOL MEDICAL OFFICER

EQUIPMENT FOR SCHOOL CLINIC• Weighing machine.• Tape measure.• Height measuring rod.• Snellen’s & J eye testing chart.• Tongue depressor and Torch.• Nasal speculum.

Cont. .

• Vaccination equipment.• Disposable syringe.• Ear speculum.• Sterilizer and sprit lamp.• Wash basin and towel stand.• Scissors and surgical forceps.

Recommended drug for school clinic• Toothache solution.• Ear-ache drops.• Eye drops.• First aid kit for treatment of minor injuries.• Mixture : carminative , cough mixture.• Anti-biotic • Vitamin tablets.

DISEASES EXPECTED IN SCHOOL CHILDREN• Malnutrition.• Dental carries.• Parasitic infection.• Eye defects.• ENT disorders like TONSILITIES , PHARYGNITIS etc.

Cont. . .

• Bronchitis.• Pneumonia.• Skin disease like SCABIES.• Other communicable disease like: WHOOPING COUGH , MEASLES, MUMPS, CHOLERA,CHICKEN POX.