Quality of School Health Services Essay

[pic] [pic] AL ARAB MEDICAL UNIVERSITY FACULTY OF PUBLIC HEALTH DEPARTMENT OF HEALTH SERVICE ADMINISTRATION Quality of School Health Services from the Perspective of Service Providers and Beneficiaries Submitted in Partial Fulfillment for the Degree of Bachelor of Public Health Prepared By MAILUD EL AMARI ASHARAF ABDULSALAM 2008 CONTENTS Chapter IIntroduction and Objectives1-4

Chapter IISubject and Method5-6 Research Setting Sample Size and Sampling Technique Data analysis Chapter IIIResults and Discussion7-44 Morbidity Non-communicable diseases Injuries Mortality Non-communicable diseases Injuries Chapter IIIConclusions and Recommendations45-48 References49-51 Abstract (Arabic)52-53 List of Tables Table 1Distribution of sample by major diagnosis for admission Table 2Distribution of sample by major diagnosis and age

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Table 3Distribution of sample by major diagnosis and year of admission Table 4Distribution of patients diagnosed as suffering from NCDs by type of disorders and sex Table 5Distribution of patients diagnosed as suffering from NCDs by type of disorder and age group Table 6Distribution of patients diagnosed as suffering from NCDs by type of disorder and year of admission Table 7Distribution of patients diagnosed as suffering from GIT disorders by diseases and year of admission Table 8Distribution of patients diagnosed as suffering from GIT disorders by diseases and sex Table 9Distribution of patients diagnosed as suffering from GIT disorders by diseases and age group Table 10Distribution of patients diagnosed as suffering from respiratory disorders by type of disease Table 11Distribution of patients diagnosed as suffering from cancer by type and sex Table 12Distribution of persons with injuries by reasons and sex Table 13Distribution of persons with injuries by reasons and age group Table 14Distribution of persons with injuries by site of injury and sex Table 15Admissions and mortality across years Table 16Distribution of sample by major diagnosis Table 17Distribution of sample by major diagnosis and sex Table 18Distribution of sample by major diagnosis and age Table 19Distribution of deaths due to non-communicable disorders by the type Table 20Distribution of deaths due to non-communicable diseases by age and type Table 21Distribution of deaths due to non-communicable diseases by year and type Table 22Distribution of deaths due to GIT disorders by sex

Table 23Distribution of deaths due to GIT disorders by age Table 24Distribution of deaths due to cancer by type of cancer and sex Table 25Distribution of deaths due to cancer by type of caner and age Table 26Distribution of deaths due to cancer by type of cancer and year Table 27Distribution of deaths due to cardiac disorders by sex Table 28Distribution of deaths due to cardiac disorders by age Table 29Distribution of deaths due to neurological disorders by sex Table 30Distribution of deaths due to injuries by reason and sex Table 31Distribution of deaths due to injuries by reason and age Table 32Distribution of deaths diagnosed for injuries by reason and year List of Figures Fig. Proportional distribution of sample by year of admission Fig. 2Distribution of sample by sex Fig. 3Mortality by nationality Fig. 4Mortality by age group Abstract School health programs are incorporated into the broader framework of primary health care in Libya. School health programs are aimed, directly, at providing healthcare services to children in school. These school health programs help in building healthy future generations as it facilitates development of healthy habits, hygienic practices, healthy life style. It is in this context of increasing importance of health care programs at school levels, an assessment of quality of school health services in Benghazi city is entertained.

This study sets the objectives of (i) identifying types of school heath services offered by school health team (ii) identifying obstacles faced in implementing school health program and (iii) listing out school health programs needing intervention from the perspective of students and parents. The current study used a cross sectional design and is conducted in primary schools of Benghazi city. The study has started in December 2007 and ended in April 2008. A sample of 27 schools from three geographical zones of the city, namely, Albirka, Alslawy and city centre are selected from a total of 108 schools, adopting a 25 percent sampling technique. Units for this sample are selected using systematic sampling method. Further the same 25 percent technique is used to select parents (students) and teachers. Health team members are selected according to their willingness.

Keepign participation to this study as voluntary, ensuring anonymity of respondents, those who responded before a specified date only are included in the sample. The total sample consists of 485 parents, 200 teachers and 22 school health team members. A large majority of this sample is aged 40 years and above in all the three groups and also to be noted that a large majority are educated upto higher secondary. School health programs cover only health check up, vaccination, health education and environmental hygiene. Immunization services are found to be limited to a few vaccines. It has been understood from all the three categories of sample that school health programs are not benefitting to the target population significantly. Environmental hygiene has found to be poor in almost all schools.

It has also understood that school health teams do not make efforts on this aspect. Neither they carry out routine examination nor they provide support in keeping school premises neat and clean. School health teams visit school only once in an year. School health education programs conducted are limited in its techniques and coverage of topics. Almost all schools are found to satisfy infrastructure standards but the question is its effective utilization in building a healthy future generation. A large majority of parents are not aware of school health team; neither they have seen nor they have had discussion with the team. It makes the program standing away from the community and failing to create an impact.

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