Health Promoting Schools

Programme

HPS ConferenceUWC 14 – 16 Sept 2006

Vimla MoodleyProgramme Manager: Health Promotion Programme

KwaZulu Natal Department of Health

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.

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

PROFILE OF HPS PROGRAMME PROVINCE / DISTRICTS

• Provincial level: HPS part of HP Prog.

-1 Prog. Manager

- 2 Assistant Managers• District level: District level: 1 Cluster Assistant Manager 1 Cluster Assistant Manager

(manages MCWH, Nutrition & HP)(manages MCWH, Nutrition & HP)• No dedicated HPS Facilitators on District level.No dedicated HPS Facilitators on District level.• HPS facilitated by different categories of Health HPS facilitated by different categories of Health

Workers i.e EHO’s, Dieticians, Oral Hygienists, Workers i.e EHO’s, Dieticians, Oral Hygienists, School Nurses.School Nurses.

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.

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 Parent’s 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?

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

STATISTICS

KZN Schools per category:

- Primary: 3831- Secondary: 1489- Combined: 373- Intermediate &

middle: Nil

TOTAL= 5693

CATEGORIES OF SCHOOLS

PRIMARY

SECONDARY

COMBINED

KZN HPS DATA BASEA

s at: 11-Sep-06

  Total No. of Total No. of Status Total No. of

 Applications

Received

Provincial Assessm

ents Awarded Not Awarded Schools launched

    Completed      

DC 21 12 6 5 2 5

DC 22 7 6 6 0 6

DC 23 1 1 1 0 1

DC 24 6 6 5 1 2

DC 25 6 6 5 1 4

DC 26 7 2 2 0 1

DC 27 1 1 1 0 0

DC 28 6 5 5 0 5

DC 29 2 1 0 1 0

ETHEKWINI 0 0 0 0 0

DC 43 7 6 6 0 4

TOTAL 55 40 36 5 28

CASE STUDYSokhela 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.

OPPORTUNITIES

• 2001 – 2006 Schools Essay Competition• Pilot Project – (NAP) Nutrition & Physical Activity @ 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.

KZN…..

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 @ Provincial level to accelerate the process / progress.

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.

KwaZulu Natal Department of Health

Thank you for your attention

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