School Health and Nutrition Programs

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School Health and Nutrition Programs
Donald Bundy Human Development Network The World
BankSanaa, Yemen, January 23, 2007
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Improvement in School Attendance Following
De-Worming in Busia, Kenya
Treatment 1
Treatment 2
0.85
0.8
0.75
Attendance Rate
0.7
0.65
0.6
0
2
4
6
8
10
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Months Since Baseline
Miguel Kremer, 2000
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IQ and schooling losses avoidable by school based
SHN programs
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Examples of school based SHN programs
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Comparing returns to education
Add years schooling
Cost US p.a. SHN Programs
1.2 2.5 lt 4 Textbooks
1.1
60 Cash transfer Nicaragua
0.45 77 Cash transfer
Progresa 0.66
136 School Feeding
0.4 1.2 22 -151
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A FRESH Start Focusing Resources on Effective
School Health, Hygiene Nutrition

• Child Friendly Schools .UNICEF
• Health Promoting SchoolsWHO
• Education for AllUNESCO
• Food for EducationWFP
• School Health InitiativeWorld Bank

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A FRESH Start Focusing Resources on Effective
School Health, Hygiene Nutrition

• Core intervention activities
• Effective health, hygiene and nutrition policies
  for schools
• Sanitation and access to safe water facilities
  for all schools
• Skills based health, hygiene nutrition
  education
• School based health nutrition services

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FRESH Partnership

• Launched at the World Education for All Forum in
  Dakar, Senegal April 2000
• WHO, UNICEF, UNESCO, World Bank Others

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A Strategic Plan for School Based Delivery of
Health and Nutrition Services in Eritrea

• Prepared jointly by the Ministries of Education
  and Health of the Government of Eritrea

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School Health and Nutrition Policy

• A Memorandum between the Ministry of Health and
  the Ministry of Education
• National inter-sectoral steering committee
• Defined responsibilities for each Ministry
• Defined mainstream actions for each Ministry

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The School Environment

• All schools to have gender separate sanitation
• Sanitation facilities to conform to national
  guidelines
• All school children to have access to safe water
  school

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Health Education

• National curriculum that addresses health,
  hygiene and nutrition issues
• Life skills modules that promote positive
  behaviors tobacco, HIV/AIDS, violence
• Peer education in all secondary schools

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School Based Delivery of Health and Nutrition
Services.

• Recommendations made based on
• The evidence of a national situation analysis
• The knowledge and experience of members of the
  Ministry of Health

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Situation analysis of Eritrean schoolchildren

• the prevalence of undernutrition
• the prevalence of anaemia
• the prevalence of infections with parasitic worms
  
• understanding of the knowledge, attitudes,
  practices and beliefs
• access to water and sanitation facilities in
  schools
• highlight focal problems

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Teacher Centred Approach

• Eritrea has many more teachers than health staff
  and many more schools than clinics
• plan seeks to maximize the input of teachers and
  minimize the input required of local health
  staff.
• Teachers always act under the supervision of
  local health staff

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• Where possible the results of the situation
  analysis have been used to recommend mass
  treatment for all school children in an area with
  no need for prior screening
• Where screening is required, wherever possible,
  teachers are given this responsibility
• Where treatment is required, wherever possible,
  teachers are given this responsibility
• Where treatment requires more complex medical
  training teachers should always refer children to
  local health staff

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The Key Steps

• National survey of the health and nutrition of
  school children
• Joint MoU between Education and Health stating
  National School Health and Nutrition policy
• National workshop to include SHN in action plans
  at the national and provincial levels

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For more information, please visit
www.schoolsandhealth.org