Associate Professor, Department of Community Medicine, PSGIMSR, Coimbatore, Tamil Nadu, India.
Assistant Professor, Department of Community Medicine, PSGIMSR, Coimbatore, Tamil Nadu, India.
Indian J Public Health. 2019 Apr-Jun;63(2):133-138. doi: 10.4103/ijph.IJPH_226_18.
Schools are the best setting for health promotion activities, and in India, for many, the schools are in fact the only nurturing and supportive place where they learn health information and have positive behavior consistently reinforced. Therefore, health promotion addressing the nutrition and personal hygiene habits among school children would improve health of school children and mold them into healthy productive citizens of tomorrow.
The objective of the study is to find the effectiveness of multi-strategic health screening cum educational intervention model in promoting the health of school children.
A school-based intervention was designed using multi-strategic approach to promote the health of 2500 school children in 13 schools in rural Coimbatore. Logic model was used to plan the intervention, and the approach included health screening, nutrition and personal hygiene assessment and educational intervention in three phases over a period of 1 year. The multi-strategic approach comprised of approach through doctors, teachers, and through peer educators. The effectiveness of the intervention was assessed with improved nutrition and personal hygiene habits, improved body mass index status, and reduction in sickness absenteeism.
There was a significant improvement in nutrition and personal hygiene habits among school children. There was also significant reduction in the proportion of underweight category. Furthermore, a slight increase in sickness absenteeism was observed.
Our study shows evidently that a multi-strategic health screening cum educational intervention model can be implemented and can be effective in bringing changes in the nutrition and personal hygiene habits thereby promoting the health of school children.
学校是开展健康促进活动的最佳场所，在印度，对许多人来说，学校实际上是他们唯一的培养和支持场所，他们在那里学习健康信息，并持续强化积极的行为。因此，针对学校儿童的营养和个人卫生习惯的健康促进活动将提高学校儿童的健康水平，并将他们培养成未来健康有生产力的公民。
本研究旨在探讨多策略健康筛查与教育干预模式在促进学童健康方面的效果。
采用多策略方法在农村哥印拜陀的 13 所学校中设计了一项基于学校的干预措施，以促进 2500 名学童的健康。逻辑模型用于规划干预措施，该方法包括在 1 年内分三个阶段进行健康筛查、营养和个人卫生评估以及教育干预。多策略方法包括通过医生、教师和同伴教育者的途径。干预的效果通过改善营养和个人卫生习惯、改善体重指数状况以及减少因病缺勤情况来评估。
学童的营养和个人卫生习惯有显著改善。体重不足的比例也显著降低。此外，观察到轻微增加的因病缺勤率。
我们的研究清楚地表明，多策略健康筛查和教育干预模式可以实施，并在改变营养和个人卫生习惯方面有效，从而促进学童的健康。
