尼日利亚西南部奥约州部分农村和城市小学对国家学校卫生政策的认知和可及性。

Awareness and Availability of the National School Health Policy in Selected Rural and Urban Primary Schools in Oyo State, Southwest Nigeria.

机构信息

Department of Community Medicine, University College Hospital, Ibadan, Oyo State, Nigeria. Email:

School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

West Afr J Med. 2023 Jul 28;40(7):673-677.

PMID:37515573

Abstract

BACKGROUND

The School Health Programme (SHP) is key in actualizing optimal health and education for school-age children. Its implementation in Nigeria has been described as ineffective. Some of the challenges with implementation might be related to end users' lack of familiarity with the National School Health Policy (NSHPo). This study was conducted to determine awareness and availability of the NSHPo in Oyo State.

METHODS

A cross-sectional analytical study was carried out among teachers in selected rural and urban public and private primary schools in Oyo State. All consenting teachers from the schools from the purposively selected urban and rural local government areas in Oyo State participated. The questionnaire was divided into sections on sociodemographic characteristics, awareness, and availability of the NSHPo document. Summary statistics were computed as well as bivariate analysis using Chi-square test to explore the association between type of school and awareness of NSHPo at p<0.05.

RESULTS

One thousand, one hundred and thirty-eight respondents (rural: 571; urban: 567) participated. In the rural primary schools, 49.4% of the respondents had ever heard of the NSHPo document. Of these, 24.1% had ever sighted a copy and 16.3% had ever seen a copy in the school office. None of the respondents owned a copy when verified during check listing. Awareness of the NSHPo document was higher among rural public-school respondents (52.2%) than rural private schools (43.5%), though not statistically significant (p=0.052). In the urban primary schools, 55.2% of the teachers had ever heard of the NSHPo document. Of these, 22.7% had ever sighted a copy and 18.2% had ever seen a copy in the school office. On verifying these claims, none of the respondents could produce a copy of the document. A significantly higher proportion (62.8%) of respondents in the urban public schools were aware of the NSHPo document compared with 42.1% of those in the urban private schools [p<0.001].

CONCLUSION

The NSHPo document was not sighted with any of the teachers in both rural and urban public and private schools visited.

摘要

背景

学校卫生计划（SHP）是实现学龄儿童最佳健康和教育的关键。该计划在尼日利亚的实施被描述为无效。实施过程中面临的一些挑战可能与最终用户对国家学校卫生政策（NSHPo）不熟悉有关。本研究旨在确定在奥约州，该政策的知晓度和可用性。

方法

这是一项在奥约州选定的农村和城市公立和私立小学教师中进行的横断面分析研究。所有来自奥约州从有目的选择的农村和城市地方政府地区的公立和私立学校的同意参与的教师都参与了此次研究。问卷分为社会人口特征、政策知晓度和可用性等部分。计算了描述性统计数据，并使用卡方检验进行了单变量分析，以探讨学校类型与 NSHPo 知晓度之间的关联，p 值<0.05。

结果

共有 1138 名受访者（农村：571 人；城市：567 人）参与了研究。在农村小学，49.4%的受访者听说过 NSHPo 文件。其中，24.1%曾见过一份副本，16.3%曾在学校办公室见过一份副本。在检查清单中，没有受访者拥有副本。农村公立学校的 NSHPo 文件知晓度（52.2%）高于农村私立学校（43.5%），但无统计学意义（p=0.052）。在城市小学，55.2%的教师听说过 NSHPo 文件。其中，22.7%曾见过一份副本，18.2%曾在学校办公室见过一份副本。在核实这些说法时，没有受访者能出示文件的副本。在城市公立学校，有更高比例（62.8%）的受访者知晓 NSHPo 文件，而在城市私立学校中，这一比例为 42.1%[p<0.001]。