Download - Introduction to Fit for School
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GIZ/UNICEFWASH for All Schools Learning ExchangeDay 2 | Manila | 27.11.2012 |
Fit for SchoolIntroduction
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What is Fit for School?
Innovative school health conceptSimple and modular - Evidence-based interventionsFocus on daily skills-based activities rather than health educationActive involvement of non-health professionals (teachers)Simple and uniform supportive messagesVery cost-effective?
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What are integrated approaches in school health?
Integrated approaches deliver a range of interventions that address multiple needs through coordination across a variety of sectors and with participation of all relevant stakeholders to achieve common goals.
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Prioritising public health challenges
Diarrhea & respiratory tract infections66% infected with intestinal worms
Dental decay & dental infection97% of 6-yr-olds have caries with 9 decayed teeth at average
30% have BMI below normal20% have toothache
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Daily Handwashing Daily Toothbrushing Biannual DewormingHandwashing with soapGroup activityPart of daily school routineNo piped water neededSupervised by teachers and childrenReduction of infections by 30-50%
Toothbrushing with fluoride toothpasteGroup activityPart of daily school routineNo piped water neededSupervised by teachers & childrenReduction in tooth decay by 40-56%
Supervised ingestion of albendazoleSupervised by teachers Parent consentReduction in worm load by 50%
Evidence-based interventions
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Creating a supportive school environment
Functional and child-friendly washing facilities
Appropriate water access - minimizing consumption
Daily group activities
Making things convenient and as simple as possible
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Standardised minimum facilitiesMaterial cost <40 USD
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Making it simple and affordable - consumables
Simplified procurement - consumables come prepackaged
Material costs for consumables• Soap • Toothpaste • Toothbrush• Albendazole
0.25 PhP / $0.50 per child/year
$0.08 (50g)$0.22 (60ml)$0.16$0.05 (2x400mg)
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Creating a supportive environment
GuidelinesManuals
Templates
Community Mobilisation
Advocacy for
supportive policies
Capacity building across sectors
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Clear program management
Clear roles & responsibilities of all involved
Using children's leadership skills for daily activities - little extra work for teachers
Community involvement in construction of facilities
Detailed & simple guidance through templates and manuals
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Monitoring & Evaluation
Regular process & outcome monitoring
Strengthening evidence of progam by evaluating health & education impact
Outcomes motivate staff and ensure sustained government funding
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Major AchievementsCoverage: > 2 million children reached (>40 provinces, >7,000 schools)
Changes in government policies and legislation
Allocation of government budgets
National coordination of Global Handwashing Day
Recognition through awards and scientific papers
Expansion to Cambodia, Lao & Indonesia
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Prioritising public health challenges
Sustained funding from government budgets (central-local)Local ownership & accountability
Creation of incentives & motivation based on analysis of interestsCompetition & politics
Task shifting to teachersSupervision & training through school health personnel
Key success factors
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Challenges ahead.....
Keeping momentum Ensuring continued funding in spite of:
Changing administrationsCompeting priorities
Possibility of national fundingUnderestimation of complexityRapid growth & organisational challengesManagement challenges even with online monitoring system
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Gro Harlem Brundtland Former Director General of the WHO
"It is clear that without proper education, health suffers. And without proper health, good education is not possible."
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Thank you!
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