Download - Medical Health Program
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CHAPTER IIIMedical Health
ProgramMark Ian E. Derapete
Pauline J. Vital
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OBJECTIVES
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General Objective Promote and maintain the health
and nutritional status of the
school population and community
through the provision of effective
medical services and health
education.
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Specific Objectivesa. Minimize the incident of
common ailments among school
children and personnel;
b. Institute preventive measures in
the control of communicable
diseases;
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c. Render remedial measures for
the treatment of common
ailments;
d. Encourage propagation and
utilization of scientifically tested
medical plants for the treatment
of common ailments;
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e. Provide learning avenues todevelop health values of pupils/
students, teachers and parents;
f. Monitor the maintenance of safeand healthful environment
through the utilization of
standard health and nutritionfacilities;
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g. Establish/ strengthen linkageswith government and non-government organizations forschool/ community health andnutrition programs;
h. Monitor and evaluate theimplementation of the health
and nutrition programs in theschool/ community.
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POLICIES ANDGUIDELINES
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1. The medical officer shall conduct
physical examination.
1.1. Pupils/ Students1.1.1 All Grade 1 pupils shall be
examined on or before September
30 of every year.
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1.1.5. Physical examination of femalestudent by a male physician or
male student by a female physician
requires the presence of a third
party.
1.1.6 Athletes should undergo thorough
physical examination before
participating in divisional/ regional/national athletic meets.
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1.1.7. Collaboration with the Departmentof Health in the physical
examination of the school children/
students as per Memorandum of
Agreement between DECS andDOH partnership in Health and
Health Education in the context of
Primary Health Care and DILG
Assistory support for healthservices shall be done.
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1.1.8 Individual health card of Grade 1
pupils shall be kept by the teacherin-charge.
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1.2. DECS personnel
1.2.1. All teachers and other schoolpersonnel shall undergo annual
physical examination.
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1.2.2. C.S. Form 86 shall be accomplished
by the school medical officer or
any government physician as a
requirement for annual clearanceand shall be field in the division
office, Health and Nutrition
Section.
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1.2.3. Chest x-ray examination shall berequired every year. Fat and
moderately advanced TB cases
shall be subjected to sputum
examination and immediate shortcourse chemotherapy. Cases found
sputum positive shall go on leave
until he becomes sputum negative.
Follow-up chest x-ray examinationshall be done periodically.
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1.2.4. The school medical officer shall
collaborate with the District
Hospitals, TB pavilions and otherChest Clinics in the implementation
of the TB Control Program.
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1.3. All newly appointed school
personnel are required to
undergo a thorough health
examination to include urinalysis
chest x-ray, blood test,neuropsychiatric examination.
1.3.1 C.S. Form 211 shall be
accomplished by the medical officer
or any government physician.
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1.4. Official chest x-ray
examination results shall be
attached to C.S. Form 211 and
shall be filed in the Regional/
Division Health and Nutrition
Unit/ Section.
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2. Sick leaves exceeding five days,
maternity leaves and
reinstatement shall be dulycertified by the school medical
officer.
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2.1. In case the attending physician
is a private practitioner or
another government physician,
a medical certificate shall be
attached to C.S. From 41 duly
attested by the medical officer.
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2.2. In cases where there is no
medical officer in the division,
the medical certificate issued
by any government or privatepractitioner shall be noted and
filed in the Health and
Nutrition Section.
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2.3. In cases of complete abortion
not certified by a health
personnel, a thorough
verification of the case shall be
pursued before a medical
certificate is issued.
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2.3.1. School administrators shall be
notified immediately who shallrefer the case to the school medicalofficer or other school health andnutrition personnel.
2.3.2. Product of conception shall bepreserved for examination.
2.3.3. In case of habitual abortion, themedical officer shall certify/ attestto the reinstatement of theteacher/ personnel.
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3. The medical officer shall not
issue exemption for military
training.
3.1. The medical officer may
certify to an existing ailment or
illness and make appropriate
recommendation.
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4. The medical officer shallinstitute measures for the
prevention and control of
communicable diseases.
4.1. Reportable diseases shall be
immediately reported to local
health and school authorities.
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4.2. Exclusion of pupils/ students
from class shall be done for
those suffering from
communicable diseases.
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4.3. He shall coordinate theimplementation of the jointcircular Memorandum ofAgreement of the Department
of Local Government,Department of Health andDepartment of Education,Culture and Sports
partnership.
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5. All regions/ divisions/ schoolsmust have functional regional/
division/ school clinics.
5.1. The medical officer shallsupervise and coordinate with
other school health and nutrition
personnel the maintenance of a
functional clinic.
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6. Maximum utilization of tested
medicinal plants shall beencouraged in all schools.
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SCOPE OFWORK
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I. Health and NutritionEducation
1. Utilize the school health services
for health and nutrition values
development of pupils/ students.
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2. Coordinate with the public healthnurse in the training of first aid
teachers in simple remedial
work.
3. Disseminate health and nutrition
information in coordination with
other health and nutrition
personnel.
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4. Serve as a resource person/
consultant during in-service-
training/ orientation and seminar/
workshop and preparation of
instructional materials and visual
aids in health education.
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5. Provide teachers with updated
health and nutrition information.
6. Provide an opportunity to build
positive health attitudes and
practices.
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II. Healthful SchoolLiving
1. Collaborate with the local school
administrator in setting uppolicies and procedures for
maintaining and promoting the
health and nutrition of theschool population.
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2. Coordinate with theadministrator in the supervisionand maintenance of thesanitation and safety of the
school plant.3. Take leadership in the campaign
for the provision of standardhealth and nutrition facilities inthe school.
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III. Health and NutritionServices
1. Render routine physical
examination to the school
population.
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2. Provide medical consultation/treatment of minor ailments and
emergency cases with the use of
generic drugs and scientifically
tested medicinal plants.
3. Make appropriate referrals and
follow-up of cases when
necessary.
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4. Determine the physical and
mental fitness of the school
population who will participate inphysical education programs,
athletic meets and other related
activities.
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5. Provide health examination of
school personnel to certify
maternity and/ or sick leaves aswell as re-admission to or
exclusion from classes of pupils/
students.
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6. Take leadership in organizing,providing technical supervision of
a functional school clinic.
7. Inform immediately, reportable
diseases to local health and
school authorities.
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IV. School Community
Coordination for Healthand Nutrition
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1. Create public awareness on theimportance of the school-
community health and nutrition
program.2. Collaborate with other health
and nutrition personnel in the
control/ prevention of
communicable disease.
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3. Advise the school administratorsregarding the health and
nutrition programs of the
community and their relationshipto the school health program.
4. Act as resource person in school-
community health council
meetings and assemblies.
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5. Establish harmoniousrelationship between the school
and community.
6. Monitor and evaluate the
implementation of the health
and nutrition programs in theschool and the community.
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V. Special Project/Research Studies
1. Engage in special project/research studies in coordination
with other health and nutrition
personnel.
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VI. Plan of Work
1. Schedule of Work
1.1. Annual Schedule
1.2. Monthly Schedule
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1.1. Annual Schedule
Before the end of the calendaryear, the school physician shall preparea tentative annual schedule for theapproval of the School DivisionSuperintendent. This schedule shall beposted in the division clinic on orbefore the 5th day of January and acopy of which shall be submitted to the
Regional Office.
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1.2. Monthly Schedule
A monthly schedule shall beprepared and submitted to theschool division superintendent for
approval and posted at thedivision clinic to serve as a guide.School administrators shall befurnished a copy prior to actualvisit.
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The Medical Officer, Dentist In-charge and Nurse In-charge shallreport every Monday for hisduties and activities, and during
the last 2 working days of themonths for the preparation andadmission of reports and planning
of activities in the succeedingmonths.
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If, for unavoidable reasons, the
Medical Officer cannot meet his
schedule, he should duly notify
the school administrators
concerned. Suggested monthly
activities are as follows:
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1. examine a minimum of 1,000pupils/ month
2. visit a minimum of 7 different
priority schools/ month
3. attend staff conferences,
seminars, community assemblies,
athletic meets
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4. initiate and participate in specialhealth and nutrition programs
5. treat/ refer of cases found
6. perform health education
activities
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2. School Visit
2.1. The school medical officershall visit a minimum of seven (7)
different priority schools per
month.
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2.2. A master list of schools withthe corresponding enrollment
shall be accomplished as basis
in the presentation of hisschedule and shall be posted in
the division clinic.
2.3. The medical officer shall wear
the prescribed white uniform.
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3. Activities During School Visit
3.1. Courtesy call to theAdministrator
The school medicalofficer shall confer with theschool administrator regarding
the purposes/ objectives of thevisit.
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3.2. Inspection of the school plantThe school medical officer
shall look into the environmentalsanitation and provision of healthfacilities like clinic, toilets, schoolcanteen, feeding centers, drop-incenters, garbage disposal,
compost pit, water facilities andclassroom lighting and ventilation.
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3.3. Physical examination of schoolchildren and personnel
Minimum Target
Pupils
1,000/ month/ physician
10,000/ year/ physician
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Teachers
50/ month/ physician
500/ year/ physician
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All Grade 1 pupils and 1st yearhigh school students are the prioritygroups including the studentpopulation of identified poor andnutritionally deprived municipalities.
Annual physical examination ofteachers and personnel can be done inthe school preferably during summerin the division clinic. Ate the end of the
school year, health clearance shouldbe included.
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3.4. Post-conferenceAfter examination and
treatment, the school medical officershall call a conference. Findings, if anyare explained to the teachers andtheir respective role regarding thecase follow-up is suggested.Recommendations are given to theadministrators, regarding the various
findings including those related to theschool plant.
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3.5. Health talk
At least five (5) health talks per
school are given by health and
nutrition personnel after thephysical examination. Appropriate
topics relevant to the findings are
taken up.
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4. Remedial and curative measures
4.1. Provides consultation,
treatment and management of
cases discovered during physical
examination and cases referred
by teachers, nurses and parents.
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4.2. Renders first aid for emergency
cases
4.3. Refers cases as necessary.
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5. Other related work of schoolmedical officer
5.1. Guides and helps teachersand nurses in the observation for
signs and symptoms ofcommunicable diseases or acuteillness and evidences ofabnormal growth and
development.
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5.2. Attends inter-agency
conferences, athletic meets,
seminars, conventions and in-
service trainings.
5.3. Acts as resource speaker/
consultant during health seminars
or community assemblies.
Suggested topics to be taken up:
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5.3.1. Results of physicalexamination like leading common
ailments, communicable and
endemic diseases, malnutrition,
vitamin and mineral deficiency
and others.
5.3.2. Prevention and control of
drug abuse.
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5.3.3. Use of tested medicinal
plants in the treatment of
common ailments.
5.3.4. Other current health
issues and concerns.
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5.4. Monitors and evaluates health
and nutrition programs and otherspecial projects.
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6. Accomplishment of reports
The Regional/ Division MedicalOfficer shall prepare a quarterly/monthly report of the activities
during the quarterly and monthlyvisits and shall be submitted tothe School Health and NutritionCenter/ Regional Health and
Nutrition Unit.
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The medical officer will alsorecommend/ note the itinerary of
travel and daily time record of all
school health and nutritionpersonnel in the Regional Health
and Nutrition Unit/ Division
Health and Nutrition Section.
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6.1. Regional Level
6.1.1. The Regional Medical Officer
V/chief-RNHU shall prepare
quarterly accomplishment reportsto be submitted to the School
Health and Nutrition Center, Pasig
City.
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6.1.2. Likewise, all other reportsprepared by the Regional Health
and Nutrition Unit staff shall be
duly initialed by the Regional
Medical Officer V before
submission to the Health and
Nutrition Center and other
concerned offices/ agencies.
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6.1.3. The Regional Medical OfficerV shall recommend/ note travel
authority, itinerary of travel, daily
time record of all RNHU staff.
6.1.4. All out-going communication
and other documents shall be duly
noted/ initialed by the Medical
Officer V.
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6.2. Division Level6.2.1. The Division Medical OfficerIV/ Chief of Health and NutritionSection shall prepare annual/
monthly accomplishment reportsto be submitted to the RegionalHealth and Nutrition Unit and
Health and Nutrition Center, DECSComplex, Pasig City.
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6.2.2. All other required reports(monthly/ Annual) prepared bythe Division Health and NutritionSection (Dentist In-Charge and
Nurse In-Charge) shall be dulynoted by the Division MedicalOfficer before submission to theRegional Health and Nutrition Unitand other agencies/ offices.
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6.2.3. The Division Medical Officer
IV shall recommend/ note travel
authority, itinerary of travel anddaily time record of Division
Health and Nutrition Section staff.
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6.2.4. All outgoing communication/
documents shall be duly noted/initialed by the Medical Officer IV.
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7. Certificate of Appearance
The school medical officer
shall have his/ her certificate ofappearance signed by the school
administrator before leaving the
school.
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Thank YouVery Much for
Listening to
our Report!