introduction to fit for school

GIZ/UNICEFWASH for All Schools Learning ExchangeDay 2 | Manila | 27.11.2012 |

Fit for SchoolIntroduction

Tuesday, January 8, 13

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?


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.


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


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


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


Standardised minimum facilitiesMaterial cost <40 USD


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)


Creating a supportive environment

GuidelinesManuals

Templates

Community Mobilisation

Advocacy for

supportive policies

Capacity building across sectors


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


Monitoring & Evaluation

Regular process & outcome monitoring

Strengthening evidence of progam by evaluating health & education impact

Outcomes motivate staff and ensure sustained government funding


!

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


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


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

!Tuesday, January 8, 13

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."


Thank you!


introduction to fit for school

Health & Medicine

teachers

fit

simple

tuesday

january 8

gt