Training teachers for health, hygiene, nutrition activities on school feeding

program By

Farah (SFP and Gardening Expert)

Objectives

• To provide better hygiene behavior and healthy environment in schools in order to To provide better hygiene behavior and healthy environment in schools in order to improve the quality of life of the future generation. improve the quality of life of the future generation.

• Schools are the ideal places of learning for children and they have a crucial role in the Schools are the ideal places of learning for children and they have a crucial role in the process of community development. Schools can be able to stimulate children for a process of community development. Schools can be able to stimulate children for a behavior change. If there is adequate facilities on enough safe drinking water, sanitation behavior change. If there is adequate facilities on enough safe drinking water, sanitation and hygiene facilities in schools, children as well as teachers can act as role models of and hygiene facilities in schools, children as well as teachers can act as role models of the society. This will definitely influence the communities for a better change in their the society. This will definitely influence the communities for a better change in their attitude and approach. That was the psychology behind this initiative.attitude and approach. That was the psychology behind this initiative.

• Dissemination of knowledge at grass-root level is important for a change in the attitude Dissemination of knowledge at grass-root level is important for a change in the attitude of the people. So schools are the best place for a start.of the people. So schools are the best place for a start.

• To implement environmental awareness/school sanitation/hygiene in school syllabus To implement environmental awareness/school sanitation/hygiene in school syllabus for a healthy school environment.for a healthy school environment.

What is Hygiene?Hygiene: Hygiene is defined as the practice of desirable personal behaviors, e.g., hand washing with soap before eating and after using toilet, taking regular bath, and maintaining body cleanliness, that will promote good health and prevent sickness.

What is Hygiene Promotion?Hygiene Promotion: Hygiene Promotion refers to planned interventions that will encourage and influence individuals to adopt and practice desirable hygiene behaviors hygiene aimed at reducing disease transmission, prevent diseases and promote good health, e.g., washing hands before eating and after using of toilet, using sanitary latrine, etc.

What is Sanitation?

Sanitation: Sanitation refers to the physical means of collecting and disposing of excreta and community liquid waste in a hygienic way. In the consultative process in Mongolia, sanitation is described simply as “the proper means of collecting and disposing of excreta and the community liquid waste in hygienic way so as not to endanger the health of individuals and the community as a whole community level.

Principles of Hand washing Wet hands with water Apply soap to cover all surfaces of the hands Rub hands palm to palm Rub each palm over the back of the other hand Rub palm to palm with fingers interlaced Rub backs of fingers to opposing palms with fingers interlocked Rub each thumb clasped in opposing palm Clasp fingers and circular rub opposing palm Rinse well with water Allow hands to dry completely before touching anything else

F Diagram.

Sessions of proper hygiene and sanitation practices:

1 - Personal Hygiene (Hand Washing Practices):

Good personal hygiene includes : Personal cleanliness Hand washing with soap Cleaning of teeth and cutting nails Washing one’s clothes The critical times for hand washing with soap are

BEFORE EATING

AFTER USING LATRINE

AFTER CLEANING BABY BOTTOMS

BEFORE COOKING FOOD

BEFORE FEEDING BABIES

Hand washing before eating:

Official rules for locating latrines in relation to houses and wells should be respected wherever possible:Any latrine always to be sited a distance far from the water sources at least 20 m away from itlatrines should be sited on the lower side of sloped ground as groundwater usually flows away from a wellThe privacy of the entrance is especially important as many people do not like to be seen entering a latrineSome guidelines recommend building a latrine about l0m from the house because of smell and flies An appropriate way to manage garbage at household level is to:Bury or burn household refuse: Every family should have a garbage pit where household refuse is buried or burned regularlyReduce quantity of refuse to be disposed: The amount of refuse that needs to be disposed at the household level can be reduced

Food hygiene:The food hygiene domain includes food handling, preparation, and consumption and storage practicesFood preparation areas also vary widely, especially in relation to socio-economic conditions. In one household, the kitchen will be an open space with a few pots and kitchen utensils, whereas in another we may find a fully equipped kitchenFood hygiene also includes the use of safe water for washing of vegetables and for preparing food. Thorough re-heating of the food is required if it has been left for more than two hours.

Safe drinking water:Water sources can be divided into the followingUnderground water: natural shallow wells, bore wellsSurface water: barked, ponds, Running water: streams, natural springs, riversSafe Water Sources for drinking, cooking and washing babies are water from hand pumps, taps and protected shallow wells. Deep bore well water is safe for drinking purposes.Unsafe water sources include water from unprotected open wells, ponds, rivers, barkers and dams. These sources are generally unsafe as they are prone to contamination by animals

IntroductionHOW TO PASS HEALTH MESSAGES TO CHILDREN on Health, Nut,

Hygiene and Sanitations:Passing health messages to children is almost like passing lesson to the children.

Student listen to some teachers while they don’t listen to other ones, for every teacher, positive characteristics of teacher should be met.

The Role of School Health in Education:Good health facilitates and enhances teaching and learning.Health and nutrition education values eventually translate to the general populace hence a national health and nutrition culture.Teachers are better placed to impart proper and accurate knowledge, attitudes and skills to learners on health matters than their peers or their parents.Teachers are educated and adequately skilled to facilitate simple health interventions such as deworming and vitamin A supplementation.Learners tend to have a lot of faith in and hold in high esteem their teachers and will therefore readily internalize health education messages from teachers.It is easier to sustain in adult life the knowledge, attitudes and skills learnt earlier in school as compared to obtaining the same later on from health practitioners.Schools provide grounds for more effective large scale desermination of Health and Nutrition messages as such messages tend to reach more recipients with minimal resources.Implementing School Health and Nutrition Programmes strengthens the capacity of the MOE and relevant stakeholders in providing quality education.

School Health PoliciesSchool health policies state what actions we will take to improve the overall health, hygiene and nutrition of the learners and especially those with diverse backgrounds and abilities. Ensuring that all learners are healthy and are able to learn is an essential part of a child – friendly school.Involving many partners including teachers, learners, parents, community leaders and social service providers is the best way to develop school health policies.Improving the health and nutrition of learners through school health and nutrition programmes is not new. Many schools have such programmes because they realize that children's ability to attain their full potential depends on good health and nutrition and a safe learning environment. Learners are also able to learn to their fullest when they feel the safest.Teachers should be sensitive to the nutritional and health status of all learners in order to give appropriate advice to parents and guardians.The process of formulating school health policies should involve the following:

Assembling a School Health team by creating a Community Health Advisory Committee.Building consensus Developing Sch Health Policies and advocacy messages.Communicating this to stakeholders with a view to building the needed support.

Five of the most important attitudes that need to be developed through skills – based education are:

.Self respect: I want to be clean, smart, fit and healthySelf esteem and self confidence: I know I can make a difference to the health of my family even though I am still a child.Respect for others: I need to listen to others, to respect them and their customs even when they are different or when I cannot agree with them.Concern for others: I want to do my best to help others become healthier, particularly those who are disadvantaged.Dealing with peer pressure is also central to effective School based health Education.

Group ActivityThe strategic interventions that was necessary in facilitating were the

following components of a Health and Nutrition Promoting School: The School Feeding Programme e.g. strengthen the

promotion of sanitation and hygiene in schools. The Safe Water, Sanitation and Hygiene Programme e.g. put

in place appropriate water treatment methods such as filtration, boiling and chlorination.

The Child Health and Nutrition Programmes e.g. ensuring that pupils are regularly dewormed.

Skills based Health Education e.g. capacity building of teachers.

Safe Water, Sanitation and Hygiene:The school community to ensure that safe water is available in the school.

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Appropriate technology use in storage of water including plascontainers with all storage facilities being fitted with drawing taps to avoid contamination.tic tanks, cement tanks and ordinary drums / waterEncourage learners to take part in provision and maintenance of clean safe water.Learners / vendors who bring water to school to do so in clean containers.Communities to be involved in and sensitized on the importance of provision and maintenance of water sources and facilities for each school.In cases where safe water in not available appropriate water harvesting technologies should be put in place.

Indications that Learners are Healthy:There are ways teachers can tell when learners are in good health by looking out for the following signs. Whether the learner:

Is able to carry out routine learning activities in school, homework and assignments without undue fatigue or emotional supportIs able to participate regularly in physical education and other physical activities in the school curriculum in addition to demonstrating skills in games and basic body movements appropriate for their age, sex and body type.Shows progressive gain in weight and height without unusually wide variations.Has smooth clear skin, without discoloration, eruptions, or excessive dryness or oiliness.Has good appetiteIs interested in and enthusiastic about most activities that are popular with classmatesIs able to control emotions like other children.

KEY LEARNINGS:

Sanitation Pledge recited at school Assembly each morning as a campaign for Hygiene and Sanitation Promotion.-The use of the Child Cabinet – Appointment of Sanitation committees responsible for Sanitation and Hygiene in classrooms and school compound, and personal hygiene of peers.-Implementation of Hygiene and Sanitation in school curriculum i.e. – classroom based hygiene education.

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