PROGRAMME BY CHIEF MRS A O OLUWATAYO FWACN Introduction School Health Programme is the various actions that are taken by the health team to promote the highest possible level of health for schoolchildren throughout their years of study ID: 753168
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Slide1
THE EFFECTS OF NATIONAL INSTABILITY ON SCHOOL HEALTH PROGRAMME
BY
CHIEF (MRS.)
A. O OLUWATAYO, FWACNSlide2
Introduction
School Health Programme is
the various actions that are taken by the health team
to
promote the highest possible level of health for schoolchildren throughout their years of study.
It
involves the
process of providing learning experience, which favourably influences understanding, attitude and practices relating to individual family and community health. Slide3
The Goals of School Health Programme
Ensure
access to primary health care
Provide a system for dealing with crisis medical situations.
Provide mandated screening and immunization monitoring.
Provide systems for identification and solution to students' health and educational problems.
Provide comprehensive and appropriate health education.
Provide a healthful and safe school environment that facilitates learning.
Provide a system of evaluation of the effectiveness of the school health program.Slide4
Aims and Objectives of School Health Programme
To produce a well adjusted
physically
vibrant child who is free from disease.
To provide healthful school living for both the children and the staff.
To produce individual who know how to care for their health, the health of the family and others.
To protect
children against communicable and other preventable diseases.
It helps to discover physical defects and other abnormal conditions in the school child, and to promote their correction where remediable.
It provides for constant and continual appraisal of the children’s health status
.Slide5
Definition of coordinated school health programme
It is
an
integrated set of planned, sequential, school - affiliated strategies, activities, and services designed to promote the optimal physical, emotional, social, and educational development of students.’
The program involves and is supportive of families and is determined by the local community needs, standards, and requirements.
It is coordinated by a multidisciplinary team and accountable to the community for program quality and effectiveness ” (
Allensworth
,
Wyche
, Lawson, & Nicholson, 1995)Slide6
Components of Coordinated School Health ProgrammeSlide7
Definition of Terms
The term
instability
is often used in social science research to reflect change or discontinuity in one’s
experience.
For the purpose of this lecture,
instability
is best conceptualized as the experience of change in the nation, affecting individual or
family or community .
This change
is abrupt, involuntary, and/or in a negative
direction.
It
is more likely to have adverse implications for child development and school health programme.Slide8
Factors that Affect the Stability of A Nation
Stability can be described as a state of equilibrium where all things are equal- no storm, no disequilibrium; relative peace, quiet and rest.
Political
and administrative changes affecting policy on school health;
In political instability, crises, uneasiness, killing of political opponents and general loss of lives and properties;
Economic and social crises arising from mass unemployment, instability of wages and salaries, high cost of living, general industrial unrest, etc.
Social
factorsSlide9
Social Factors that Affect the Stability of A Nation
Divorce/Death of spouse
War
Disasters - natural and man made
Climate change
Insurgencies e.g. Chibok girls and the
Dapchi
girls
The Nigeria Social Violence Project calculated the number of fatalities by category in Nigeria from 1998 to 2014, and the results are striking:
Communal clash
e.g
in Niger Delta
Food
insecurity-
famine
Religious unrest
Mass kidnapping
Mass murder
(Herdsmen/Farmer conflicts
)Slide10
Effect of These Factors on School Health Programme
National instability caused by wars, insurgencies, disasters, and communal clashes lead people to being internally displaced in their localities. Other effects are:
Attacks against schools /Physical destruction of school structures
Absenteeism from studies and the effect
Killing
and maiming of children;
Recruitment or use of children as soldiers;
Sexual violence against children;
Abduction of children;
Denial of humanitarian access for children
Food
insecurity/MalnutritionSlide11
School children in burnt down school in armed conflict
Children who are supposed to be in schoolSlide12
Absenteeism
This is one of the major setbacks suffered by the school children as a result of national instability.
Community violence and difficult family circumstances make it difficult for them to take advantage of the opportunity to learn at school.
Students who miss at least 15 days of school in a year are at serious risk of falling behind in school (Dept. of Education, US, 2016).
Education can only fulfill its promise as the great equalizer, when we work to ensure that students are in school every day and receive the supports they need to learn and thrive.Slide13
Killing and MaimingKilling and maiming children during conflict has been identified and condemned by the UN Security
Council
.
Killing and maiming childrenSlide14
Fatalities in Nigeria by Category, 1998-2008 and 2009-2014Slide15
Child Recruitment and Use
Tens
of thousands of children are recruited and used as soldiers in armed conflicts around the world.
Some
of these children are exploited for forced labour, while some are trafficked across
borders
join military groups to escape poverty, to defend their communities, out of a feeling of revenge or for other reasons
Children
become associated with armed forces and
groups in several ways.
Some of these children are used as political pawns, as thugs to participate in violence, looting and
as bombers.Slide16
Sexual Violence against Children
Sexual violence
increases in
conflict and is often perpetrated against girls and
boys.
The
devastating consequences
include
long-term psychological trauma, health consequences including transmitted infections such as HIV/AIDS and early pregnancies.
Young mothers of babies born of rape often stay with the armed group because of the family ties and dependency that have evolved over
time. communities often stigmatize girls who have been associated with armed groups and are suspected of having been raped. They suffer psycho- social trauma.Slide17
Abduction
Some armed groups are opposed to secular and girls’ education, or to girls being treated by male medical personnel and subsequently hamper access to these services.
A
general climate of insecurity as a result of conflict also prevents children, teachers and medical personnel from attending school or seeking medical assistance.
Parents
, for example, may find it too risky to send their children to school in a volatile security situation.Slide18
Denial of Humanitarian Access
Humanitarian access is crucial in situations of armed conflict where civilians, including children, are in desperate need of assistance
.
Denial
of humanitarian access entails blocking the free passage or timely delivery of humanitarian assistance to persons in need
It also involves the
deliberate attacks against humanitarian workers.
Children
may be denied timely access to hospitals because of checkpoints and roadblocks
.Slide19
Food Insecurity/Malnutrition
As a result of instability, food production in terms of farming is affected, leading to food insecurity.
When
children are deprived of access to food and water, malnutrition sets in.
Children
that are not well fed cannot benefit from his education, even if the school structures are in place
.Slide20
General Overview
It is observed that during the course of national instability, children are mostly affected.
They
are usually moved away from their local habitat and their environment into Internally Displaced Camps (IDC)
as internally displaced persons (IDPs)
These
camps provided
by the government
don’t have any
school health programmes put in place.
While
in the camp, the children are
exposed
to poor environmental sanitation leading to
infections.
The children are also exposed to mental trauma, having witnessed all the horrors of
killing.Slide21
General Overview Contd.
From 1998 to 2008, 69% of casualties stemmed from communal
violence,including
those in the Niger Delta,“ and
Boko
Haram
was a negligible entity.
2009 to 2014,
Boko
Haram
was responsible for more than half of the country's violent deaths during those years
Since January 2014, more than 5,000 people have died. (Allen, Lewis and
Matfess
).Slide22
Recommendation
Education policy should address the impacts of instability and expand beyond its focus on improving test scores, which, for many children, is too narrow an approach for securing long-term success.
It
must also tackle the mix of aggression, anxiety and other long-term mental health problems, particularly among boys, that can be dominant legacies of family instability.
Policy
makers need to consider how to better prevent children from being handicapped by emotional or behavioural problems such as aggression, shyness and anxiety.
Children should be supported properly as they go through the now common experience of family instability. Slide23
Recommendation Contd.
Teachers should know more about the part that family disruption can play in childhood difficulties.
Schools
should have mental health
counselors
and identify children at risk.
Early
support would be better than coming down hard on misbehaving children, particularly
boys.Slide24
Recommendation Contd.
Finally, the Nigeria Government should keep to the Safe School Declaration, to which it was a signatory to.
The Safe Schools Declaration, was developed through state consultations led by Norway and Argentina in Geneva throughout the first half of 2015.
This is the instrument for states to endorse and commit to implement the
Guidelines for Protecting Schools and Universities from Military Use during Armed Conflict.
69 states are involved including Nigeria. Slide25
Conclusion
The issue of security and the Rights of the children is of great importance particularly during wars and national instability to ensure they have access to all human needs.
Adequate funding and the manpower to implement all policies that will have positive effects on the school children.
Political instability as well as economic crises should be addressed in such a way that the school health programme is not tampered with.
A school girl going to school in AfghanistanSlide26
References
Deptartment
. of Education, US, (2016).
2013-2014 Civil Rights Data Collection
(CRDC)
Dohoon
Lee and Sara
McLanahan
(2015)
Family Structure Transitions and Child Development: Instability, Selection, and Population Heterogeneity
American Sociological Review
1–26
John Hopkins – School of Advanced and International Studies (2014).
Nigeria Social Violence Project
Goodman
,( 2014);
For students, absences robustly predict academic performance
Onuoha
, F. C. (2014). Why
Do Youth Join
Boko
Haram? United States Pace Institute. 2301 Constitution Ave., NW • Washington, DC 20037 • 202.457.1700 • fax 202.429.6063
UNITED NATIONS –Office of the Special Representative of the Secretary General for Children and Armed ConflictSlide27