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RF_COM_H_58_SUDHA
DEENA SEVA SANGHA HEALTH EDUCATION PROGRAMME
A QUALITATIVE EVALUATION
INTRODUCTION
Deena Seva Sangha requested "Community Health Cell" to carry out
an evaluation of their School Health Programme. CHC agreed to do
so, and deputed Dr. Benjamin (Consultant, CHC), Ms. Reena K.
Nair and Ms. Anjana Srinivas (Social Workers - CHC) to carry out.
this task.
Preliminary discussions were carried out with the Management
Trustee, the representative of the donor and member of the build
ing committee Ms.Maria G. Zillioli, the Director of the School
Health Programme Dr. Veda Zachariah, and Clinical Psychologist
and Director of Promise Foundation Mr. Gideon Arulmani.
During
this discussion a rough time-table for visits of the members of
the Evaluation Team to observe the activities of the School
Health Programme was drawn out. Visits had to be mutually con
venient for the Staff of the School as well as the Evaluation
Team.
There was a period when some health experts were consulted as to
how a School Health Programme could be evolved.
Some of the
ideas expressed at that time are as follows:
a)
The aim should be "towards building up the ability of
dren to be and remain healthy within the context of
socioeconomic and cultural environment".
b)
Provide opportunities to the children so that they can be
helped to realize their full potential in physical, psycho
logical, intellectual, social and spiritual aspects.
chil
their
These preliminary ideas helped in formulating more concretely the
objectives of the School Health Programme. The stated objectives
are:
To provide Primary Health Care for Children
Identify and treat any mental health problems in children.
To provide health education to children.
To provide special care for disabled children.
To provide opportunities for development of creativity in
chiIdren
6) To develop as a model school Health Programme and a resource
centre
1)
2)
3)
4)
5)
METHODOLOGY OF THE EVALUATION
1)
2)
3)
4)
Perusal of all periodical and annual reports.
Discussion with the managing trustee.
Attending a meeting of the managing committee as observers.
Observation of health educator's interaction with the children
in the classroom.
5) Discussions and briefings on the syllabus prepared by the
School Health Programme, study of the syllabus to test the
childrens' knowledge on health.
6) Observation of the eye camp conducted by a visiting ophthal
mologist .
7) Observation of stimulation classes conducted in Kannada and
Tamil.
8) Testing the knowledge of children by administering the
prepared question paper based on the study of syllabus.
FINDINGS
PRIMARY CARE: First-aid for children including dressing for
minor wounds are conducted on a regular basis, but apart from
this, prescriptions are given for other illness. But, it is a
mootpoint whether children get proper medication. De-worming of
children at periodic intervals is been done. Various camps like
Nutrition
Eye Camp, Dental Camp, etc. are also conducted.
rehabilitation programmes for 80-100 children has also started,
but due to irregularity in a tendance, some children did not
improve.
IDENTIFICATION OF SLOW LEARNERS
The work done by NIMHANS (Dr. Malavika Kapur and team) i.e.,of
identifying scholastically backward children is now continued by
Promise Foundation. Stimulation Programme is conducted both in
Kannada and Tamil. The time slot for this is two hours per day
for 5 days a week. The time table drawn out for the stimulation
programme includes half an hour each for Language, Mathematics,
Writing and Activities as subjects.
There are two stimulation teachers who are highly motivated and
each child is given individual attention.
Though Language,
Writing and Mathematics would cover the academics by helping
these children to reach the level of their peers, regarding the
Activities part of the programme , we were unable to find suffi
cient and satisfactory evidence of helping these children with
their creativity,and their potential areas are not tapped ade
quately. (Refer Objective 5 ) However, there have been painting
competitions organised. This has been a popular programme, and
children with special aptitudes could be identified. There were
also picnics organised, where children were encouraged to know
each other better, and also find themselves helping each other.
Health Education for children: A questionnaire covering the
major topics of the Health Education Classes was prepared both in
Tamil and Kannada for the children. The written test in Tamil
showed the following results:
->
The
areas:
students have a very good knowledge
1) Personal Hygiene
in
the
following
2) Infectious diseases
3) Nutrition
4> Immunization
5) Diarrhoea
6) Education v/s Marriage.
->
Very little knowledge on family planning, conception, men
struation.
The written test in Kannada showed the following
results.
->
There is a good understanding in the areas of
1)
2)
3)
4)
5)
6)
7>
Germs
Personal hygiene measures
Tuberculosis
Diet and Nutrition
Alcoholism
Social problems
Education v/s Marriage.
There is inadequate understanding in the areas of
1) Menstruation
2) Drugs
3) Scabies
Confusion in the areas of Leprosy, ORS, Immunization,
& Pregnancy.
But it was clearly noted that the
in writing is not adequate.
Sanitation
students' ability to
express
SPECIAL CARE FOR DISABLED CHILDREN
The physically disabled children are referred to 'the Association
of the Physically Handicapped, Bangalore, and according to their
needs, free calipers and other aids are given to these children.
Social workers from APH, along with the School Health Workers go
to the community to find and assist other handicapped children
too.
MODEL SCHOOL HEALTH PROGRAMME
We did not have time to assess this objective .but we do feel
that the School has the potential to evolve as a Resource Centre.
ADMINISTRATIVE AND ORGANISATIONAL ASPECTS
The Sangha has very laudable goals and objectives. The organisa
tion with life members and other categories of members, has
accepted the concept of being concerned with the health of the
children as they go through school, and also a concern for edu
cating the children about the essentials of health, and how they
could take care of their own health through healthy habits,
personal hygeine. These concerns led to appointment of a Doctor
who was to organise Primary Health Care and carry out Health
Education.
At the administrative meetings, the health educator and Ms. Maria
are invited as invitees, and have the privilege of participation.
They can influence decision making.
Staff : For the Primary Health Care and Health
following staff are available :
Education,
the
Doctor for Primary Health Care & Coordinator - one
Assistants for Health Education - one
Social Worker - one
Funding : Ms. Maria Giovanna Zillioli, a qualified Community
Health Nurse from Italy, has been a member of the School Health
Committee from February, 1988. She has played an important role
of facilitating the School Health programme and starting the
Child Mental Health programme and a school for Special Education
at the Seva Ashram School in Sriramapuram. She has been the
person most involved in raising funds ever since 1988, and also
the construction of Seva Ashram School building. She was also
helpful in raising funds for creating an Endowment Fund for the
school for special education for the mentally retarded.
PROFESSIONAL ASPECTS
(1) The Community Health Cell's contribution in setting up the
basic concepts and some guiding principles of the programme
has stood the test of time. They still form the basis for
the programme.
(2) The professional help given by Dr. S.V.Rama Rao, retired
Professor of Community Health, in the early years helped
the Primary Health Care aspects.
(3) With the appointment of Dr. Veda Zachariah, a young doctor
as coordinator of the Primary Health Care and Health Educa
tor, the programme got better organised and more focussed.
STRENGTHS
(1) A well planned syllabus.
(2) An effective use of teaching aids such as posters and
puppets.
(3) Periodic assessment of the knowledge gained by the students.
(4) Some recognition by the State Health Department and its
Health Education Bureau.
WEAKNESSESS
(1) The near total absence of interest in this programme on the
part of the teachers. Even the Headmaster has not shown
evidence of giving importance to this programme.
(2) The administration has not helped the Health Education teain
to have a Health Education for the High School section.
(3) Continuing dependence on overseas funding which even today
takes care of nearly 507. of the total budget. But there are
no clear evidences of working towards self-sufficiency.
CONCLUSION
In conclusion we -felt that the overall impact of the School
Health Programme is beneficial to the students in stimulating
their interest in matters of Health as an important dimension of
life. Also, the Special aspects of the School Health Programme
are unique in their concept and execution. There is vast scope
for helping other schools in their ideas for promoting Health and
for taking care of special needs of children.
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