Quality of implementation of the school health program in a rural district of Oyo State, Nigeria: a public-private comparison

Adebayo, Ayodeji Matthew; Sekoni, Olutoyin; Ojifinni, Oludoyinmola Omobolade; Akindele, Akinwumi; Adediran, Oluwaseun Stephen

doi:10.1007/s10389-018-0941-5

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…The number of health personnel employed by schools in the study area was markedly limited, as only 6.9% of schools employed either a nurse or doctor and none of the surveyed public schools employed one. This is similar to two Nigerian studies that showed 4.3 and 9.3% of schools employed health personnel [45,46]. Our figures are however much lower than a previous study from south-western Nigeria which found 23.3% of schools to employ a nurse [39].…”

Section: Discussionsupporting

confidence: 86%

A pre-COVID-19 assessment of aspects of the school health programme in some selected Nigerian primary schools: implications for school re-opening during the COVID-19 pandemic in developing country contexts

et al. 2021

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Background Following the COVID-19 pandemic, school closures were part of the global public health response to limit community spread of the virus. In recent times, there has been an emphasis on safe school re-opening. This concept is likely to differ between developed and developing country settings. There are however no published studies on barriers hindering safe school re-opening within developing country contexts. This study evaluates aspects of the school health program (SHP) in some selected Nigerian schools that might relate to the pandemic control during school re-opening. Methods In 2017, we conducted a cross-sectional survey of the SHP of 146 registered primary schools in Gwagwalada Area Council in Abuja, Nigeria. These schools provided services to about 54,562 students. We used direct observational methods and interviewer-administered questionnaires to assess the SHP of each school. We compare SHP characteristics that might relate to COVID-19 control in schools across government-owned (public) and privately-owned (private) schools using a pre-defined framework. Results Public school to pupil ratios was more than six times that of private schools. Only 6.9% of all surveyed schools employed qualified health personnel. Although 8 in every 10 schools conducted health talks for communicable disease control, the use of temporary isolation and school-based immunization were low at 1.4 and 2.7% respectively. Pipe-borne water access was present in 4 of 10 schools, with public schools having more limited access than private schools (p = 0.009). Similarly, less proportion of public schools had access to soap for handwashing (p < 0.001). Adequate classroom ventilation was present in 63% of surveyed schools, with private schools having more limited ventilation (p < 0.001). Conclusions Overcrowding and infrastructural deficits within developing country contexts represent barriers to safe school re-opening during the COVID-19 pandemic. In these settings, there needs to be tailored and innovative strategies which consider local practical realities when designing the COVID-19 control programs during school re-opening.

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Section: Discussionsupporting

confidence: 86%

A pre-COVID-19 assessment of aspects of the school health programme in some selected Nigerian primary schools: implications for school re-opening during the COVID-19 pandemic in developing country contexts

et al. 2021

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“…This means that the status of the teachers is key in the implementation of the SHP. This is consistent with the study outcome of Adebayo, Makinde and Omode (2018), who reported that, in Nigeria, lack of training/orientation of teachers in the program, higher attrition rates, and transfer, among others, may have contributed to ineffective implementation of SHPs.…”

Section: Discussionsupporting

confidence: 90%

Assessment of School Health Policy in Ghana; Perspective of Teachers in Second Cycle Institutions in the Kwadaso Municipal Area, Kumasi

Akumiah Opoku,

Brenyah,

Mohammed

et al. 2023

IJEDA

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Background: The focus on school health has moved from the classroom to a more comprehensive approach focusing on students’ health behaviours and a supportive school environment in health promotion. As school health policy helps to reduce health risk behaviours, knowledge and perspectives of Teachers in school health are key. Method: An institutional school-based cross-sectional study involving 220 teachers in second-cycle institutions in the Kwadaso Municipal-Ghana from June to August 2022. Data was collected using a structured questionnaire and analysed using STATA version 16, Microsoft Excel, and Jamovi 2.3.12. Descriptive statistics and Chi-square association tests were conducted between the outcome and independent variables. Results: The age range was 24-56 years. Most respondents were first-degree graduates (52.5%). The study found that the school's health program covers all aspects of the health needs of the students (Mean=2.98, SD= 1.34). Also, the school health programs focused on preventive measures (Mean=2.46, SD= 1.081). Again, about 41.63% perceived that they passionately share the view that effective implementation of the health policy in their school is associated with their classroom responsibility (Mean=2.34, SD=0.918). Items such as 'My school has adequate classrooms’ (110 [50.2%], Mean=2.33, SD 1.169, 'My school has friendly facilities for People Living with Disability (84[38.0%], mean=2.70 and SD of 1.315) have seen a high agreement. About 44.3% of the respondents believe that the school health program has improved their knowledge. Conclusion: Most teachers had adequate perspective in the school health program due to their high knowledge of school health issues.

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“…Most of these studies have reported inadequate knowledge among the assessed teachers [ 10 , 12 , 13 ]. This unfavorable trend has continually reflected on the Quality of Implementation (QoI) of the programme in schools, with many researchers reporting poor to below average QoI of SHP [ 14 - 16 ]. These studies on the SHP knowledge of the school teachers are needed to improve on the current suboptimal quality of implementation of the SHP in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of school teachers and the associating factors in the effective delivery of the school health programme in Nigeria

Bosede¹,

Obembe²,

Adebayo³

2022

Pan Afr Med J

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Introduction the important position that teachers occupy in school settings make them indispensable in the effective delivery of the School Health Programme (SHP). This study assessed the SHP knowledge of primary school teachers and the perception of their roles in the successful delivery of the programme in Ondo State, Nigeria. Methods this was a cross-sectional descriptive study. A multi-stage sampling technique was used to select 400 teachers from 42 primary schools, from the study population. A semi-structured self-administered questionnaire was used to collect data. Each respondent´s aggregate score was classified as being poor knowledge, if it was < 50% of the maximum obtainable score and good knowledge, if it was equal or more than 50% of the maximum obtainable score. Results the majority of the teachers (76%) demonstrated poor knowledge of the programme. Yet, a good number of them, believe they have a part to play in the implementation of the SHP. Academic qualification was found to be statistically associated with SHP knowledge (p < 0.01). Length of time in teaching service (p= 0.035; OR=1.033; 95%CI = 1.002- 1.065) was found to be a predictor of adequate SHP knowledge. Conclusion the SHP knowledge of the teachers was found to be inadequate. Although, most of the teachers agreed that they had roles to play in the SHP delivery, a sizeable number of them could not state what those roles entailed. It is recommended, therefore, that government and all stakeholders in education and health sectors should conduct trainings on SHP, focusing on teachers´ roles in the school community.

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Quality of implementation of the school health program in a rural district of Oyo State, Nigeria: a public-private comparison

Cited by 5 publications

References 5 publications

A pre-COVID-19 assessment of aspects of the school health programme in some selected Nigerian primary schools: implications for school re-opening during the COVID-19 pandemic in developing country contexts

A pre-COVID-19 assessment of aspects of the school health programme in some selected Nigerian primary schools: implications for school re-opening during the COVID-19 pandemic in developing country contexts

Assessment of School Health Policy in Ghana; Perspective of Teachers in Second Cycle Institutions in the Kwadaso Municipal Area, Kumasi

Knowledge of school teachers and the associating factors in the effective delivery of the school health programme in Nigeria

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