Transcript WASH and School Health & Nutrition

School Health
and Nutrition
healthy to learn, learn to be healthy
Seung Lee, Sr. Director for School Health and Nutrition
Save the Children, Washington DC, USA
[email protected]
PHILADELPHIA GLOBAL WATER INITIATIVE
November 4, 2010
1
Save the Children International
Where we work
Lasting positive change for children in need
27 SC members in 110+ countries
School health
policies and
community
support
Water and
Sanitation
What is SHN?
(UNICEF SSH Manual)
Skills based health,
hygiene, nutrition &
HIV/AIDS prevention
education
School based
delivery of health &
nutrition services
To be healthy to learn
and to learn to be healthy
Where we work in SHN/ WASH in Schools
MDG Targets and SHN
GOAL 2: ACHIEVE UNIVERSAL PRIMARY EDUCATION
Ensure that, by 2015, children everywhere, boys and girls alike, will be able to
complete a full course of primary schooling
GOAL 3: PROMOTE GENDER EQUALITY AND EMPOWER WOMEN
Eliminate gender disparity in primary and secondary education, preferably by 2005,
and in all levels of education no later than 2015
GOAL 4: REDUCE CHILD MORTALITY
Reduce by two thirds, between 1990 and 2015, the under-five mortality rate
GOAL 6: COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES
Have halted by 2015 and begun to reverse the spread of HIV/AIDS
Have halted by 2015 and begun to reverse the incidence of malaria and other major
diseases
GOAL 7: ENSURE ENVIRONMENTAL SUSTAINABILITY
Halve, by 2015, the proportion of the population without
sustainable access to safe drinking water and basic sanitation
69 million primary school-age children are currently out of school
(UNESCO)
75-101 million children in school are likely to drop out before
completing their primary education (UNESCO)
FACT: 272 million school days lost each year due to diarrhoea alone (WHO)
FACT: 2 out of 3 schools lack decent toilets in the developing world (UNICEF)
FACT: About 400 million school-aged children in the developing world have worms
(WHO)
Parasitic infections among school-children
90
80
70
60
50
40
30
20
10
0
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Ref: Save the Children/US baseline
surveys for SHN
How do parasitic infections affect
education?
Intestinal worms
and
schistosomes
Malnutrition,
diarrhea, and
general malaise
Malaria
Anemia
Reduced learning
capacity and
inability to
concentrate
Neurological
impairments and
reduced cognitive
functions (cerebral
malaria)
Poor cognition and school
performance, absenteeism, drop out
Lesson from the veterinary field
Periodically dewormed
Not receiving deworming
These animals are of the same species, sex and age
Ref: WHO
Government Collaboration
• Creating partnerships with
government at national,
regional, district, local level
– MOU including roles and
responsibilities with Ministries
of Health, Education, Water...
• National working groups to
promote national programs.
(Donors, NGOs, UN agencies,
Foundations, Gov’t)
ETHIOPIA Photo by Jenny Matthews
Community Involvement
• Work with community
structures (PTAs, LGUs,
SMCs) to ensure
contribution/buy-in (e.g.
material and labor)
• Train committees to maintain
and repair facilities
• Train village health
committees/agents, parents,
teachers, and district Ministry
of Education staff on hygiene
promotion
MALAWI Photo by Humphreys Kalengamaliro
Child Participation
• Involved in design of
health education
materials
• Peer educators
– Share lessons with others
and siblings
• Monitor activities, student
behaviors and school
environment
WHO/UNICEF guidelines for low-cost settings
Sufficient toilets are available: 1 per 25 girls and 1 for female staff; 1
toilet plus 1 urinal (or 50cm of urinal wall) per 50 boys and 1 male
staff
Water Consumption
• 2.5 liters per day recommended for health
• An average American uses about 100
gallons (380 liters) water a day
• The average American lifestyle demands
1,800 gallons a day to support, with 70
percent of that going to support our diets