Transcript Creativity Session - Danish Water Forum

NATIONAL SCHOOL HEALTH
EDUCATION PROGRAMME (SHEP)
IN GHANA
BY CYNTHIA BOSUMTWI-SAM
BACKGROUND OF SHEP


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1964-Welfare unit school meals programme initiated
by Ghana Education Service.
Current SHN programme initiated out of 1990 World
Conference on EFA (Jomtien).
Feb/March 1991-School health survey conducted in 4
regions by health education unit of the MOH
A joint programme initiated by Ministry of Education
Science & Sports (MoESS) and the Ministry of Health
(MoH), in 1992.
MoESS given the lead role; MoH provides technical
support.
BACKGROUND OF SHEP CONT’D
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
The Ministry of Local Government, Rural
Development and Environment (MLGRDE)
through the Environmental Health Officers
has responsibility for inspection of premises
and certification of food vendors.
Other Ministries, Departments and Agencies
and stakeholders contribute to school health
education in Ghana.
POLICY GOALS

Two out of Ten Policy Goals for Education Delivery
in Ghana are directly related to the implementation
of school health interventions:
“Promote and inculcate the values of good health
and environmental sanitation in schools and
institutions of higher learning” (Goal 4)
“Identify and promote educational programmes that
will assist in the prevention and management of
HIV/AIDS” (Goal 9)
VISION OF SCHOOL HEALTH
EDUCATION
A well informed healthy school population
equipped with life skills, to maintain
healthy behaviour.
COMPONENT AREAS

Skills-based health education
Beneficiaries acquire knowledge and skills,
through curricular and co-curricular
activities to make informed choices for
healthy living.
COMPONENT AREAS CONT’’D
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
School Sanitation & Hygiene Education
Disease control:
–
–
–
–

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
Diarrhoea
Deworming: Intestinal, Guinea worm, Bilharzias and
others
STIs, HIV & AIDS
Malaria
Food & Nutrition
Substance & Drug abuse
(Road) Safety & Security
First Aid, Physical Education etc.
COLLABORATORS




Government Ministries, Departments and
Agencies
Parent Teacher Associations / School
Management Committees
Development Partners –UNICEF, Danida,
WHO, JICA, etc
Non Governmental Organisations,
Community Based Organisations, Faith
Based Organisations etc
SHEP NATIONAL LEVEL LINKAGES
Development
Partners
MLGRD
DANIDA, UNICEF,
JICA,, WHO,WFP etc
Policy Planning &
Management Unit
MOH – Nutrition
Reproductive & Child
Health, School Health,
Health Promotion,
Disease Control,
Eye Care etc
MoESS
SHEP
MWRW&H
CWSA
NGOs
CONIWAS,
WVI, Plan
Ghana etc.
•Narcotics
Control Board
•Road Safety
Commission
•Red Cross
Society
SSHE ACTIVITIES
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Encourage access to safe water in schools
Provide latrines & Hand-Washing facilities
Form and train School Health Committees in user
education, operation & maintenance of facilities
Support training of Food Vendors
Provide Capacity building for School Health
Coordinators
Develop Monitoring & Supervision system and provide
training
Support training of School Health Committees
SSHE ACTIVITIES CONT’D


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Produce IE&C materials for school children
Produce Teaching aids & manuals
Support Hygiene education & promotion
campaigns for & with school children
(PPPHW)
Encourage Formation of School Health
Clubs
Competition & Quiz with school children
DISTRICT LEVEL LINKAGES
GES SHEP
Coordinator
DISTRICT
ASSEMBLY
•District Water &
Sanitation Team
GHS
•Environmental Health
Assistants
•HIV/AIDS Focal
Person
DISTRICT
HEALTH
MGT.TEAM
NGOs
Community Health
Nurse
SCHOOL LEVEL LINKAGES
School Health Committee
Head teacher, Schoolbased Health Coordinator,
Pupils Reps
PTA
SMC
Health
Worker
Community
Rep
Food
Vendors
EXTRACT FROM REPORT ON VALUE
FOR MONEY AUDIT (July 2007)
Hygiene Knowledge
96.1
96.5
96
% of Schools
95.5
95
94.1
94.5
94
93.5
93
Learn about hygiene
Mention 2 things in hygiene
REPORT CONT’D
Demonstration of Hand Washing
82.4
82.4
90
80
54.9
% of Schools
70
60
50
40
30
20
10
0
Uses soap on both
hands
Rubs both hands
Washes hand under
running water
fit
te
d
on
g
co
n
g
er
ta
in
w
at
er
% of Schools
70
dr
ih
ki
n
ki
n
rin
fa
ci
lit
y
so
ap
va
ila
bl
e
w
as
hi
ng
rd
fo
d
A
50
Ta
p
Re
ce
pt
ac
le
Ha
n
ap
60
W
at
er
&
So
REPORT CONT’D
Hygiene Facilities
68
58
48
40
40
40
30
20
10
0
MATERIALS
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Sanitation and Hygiene Manual has been
revised.
IE& C materials on sanitation and hygiene
have been developed.
School Health Guidelines have been jointly
developed with GHS- it spells out roles and
responsibilities of the various Govt actors
CHALLENGES
 Vandalisation of institutional latrines
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Construction Defects in latrines
NGOs working directly in districts/schools
Inadequate funding for SHEP activities
Competing demands for capitation grant
Lack of support by some school communities
Lack of sanitation facilities in some schools
THANK YOU