Assessment Of The School Health Service In Addis Ababa During 198586 School Year

This study is an assessment of the school heal t h service inrnAddis Ababa which has been operating for the last 45 years.rnFifty-seven school clinics serving a student population of 197,181rnwere se l ected according to set criteria . 'rhese school clinics werernvisited, medi cal records and reports for the 1985/86 school yearrnrevie'19d , and school health workers interviewed. Najar he althrnproblems of school childr"n and problems in th ... delivery of thernschool h~alth servi ce its ~lf are i dentified .rnAccidents and injuries were .round to be the most prevalert healthrnproblems of school childrf;n vith .:in overall incidence rate of aboutrn22%. Over 45% of the: report ed deaths fer W1lich causes were possiblyrnknovn during ·the same period were also aue t o accidents . Otherrncategories of health problems includ.~ inte stinal parasite, dentalrnproblems, skin infections, eye and Ear probl ems and venereal diseases ..rnAvailable data s ugge !3t that most of these problems were cons istantl yrno':;curring over the past 26 yeurs, E~X Cl2:pt for dental caries which hasrnpossibly appedred as .1 new phenomena in recent years.rnComparison of the morbidity patterns between the school populationrnand the general population of Addis 1lbaba did not show major differences .rnOn the whole 1 most of the dis eas~ s and conditions idantified are o f therntypc that can be prevent"d through general public health m€i1c.ures .rnNost of the school clinics havL~ seri ous probl (:::l-:IS of space,rnbudget 7 drugs and ffillnpower:_u Over T:::'r of the school clinics surveyedrnhave only onc room each and about £:5% W'2re staffed by on0 hedlthrnworker each. Lack o f provision [or refresher courSGS r i nadequatt.rnsupervisi on and ambulance problenls we r e a lso r eported. Schoolrn}j;!alth s e r vice activiti es were found to be incomple t e in most ofrnthe important 3ctivities like pariodic medical examination ofrnchildren, screening f o r defects and vaccinations . From the f i ndingsrnof this study it can safely be concluded 'that school health servi cerni s a n.Ajlected

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