SCHOOL-BASED HEALTH SERVICES

for Parents & Teachers

Department of Health
Center for Health Development Western Visayas
 The RIGHT to
HEALTH and EDUCATION
• No child should be deprive
of his or her right to
access health care services

• To take measures to
encourage regular
attendance at schools and
reduce drop-out rates

© Illustrado Magazine
UN Convention on Right of the Child, 2009

SCHOOL-BASED HEALTH SERVICES 2019

 Children can
reach their
full potentials
if they are
healthy and
happy and in
school!

SCHOOL-BASED HEALTH SERVICES 2019

Region-Initiated Integration of
School-Based Health Services

Deworming Weekly Iron-Folic Acid School-based

Supplementation Immunization

SCHOOL-BASED HEALTH SERVICES 2019

 Why deworming???
There is still a HIGH
burden of disease among
Filipinos especially children
infected with soil-
transmitted helminthiasis.

SCHOOL-BASED HEALTH SERVICES 2019

 HELMINTHS causes:
Growth Stunting
Decreased physical
activity
Poor mental and physical
activity that affect school
performance
SCHOOL-BASED HEALTH SERVICES 2019
Harmonized Schedule and Combined Mass
Drug Administration (HSCMDA) for the
Prevention and Control of Lymphatic
Filariasis, Schistosomiasis and Soil-
Transmitted Helminthiasis

SCHOOL-BASED HEALTH SERVICES 2019

 Pagpurga
“Deworming”

SCHOOL-BASED HEALTH SERVICES 2019

 DEWORMING
• Target: K to Grade 12 (5 – 18 years old)
• Drugs:
• Albendazole 400 mg
• Mebendazole 500 mg
• Schedule:
• July (1st Round) &
• January (2nd Round)

SCHOOL-BASED HEALTH SERVICES 2019

 Anemia is a global public health
problem!

Iron deficiency anemia (IDA) was

considered to be the most important
contributing factors to the global
burden of disease.
(WHO, 2002)

It is estimated that 41.8% of pregnant

women worldwide are anemic.

At least half of this anemia burden is

assumed to be due to iron deficiency.
(WHO Guideline on Intermittent Iron and Folic Acid
Supplementation in Non-anemic Women, 2012)

SCHOOL-BASED HEALTH SERVICES 2019

Why do we want to prevent
IRON DEFICIENCY ANEMIA?
Iron is needed for:
• Formation of hemoglobin in
RBCs
• Transport of oxygen in the body
• Production of energy
• Function of the immune system
• Normal cognitive function
• Reduction of tiredness and
fatigue
Poor cognitive performance,
behavior, and physical growth of
infants, preschool and school-aged
children.

Weak immune status and morbidity

from infections of all age groups.

SCHOOL-BASED HEALTH SERVICES 2019

 Weekly Iron Folic Acid
Supplementation
(WIFA)

SCHOOL-BASED HEALTH SERVICES 2019

WEEKLY IRON-FOLIC ACID
SUPPLEMENTATION
• Target:
• Grade 7-10 FEMALE

• Drugs:
• Iron and Folic Acid

• Schedule:
• Every MONDAY for 3 months/round (Total = 24
tabs)
• July-September (1st Round) &
• January-March (2nd Round)

SCHOOL-BASED HEALTH SERVICES 2019

School-based Immunization Program

SCHOOL-BASED HEALTH SERVICES 2019

 Decrease global burden
of vaccine preventable
diseases.

Protection from primary

dose declines over time.

Thus, there is a need for

booster doses to
maintain high level of
protection.
SCHOOL-BASED HEALTH SERVICES 2019
 What is Herd Immunity? Scenario 1
Immunized Susceptible Contagious Vaccinated but get the disease

Low population immunity

Chance for contagious to meet susceptible is high
Disease spreads fast. Transmission is sustained. Outbreaks are
frequent
 What is Herd Immunity?: Scenario 2
Immunized Susceptible Contagious

High population immunity

Above a certain threshold of population immunity (95% for measles),
chance for contagious to come into contact with susceptible is low
Disease spread is limited. Outbreaks are small. This population has
Herd immunity
 Severe Measles and Rubella Complications

desquamation
CORNEAL SCARRING CAUSING PNEUMONIA & DIARRHEA
BLINDNESS • Diarrhea is common in developing countries
Vitamin A deficiency • Pneumonia ∼ 5-10% of cases, usually
bacterial, major cause of death

ENCEPHALITIS
Older children, adults ≈ 0.1% of
cases; causes chronic disability

SCHOOL-BASED HEALTH SERVICES 2019

 Pagbabakuna
“Immunization”

SCHOOL-BASED HEALTH SERVICES 2019

School-Based Immunization 2019
• Target:
• Kinder, Grade 1 to 7
• Grade 4 FEMALE

• Vaccine:
• ALL (Kinder to Grade 7)
• Measles Containing Vaccine
(MMR/MR)
• Grade 1&7
• MCV + Tetanus-diphtheria (Td)
• Grade 4 FEMALE
• MCV + Human Papillomavirus
Vaccine (HPV)

• Schedule:
• June to September 2019

SCHOOL-BASED HEALTH SERVICES 2019

SCHOOL-BASED HEALTH SERVICES 2019
SCHOOL-BASED HEALTH SERVICES 2019
 May mga LIBRENG
bakuna din sa
mga paaralan!

SCHOOL-BASED HEALTH SERVICES 2019

MATAGAL na ang mga LIBRENG
Bakuna sa mga Health Centers at
Paaralan

SAFE (Ligtas)
SCHOOL-BASED HEALTH SERVICES 2019
 How can my child AVAIL of the free
School-Based Health Services?

✓ Be INFORMED! Inquire with the nearest health worker

about the available School-Based Health Services.

✓ Signify YES and SIGN the consent / notification form.

✓ ACCOMPANY child if necessary during the actual

service provision.

SCHOOL-BASED HEALTH SERVICES 2019

School-Based Health Services are…

FREE
SAFE
EFFECTIVE

SCHOOL-BASED HEALTH SERVICES 2019

“Para sa Kinabukasan ng Kabataan…
Serbisyong Pangkalusugan sa
Eskwelahan”

SCHOOL-BASED HEALTH SERVICES 2019

Thank You!!!