Medical Health Program

7/28/2019 Medical Health Program

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CHAPTER IIIMedical Health

ProgramMark Ian E. Derapete

Pauline J. Vital


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OBJECTIVES


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General Objective Promote and maintain the health

and nutritional status of the

school population and community

through the provision of effective

medical services and health

education.


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Specific Objectivesa. Minimize the incident of

common ailments among school

children and personnel;

b. Institute preventive measures in

the control of communicable

diseases;


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c. Render remedial measures for

the treatment of common

ailments;

d. Encourage propagation and

utilization of scientifically tested

medical plants for the treatment

of common ailments;


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e. Provide learning avenues todevelop health values of pupils/

students, teachers and parents;

f. Monitor the maintenance of safeand healthful environment

through the utilization of

standard health and nutritionfacilities;


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g. Establish/ strengthen linkageswith government and non-government organizations forschool/ community health andnutrition programs;

h. Monitor and evaluate theimplementation of the health

and nutrition programs in theschool/ community.


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POLICIES ANDGUIDELINES


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1. The medical officer shall conduct

physical examination.

1.1. Pupils/ Students1.1.1 All Grade 1 pupils shall be

examined on or before September

30 of every year.


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1.1.5. Physical examination of femalestudent by a male physician or

male student by a female physician

requires the presence of a third

party.

1.1.6 Athletes should undergo thorough

physical examination before

participating in divisional/ regional/national athletic meets.


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1.1.7. Collaboration with the Departmentof Health in the physical

examination of the school children/

students as per Memorandum of

Agreement between DECS andDOH partnership in Health and

Health Education in the context of

Primary Health Care and DILG

Assistory support for healthservices shall be done.


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1.1.8 Individual health card of Grade 1

pupils shall be kept by the teacherin-charge.


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1.2. DECS personnel

1.2.1. All teachers and other schoolpersonnel shall undergo annual

physical examination.


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1.2.2. C.S. Form 86 shall be accomplished

by the school medical officer or

any government physician as a

requirement for annual clearanceand shall be field in the division

office, Health and Nutrition

Section.


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1.2.3. Chest x-ray examination shall berequired every year. Fat and

moderately advanced TB cases

shall be subjected to sputum

examination and immediate shortcourse chemotherapy. Cases found

sputum positive shall go on leave

until he becomes sputum negative.

Follow-up chest x-ray examinationshall be done periodically.


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1.2.4. The school medical officer shall

collaborate with the District

Hospitals, TB pavilions and otherChest Clinics in the implementation

of the TB Control Program.


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1.3. All newly appointed school

personnel are required to

undergo a thorough health

examination to include urinalysis

chest x-ray, blood test,neuropsychiatric examination.

1.3.1 C.S. Form 211 shall be

accomplished by the medical officer

or any government physician.


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1.4. Official chest x-ray

examination results shall be

attached to C.S. Form 211 and

shall be filed in the Regional/

Division Health and Nutrition

Unit/ Section.


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2. Sick leaves exceeding five days,

maternity leaves and

reinstatement shall be dulycertified by the school medical

officer.


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2.1. In case the attending physician

is a private practitioner or

another government physician,

a medical certificate shall be

attached to C.S. From 41 duly

attested by the medical officer.


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2.2. In cases where there is no

medical officer in the division,

the medical certificate issued

by any government or privatepractitioner shall be noted and

filed in the Health and

Nutrition Section.


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2.3. In cases of complete abortion

not certified by a health

personnel, a thorough

verification of the case shall be

pursued before a medical

certificate is issued.


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2.3.1. School administrators shall be

notified immediately who shallrefer the case to the school medicalofficer or other school health andnutrition personnel.

2.3.2. Product of conception shall bepreserved for examination.

2.3.3. In case of habitual abortion, themedical officer shall certify/ attestto the reinstatement of theteacher/ personnel.


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3. The medical officer shall not

issue exemption for military

training.

3.1. The medical officer may

certify to an existing ailment or

illness and make appropriate

recommendation.


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4. The medical officer shallinstitute measures for the

prevention and control of

communicable diseases.

4.1. Reportable diseases shall be

immediately reported to local

health and school authorities.


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4.2. Exclusion of pupils/ students

from class shall be done for

those suffering from

communicable diseases.


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4.3. He shall coordinate theimplementation of the jointcircular Memorandum ofAgreement of the Department

of Local Government,Department of Health andDepartment of Education,Culture and Sports

partnership.


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5. All regions/ divisions/ schoolsmust have functional regional/

division/ school clinics.

5.1. The medical officer shallsupervise and coordinate with

other school health and nutrition

personnel the maintenance of a

functional clinic.


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6. Maximum utilization of tested

medicinal plants shall beencouraged in all schools.


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SCOPE OFWORK


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I. Health and NutritionEducation

1. Utilize the school health services

for health and nutrition values

development of pupils/ students.


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2. Coordinate with the public healthnurse in the training of first aid

teachers in simple remedial

work.

3. Disseminate health and nutrition

information in coordination with

other health and nutrition

personnel.


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4. Serve as a resource person/

consultant during in-service-

training/ orientation and seminar/

workshop and preparation of

instructional materials and visual

aids in health education.


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5. Provide teachers with updated

health and nutrition information.

6. Provide an opportunity to build

positive health attitudes and

practices.


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II. Healthful SchoolLiving

1. Collaborate with the local school

administrator in setting uppolicies and procedures for

maintaining and promoting the

health and nutrition of theschool population.


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2. Coordinate with theadministrator in the supervisionand maintenance of thesanitation and safety of the

school plant.3. Take leadership in the campaign

for the provision of standardhealth and nutrition facilities inthe school.


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III. Health and NutritionServices

1. Render routine physical

examination to the school

population.


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2. Provide medical consultation/treatment of minor ailments and

emergency cases with the use of

generic drugs and scientifically

tested medicinal plants.

3. Make appropriate referrals and

follow-up of cases when

necessary.


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4. Determine the physical and

mental fitness of the school

population who will participate inphysical education programs,

athletic meets and other related

activities.


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5. Provide health examination of

school personnel to certify

maternity and/ or sick leaves aswell as re-admission to or

exclusion from classes of pupils/

students.


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6. Take leadership in organizing,providing technical supervision of

a functional school clinic.

7. Inform immediately, reportable

diseases to local health and

school authorities.


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IV. School Community

Coordination for Healthand Nutrition


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1. Create public awareness on theimportance of the school-

community health and nutrition

program.2. Collaborate with other health

and nutrition personnel in the

control/ prevention of

communicable disease.


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3. Advise the school administratorsregarding the health and

nutrition programs of the

community and their relationshipto the school health program.

4. Act as resource person in school-

community health council

meetings and assemblies.


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5. Establish harmoniousrelationship between the school

and community.

6. Monitor and evaluate the

implementation of the health

and nutrition programs in theschool and the community.


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V. Special Project/Research Studies

1. Engage in special project/research studies in coordination

with other health and nutrition

personnel.


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VI. Plan of Work

1. Schedule of Work

1.1. Annual Schedule

1.2. Monthly Schedule


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1.1. Annual Schedule

Before the end of the calendaryear, the school physician shall preparea tentative annual schedule for theapproval of the School DivisionSuperintendent. This schedule shall beposted in the division clinic on orbefore the 5th day of January and acopy of which shall be submitted to the

Regional Office.


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1.2. Monthly Schedule

A monthly schedule shall beprepared and submitted to theschool division superintendent for

approval and posted at thedivision clinic to serve as a guide.School administrators shall befurnished a copy prior to actualvisit.


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The Medical Officer, Dentist In-charge and Nurse In-charge shallreport every Monday for hisduties and activities, and during

the last 2 working days of themonths for the preparation andadmission of reports and planning

of activities in the succeedingmonths.


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If, for unavoidable reasons, the

Medical Officer cannot meet his

schedule, he should duly notify

the school administrators

concerned. Suggested monthly

activities are as follows:


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1. examine a minimum of 1,000pupils/ month

2. visit a minimum of 7 different

priority schools/ month

3. attend staff conferences,

seminars, community assemblies,

athletic meets


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4. initiate and participate in specialhealth and nutrition programs

5. treat/ refer of cases found

6. perform health education

activities


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2. School Visit

2.1. The school medical officershall visit a minimum of seven (7)

different priority schools per

month.


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2.2. A master list of schools withthe corresponding enrollment

shall be accomplished as basis

in the presentation of hisschedule and shall be posted in

the division clinic.

2.3. The medical officer shall wear

the prescribed white uniform.


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3. Activities During School Visit

3.1. Courtesy call to theAdministrator

The school medicalofficer shall confer with theschool administrator regarding

the purposes/ objectives of thevisit.


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3.2. Inspection of the school plantThe school medical officer

shall look into the environmentalsanitation and provision of healthfacilities like clinic, toilets, schoolcanteen, feeding centers, drop-incenters, garbage disposal,

compost pit, water facilities andclassroom lighting and ventilation.


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3.3. Physical examination of schoolchildren and personnel

Minimum Target

Pupils

1,000/ month/ physician

10,000/ year/ physician


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Teachers

50/ month/ physician

500/ year/ physician


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All Grade 1 pupils and 1st yearhigh school students are the prioritygroups including the studentpopulation of identified poor andnutritionally deprived municipalities.

Annual physical examination ofteachers and personnel can be done inthe school preferably during summerin the division clinic. Ate the end of the

school year, health clearance shouldbe included.


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3.4. Post-conferenceAfter examination and

treatment, the school medical officershall call a conference. Findings, if anyare explained to the teachers andtheir respective role regarding thecase follow-up is suggested.Recommendations are given to theadministrators, regarding the various

findings including those related to theschool plant.


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3.5. Health talk

At least five (5) health talks per

school are given by health and

nutrition personnel after thephysical examination. Appropriate

topics relevant to the findings are

taken up.


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4. Remedial and curative measures

4.1. Provides consultation,

treatment and management of

cases discovered during physical

examination and cases referred

by teachers, nurses and parents.


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4.2. Renders first aid for emergency

cases

4.3. Refers cases as necessary.


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5. Other related work of schoolmedical officer

5.1. Guides and helps teachersand nurses in the observation for

signs and symptoms ofcommunicable diseases or acuteillness and evidences ofabnormal growth and

development.


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5.2. Attends inter-agency

conferences, athletic meets,

seminars, conventions and in-

service trainings.

5.3. Acts as resource speaker/

consultant during health seminars

or community assemblies.

Suggested topics to be taken up:


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5.3.1. Results of physicalexamination like leading common

ailments, communicable and

endemic diseases, malnutrition,

vitamin and mineral deficiency

and others.

5.3.2. Prevention and control of

drug abuse.


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5.3.3. Use of tested medicinal

plants in the treatment of

common ailments.

5.3.4. Other current health

issues and concerns.


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5.4. Monitors and evaluates health

and nutrition programs and otherspecial projects.


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6. Accomplishment of reports

The Regional/ Division MedicalOfficer shall prepare a quarterly/monthly report of the activities

during the quarterly and monthlyvisits and shall be submitted tothe School Health and NutritionCenter/ Regional Health and

Nutrition Unit.


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The medical officer will alsorecommend/ note the itinerary of

travel and daily time record of all

school health and nutritionpersonnel in the Regional Health

and Nutrition Unit/ Division

Health and Nutrition Section.


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6.1. Regional Level

6.1.1. The Regional Medical Officer

V/chief-RNHU shall prepare

quarterly accomplishment reportsto be submitted to the School

Health and Nutrition Center, Pasig

City.


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6.1.2. Likewise, all other reportsprepared by the Regional Health

and Nutrition Unit staff shall be

duly initialed by the Regional

Medical Officer V before

submission to the Health and

Nutrition Center and other

concerned offices/ agencies.


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6.1.3. The Regional Medical OfficerV shall recommend/ note travel

authority, itinerary of travel, daily

time record of all RNHU staff.

6.1.4. All out-going communication

and other documents shall be duly

noted/ initialed by the Medical

Officer V.


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6.2. Division Level6.2.1. The Division Medical OfficerIV/ Chief of Health and NutritionSection shall prepare annual/

monthly accomplishment reportsto be submitted to the RegionalHealth and Nutrition Unit and

Health and Nutrition Center, DECSComplex, Pasig City.


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6.2.2. All other required reports(monthly/ Annual) prepared bythe Division Health and NutritionSection (Dentist In-Charge and

Nurse In-Charge) shall be dulynoted by the Division MedicalOfficer before submission to theRegional Health and Nutrition Unitand other agencies/ offices.


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6.2.3. The Division Medical Officer

IV shall recommend/ note travel

authority, itinerary of travel anddaily time record of Division

Health and Nutrition Section staff.


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6.2.4. All outgoing communication/

documents shall be duly noted/initialed by the Medical Officer IV.


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7. Certificate of Appearance

The school medical officer

shall have his/ her certificate ofappearance signed by the school

administrator before leaving the

school.


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