Assessing The Implemention And Practice Of The School Health Program In Some Basic Schools In The Kwabre

This was a cross sectional descriptive study of the School Health Program in some basic schools in the Kwabre district. The study was carried out between March and September 2008. The main objective of the study was to assess the implementation and practice of the School Health Program in some basic schools in the Kwabre district. The district has two (2) hospitals, ten (10) Health Centers, ten (10) maternity homes and four (4) clinics serving the population in the district. Some of the issues that bothered the implementation and practice of the program, such as the seemingly weak collaboration between the implementers, sponsorship of the program and the health support services for the program, were studied. The study, therefore, sought to describe the structure of the program as practiced in the district, the physical environment of the schools that promote health, the health services and the role of implementers of the program. The World Health Organization Expanded Program on Immunization (WHO EPI) 30 x 7 cluster survey was used in determining the sample size of the survey. This included 30 basic schools, 30 community health nurses and a total of 210 parents (thus parents of 7 children in each school). This was selected from the eighty-nine (89) communities in the five (5) sub districts. Structured questionnaires and checklists were used for the data collection. The data were analyzed using Epi info version 3.9.1. The study revealed the program is poorly funded and implementers are not fully abreast with an in-depth knowledge about the structure of the School health program. The implementation of the program faces a major systemic challenge in the sense that there are no measures to monitor and evaluate the activities of implementers. Also, the study brought to light the fact that the community/parents are unaware of the role they are to play in supporting the implementation of the program.
A Thesis Submitted To The School Of Graduate Studies, Kwame Nkrumah University Of Science And Technology, In Partial Fulfilment Of The Requirement For The Degree Of Master Of Science In Health Services Planning And Mangement By Nana Abena Afrah Boateng