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School Health Needs Assessment in Chanchamayo, Peru: A Health Promoting School Project

机译:秘鲁禅纳纳奥的学校健康需求评估:促进学校项目的健康

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Background: School-based health promotion can be particularly valuable in developing countries. However, there is a lack of information about the health needs of Peruvian school students. The purpose of this study was to conduct a health needs assessment to develop strategies for a school health promotion program in a jungle and indigent region in Chanchamayo, Peru. Methods: This study was conducted using a mixed method approach that included a literature review, national and local statistics, stakeholder interviews, and a survey. Participants of the survey were 210 teachers, 2,504 elementary school students, and 2,834 secondary school students from six ‘schools in two planned project implementation regions. A self-administered questionnaire for students was developed based on WHO's Global School-based Student Health Survey. Collected data were analyzed using descriptive statistics, chi-square tests, and t -tests for the survey data and content analysis for the interviews. Results: Weak school health systems were identified, including school health policies, curriculum, trained health care personnel, and health-related facilities and equipment. Common health problems of students were anemia, nutritional deficiency, infectious diseases, tuberculosis, drug abuse, poor hygiene, and sex-related problems. High absence rates from school due to family problems and high dropout rates due to pregnancy were also critical issues. Teachers identified personal hygiene, nutrition, reproductive health, and sex education as high priorities for school health education, while students identified prevention of infectious diseases, nutrition education, psychological health, and healthy lifestyles as priorities. Identified strategies included: establishment of school health policies, curriculum-based interventions, increasing community participation and raising school health awareness, capacity building for health care promotors, training of trainers, and partnership between schools and communities. Conclusions: Findings from this study will help guide the development and implementation of a school-based health promotion program in Chanchamayo. Multicomponent school-based interventions that consider feasibility and sustainability will be developed and evaluated based on WHO's Health Promoting School concepts.
机译:背景:基于学校的健康促进可能在发展中国家特别有价值。但是,缺乏有关秘鲁学校学生的健康需求的信息。本研究的目的是对健康需求进行评估,为秘鲁南部的丛林和贫困地区开展学校健康促进计划的战略。方法:采用混合方法方法进行了本研究,其中包括文献综述,国家和地方统计,利益相关方访谈和调查。调查的参与者为210名教师,2,504名小学生,以及来自两个计划项目实施区域的六所学校的2,834名中学生。基于世卫组织的全球校本学生健康调查,开发了一个自我管理的学生问卷。使用描述性统计,Chi-Square测试和T -Tests进行分析收集的数据,用于调查数据和面试的内容分析。结果:确定了弱势卫生系统,包括学校卫生政策,课程,培训的医疗保健人员,与健康有关的设施和设备。学生的常见健康问题是贫血,营养缺乏,传染病,结核病,药物滥用,卫生差和与性有关的问题。由于家庭问题,由于怀孕而导致的学校的高缺失率也是关键问题。教师确定了个人卫生,营养,生殖健康和性教育,以及学校健康教育的高度优先事项,而学生认为预防传染病,营养教育,心理健康,以及健康的生活方式作为优先事项。确定的策略包括:建立学校卫生政策,基于课程的干预措施,增加社区参与和提高学校健康意识,卫生保健促销活动的能力建设,培训师培训以及学校和社区之间的伙伴关系。结论:本研究的调查结果将有助于指导禅人院的校本卫生促进计划的开发和实施。基于谁的健康促进学校概念,将制定和评估基于多组分的学校干预措施,以便和评估。

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