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首页> 外文期刊>BMC Public Health >A pre-COVID-19 assessment of aspects of the school health programme in some selected Nigerian primary schools: implications for school re-opening during the COVID-19 pandemic in developing country contexts
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A pre-COVID-19 assessment of aspects of the school health programme in some selected Nigerian primary schools: implications for school re-opening during the COVID-19 pandemic in developing country contexts

机译：在一些选定的尼日利亚小学中的学校卫生计划的各个方面进行了预科卫生计划的评估：在发展中国家的Covid-19大流行期间为学校重新开放的影响

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Following the COVID-19 pandemic, school closures were part of the global public health response to limit community spread of the virus. In recent times, there has been an emphasis on safe school re-opening. This concept is likely to differ between developed and developing country settings. There are however no published studies on barriers hindering safe school re-opening within developing country contexts. This study evaluates aspects of the school health program (SHP) in some selected Nigerian schools that might relate to the pandemic control during school re-opening. In 2017, we conducted a cross-sectional survey of the SHP of 146 registered primary schools in Gwagwalada Area Council in Abuja, Nigeria. These schools provided services to about 54,562 students. We used direct observational methods and interviewer-administered questionnaires to assess the SHP of each school. We compare SHP characteristics that might relate to COVID-19 control in schools across government-owned (public) and privately-owned (private) schools using a pre-defined framework. Public school to pupil ratios was more than six times that of private schools. Only 6.9% of all surveyed schools employed qualified health personnel. Although 8 in every 10 schools conducted health talks for communicable disease control, the use of temporary isolation and school-based immunization were low at 1.4 and 2.7% respectively. Pipe-borne water access was present in 4 of 10 schools, with public schools having more limited access than private schools (p?=?0.009). Similarly, less proportion of public schools had access to soap for handwashing (p??0.001). Adequate classroom ventilation was present in 63% of surveyed schools, with private schools having more limited ventilation (p??0.001). Overcrowding and infrastructural deficits within developing country contexts represent barriers to safe school re-opening during the COVID-19 pandemic. In these settings, there needs to be tailored and innovative strategies which consider local practical realities when designing the COVID-19 control programs during school re-opening.
机译：在Covid-19大流行之后，学校封闭是全球公共卫生响应的一部分，以限制病毒的社区传播。最近，有重点是安全学校重新开放。这一概念可能在发达国家和发展中国家的环境之间有所不同。然而，没有关于在发展中国家环境中妨碍安全学校重新开放的障碍的公布研究。本研究评估了一些选定的尼日利亚学校的学校卫生计划（SHP）的方面，这些学校可能会在学校重新开放期间涉及大流行控制。在2017年，我们在尼日利亚阿布贾的Gwagwalada地区委员会的146名注册小学SHP进行了横断面调查。这些学校为大约54,562名学生提供服务。我们使用了直接观察方法和面试官管理的问卷来评估每所学校的SHP。我们使用预定义的框架比较可能涉及政府拥有（公共）和私人所有（私人）学校的学校的Covid-19控制的SHP特征。公立学校的瞳孔比率超过私立学校的六倍。只有6.9％的受访学校都雇用了合格的卫生人员。虽然每10所学校的8人进行了疾病控制的健康谈判，但临时分离和学校免疫的使用分别为1.4和2.7％。在10所学校的4个学校中有管家的水资源，公立学校比私立学校更有限（P？= 0.009）。同样，较少比例的公立学校可以访问洗肥皂（p？＆？0.001）。在63％的受访学校中有足够的课堂通风，私立学校通风有更多限量（P？＆ 0.001）。在发展中国家背景下的过度拥挤和基础设施赤字代表了在Covid-19大流行期间安全学校重新开放的障碍。在这些设置中，需要量身定制和创新策略，在学校重新开放期间设计Covid-19控制程序时，请考虑本地实际现实。

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