Abstract
Background
The Nigerian National School Health Policy (NSHPo) was adopted more than a decade ago, yet its quality of implementation (QoI) remains poor. Diverse variations exist between public and private schools yet most studies in Nigeria did not consider this in their evaluation. This study was conducted to assess the QoI of the School Health Programme (SHP) in public and private primary schools in Ibadan metropolis, using the NSHPo framework as a guide.
Subjects and methods
The study utilized a comparative-descriptive cross-sectional design. A two-stage sampling technique was used to select one of five local government areas in a Metropolitan city and 68 primary schools. An observational checklist was used to assess the five domains of the SHP, namely: Healthful School Environment [HSE]; School Health Services [SHS]; Skills Based Health Education [SBHE]; School Feeding Services [SFS], and School, Home, and Community Relationship [SHCR]), as listed in the Nigerian SHPo framework. QoI was assessed by exploring availability, suitability, adequacy, and functionality of the domains measured.
Results
About half of the primary schools (38.5% public; 75.9% private) had first-aid boxes, but they were empty in 66.7% of public and 20.7% of private schools. A few (19.1%) had hand-washing facilities. Almost all the schools (97.1%) did not perform medical examination for school vendors. Only 35.3% of the schools had waste-disposal facilities, of which a significantly higher proportion were in private schools (72.4%) (P < 0.001). None of the schools had counselling schedule or record of counselling sessions. Overall, QoI of the SHP was significantly poor in 36.8% of the schools, with a higher proportion (46.2%) in public schools compared with private schools (24.1%) (p < 0.001).
Conclusion
The School Health Programme in selected urban private and public primary schools had poor quality of implementation but private schools had a better quality of implementation.
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References
Abodunrin O, Adeoye O, Adeomi A, Osundina F, Ilori O (2014) Practices, scope and determinants of school health services in Osun State, Nigeria. Br J Med Res 4(35):5548–5557. https://doi.org/10.9734/BJMMR/2014/11931
Adebayo AM, Owoaje ET (2016) Quality of implementation of the school health program in Oyo state, South-West Nigeria: a rural–urban comparative survey. Am J Educ Res 4(4):307–313. https://doi.org/10.12691/education-4-4-3
Adebayo AM, Makinde GI, Omode PK (2018) Teachers’ training and involvement in school health Programme in Oyo state, Southwest Nigeria. Arch Basic Appl Med 6(1):9–15
Adebayo AM, Sekoni O, Uchendu OC, Ojifinni OO, Akindele AO (2019) Quality of implementation of the school health program in a rural district of Oyo state, Nigeria: a public-private comparison. J Public Health 27(2):163–169. https://doi.org/10.1007/s10389-018-0941-5
Ademokun OM, Osungbade KO, Obembe TA (2014) A qualitative study on status of implementation of school health programme in South Western Nigeria: implications for healthy living of school age children in developing countries. Am J Educ Res 2(11):1076–1087. https://doi.org/10.12691/education-2-11-12
Amoran O, Kuponiyi O, Kuponiyi O (2016) Head teachers’ perception and practice about school feeding services in public and private primary schools in Ogun state, Nigeria. Br J Educ Soc Behav Sci 13(1):1–11. https://doi.org/10.9734/BJESBS/2016/22072
Arikewuyo MO (2009) Professional training of secondary school principals in Nigeria: a neglected area in the educational system. Flo J Ed Ad P 2(2):73–84 https://files.eric.ed.gov/fulltext/EJ930105.pdf
Badau MK (2015) A comparative analysis of the contributions of private and public primary schools to educational development in Nigeria. Merit Res J Educ Rev 3(11):304–309 https://www.meritresearchjournals.org/er/content/2015/November/Kabiru.pdf
Bisi-Onyemaechi AI, Akani AN, Ikefuna AN, Tagbo BN, Chinawa JM, Chikani UN (2017) School health services in Enugu east, Nigeria: perspectives from a resource poor setting. Healthcare Low-Resource Settings 5(6357):14–18 https://www.pagepressjournals.org/index.php/hls/article/view/6357
Chabo JA, Antor N (2018) Implementing healthful school environment as a component of school health programme (SHP) in selected secondary schools in Calabar municipality, Cross River state, Nigeria. Sch J Appl Med Sci 6(3):1340–1354. https://doi.org/10.21276/sjams.2018.6.3.104
Chabo JA, Idu E-NR (2018) Status of school meal programme in selected secondary schools in Calabar municipality, Cross River state, Nigeria. Eur J Biomed Pharm Sci 5(2):101–108
Institute of Medicine (1995) Defining a comprehensive school health program: an interim statement. The National Academies Press, Washington, DC. https://doi.org/10.17226/9084. Accessed 12 Nov 2018
Federal Republic of Nigeria (2004) National Policy on Education. Federal Ministry of Education, Abuja, Nigeria, pp 1–34. http://wbgfiles.worldbank.org/documents/hdn/ed/saber/supporting_doc/AFR/Nigeria/TCH/National%20Policy%20on%20Education.pdf Accessed 12 Nov 2018
Igben MS, Akande SO (1998) Propensity to save among Nigerians: the rural–urban dichotomy and its implications for rural–urban migration phenomenon. Sav Dev 12(1):75–87 http://www.jstor.org/stable/25830138
Jaiyeoba AO (2007) Perceived impact of universal basic education on National Development in Nigeria. Int J Afr Afr-Am Stud 6(1):48–58 https://ojcs.siue.edu/ojs/index.php/ijaaas/article/view/89. Accessed 25 Jan 2019
Kalu OH, Ibiam J, Stephen NC, Ijeoma UJ (2014) Rural infrastructure development: a tool for resolving urbanization crisis. A case study of South-Eastern Nigeria. World Environ 4(1):14–21. https://doi.org/10.5923/j.env.20140401.02
Kuponiyi OT, Amoran OE, Kuponiyi OT (2016) School health services and its practice among public and private primary schools in Western Nigeria. BMC Res Notes 9(203):1–10. https://doi.org/10.1186/s13104-016-2006-6
NHGSF. Nigeria Home Grown School Feeding. Nigeria Home Grown School Feeding Strategic Plan 2016–2020. Conference ready version. Federal Government of Nigeria, Lagos, pp 1–16 https://hgsf-global.org/en/bank/downloads/doc_download/479-nigeria-home-grown-school-feeding-strategic-plan-2016-2020. Accessed 6 Sep 2018
Federal Ministry of Education (2006) The National School Health Policy 2006. Federal Ministry of Education, Abuja, pp 1–32. hgsf-global.org/en/bank/downloads/doc_download/330-nigeria-school-health-policy. Accessed 8 Nov 2018
Odeyemi K, Chukwu E (2015) Knowledge, attitude and practice of school health among primary school teachers in Ogun state, Nigeria. Niger J Paediatr 42(4):340–345. https://doi.org/10.4314/njp.v42i4.11
Ofovwe GE, Ofili AN (2007) Knowledge, attitude and practice of school health programme among head teachers of primary schools in Egor local government area of Edo state, Nigeria. Ann Afr Med 6(3):99–103. https://doi.org/10.4103/1596-3519.55726
Ogaji DS, Okokon EO (2012) Appraising the physical environment of secondary schools in Calabar, Nigeria. J Environ Sci Toxicol Food Technol 1(1):42–48. https://doi.org/10.9790/2402-0114248
Ogunfowokan AA, Esan DT, Salau OR, Bamidele YR, Ojo DE (2017) Assessment of the physical school environment of selected private high schools in Ile-Ife, Nigeria. Br J Sch Nurs 11(10):498–505. https://doi.org/10.12968/bjsn.2016.11.10.498
Olatunya O, Oseni S, Olaleye AO, Olatunya A, Akani N, Oyelami O (2015) School health services in Nigeria: a sleeping giant? Afr J Health Sci 28:127–141 https://www.academia.edu/30513347/School_Health_Services_in_Nigeria_A_sleeping giant Accessed 6 Sep 2018
Oluwafemi OL, Nma A, Osita O, Olugbenga O (2014) Implementation of early childhood education: a case study in Nigeria. Univ J Educ Res 2(2):119–125. https://doi.org/10.13189/ujer.2014.020203
Onu VC, Obiozor WE, Agbo OE, Chiamaka E (2011) Integration and innovation in early childhood education in Nigeria: implications for quality teacher production. Afr J Teach Educ 1(1):209–221. https://doi.org/10.21083/ajote.v1i1.1587
Osuorah CDI, Ulasi TO, Ebenebe J, Onah SK, Ndu IK, Ekwochi U (2016) The status of school health services: a comparative study of primary schools in a developing country. Am J Public Health Res 4(2):42–46. https://doi.org/10.12691/ajphr-4-2-1
Qureshi FM, Khalid N, Nigah-e-Mumtaz S, Assad T, Noreen K (2018) First aid facilities in the school settings: are schools able to manage adequately? Pak J Med Sci 34(2):272–276. https://doi.org/10.12669/pjms.342.14766
Toma BO, Oyebode TO, Toma GIO, Agaba EI (2014) School health services in primary schools in Jos, Nigeria. Open Science J Clin Med 2(3):83–88. https://www.researchgate.net/publication/266389259_School_Health_Services_in_Primary_Schools_in_Jos_Nigeria Accessed 6 Sep 2018
Toma BO, Oyebode TO, Toma GIO, Gyang MD, Agaba EI (2015) Evaluation of school health instruction in primary schools in Jos, North-Central Nigeria. IOSR J Dent Med Sci 14(3):11–17. https://doi.org/10.9790/0853-14331117
WHO (2018) World Health Organization. Strategic Guidance on Accelerating Actions for Adolescent Health in South-East Asia Region 2018–2022. South East Asia Regional Office, New Delhi, pp 1–98. http://www.searo.who.int/indonesia/topics/strategic_guidance_accelerating_actions_for_adolescent_health_sear_2018-2022.pdf. Accessed 12 Nov 2018
Acknowledgements
The authors would like to express their appreciation to the Head Teachers for the permission given and for their time.
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The study was sponsored by the authors.
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The procedures of this study, as they involve human participants, were in line with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from the principal of each school.
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Ayodeji Adebayo has no conflict of interest to declare, Oluyinka Dania has no conflict of interest to declare, Akinwumi Akindele has no conflict of interest to declare, and Temidayo Fawole has no conflict of interest to declare.
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Adebayo, A.M., Dania, O., Akindele, A. et al. Public–private comparative study of the quality of implementation of the school health programme in a metropolitan city in Nigeria. J Public Health (Berl.) 29, 829–837 (2021). https://doi.org/10.1007/s10389-019-01178-x
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DOI: https://doi.org/10.1007/s10389-019-01178-x