SCHOOL HEALTH PROGRAMME

Learning outcomes
At the end of the visit, the student will be expected to:

• Describe the stakeholders in school health
• Describe the main components of the school health programme and their purpose
• Describe process and organisation of a school medical inspection
• Describe the referral process
• Demonstrate an understanding of the role of SMI and school health clubs in health promotion in the delivery of primary health care services
• Describe a "health promoting school" and a "healthy school environment"
• Conduct a health promotional activity during an SMI
• Describe records and returns used in the school health programme
• Critically evaluate school health services and suggest ways to improve such services

Content areas

• School health services
• Planning and organisation of a SMI
• Services provided at a SMI
• Process of referral and follow up
• Role of the teachers and parents in the School Health Programme
• Health promoting schools and healthy school environment
• Student participation in School Health programme and school Health Clubs
• Records and returns used in the School Health programme

Learning activities:

• Observe the service delivery by following a school child through the process of the SMI
• Provide health promotion to school children

RECOMMENDED READING MATERIAL

• School Health Programme, General Circular no.2010, Ministry of health.
• Family Health Bureau, Annual Report on Family Health Sri Lanka -2014,'School Health Services', Ministry of Health, Colombo.

DISTRICT HOSPITAL / PERIPHERAL UNIT

Learning outcomes
At the end of the visit, the student will be expected to:

• Describe the services provided at a District Hospital/PU
• Describe the organisational structure of a DH/PU
• Demonstrate an understanding of how a DH/PU provides primary health care
• Demonstrate an understanding of the flow of health information from a DH/PU to the Medical Statistics unit
• Describe the registers and returns used to collect and disseminate health information at a hospital
• Critically evaluate the validity of health information generated at a hospital
• Discuss the role of DMO as a manager

Content areas

• Organisational structure of a DH/ PU
• Services provided at a DH/PU
• Role of the medical officer in the health information system and as a manager
• Collection of morbidity and mortality data from wards, coding, tabulation and preparation for transmission to the Medical Statistics Unit
• Indoor Morbidity and Mortality Register
• Indoor Morbidity and Mortality Return
• ICD coding

Learning activity: Observe diagnoses documented by the medical officers on BHTs and critically evaluate their validity

RECOMMENDED READING MATERIAL

• Park, K 2007, 'Concept of Health and Disease: Disease classification', in Park's Text Book of Preventive and Social Medicine pp. 44- 45, Banarsidas Bhanot Publishers, Jabalpur, India
• Manual of Management of District Hospitals, Peripheral Units and Rural Hospital, 1994.
• Department of Health Services Sri Lanka, 2015, 'Morbidity and mortality', in Annual Health Bulletin, Medical Statistical Unit, Department of Health Services, Sri Lanka.

ANTI-FILARIASIS CAMPAIGN

Learning outcomes

At the end of the visit, the student will be expected to:

• Describe the objectives of the AFC and the need for a special programme
• Describe the services provided and their implementation
• Describe the management of patients in the community
• Describe entomological surveillance in relation to integrated vector control and its relevance
• Discuss constraints and limitations of the programme
• Critically evaluate the implementation of AFC and suggest ways to improve it

Content areas

• Objectives of the AFC and the need for a special programme
• Organisational structure
• Services provided and their implementation
• Management of patients in the community
• Constraints and limitations of the programme

RECOMMENDED READING MATERIAL

• Department of Health Services Sri Lanka, 2015, 'Specialised Public Health Programmes: Filariasis', in Annual Health Bulletin, Medical Statistical Unit, Department of Health Services, Sri Lanka.

CHILD WELFARE CLINIC (CWC)

Learning outcomes

At the end of the visit, the student will be expected to:

• Describe and discuss the purpose of conducting CWCs
• List clinic procedures and services provided at the CWC giving reasons as to why these services are provided
• Describe and discuss the CHDR
• Describe the referral process
• Assess the quality of services provided at a CWC
• Describe the usefulness of clinic records and returns
• Discuss the constraints in providing services at CWC and make suggestions to improve these services.
• Critically evaluate the services provided and make recommendations to improve the services

Content areas

• Organisation of a child welfare clinic
• Services provided at a CWC
• Child Health Development Record and its use for healthcare providers and parents
• Components of the Growth Monitoring Programme
• Childhood immunization and the steps in the immunization procedure
• Infant screening
• Indications for specialist care and the referral process
• Health promotion and education for parents
• Indications for supplementation in childhood

Learning activities:

• Observe service delivery by following a child through the process of the CWC
• Provide health promotion and counselling to parents of pre-schoolers

RECOMMENDED READING MATERIAL

• Ministry of Health 2015, 'Child Health Development Record', Colombo.
• Family Health Bureau, Integrated Nutrition Package, Ministry of Health, Colombo.
• Epidemiological Unit 2002, 'Immunization Handbook', Ministry of Health, Nutrition and Welfare, Colombo.
• Family Health Bureau, Annual Report on Family Health Sri Lanka -2014, Ministry of Health, Colombo.