Essential health care package for children - the 'Fit for School' program in the Philippines

Essential health care package for children - the 'Fit for School' program in the Philippines
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DOI:
10.1922/idj_2420monse09
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发表时间:
2010-04-01
影响因子:
3.3
通讯作者:
Helderman, Wim van Palenstein
Helderman, Wim van Palenstein
中科院分区:
医学3区
文献类型:
--
作者:
Monse, Bella;Naliponguit, Ella;Helderman, Wim van Palenstein

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发展中世界儿童中腹泻、呼吸道感染、寄生虫感染和龋齿等贫穷疾病的高流行率要求恢复初级保健原则,重点放在预防上。菲律宾的“适合上学”方案以国际建议为基础,利用《渥太华宪章》中概述的健康促进原则,提出了一项可行、低成本和现实的战略。该方案的基石是利用学校结构实施预防性保健战略。“适合上学”包括简单的循证干预措施,如用肥皂洗手、用含氟牙膏刷牙,以及其他高影响干预措施,如每两年进行一次驱虫,作为所有公立小学儿童的常规学校活动。该方案已在菲律宾成功推出,覆盖了22个省的63万名儿童,并计划在今后三年内覆盖600万名儿童。该方案是菲律宾教育部和地方政府单位之间的一个伙伴关系项目,得到了德国发展合作公司和葛兰素史克公司能力发展活动的支持。
High prevalence of poverty diseases such as diarrhoea, respiratory tract infection, parasitic infections and dental caries among children in the developing world calls for a return to primary health care principles with a focus on prevention. The 'Fit for School' program in the Philippines is based on international recommendations and offers a feasible, low-cost and realistic strategy using the principles of health promotion outlined in the Ottawa Charter. The cornerstone of the programme is the use of school structures for the implementation of preventive health strategies. 'Fit for School' consists of simple, evidence-based interventions like hand washing with soap, tooth brushing with fluoride toothpaste and other high impact interventions such as bi-annual de-worming as a routine school activity for all children visiting public elementary schools. The programme has been successfully rolled-out in the Philippines covering 630,000 children in 22 provinces and it is planned to reach 6 million children in the next three years. The programme is a partnership project between the Philippine Department of Education and the Local Government Units with support for capacity development activities from the German Development Cooperation and GlaxoSmithKline.