Arab Republic of Egypt the Project on the Promotion of School Health Service in Upper Egypt Project Completion Report
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Ministry of Health and Population Arab Republic of Egypt Arab Republic of Egypt The Project on the Promotion of School Health Service in Upper Egypt Project Completion Report November 2012 Japan International Cooperation Agency (JICA) System Science Consultants Inc. (SSC) Health and Development Service (HANDS) Y [^.Rt _avrcP [e\]bef h`e * [PvR. _`abc`ddef`ef h`e Rv.t Vyvykky Rv.Z _`abc`ddef`ef h`e Lyvm.t .X?cvR. XRUP. k1@N3 LMN4O1/M5 [.amR .v.UR. l,m1n1\/@1 eg,r1TN M/s[\M@n\ V.XR V.avR_.tR. tR?cv Z`a m4521W o,m15@MWW1 ?1A1 *k|l Vmn0l+~o /p Yq.nr cvR_vc. h`e e,./MY1QSN@1 ^3NW [1@S PcVct e+,^3NW [1@S kx.m [am.t ./MY1QSN@1 ?aRtc. m151Q\4N tR?cvR. HDIE*P c_xRy^R. _1QW1 kct_v.X ijIGER .0vRk. k.Vcvyyt ep,?\1Nq@1 fg,[\1Nw@1 [yV.XR. ./ ./151@Q ef,RO51@/@1 TUVJRWX rctP. c/ RO51@/@21 ?.Uyt m,v,k, h,UM\M@N1 ej,V3Q4T@1 eo,t3NW\ [@Q1@ _.tO.tR. fp eh,V1WN4\ f+,jW\ 3T yzW3qMN Z|~k/ fo,xM/P1Q ?@A1 [4MA .t?yX. 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B?? C?? @?? _?? ^??A} *+ -|./0} * {|}}~| 1 F 2 H B 4 HIJ5 ;J<H =J>HI *+ -|./0} i,UMQ@ [4MT i,UMQ@ [4MT ? B? C? @?A} UVWXYZ{ [WZ*{\W] ^*U 9GH :I4;H<C 4K CGH =I4>4CJ4K 4? @<G44< AHF<CG @HI>J<H JK B::HI CDE:C The Activities of the Project on the Promotion of School Health Service in Upper Egypt ① An Egyptian student showing her poster ② The Egyptian children answering questions on hand-washing to the Japanese asked by the Japanese students children via the satellite TV system, the JICA Net ③ School health educators developing ④ A health visitor presenting her teaching teaching aids for health education aids for health education ⑤ School health educators performing their ⑥ The Project’s outputs song on water conservation ⑥ Health examination by a school doctor ⑦ Making of Health Examination DVD ⑧ The cast (local doctors & health visitors) ⑨ The members of the ISHC discussing school discussing the content of DVD on health services Comprehensive Medical Examination ⑩ Children washing their hands at school ⑪ The health visitor practicing the correct way to measure students’ height Project Completion Report Table of Contents Abbreviation Site Map Pictures Chapter 1 Project Description and Framework.................................................................................... 1 1.1 Background of the Project ..................................................................................................... 1 1.2 Project Description ............................................................................................................... 1 1.3 Situation of School Health and Challenges ............................................................................. 2 1.4 Execution Structure of the Project .......................................................................................... 3 1.5 Health Promotion School ...................................................................................................... 4 Chapter 2 Achievements of the Project Activities by Year ................................................................... 7 2.1. Achievement of Activities in the First Year (November 2008 –March 2009).............................. 7 2.2. Achievements of Activities in the Second Year (April 2009 – March 2010) ............................. 10 2.3. Achievements of Activities in the Third Year (April 2010 – March 2011) ................................ 14 2.4. Achievements of Activities in the Fourth Year (June 2011 – November 2012) ......................... 17 Chapter 3 Achievements and Issues ................................................................................................. 23 3.1. Output 1: Achievements ...................................................................................................... 23 3.2. Output 2: Achievements ...................................................................................................... 24 3.3. Output 3: Achievements ...................................................................................................... 27 3.4. Output 4: Achievements ...................................................................................................... 28 Chapter 4 Health Promotion School Model ...................................................................................... 31 4.1. Features of Health Promotion School Model ......................................................................... 31 4.2. Procedure of Developing the HPS Model ............................................................................. 39 4.3. Achievement through the Development of the HPS Model .................................................... 39 Chapter 5 Dissemination to Upper Egypt ......................................................................................... 41 5.1. Outline of the Dissemination Guideline ................................................................................ 41 5.2. Suggestions for the Dissemination of the HPS Model ............................................................ 43 Chapter 6 Conclusion ..................................................................................................................... 47 List of Figures Figure 1: Model of Health Promotion School (HPS) ......................................................................5 Figure 2: School Health Monitoring System ...............................................................................35 Figure 3: Result of School Health Examination (Sample) .............................................................37 Figure 4: Percentage of Stunting in the 4th Primary of Each Pilot School ........................................38 List of Tables Table 1: Project Outline and Outputs ...................................................................................................1 Table 2: Main Findings of the Baseline Survey ....................................................................................8 Table 3: Themes and the Topics of School Health Activities in the Drafted Manual ........................... 11 Table 4: Issues and Challenges observed in the School Health Examination ...................................... 12 Table 5: Findings of the Health Education Needs Assessment Survey ................................................ 13 Table 6: Test-run results of the New monitoring System .................................................................... 16 Table 7: Issues discussed in the workshop ......................................................................................... 19 Table 8: The Number of Health Education Methods Employed (2012)............................................... 25 Table 9: The Number of Family and Community Participation Activities Conducted (2012) .............. 25 Table 10: The Result of School Environment Report (2012) .............................................................. 25 Table 11: The Result of Water and Sanitation Report (2012) .............................................................. 26 Table 12: The Medical Examination Conducted by Doctors ............................................................... 27 Table 13: The Result of Self-Evaluation of Health Education Training by a Japanese Expert ............. 27 Table 14: The Result of Self-Evaluation of Health Education Training by TT (Oct. 24-25, 2010) ....... 27 Table 15: The Result of Self-Evaluation of Refresher Training by TT (Themes 1-4: March 14, 2012, Theme 5: March 18, 2012) ......................................................................................................... 28 Table 16: Features of the HPS Model ................................................................................................ 31 Table 17: Sample Monitoring Activities clarified in the M&G ........................................................... 39 Appendices A-1: Plan of Operation A-2: List of JICA Experts A-3: Counterpart Training in Japan A-4: Equipment List A-5: List of Local Consultant Contracts A-6: Project Design Matrix (PDM) A-7: Minutes of JCC Meetings A-8: Minutes of SHC Meetings A-9: List of Activities A-10: List of Outputs Abbreviation BOT Board of Trustees CoMES Coordination Meeting on Environmental Sanitation C/Ps Counterparts EDC Endemic Disease Control FGDs Focus Group Discussions HANDS Health and Development Service HIO Health Insurance Organization HPS Health Promotion School HV Health Visitor IEC Information, Education and Communication