Abstract

Background and Objectives: School health program (SHP) is a critical aspect of the nation's healthcare system integrating education and delivery of health-care services. We sought to explore knowledge of head teachers regarding the SHP and determine their level of implementation. Methods: A survey was conducted of head teachers of privately owned primary and secondary schools in Ilorin. A pretested questionnaire with information on knowledge of SHP and current facilities and practices in their schools was given to head teachers at a training workshop to improve their awareness regarding hygiene and disease prevention in schools. Results: A total of 100 questionnaires were distributed with 84 head teachers returning their completed questionnaires. The mean (standard deviation) age of the head teachers was 43.3 (9.9) years with a female:male ratio of 1.9:1. Thirty-eight (47.5%) of the head teachers had good/adequate knowledge, and female head teachers were statistically more likely to have adequate knowledge Thirty-nine of the schools delivered school health services, most commonly by a health assistant (79.5%). Fifty-nine (73.8%) of the schools had a first aid box. The most common source of water was well water (46.3%). Refuse and sewage disposal was largely by incineration and water closet system, respectively. Conclusion: School head teachers had a poor knowledge of SHP and inadequate school health services in their school.

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