A PROPOSAL ON HEALTH PROMOTION, EDUCATION AND COMMUNICATION PROGRAM ON SCHOOL HEALTH NUTRITION AMONG THE PRIMARY LEVEL STUDENTS OF POKHARA METROPOLITAN-30, KASKI

1. A PROPOSAL ON
HEALTH PROMOTION, EDUCATION AND COMMUNICATION
PROGRAM ON SCHOOL HEALTH NUTRITION AMONG THE
PRIMARY LEVEL STUDENTS OF POKHARA METROPOLITAN-30,
KASKI
Assignment Submitted by
Binita Poudel
Nabin Prasad Chaudhary
Submitted to
Prof. Arun Kumar Koirala
Master of Public Health Program
School of Health and Allied Science
Faculty of Health Sciences
Pokhara University
Kaski, Nepal
July, 2019

2. i
Table of Contents
CHAPTER I: INTRODUCTION..........................................................................................................................1
1.1 Background ...................................................................................................................................1
1.2 Statement of the problem ..................................................................................................................2
1.3 Rationale of the problem....................................................................................................................3
1.4.1 General Objectives...........................................................................................................................3
1.4.2 Specific Objectives ...........................................................................................................................3
CHAPTER II: METHODOLOGY ........................................................................................................................4
2.2 No. of beneficiaries: 35 Students........................................................................................................4
2.3 Method of Health Education: Lecture discussion Method, Demonstration, Interaction...................4
2.4 Health Education Media: PowerPoint Presentation (Pictorial), Video show, flip chart, poster,
newsprint,.................................................................................................................................................4
CHAPTER III: QUALITY ASSURANCE, LESSON PLAN, WORK PLAN, BUDGET..................................................5
3.1 Approaches of HPEC program:............................................................................................................5
3.2 Quality assurance of HPEC Program ...................................................................................................5
3.3 Report writing and Dissemination ......................................................................................................5
3.3 Ethical clearance with concern body ..................................................................................................5
3.4 Lesson plan..........................................................................................................................................6
3.5 Work plan............................................................................................................................................7
3.6 Budget.................................................................................................................................................8
Bibliography ..................................................................................................................................................9

3. 1
CHAPTER I: INTRODUCTION
1.1 Background
The school health and nutrition programme encompasses school programmes jointly organized
by education and health sectors to enhance health, nutrition and education status of children
aged 5-10 years by improving use of school-based health and nutrition services, safe water and
sanitation andskills-based health education and community support and policy environment.
In Nepal students spend about 200 days in the school in a year. Most of the time they spend (six
to seven hours a day) in school. Their mental and physical health is greatly influenced by their
interaction in the school environment. The school is one of the agencies that could contribute
more than any other institution to promote the health of young people and school personnel. The
school has a role of in lieu of parents. The school years are formative time for the children.
The status of health and nutrition of school children in Nepal is not well understood. Health and
nutrition services for the school populace do not come under the priority of the health workers.
Nor the school is concerned with children’s health because of their priority in academic matters.
The impact of health and nutrition status to the learning achievement is getting less attention.
According to Global Initiatives in School Health and Nutrition Programme, The World Health
Organization’s Expert Committee on School Health Services, around 1950s, highlighted a
connection between health and education that to learn effectively children need good health
(WHO, 1950). In the late 1980, definition of school health changed as societies changed. The
following eight areas of SHNP were identified (Allenworth D, Kolbe L. eds, 1987):
 School health services
 School health education
 School health environment (physical and psychosocial)
 Health promotion for school personnel
 School outreach programme and school-community projects
 Nutrition and food safety

4. 2
 Physical education and recreation; and
 Mental health, counseling and social supports.
School Health and Nutrition (SHN) program is a cost-effective intervention for resource-poor
countries. SHN program aims to provide timely support and preventive measures to improve the
health of school children, which can be associated with their cognitive development, learning,
and academic performance. Stakeholders at different tiers can play significant roles in the
program implementation and its success. Their perceptions are equally important to provide
information on the factors influencing the implementation process and help to identify the gaps
in the process.
School Health and Nutrition Project has developed a Minimum School Health Services Package
to conduct School Health and Nutrition Activities. Following are the Major Activities of the
Package including Physical Check-up Measuring height, weight and eye sight of children at
target schools once a year to know the nutrition status of children. De-worming Program
Distributing de-worming tablets to children at target schools twice a year to make them
dewormed. Also provide information regarding prevention of worm infestation. First Aid
Services Provided First Aid Kit Box to all the target schools. Also trained the teachers on
utilization of First Aid Kit Box to provide first aid services to children. School Check List
Prepared ‘School Check List’. This is a self-evaluation check sheet used by schools to improve
school environment and health and nutrition behaviors and habits of children. Child Club
Mobilization Supporting to mobilize the Child Club in all the target schools. Child Club
members are the main actors to support School Health and Nutrition Activities in their schools as
well as in their community.
1.2 Statement of the problem
In Nepal students spend about 200 days in the school in year. Most of the time they spend (six to seven
hours a day) in school. Their mental and physical health is greatly influenced by their interaction in the
school environment. The school is one of the agencies that could contribute more than any other
institution to promote the health of young people and school personne.The school has a role of in lieu of
parents.The school years are formative time for the children. the school settings provides an effective
means of enhancing young peoples health, self esteem, life skills (abilities related to effective decision-

5. 3
making, communication understandingemotions, critical thinking, coping with stress etc.) and behaviour.
(WHO: 1997)
Nepal Demographic Health Survey (NDHS) 2016, reports 36 % of children under five years are
affected by stunting, 27 % are underweight and 10% are wasted. Malnutrition affects education
and cognitive developments of school age children and has a direct impact on health and
education goals.
1.3 Rationale of the problem
Studies carried out in many developed and developing countries haave shown that SHNP is
crucial to address many pressing health and nutrition problems such as malnutrition short-term
hunger, helminthes infection, poor sanitation and food safety, lack of immunizations, poor oral
health, infectious and endemic diseases. Health is a key determinant in school enrolment as well
as continued participation and educational attainment of students in school.
Nepal faces a high burden of childhood diseases, micro-nutrient deficiency, macro-nutrient
deficiency (iron deficiency, vitamin A deficiency, Iodine deficiency) worm infestations,
malnutrition and oral diseases. Preventable diseases burden school age children, due to poor
coverage of school health and nutrition services and poor hygiene and sanitation facilities.
1.4 Objectives of the HPEC Program
1.4.1 General Objectives
To provide health education on school health nutrition to primary level students in Pokhara 30 to
Prevent, promote and protect their health and nutrition.
1.4.2 Specific Objectives
 To aware primary level students on importance of school health nutrition.
 To provide knowledge on importance on mid - day meal and balanced diet
 To provide information on prevention of worm infestation
 To aware on personal hygiene and sanitation, oral health hygiene

6. 4
CHAPTER II: METHODOLOGY
2.1 Target Beneficiaries
Primary level students of Shree Janata Primary School, Pokhara Metropolitan-30, Kaski
2.2 No. of beneficiaries: 35 Students
2.3 Method of Health Education: Lecture discussion Method, Demonstration,
Interaction
2.4 Health Education Media: PowerPoint Presentation (Pictorial), Video show, flip
chart, poster, newsprint,

7. 5
CHAPTER III: QUALITY ASSURANCE, LESSON PLAN, WORK
PLAN, BUDGET
3.1 Approaches of HPEC program:
 Coordination with Ministry of Social Development for budget
 Approval consent from concern school
3.2 Quality assurance of HPEC Program
The quality of HPEC program will be ensure by identifying the beneficiaries and choose the
methods and media according to them. For the quality implementation of program can be
measure by developing framework and lesson plan. Finally we can ensure the quality program by
using best quality of logistics and material. Post evaluation interview with participant will be
done.
3.3 Report writing and Dissemination
A detail report of HPEC program intervention will be compiled and submitted to Ministry of
Social Development and also to health section and education section of Pokhara Metropolitan
City. Report will be dissemination through electronic and print media.
3.3 Ethical clearance with concern body
All the participants will be well informed about the program objective whereas consent taken
from concerned school.

8. 6
3.4 Lesson plan
Lesson on school health nutrition to primary school students of Pokharra Metropolitan-30
Venue: Shree Janta Primary School, Pokhara Metropolitan-30, Kaski
Time: 3 hour
Date: 20 Aug, 2019 Time: 10:00 AM-1:00 PM
S.N. Activities Methods/Med
ia
Materials Responsible Time
1 Understanding the
concept of students on
health and nutrition
Interaction Marker, board, listing
the word of students
MPH students 20 minute
2 Introduction on School
health and nutrition
Lecture,
poster,
Flip chart
news print, marker,
white board, duster,
masking tape
MPH student, 10 minute
3 Nutrition, Type of food Lecture
discussio,
Posters,
Demonstratio
n, Poster,
Video show
Newsprint, marker,
white board, duster,
masking tape, laptop,
projector
MPH student, 40 minute
4 Mid-day meal and its
importance
Lecture,
demonstration
news print, marker,
white board, duster,
masking tape
MPH student, 30 minute
5 Prevention of worm Video show laptop, projector, ppt MPH student 20 minute

9. 7
infestation
7 Personal hygiene and
sanitation and oral
health hygiene
Video show,
demonstration
laptop, projector,
Tooth brush, tooth
pes
MPH student 40 minute
8 Safe drinking water
and its importance
Video show Laptop, projector MPH student,
Facilitator
20 minute
3.5 Work plan
List of Activity Timeframe
21-26 July,
2019
Aug 1st
week, 2019
Aug 2nd
week, 2019
Aug 3rd
week, 2019
Proposal writing and literature
review
Coordination with School, HF
Logistic management and
preparation
Proposal submission to Ministry
of social Development, Gandaki
Province
Approval and receiving grant for
the HPEC implementation
Collaborative meeting with HF,
School focal teacher and
University faculty
Finalized the date and inform to
participants about program
Implementation guideline
preparation and development of
framework

10. 8
Implementation of HPEC
program
Monitoring and evaluation
Reporting and final presentation
3.6 Budget
SN Particulars/Activities Unit Rate Quantity Day Amount Remarks
Materials
1 Stationary for participants Person 50 35 1 1750
2 News print /Drawing paper PC 20 100 1 2000
3 Marker PC 50 20 1000
4 Posters, flip chart PC 1000 5 1 5000
5 Banner(3*5'') PC 600 1 1 600
6 Food ingredient for
demonstration
5000 Lumsum 5000
7 Soap with bucket, mug PC 500 1 1 500
8 Tooth brush, paste PC 100 1 1 100
8 Miscellaneous 2000 1 1 2000 Lumsum
Non-Material
1 Projector in rent pc 1500 1 1 1500
2 Travel cost Person 500 7 1 3500
3 Media mobilization 6000 Lumsum 6000
4 Report printing and binding 1000 Lumsum 1000
Snacks and refreshment
1 Refreshment Person 200 40 1 8000
2 Tea and biscuit Person 50 40 1 200
Total amount 38150/-

11. 9
Bibliography
1. National demographic Health Survey report 2016
2. Nepal, Annual health report 2074-75
3. School Health and Nutrition Joint Action plan 20124/14 to 2019/20
4. School Health and Nutrition Strategy 2006.