Health and School Programme in Secondary Education. Catalonia (Spain)

Transcription

1 Health and School Programme in Secondary Education. Catalonia (Spain) Ramon Prats Dtor. of Maternal and children Health DGSP Margarita Coll. Nursing of Maternal and children Health DGSP 1

2 Introduction Adolescence is a stage between infancy and adulthood where attitudes, values and lifestyles are consolidated. The way that young people use the health services is characterized by: Low use of health services Irregular use of services Unscheduled follow-up of their health problems 2

3 Objective To improve adolescents health through: Health promotion, by incorporating activities into the curriculum at secondary school Early detection of risk situations through free access to health services offered by nurses in schools 3

4 Method Three years ago the Government of the Autonomous Community of Catalonia (Spain) started a new programme Health and School Programme (HSP) in order to increase the accessibility of young people and teenagers to health services Strategic lines: Integrated action of the educational and the health care system Emphasis on prevention (early detection) and health promotion Nurses in schools are responsible for the service and the firstcontact with the Primary Care Services Support from specialized services and referral to: Mental health centers Drug addiction centers Sexual and reproductive health services Public Health Services (local councils health services) 4

5 Target population Students at secondary school from two school years Students from 14 to 16 years Total students 5

6 COVERAGE PRIMARY CARE SERVICES SECONDARY SCHOOL STUDENTS Total % % % Students Secon. Scho Prim.Care % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 6

7 Average age of students using the service Average age for consultation is 14,8 years old 14 years old 15 years old 16 years old 7

8 Consultation topics 32,2% N=14867 Total consultations 19.9% 13,7% 13,1% 6,8% 7,4% 3,3% 3,5% 0,9% 8 Tobacco Drugs Mental health Eating habits Sexual health Violence Alcohol Physical activity Miscellaneous Number of consultations

9 Percentage of consultations according to gender 26,60% Male Female 73,20% 9

10 Consultation topics according to gender Male Female Sexual Health Eating Habits Mental Health Drugs Tobacco Physical Activity Alcohol Violence Miscellaneous 0% 20% 40% 60% 80% 100% 10

11 Main topics by gender Eating habits Sexual health Tobacco and alcohol Other drugs 11

12 Completed activities of health education ,5% participants ,7% 12,7% 9,9% 10,2% Number of consultations ,4% 3,8% 2,4% 0,2% Alcohol Sexual Health Drugs Tobacco Eating habits Violence Mental Health Miscellaneous 12 Physical activity N=1265 activities carried out

13 Activities of health education 59,3% Workshops Information sessions Seminars Who does it? 2,5% 28,2% Primary Care Team 27,9% Teacher 25,5% Local council 8,8% Sexual and reproductive health services 9,7% others 38,2% N=1265 activities carried out 13

14 Didactic Materials Guideline for sexual health education (2006 september) Nutrition and eating disorders health education (in process) Addictions and drugs dependency health education (in process) 14

15 Feed back from professionals about the HSP Appraisal of HSP: Health services and schools moved closer together The health services were brought nearer to the young people Improved collaboration between Mental health services and Psicopedagogic teams of schools Increased participation of teachers in training sessions Positive feed back from health professionals especially nurses 15

16 CONCLUDING REMARKS Earlier detection of dangerous habits in order to prevent then Closer collaboration between teachers and professional health teams New collaboration has been established between local councils and the health services Improving the evaluation system by the record of data in an electronic database online Rolling out the programme, to all schools 16

17 Health and School Programme in Secondary Education. Catalonia (Spain) 17