Primary School

Objectives:
• To identify common health problems in school children.
• To assess nutritional status of school children.
• To observe the availability of facilities in school.

Section-I
1. Administrative set-up of the school. Public Private

2. Name of the school: _____________________________________________

3. Strength of children in the school.

4. Name of nearest healthcare facility: _________________________________

Section-II
Structure Yes No
Boundary Wall
Gate
Building properly maintained
Playground
Safe Water Supply
Proper hand-washing area
Availability of Toilets
Canteen
Building properly maintained
Were the classrooms spacious to accommodate students?
Furniture available according to the number of students
Were the minus desks available in each class?
Physical activities / Games
Were the Toilets Clean?
Was noise pollution noted in school periphery?
Was the school health services functioning?
Were the classrooms well ventilated?
Were fans installed in classrooms?
Were Black boards available in classrooms?

Section-III
 Health problems identified among the school children Yes No
Malnutrition
Dental Caries
Eyesight
Hearing
Skin Disorder
Parasitic Diseases
Other Communicable Diseases
Any other

Section-IV: - Make the following anthropometric measurements of any volunteer

students to calculate Body Mass Index (BMI)
BMI = weight in kilograms / (height in meters) 2

Name of Student Age Sex Height(m) Weight(kg) BMI

Necessary conversions:
1 Foot = 12 inches
1 Inch = 2.54 cm = 0.0254 meters
1 Meter = 100 centimetres
1 Kg = 2.204 pounds
Classification of BMI

Classification BMI (kg/m2) Risk of Comorbidities

Underweight < 18.5 Low
Normal Range 18.5 – 24.9 Average
Overweight > 25 Average
Pre-Obese 25 – 29.9 Increased
Obese Class – 1 30 – 34.9 Moderate
Obese Class – 2 35 – 39.9 Severe
Obese Class – 3 > 40 Very Severe
Students BMI according to classification:

Sr. No. Classification BMI (kg/m2) Risk of Co morbidities

1.

2.

Section-V: Write down deficiencies observed in facilities at school during visit.

Sr. No. Deficiencies

1.

2.

3.

4.

5.

Name of Students: ___________________________

Signature of Incharge: _______________

Dated: __________________