study on health services provided by student health insurance in some preparatory school clinics in Alexandria

This study assesses resources and services provided by school clinics during scholastic year 1993-1994. In addition, it examines student utilization of clinics, and their opinion and suggestions to improve the clinic services. Twelve preparatory school clinics were selected randomly. Interviews were conducted with school physicians and students. Four checklists were prepared for the necessary items of clinic resources. Results indicated that 75% of physicians were general practitioners half of them had poor knowledge regarding preventive aspect of their job responsibilities. All or most items of facilities for health education were lacking in the studied clinics. All school clinics provide curative services and 11 out of 12 carried out comprehensive school examination for their students. Screening and nutrition supervision were provided only in two clinics. It appeared that 76.6% of students visited the clinic during the scholastic year 1993-1994. A significant relation was found between students scholastic year and their visit of the clinic. It was found that 42.7% of students complained of absence of some drugs, while 24.7% of students suggested that coordination between time scheduled for visiting the clinic and class schedule is required. However, 66.4% of students expressed that student health insurance is better than the previous school health services

study of injuries at the primary care level in Alexandria

One of the essential elements of PHC is appropriate treatment of injuries. Injuries are the most serious public health problem. Therefore the studies of the incidence and risk factors of injuries are needed to provide direction in planning and implementation of appropriate preventive programs. The aim of the present work was to study the pattern of injuries recorded at the PHC level, to study the referral system and feed back of injuries, as well as to study the role of PHC centers in the prevention of injuries through health education programs. Data about injuries in the last five years [1989-1993] was collected from the primary emergency posts and the main Ambulance Center in Kom EI-Deka. Moreover, repeated visits to different PHC centers were done to study the referral system and feed back and the role of these centers in the prevention of injuries through health education programs. The results revealed the defective referral system for injuries between PHC centers and the primary emergency posts as well as the feed back mechanism. Moreover, there was no health education program provided in the study PHC centers about prevention of injuries. The results revealed that there was decline in the occurrence of injuries from the year 1989 to the year 1993. The case fatality of injuries increased from the year 1989 to the year 1993. Injuries were higher among males and among age group of more than 15 years. Accidents due to cars were more prevalent than other types. There is a need for accurate data recording at the primary care level, good referral system and feed back about injuries. The role of PHC centers in the prevention of injuries through health education programs should be stressed