Comprehensive School Health Teacher's Activity Manual Revised Revised lt a h e M H l a o n o u h a c l S Comprehensive School Health Teacher’s Activity Manual VOL. I CENTRAL BOARD OF SECONDARY EDUCATION Revised School Health Manual, Vol-I PRICE : Rs. 170/- EDITION : December, 2010 © CBSE, India COPIES : 5000 No part of this publication may be reproduced , stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical photocopying, recording or otherwise without the prior permission of the publisher. PUBLISHED BY : The Secretary, Central Board of Secondary Education, Shiksha Kendra, 2, Community Centre, Preet Vihar, Delhi - 110092. DESIGN, LAYOUT & ILLUSTRATIONS BY : Multi Graphics, 5745/81, Reghar Pura, Karol Bagh, New Delhi - 110005 Phone : 25783846 PRINTED BY : Preface Childhood and the age of adolescence are perhaps the most momentous periods in an individual’s journey of life. They are characterized by creative bursts of energy, immense curiosity about the self and the world, sudden changes in the physical, emotional and social dimensions and expanded need for communication. They are also periods of grappling with an identity crisis, feelings of isolation, anxiety, alienation and confusion. Each individual is unique with inherent positive attributes and latent potential and it is the responsibility of the school to provide opportunities for young talent to blossom and flourish. The biggest killer in the world today is not war, disease or natural calamity. It is life style related diseases. Health is an important component of the concerns regarding adolescent issues. Obesity, lack of physical activity and exercise, mental and emotional stress are major concerns. The experiences gained as children often stay with us throughout life. Therefore there is a need to create health oriented school climate so that appropriate ambience is created which is sensitive to the health needs of school going children and helps to promote their well being. The new millennium schools must provide a setting where in education and health programmes come together to create a health promoting environment which in turn promotes learning. It must constantly strengthen its capacity as a healthy setting for learning and preparing for life. Such schools use its full organization potential to promote health among students, staff, families and community members. Schools need to provide a safe healthy environment which includes safe, clean water and sufficient sanitation facilities, freedom from abuse and violence, a climate of care, trust and respect, social support and mental health promotion. The school can work in the areas of Food and Nutrition, Knowing Your Body, Personal, Environmental Hygiene and Sanitation. Behaviour and Life Skills, Physical Fitness and Being Responsible and Safe. The Manual provides guidelines to all stakeholders including managers, principals, teachers and students. There are activities designed for different levels in the different volumes of the Manual. The first part of the Manual recommends setting up of a Health ans Wellness Club to further carry on these enrichment activities within the school. The ultimate objective of the Manual is to involve the school going child in making healthy life style choices. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. The Comprehensive School Health Manuals are an outcome of the collaborative effort of CBSE along with the guidance provided by WHO India. The Manuals would not have been possible but for the effort and support provided by the material production team. I would also like to thank Dr. Sadhana Parashar, Head (Innovation & Research) and Mr. Pramod Kumar T.K., Asst. Education Officer, CBSE for coordinating and editing the Manual. There are four volumes in the package. The First volume is Introductory and the other three consist of graded activities for each level : Primary, Upper Primary and Secondary as well as Senior Secondary. Any further suggestions for improving the Manuals are always welcome. Vineet Joshi CHAIRMAN Acknowledgements Acknowledgements Advisors: Sh. Vineet Joshi (IAS) Dr. Cherian Varghese Dr. Jitendra Nagpal Dr. Manoj K. Johar Material Production: Dr. Indu Khetrapal Ms. Usha Ram Mrs. Kalpana Kapoor Mrs. Neeta Rastogi Dr. Divya Prasad Chairman, CBSE, Delhi. WHO, India, New Delhi. Expressions India Vimhans, New Delhi. Academy for International Career & Education, New Delhi. Principal, Salwan Public School, Gurgaon, Haryana. Principal, Laxman Public School, Hauz Khas, New Delhi. Principal, Delhi Public School Ghaziabad Vasundhara, Ghaziabad. Principal, Sadhu Vaswani International School, Shanti Niketan, New Delhi. Psychologist, Vimhans, New Delhi. Contributors: Dr. Lalit Modak Head Mistress, Jr. School, DPSG Vasundhara, Ghaziabad. Ms. Mousmi Mahopatra PGT (Chemistry), DPSG Vasundhara, Ghaziabad. Mrs. Seema Banerjee Head of Social Work, Laxman Public School, Hauz Khas, New Delhi. Ms. Dimple Vij, Counsellor Laxman Public School, Hauz Khas, New Delhi. Ms. Neha Sharma Headmistress, Amity International School, Vasundhara. Dr. Manjari Tripathi Associate Professor, Dept. of Neurology, AIIMS, New Delhi. Dr. Sanjeev Bhoi Assistant Professor, Dept. of Emergency Medicine, AIIMS, New Delhi. Jago Teens (NGO) Stray Relief and Animal Welfare (STRAW) Cover Page-Courtesy : Dr. Indu Khetrapal Principal, Salwan Public School, Gurgaon. Art and Layout: Mr. Amitav Bose Photography Club, DPSG Vasundhara, Ghaziabad. Editing: Dr. Sadhana Parashar Mrs. Kalpana Kapoor Mr. Mukesh Kohli Co-ordination: Mr. Pramod Kumar T.K. Ms. Harjot Kaur Dr. Sneha Singh Head (Innovation & Research), CBSE, Delhi. Principal, Delhi Public School Ghaziabad, Vasundhara, Ghaziabad. Reader, Department of Physical Education, Ram Lal Anand College, University of Delhi. Asst.Education Officer, CBSE, Delhi. 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Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "Sovereign Democratic Republic (w.e.f. 3.1.1977) Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "unity of the Nation (w.e.f. 3.1.1977) THE CONSTITUTION OF INDIA Chapter IV A Fundamental Duties ARTICLE 51A Fundamental Duties - It shall be the duty of every citizen of India(a) to abide by the Constitution and respect its ideals and institutions, the National Flag and the National Anthem; (b) to cherish and follow the noble ideals which inspired our national struggle for freedom; (c) to uphold and protect the sovereignty, unity and integrity of India; (d) to defend the country and render national service when called upon to do so; (e) To promote harmony and the spirit of common brotherhood amongst all the people of India transcending religious, linguistic and regional or sectional diversities; to renounce practices derogatory to the dignity of women; (f) to value and preserve the rich heritage of our composite culture; (g) to protect and improve the natural environment including forests, lakes, rivers, wild life and to have compassion for living creatures; (h) to develop the scientific temper, humanism and the spirit of inquiry and reform; (i) to safeguard public property and to abjure violence; (j) to strive towards excellence in all spheres of individual and collective activity so that the nation constantly rises to higher levels of endeavour and achievement. Content Page About the Comprehensive School Health Manuals 1. Introduction to School Health Page No. i-iv 1-22 2. Improving School Performance through Health Promotion 23-28 3. Health Promotion in Schools 29-60 4. School Health & Wellness Clubs 61-72 5. Health Care In The School: Health Checkup, Health Card & First Aid 73-105 6. Guidelines for Facilitators / Teachers / Peer Educators 106-128 7. Assessment and Evaluation 129-135 8. Appendices 136-190 Appendix 1 — Websites Appendix 2 — Health Promoting School Initiative- A Case Study Appendix 3 — Plan of the Year - Medical Appendix 4 — Student’s Medical Record Appendix 5 — Experience Sharing by the Peer Trainer Appendix 6 — Circulars Appendix 7 — Global School and Survey About The Comprehen sive School Hea lth Man ua ls The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. This is largely to do with the aspect of school health which has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and the Manual proposes to view health holistically, utilize all the educational opportunities for health promotion including formal and informal approaches in curricular pedagogy. Providing a safe school environment, an activity oriented health education curriculum to prevent health-related risk behavior, ensuring physical fitness activities and sports, providing nutritious snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in a circular issued to all the schools regarding the setting up of Health and Wellness Clubs. There are four Manuals in this package. The first Manual-Volume I is addressed to all stakeholders concerned with school health. A health promoting school strives to provide a healthy environment conducive to students' health, education and school health services along with school/community projects and outreach opportunities for physical education and recreation, social support and mental health promotion. School Health and Wellness Clubs can become the focal point of school health promotion which would encompass the entire school environment and become a school campus activity. A checklist for a Health Promoting School is included so that schools can monitor their own School Health Plan. The responsibilities of the Administrators, Principals, Teachers, Counsellors and Community leaders have also been enlisted. Monitoring, Evaluation and (i) Sustainability of the Health Plan in each school is extremely essential. Fact Sheets regarding a Health Promoting School, focusing resources on Effective School Health and Improving School Performance through health promotion are other areas of concern. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consists of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VIVIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal, Environmental Hygiene and Sanitation Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objective of the modules and activities is to focus on the different aspects of growth and appropriate development of the child. Kn owin g Your Bod y Activities will take the child from knowing body parts and their functions to appreciation of the importance of each body part. This will lead to heightened understanding of the need for correct information regarding growing up processes which will help in creating a well informed individual. Food An d Nutrition Activities focus on the effect of the right food and nutrition intake to generate positive energy and thus influence learning capacity. Variation in geographical location alter or modify nutritional intake. Food can effect energy levels, concentration and learning. Persona l, Activities En viron m en ta l Hygien e an d San ita tion emphasize on the need to ensure that children follow clean and regular habits regarding bath, bowel movement, sleep, oral hygiene, nails and hair. Once personal hygiene becomes a part of the regular system the child will look forward to having a cleaner environment. Sanitation activities have been added in the Revised Manual. (ii) Physica l Fitn ess Activities will help children to maintain fitness, strengthen cardiovascular and respiratory system, keep bones and muscles strong, ease depression, manage pain and stress and above all make one feel alive, vibrant and energetic. Bein g Sa fe An d Respon sible Activities help learners to understand the consequences of risk taking behavior and create a safe environment for themselves and others. This would lead to a better quality of personal life and would enhance positive behaviour towards self and environment. Security and an environment that is physically and emotionally safe is the need of the hour and equipping a child to handle situations that are age appropriate is the task of the school, family and community. Beha viour An d Life Skills Section focuses on bringing about an awareness and in-depth understanding of behavioural issues revolving around a child which will certainly influence his or her academic performance and social development. The module is an attempt to forge clarity for the teachers to facilitate the child's learning progress. The objective of the activities is to highlight self management and infuse skills within the child which will help him or her emerge as an individual who will be well equipped to handle related issues. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The CBSE had also undertaken a Global School Health Survey across different types of schools in various parts of the country. This was to collect data on health behaviours and protective factors that affect the immediate (iii) and long term health status of young children. The results from the survey will help in policy formulation at the local and national level. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will be implemented in the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help learners to empower themselves to acquire knowledge for themselves in a classroom or out of the class setting. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. These include Sports/Indigenous Sports, NCC/NSS, Scouting and Guiding, Swimming, Gymnastics, Yoga, First Aid, Gardening / Shramdaan. Teacher may record observations about the student’s participation over a period of time either in Anecdotal Records or a Portfolio. All students must take up at least two activities to ensure maximum health benefit in terms of physical fitness. The future of young India is being shaped in the schools and it is imperative that all of us take a proactive role in ensuring that healthy and balanced young minds leave school and forge ahead confidently. We wish teachers will find the Manuals useful and enrich them further with their wisdom and experience. It is an investment that each teacher, principal and parent must make to generate and augment creative and protective capacity of young people in school. This will go a long way in creating a sustainable, social, healthy and peaceful society. Dr. SADHANA PARASHAR HEAD (INNOVATION & RESEARCH) (iv) 1. In troduction to School Hea lth Ra tiona le For most children, `going to school' is a historic milestone in their lives. It is a place that plays one of the most important roles in their physical, mental and emotional development. Schools are settings where children learn, where character is moulded, where values are inculcated and where the future citizens of the world are groomed to face life's challenges. Schools are a strategic means of providing children with educational qualifications that will enable them to find employment and status in life. Schools can be dynamic settings for promoting health, for enabling children to grow and mature into healthy adults, yet the potential of the school to enhance health is often underutilized. `School Health' has largely remained confined to medical check-ups of children and / or some hours of health instruction in the curriculum. Today, schools present an extraordinary opportunity to help millions of young people acquire health supportive knowledge, values, attitudes and behaviour patterns. The students can serve as a means of promoting health of other children, their families and community members. Health is a multidimensional concept and is shaped by biological, physical, psychological, social, economic, cultural and political factors. There is a growing recognition that the health and psychosocial well-being of children and youth is of fundamental value and that the school setting can provide a strategic means of improving children's health, self-esteem, Life Skills and behaviour. There are various initiatives in school health at present, but most of them are topic based and age group specific and often rely on the initiative of the individual school or an agency. The comprehensiveness and sustainability in these initiatives are not clearly laid out. The need of the time is a Comprehensive School Health Policy integrated within the educational system at the National and State levels. This will harmonize the effective partnership of health and education sectors to facilitate the holistic approach to child and adolescent development in schools. 1 His torica l Review It has long been recognized that schools provide the most appropriate setting for both health services and health education for children and young persons. Globally, `school health' has been an important initiative for several decades, comprising largely of school health services and school health education. In 1960, the Government of India set up a Committee on School Health (Renuka Ray Committee) which recommended that “Health education should be included as part of general education in the primary, middle and secondary schools.” The report of the Renuka Ray Committee (1961) provided guidelines and recommendations for both the content and the appropriate transaction of health education at various stages of schooling. In the wake of the National Policy on Education (1986, Revised 1992) and the National Health Policy 1983, steps were initiated to look at school health education in a more comprehensive manner. The National Health Policy, 2002 envisages giving priority to school health programmes which aim at preventive-health education, providing regular health check-ups, and promotion of health-seeking behaviour among children. The policy suggests that school health programmes can gainfully adopt specially designed modules in order to disseminate information relating to `health' and `family life'. This is expected to be the most cost-effective intervention as it improves the level of awareness, not only of the extended family, but the future generation as well. The noteworthy initiatives under this 2002 policy were setting up a well-dispersed network of comprehensive primary health care services linked with extension and health education. It is widely accepted that school students are the most impressionable targets for imparting information relating to the basic principles of preventive health care. The policy attempted to target this group to improve the general level of awareness with regard to `health promoting' behaviour. The girl child in the rural belt needs to be targeted right from school level. The policy recognized that the overall well-being of the citizen depended on the synergistic functioning of the various sectors in the society. The health status of the citizens would, inter alia, be dependent on adequate nutrition, safe drinking water, basic sanitation, a clean environment and primary education, especially for the girl child. The National Curricular Framework 2005 by NCERT has categorically stated that health is a critical input for the overall development of the child and it influences significantly enrolment, retention and completion of school. It advocates a holistic definition of health within which physical education and yoga contribute to the physical, social, emotional and mental development of a child. Undernutrition and communicable diseases are the major health problems faced by majority of children in this country from 2 pre-primary through to the higher secondary school stage. Thus there is a need to address this aspect at all levels of schooling with special attention to vulnerable social groups and girl children. It has proposed that the mid-day meal programme and medical check ups be made a part of the curriculum and education about health be provided which address the age specific concerns at different stages of development. In troduction to a Comprehen sive School Hea lth Program The idea of a Comprehensive School Health programme, conceived in the 1940's, included the following major components viz. medical care, hygienic school environment and nutritious school lunch and health and Physical Education. These components are important for the overall development of the child and hence need to be included as a part of the curriculum. The more recent addition to the curriculum is yoga. The entire group must be taken together as a comprehensive health and Physical Education curriculum, rather than the fragmentary approach current in schools today. As a core part of the curriculum, time allocated for games and for yoga must not be cut down or taken away under any circumstances. Given the interdisciplinary nature of health, there are many opportunities for cross curricular learning and integration. Activities such as the National Service Scheme, Bharat Scouts and Guides and the National Cadet Corps, are some such areas. The Sciences provide opportunities to learn about physiology, health and disease and the inter-dependence between various living organisms and the physical habitat. Social Science could provide insights into communities, health as well as understanding the spread, control and cure of infectious diseases, from socio-economic and global perspectives. This subject lends itself to applied learning and innovative approaches can be adopted for transacting the curriculum. The importance of this subject to the overall development needs to be reinforced at the policy level with the health department, administrators, other subject teachers in schools, the health department, parents and children. Recognizing health and Physical Education as core and compulsory, ensuring that adequate equipment for sports and yoga instructors are available, and that doctors and medical personnel visit schools regularly, are some of the steps that can be taken. Further this subject could be offered as an elective at the +2 level. The `need based approach' could guide the dimensions of physical, psycho-social and mental aspects that need to be included at different levels at schooling. A basic understanding of the concern is necessary, but a more important dimension is that of experience and development of health or skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. Collective and individual responsibilities for health and community living need to be emphasized. Several national health programmes like the Reproductive and Child 3 Health, HIV AIDS, tuberculosis and Mental Health have been targeting children as a focus with prevention in view. These demands on children need to be integrated into existing curricular activities rather than adding on. Yoga could be introduced from the primary level onwards in informal ways, but formal introduction of Asanas and Dhyana should begin only from class VI onwards. Even health and hygiene education must rely on the practical and experiential dimensions of children's lives. There can be more emphasis on the inclusion of sports and games from the local area. Indigenous knowledge in this area must be reflected at the local level. Policies make a difference. Appropriate and effective school health policies can have an impact on health behaviors, short-term health outputs, learning/academic achievement and social development. There is a need to develop a uniform, effective code of practice for school administrators and educators undertaking health promotion in schools. Comprehen sive School Hea lth Policy The WHO defines a health promoting school as one that is constantly strengthening its capacity as a healthy setting for living, learning and working. It focuses on creating health and presenting important causes of death, disease and disability by helping school children, staff, family and community to care for themselves, take informed decisions over circumstances that affect their health and create conditions that are conducive to health. School health education is comprehensive and meaningful when it; • views health holistically, addressing the inter-relatedness of health problems and the factors that influence health within the context of the human and material environment and other conditions of life. • utilizes all educational opportunities for health: formal and informal, standard and innovative approaches in curriculum and pedagogy. • strives to harmonize health messages from various sources that influence students, including messages from the media, advertising, the community, health and development systems, family and peers and the school. • empowers children and youth, as well as their families to act for healthy living and to promote conditions supportive of health. Who is the School Hea lth Policy for? This policy is for the Central Board of Secondary Education and its affiliated schools and educational organizations. The policy will provide useful information to the community 4 sector and other organizations that also have an interest in engaging in school based health initiatives. Wha t Does This School Hea lth Policy Aim To Do? The policy aims to: • provide an effective guide for school administrators/educators to assist them in developing Health Promoting Schools. • ensure that school health programmes are based on formally assessed and evidence based practice. • advocate the value of a comprehensive and planned approach to school health through education sector. • encourage partnerships for school health promotion with key stakeholders, viz students, parents, health professionals, teachers and counselors. The overall objective of the Policy is to equip the educational sector to develop Health Promoting Schools. Compon en ts of the Policy The eight components of the Comprehensive School Health Policy are: 1. A school environment that is safe; that is physically, socially, and psychologically healthy; and that promotes health-enhancing behaviors; 2. A sequential Health Education curriculum taught daily in every grade, pre-kindergarten through twelfth, that is designed to motivate and help students maintain and improve their health, prevent disease, and avoid health-related risk behaviors and that is taught by well-prepared and well-supported teachers; 3. A sequential Physical Education curriculum taught daily in every grade, pre-kindergarten through twelfth, that involves moderate to vigorous physical activity; that teaches knowledge, motor skills, and positive attitudes; that promotes activities and sports that all students enjoy and can pursue throughout their lives; that is taught by well-prepared and well-supported staff; and that is co-ordinated with the comprehensive school health education curriculum; 4. A nutrition services program that includes a food service program and employs wellprepared staff who efficiently serve appealing choices of nutritious foods; a sequential program of nutrition instruction that is integrated within the comprehensive school health education curriculum and co-ordinated with the food service program; and a school environment that encourages students to make healthy food choices; 5 5. A School Health Services Program that is designed to ensure access or referral to primary health care services; foster appropriate use of health care services; prevent and control communicable disease and other health problems; provide emergency care for illness or injury; and is provided for by well-qualified and well-supported health professionals; 6. A Counseling, Psychological, and Social Services Program that is designed to ensure access or referral to assessments, interventions, and other services for student's mental, emotional, and social health and whose services are provided for by wellqualified and well-supported professionals; 7. Integrated Family and Community Involvement activities that are designed to engage families as active participants in their children's education; that support the ability of families to support children's school achievement; and that encourage collaboration with community resources and services to respond more effectively to the health-related needs of students; and 8. A Staff Health Promotion Policy that provides opportunities for school staff to improve their health status through activities such as health assessments, health education and health-related fitness activities. How to Imp lem en t The Policy? Key Messa ges for Plan of Action A. Form interfaces / Action Groups Strategy for action at national, state, district and B. Review current situation for School Health Promotion C. Plan and Implement School Health Policy community level D. Monitor and evaluate activities E. Share experiences / lessons with others The school administration should provide the lead for health promotion as a major initiative and should include all the stakeholders including parents, teachers, students and the community. 6 The Global School Health Survey aims at providing the profile of the students as Baseline in the following areas; • Respondent demographic • Dietary behaviours • Hygiene • Personal health • Clean drinking water • Physical activity • Protective factors • HIV Infection or AIDS Awareness • Tobacco use and smoking • Alcohol and Drugs • Sleep patterns • Leisure Activities The Central Board of Secondary Education was involved with a Comprehensive School Health Programme and collaborated with WHO on a Global School Health Survey. A total of 75 schools under various categories were selected under this scheme by WHO on a random sampling basis. The Survey was conducted in 2007-2008 through a questionnaire which had various components related to physical growth, drinking and eating habits, personal health, safety concerns, feelings and emotions, substance abuse, physical fitness and personal experience. The school administration is advised to take up various initiatives as per the Health Promotion Manual specifically designed for the three major age groups, classes 1-5, 6-8 and 9-12. The checklist can be used to understand the current status and to guide the activities. A School Health and Wellness Club can be formed and can become the focal point of school health promotion. In addition to specific class room based activities and revising school health curriculum, the health promotion programme should encompass the entire school environment and should become a school campus activity. The health promotion programmes should inspire and motivate the teachers, students and parents and should be conceived in a participatory manner. The school should also strive to provide healthy living habits through a conducive environment. The health promotion initiatives can be assessed and based on a scoring system and the school can be declared as a Health Promoting School. Once the school achieves the status of a Health Promoting School, it should strive to maintain and excel in its initiatives and should become a model for other schools. 71 Check lis t for Situa tion Ana lysis of School Hea lth What l is the status of health education activities in the classroom, school and community? Does l the school have a clear policy on health promotion, jointly prepared by staff and parents? Is health taught effectively across the curriculum? l In particular, are the following topics covered environment health v personal health v safety and accident prevention v drug abuse v physical education v emotional health v Are the health topics taught at school based on the needs in the community? l Are teaching methods learner-centred using the environment as well as the school? l Are l educational materials including visual aids and books available and are they based on health topics? Are the water and sanitation facilities adequate, clean and well maintained? l Is there l at least one teacher in the school trained to give first aid, detect simple health problems and refer children to health services? Is there an effective and committed school health committee? l Are parents involved in health promotion activities in the school? l Are there well developed links with the community and local health workers? l Do l policy makers within health, education and other services provide support to school health promotion? Respon sibilities of The School Responsibilities of Administrators / Principals: The Administrators/School principals shall be responsible for: Preparing a Comprehensive School Health Plan using eight elements of the • co-ordinated School Health Program with input from students and their families; 8 Ensuring that the various components of the School Health Program are integrated • within the basic operations of the school, are efficiently managed, reinforce one another, and present consistent messages for student learning; Developing procedures to ensure compliance with School Health Policies; • Supervising implementation of School Health Policies and procedures; • Negotiating provisions for mutually beneficial collaborative arrangements with other • agencies, organizations, and businesses in the community; and Reporting on program implementation, results, and means for improvement (to • whom and how) regularly. Respon sibilities of the School Hea lth Co-ordina tor / Teachers / Coun sellor Each school shall appoint/designate a school health co-ordinator to assist in the implementation and co-ordination of school health policies and programs by: Ensuring that the instruction and services provided through various components of the • School Health Programme are mutually reinforcing and present consistent messages; Facilitating collaboration among School Health Programme personnel and between • them and other school staff; Assisting the administrator/school principal and other administrative staff with the • integration, management, and supervision of the School Health Program; Providing or arranging for necessary technical assistance; • Identifying necessary resources; • Facilitating collaboration between the school and other agencies and organizations in • the community who have an interest in the health and well-being of children and their families; and Conducting evaluation activities that assess the implementation and results of the • School Health Program, as well as assisting with reporting evaluation results. 9 Mon itorin g An d Eva lua tion Obtaining baseline data on the health of the children, the quality of school health services, the environment of the school and health knowledge, skills and practices of students are essential for evaluating the effectiveness of a planned intervention. The nature and quality of School Health Education Programmes should be evaluated by the extent to which they achieve: a) Instruction intended to motivate health maintenance and promote wellness and not merely the prevention of disease or disability. b) Activities designed to develop decision-making competencies related to health and health behaviour. c) A planned, sequential pre-school to end-of-school curriculum based on student needs and current and emerging health concepts and societal issues. The content and terminology of the training curriculum for both students and teachers need to be made region-specific and resource-sensitive. Attractive and interesting communication methods should be used. Strategies in Schools to promote healthy habits : To be effective, strategies need to be individualized, made context specific, sensitive, within a broad framework using modern day marketing techniques and strategies. ! The mobilization of local resources ! Ownership of the programme by the school ! Training of teachers and health workers ! Participation by parents and the community ! The shared involvement of Government and NGOs from health education and other community services The main resource comes from teachers, children and parents. There is no school, however poor, that lacks the resource of children. 10 Promotin g School Hea lth A Hea lth Promotin g School : Fosters health and learning with all the measures at its disposal. l Engages health and education officials, teachers, all students, parents, health providers and community leaders in efforts to make the school a healthy place. l Strives to provide a healthy environment, school health education and school health services along with school/community projects and outreach, health promotion programmes for staff, nutrition and food safety programmes, opportunities for physical education and recreation, and programmes for counselling, social support and mental health promotion. l Implements policies and practices that respect an individual 's well being and dignity, provide multiple opportunities for success and acknowledge good efforts and intentions as well as personal achievements. l Strives to improve the health of school personnel, families and community members as well as pupils; and works with community leaders to help them understand how the community contributes to or undermines health and education. l A Hea lth Promotin g School focuses on : Caring for oneself and others l Making healthy decisions and taking control over life's circumstances l Creating conditions that are conducive to health (through policies, services, physical / social conditions) l Building capacities for peace, shelter, education, food, income, a stable ecosystem, equity, social justice and sustainable development. l Preventing leading causes of death, disease and disability: tobacco use, HIV/AIDS/STDs, sedentary lifestyle, drugs and alcohol, violence and injuries, unhealthy nutrition. l Influencing health-related behaviours: knowledge, beliefs, skills, attitudes, values and support. l 11 Why should we becom e a Hea lth Promotin g School ? The Health Promoting School's framework or model provides the most effective way that schools can promote health and well being for all members of the school communities: students, teachers, parents and the local communities around it. It's a global movement with a local focus. The model recognises the importance of the participation and consultation of all stakeholders in a school community. Priority is given to the specific health issues and needs of the school. There is an inbuilt reflection and evaluation process to effectively review and align programs within the setting of the school. A Health Promoting School encourages planning and co-ordinated action and use of resources rather than a reactive response to crises. It involves curriculum planning, whole school organisational alignment and partnerships with people and agencies to support programs and projects. When can we ca ll oursel ves a Hea lth Promotin g School ? A Health Promoting School is on a continuous and deepening journey. When a school has formed a representative committee, surveyed the school communities to clarify the needs and established an implementation plan with a time line for action, then it could be said to be a Health Promoting School. One off projects can initiate the process of becoming a Health Promoting School but one off project does not make a school health promoting. One or two people in a school community may get things started but forming a committee, setting up structures for communication and procedures, writing policies and implementing them are important parts of the process towards becoming a Health Promoting School. Internal partnerships become crucial for integrating the health promoting school framework into school culture. Even if the enthusiastic energy of one or two goes then the framework for health promotion is better able to continue and be taken up by others. Why a re pa rtn erships so importan t in Hea lth Promotin g Schools ? 12 The important feature of Health Promoting School is shared responsibility: the whole school needs to work in a collaborative way to implement projects and programs. Internal partnerships become crucial again. Teachers, Parents and students need to communicate, reach across and support the school. Health agencies can provide support for school program where it is required, delivering their support in relevant and effective ways. There are numerous community health issues that loom large: mental health, increasing weight and physical inactivity, sun protection and risks of skin cancer, drug and alcohol abuse, bullying and violence etc. A planned and co-ordinated approach to tackling any of these is crucial. Resources need to be better designed and utilised, funds must be targeted and spent effectively. Projects and programs need to be co-ordinated, linked or joined together. An issue can galvanise a team into action but instead of being in a reactive mode, a planned and co-ordinated approach is far better. You could say that the Health Promoting School approach is an organisational tool. How can we en coura ge pa ren ts/gua rdian s to get in vol ved in our School Hea lth Programm es ? Being a Health Promoting School is a great way to involve parents with the school community. Requests for support for tailored programs that fit with a bigger plan or goal can be drawn for parents. Whereas some may not come to a meeting, they may be happy to help set up a vegetable patch or talk to adolescents. Parents/ guardians do like to be consulted and participate in a vision of the school community when the health and well being of their children is concerned. The activities such as writing a policy or volunteering on a project can provide an opportunity for parent participation. Communication through newsletters, noticeboards and displays, information at PTM’s (Parents Teacher Meetings) and conferences can help keep parents/guardians in touch. How can we in vol ve s tuden ts in shapin g our School Hea lth Programm es ? Student Representative Council and Student Health Committees are excellent teams who can help survey students about their health concerns and needs. Teachers, parents/guardians and students may have very different ideas about what is the most important health issue to address and the way that health activities are implemented. Consultation and the resulting discussions create the best foundation for student engagement, ownership of the process and student participation in the health issues relevant to their lives. Which organ isa tion s in the loca l commun ity can help with our hea lth programm es an d p lan ? Through the links to local health promotion sites you can find contacts to a wide range of 13 organisations and agencies that support School Health Programs. You can tap resources available within the community. How can we get fun din g to support n ew idea s an d in itia tives? Depending on your project, funding through partnerships with community organisations and businesses can be a source of support. Staying in touch with information through the networks can keep you abreast of current funding opportunities. Imp lem en ta tion of School Hea lth Programm es The three main areas of a Health Promoting School are : The Curriculum l The School Ethos (Physical and Social Environment) l School-based health programmes can be Environment-Centred or Child-Centred. l 1. En viron m en t-Cen tred Approaches In this approach, the aim is to improve the educational climate of the school and to provide opportunities for child to utilize the School Health Programme. The positive mental health atmosphere includes the amount of time spent in school, the structuring of playground activities, the physical infrastructure of the school and the classroom decoration. Wha t kin d of programm es can the school con duct? a Programmes/workshops can be organized to enhance the ability of administrators, teachers and support staff to deal with specific areas of emotional or behavioural disturbances that they encounter. b Programmes for improving teachers' capacity to understand how to make use of other agencies providing mental health services for children. c National campaigns to reduce the incidents of certain mental health damaging behaviours e.g., bullying, ragging, corporal punishment etc. d Improvement in the school's social environment can be brought about by encouraging parent participation through parent programmes in support of school activities. e A multidisciplinary mental health team can be established in the school to provide 14 consultation in the management of student behaviour problems. f The mental health team can include representatives from the governing body, teachers, support staff and parents. The governing body can identify problems and opportunities within the school. g The school mental health team can monitor and evaluate the outcome and provide feedback so that appropriate modifications can be made to the programme. h School can be the centre for community enhancement projects including programmes to improve physical and emotional health. They can serve as training centres for parenting skills where parents learn more about child development and parent effectiveness skills and receive support to enhance feelings of self worth and competence. Such a programme provides a co-ordinated, collaborative effort to improve communication, understanding and respect between staff, students and parents. This provides a sense of direction and ownership of the programme. 2. Child - Cen tred Approach Child-centred approach includes individual mental health consultations and specific problem-focused interventions as well as more general classroom programmes to improve coping skills, social support and esteem. Wha t kin d of programm es can the school con duct ? a A particular child who exhibits difficult behaviour can be referred to the school counsellor or mental health professionals. b The counselor is involved in giving recommendations to the parents, the teachers and in some cases referral for treatment outside the school. c Maladjustment can be prevented by locating children at-risk and involving them in an 15 intensive goal-directed intervention that should include close contact with special educators, nodal teachers, counsellors and peer mentors. d The use of parents as teacher's aides can be a helpful learning experience for the parents, the teacher and the child. Working in the classroom provides parents with perspective of their child as they observe other children and talk with other parents and the teacher. e Early intervention programmes with high risk behaviours such as aggressiveness, smoking, excessive shyness, worsening of interpersonal relationships, poor school attendance, declining academic performances, irritable and fluctuating moods and changes in peer groups can prevent serious consequences. f School can also use screening tools for identification of psycho-social problems and mental disorders. This can help the schools in determining if children have (or are at risk of having ) significant mental health problems. Although, there is a danger of labelling and stigma nevertheless the instruments can be very useful in planning management strategies. g School based Health Centres located within the school have an important role in supporting better health care for children and adolescents. The mental health services in these school-based health clinics can provide screening, counselling for common adolescent concerns, information about substance abuse, HIV / AIDS, reproductive health, depression, stress, anxiety, etc. Because these clinics are located within the daily environment of the children mostly youth, they offer particular benefit to young people who might not otherwise receive assistance. Steps In Settin g Up School Hea lth Programm e Step 1: Es tablishm en t of a Team Planning for a Comprehensive School Mental Health Programme begins with the collaboration of school personnel, family members, community members, health professionals and students who come together to create an environment that is productive, positive and supportive. Step 2: Assessm en t of School an d Commun ity En viron m en t Basic information regarding regional demographics, health risks and resources should be available for the team to consider. When possible, an assessment focusing on community strengths and available resources, as well as needs should be done to provide the planning team with the information they need to develop objectives. 16 Step 3: Developm en t of a Plan Once the need and potential for a mental health programme are assessed and most suitable elements of the model framework are chosen after discussions with parents, educators, student community members and mental health professionals, the next task is to develop a specific plan of action including clearly stated objectives, assignment of responsibilities, a time-line and a co-ordinating mechanism with an outside agency. Step 4: Mon itorin g an d Eva lua tion Obtaining baseline data on the physical and emotional health of children, the quality of school health services, the environment of the school and the health knowledge, skills and practices of students are all essential for evaluating the effectiveness of a planned intervention. One approach to measuring outcomes which may be particularly useful for school-based health programmes utilizes goal attainment changes as the unit of measurement. Initially the team of school professionals, students, parents and community members meet with professionals, skilled in outcome research, to define how successful outcome will be defined in a way that can be measured reliably. The evaluation process is then planned, implemented and the outcome data analyzed and disseminated. The initial planning team meets again and discusses whether or not the goals were met and makes appropriate modifications. Nutritious Snacks! 17 Hea lth In ter ven tion is Accep ted an d Mos t Effective if :- It is part of the general educational system. l Implemented through Health Care in the school. l Supported and developed by families and parent groups. l Brought in and through the support of school counsellors and / teachers who recognize that poor social functioning interferes with learning. l Brought in through School management which recognizes that schools are a good setting to foster overall health and wellness among school going children. l Can teen s Ca rry a Hea lth Respon sibility : Crea tive Can teen s Canteens in the schools should not be treated as commercial outlets. The schools carry a social responsibility towards inculcating healthy eating behaviors. They are used as places to motivate children to consume healthy and hygienic food. When a child sees other children consume foods with healthy components, their food choices get reinforced and also transmitted to the family back home. Qua lity con trol m ea sures to be obser ved in the school can teen: 18 ! Stringent hygiene regulations to be strictly implemented in the canteen and serving area. ! Quality of fats/oils used for cooking to be monitored. Foods containing fatty acids to be banned or moderated. ! Strict control to prevent carryover of the left over food (healthy foods have a shorter shelf life-especially when the outside temperature is high). ! Use of whole grains and pulses should be encouraged wherever possible. ! Seasonal cheap and uncut fruits and locally available nuts/fruit seeds. ! Ban on use of preservative, colours and additives in the food preparation. ! Sale/serving of junk food like burgers, chowmein, chips, carbonated cold drinks to be banned in schools and colleges. ! Introduce freshly made vegetable pulao, idli-dosa, rajma-rice, dal-rice, milk, fresh lime juice, juices etc. in the canteen menu. ! Attractive pictorial stickers which communicate nutritional messages can be put in sections which sell nutritious foods. Healthy attractive posters in the canteen can reinforce the nutrition related messages. A Hea lth Promotin g School Health is the responsibility of all. The lesson and experiences gained as children stay with us throughout life. So there is a need to develop a uniform effective code for school administrators and educationists to promote health in schools. This will harmonize the effective partnership of health and education sectors to facilitate a holistic approach to children and adolescent development in schools. Many of today’s and tomorrow’s leading causes of death and disease can be significantly reduced by preventing behaviour that is initiated during youth, through education, understanding and motivation and fostered by social and political conditions. A Health Promoting School is a setting where education and health programmes create a health promoting environment which in turn promotes learning. It constantly strengthens its capacity as a healthy setting for learning and preparing for life. A School fos terin g hea lth: ! Fosters health and learning with all the measures at its disposal. ! Engages health and education officials, teachers, teachers’ unions, parents, health providers and community leaders in efforts to make schools a healthy place. ! Strives to provide a healthy environment, school health education health services along with school/community projects and outdoor promotion programmes for staff, nutrition and food, safety opportunities for Physical Education and recreation and programmes for counselling, social support and mental health promotion. ! Implements policies and practices that respect an individual’s welfare, dignity, provide multiple opportunities for success and acknowledge intentions as well as personal achievements. ! Strives to improve the health of school personnel, pupils as well as families and works with community leaders to understand how the community contributes or undermines education. ! Cares for oneself and others. ! Makes healthy decisions and takes control over life’s circumstances. ! Creates conditions that are conducive to health. 19 Ba sic Check lis t for Hea lth Promotin g School Assessment should be made of the prevailing conditions in the school before starting the programme and also to review the progress made. The following checklist is a series of questions that SHC could ask itself for both base line assessment and monitoring of HPS. Do we encourage family and community involvement in schools? 1. Is there a Parent Teacher Association? 2. Does PTA address health issues? 3. Does the school actively engage with the village education committee / municipal education committee? 4. Are there linkages with the local health services? Do we provide a safe and healthy environment? 1. Is clean drinking water available in school? 2. Are there hand washing and toilet facilities in school? 3. Are there separate toilet facilities for boys and girl? (if co-ed school) 4. Are toilets cleaned daily with disinfectant? 5. Are there proper dustbins in the classrooms? 6. Are there different coloured dustbins for different kinds of waste disposal? 7. Is there a mid-day meal scheme currently in operation? 8. Is the food hygienically prepared and served? Is it nutritious? 9. Is there a canteen in school? 10. Is it hygienically run and does it provide nutritious food? 11. Is there a place to sit and eat that is protected from wind, rain and sun without overcrowding? 12. Do teachers support the students who are in distress? 13. Is there any support available for teachers who have been involved in violent or stressful incidents? 14. Is there a school medical room? 15. Is first aid box available in the school? 20 Yes Yes No No Do we implement health promoting policies and practices in the School? 1. Is there a health promotion policy? 2. Is there an anti-tobacco policy? 3. Is there a policy against corporal punishment? 4. Is there a safety policy? 5. Is there a policy on equal treatment of all students? 6. Are there policies related to regulation of vendors and the quality, hygiene and standard of the food provided? 7. Is there a policy to promote staff wellness? 8. Are there policies (short and long term) about how to deal with the consequences of violent incidents? 9. Is there a policy on how to deal with the victims of bullying? Yes No Yes No 10. Is there a policy on how to deal with the victims of sexual harassment? 11. Are there school emergency response protocols? 12. Is there a policy to tackle general health care emergencies in school? 13. Is there proper arrangement of liaisoning with health care providers / hospitals? Does the school improve the health of the community? 1. Does the school encourage the staff to develop links with the community? 2. Do teachers actively seek to complete the curriculum through collaborating with and drawing on the expertise of community agencies, groups and individuals? 3. Does school promote healthy practices in the community? 21 2. Impro vin g School Performan ce throu gh Hea lth Promotion Hea lth-Promotin g Schools (HPS) Fact Sheet A health-promoting school uses its full organization potential to promote health among students, staff, families and community members. A Health Promoting School: 1. Engages health and education officials, teachers, students, parents and community leaders in an effort to promote health with: Families and community groups involved in the school l Community services, business and organizations linked to the school l School/community projects l Health promotion for school staff l 2. Strives to provide a safe, healthy environment, including: Clean water and sufficient sanitation facilities l Freedom from abuse and violence l A climate of care, trust and respect l Social support and mental health promotion l Safe school grounds l Opportunities for physical education and recreation l 3. Provides skill-based health education with: Curricula that improve students’ understanding of factors that influence health and enable them to make healthy choices and adopt healthy behaviours throughout their lives l Curricula that include critical health skills, a focus on promoting health and wellbeing as well as preventing important health problems and information and activities appropriate to children's intellectual and emotional abilities l Training and education for teachers and parents l 4. Provides access to health services with: Services (early screening, diagnosis, monitoring growth and development, vaccination, selected medications) that may be most efficiently provided in the school setting depending on school resources and mandates l 23 Link-ups with local health agencies that can provide services l Nutrition and food safety programmes l 5. Implements health-promoting policies, such as: An overall policy supported by school administration and management as well as l teaching practices that help create a healthy psychosocial environment for the students and staff Policies on equal treatment for all students l Policies on drug and alcohol abuse, first aid and violence that help prevent or l reduce physical, social and emotional problems 6. Strives to improve the health of the community by: l Focusing on Community Health concerns l Participating in Community Health Projects 24 Hea lth an d Welln ess l Emergency services l Teacher Health care l Health and Wellness Clubs Health checks,screening l Health cards for students l Counselling services l Canteens as socially responsible l outlets Physical Activity l Hea lth Educa tion Outreach to Family Balanced program 1-12 l Health knowledge, l Parent's l involvement communication Parent awareness l Sibling education l Parent l attitudes, skills Life Skills orientaton l Adolescent issues l Students as Change Agents l Creating Peer Health l Educators Health Promoting School Hea lth En viron m en t Outreach to Commun ity l Organisation Community l l School buildings water supply l Behaviour policies l Emotional environment l Teacher attitudes l School cleaning Grounds and gardens l Clean latrines l l Clean Admin is tra tive Support an d Policy Formula tion l Equity l Resourcing l Discipline Promotion Healthcare l Canteens - Socially Responsible Outlets education Social networking l Inter-agency Co-ordination l and Support (ICAS) Close links with Community l programs Environmental issues l Social issues l l Culture issues l Health l Preventive 25 Focusin g Resources on Effective School Hea lth morrow’s diseases can be prevented by Much of to fostering health in Schools today Fact Sheet School Hea lth Policies: Health policies in schools ensure conditions that promote the overall health such as skills based health education and the provision of appropriate health services, a safe and secure physical environment and a positive psychological environment, preventing abuse of students, physical harassment and bullying. School health policies will help promote inclusion and equity in the school environment. The policies are best developed if all the levels, be it state, national or school are actively involved in it. Skill- Ba sed Hea lth Educa tion: This approach focuses on the development of knowledge, attitudes, values and Life Skills which are needed to make and act on the most appropriate and positive health-related decisions. Health in this context extends beyond physical health and includes psychosocial and environmental health issues. Changes in social and behavioral factors have given greater prominence to such health related issues such as HIV/AIDS, injuries, violence, tobacco and substance abuse. The development of attitudes related to gender equity and respect between girls and boys, and the development of specific skills such as dealing with peer pressure are central to effective skills based health education and positive psycho-social environment building. When individuals have such skills they are more likely to adopt and sustain a healthy lifestyle during schooling and for the rest of their lives. School Ba sed Hea lth an d Nutrition Ser vices: Schools can effectively deliver some health and nutritional services provided that the services are simple, safe and familiar and address problems that are prevalent and recognized as important within the community. For example, micronutrient deficiencies and worm infections may be effectively dealt by sporadic (six-monthly or annual) oral treatment eg. by changing the timing of meals, or providing a snack to address short term hunger during school- an important constraint on learning which can contribute to better school performance. The school can carry proper health check ups and deal with the health problems faced by the students. 26 Pro vision of sa fe wa ter an d san ita tion: Hygiene education is meaningless without clean water and adequate sanitation facilities. It is a realistic goal in most countries to ensure that all schools have access to clean water and sanitation. By providing these facilities, schools can reinforce the health and hygiene messages, and act as an example to both students and the wider community. This in turn can lead to a demand for similar issues such as gender access and privacy. Separate facilities for girls, particularly adolescent girls are an important contributing factor to reduce dropout rate. Sound maintenance policies will help ensure the continuing safe use of these facilities. This is the first step towards creating a healthy school environment. Supportin g Activities: The following activities provide the context in which the basic components can be implemented. Effective partnerships between teachers and health workers and between the • education and health sectors Effective community partnerships • Pupil awareness and participation • Impro vin g School Performan ce Throu gh Hea lth Promotion : Children cannot learn effectively until they are in good health. Similarly, it is not possible to acquire good health without good education. Thus it is in the interest of school to make best efforts to help the students acquire good health and improve it. In order to impart good health, we need to know the various causes of low performance of a student and how a school can a help a child to improve his/her performance. Causes of low performan ce of s tuden ts a re man y an d va ried: Physical and emotional disorders are the commonest causes of low performance of students. They can be greatly reduced by physical exercise and regular health care services. A combination of a good physical fitness programme with a healthy lifestyle programme has been recommended by the experts. A research study has demonstrated a correlation in levels of hunger, poverty, nutrition and academic performance. It has been found that chronically under-nourished children achieve lower scores on standardized achievement tests, especially language ability tests. 27 Behavioural Disorders Substance abuse Learning Disorders Chronic illness Low performance Physical factors Lack of Study Skills Chronic Hunger and Malnutrition Factors including Emotional Disorders Research has shown that physically fit middle school students score higher grades and exhibit higher levels of self esteem than non fit students. Malnutrition / chronic hunger, use of drugs, alcohol and tobacco have negative consequences in terms of school performance. All these factors can make learning and concentration more difficult. There are certain factors such as learning disorders or behavioural disorders which need appropriate diagnosis by a health professional. If detected at the right time and at the right age, they can be addressed and remedial action taken to ensure improved performance in school. H. Gardner in delineating his theory of multiple intelligence has identified seven types of intelligence : Linguistic, Logical-Mathematical, Spatial, Musical, Kineasthetic, Interpersonal, and Intra-personal. It is important to use varied learning strategies to ensure a broad based approach to intelligence to better school performance in both the scholastic and co-scholastic domain. 28 Yoga at School Empirical evidence based on research work undertaken in several countries shows that increased sports activity behavioural results in better academic perfor-mance besides leading to a significant reduction in crime, growth in leadership and team spirit and greater social inclusiveness and cohesion. 3. Hea lth Promotion in Schools A holistic curriculum which focuses on health and wellness among children in schools needs to address the areas of physical, emotional, social, intellectual and spiritual well being among them. Any survey of statistical data reveals that society today and specifically the youth are facing an onset of early diseases related to lifestyle. Behaviour patterns and dietary habits acquired during childhood often have a profound impact on their later life. The curriculum is, for the sake of convenience, divided into following six areas and themes which can help the school to improve its performance. They are merely suggestive in nature and teachers are encouraged to use these themes and the ideas provided under them as take off points for further reference. Each theme has been sub divided into further sub-themes which should form a part of the cocurricular or curriculum plus activities being organised in the area of Physical and Health Education in Schools. Food and Nutrition al, son tal Per men iron and v n E iene Hyg ation it San Knowing Your body cal F si Phy ss itne Behaviour and Life Skills e ibl ns o esp fe g R d Sa n i Be an 29 The followin g six a rea s an d them es can help the school to impro ve its performan ce in its objective of becomin g a Hea lth Promotin g School. Personal, Environmental Hygiene and Sanitation Food and Nutrition Personal, Environmental Hygiene and Sanitation Knowing Your body Health Promotion Physical Fitness Behaviour and Life Skills Being Responsible and Safe 30 1. Kn owin g Your Bod y Knowing Your Body Work Rest and Play Ways We Grow and Change Knowing Your Body: • Structure, function, care of body • Concepts of health such as : Physical ➾ Mental / Intellectual ➾ Social ➾ Emotional ➾ Spiritual Health ➾ • Importance and value of health Ways We Grow and Change: • Growth and development • Stages of life • Childhood • Puberty • Adolescence • Adulthood • Old age It is important to have accurate information and knowledge about growth and development which occurs in the human body with time. Our body changes from a small baby to an adult size. These changes do not happen suddenly but follow a gradual pattern. At the time of adolescence and puberty our body undergoes rapid spurts of growth. Work Rest and Play Physical exercise • • Sleep and rest • Balancing work and leisure • Stress and sickness Physical Emotional Intellectual Spiritual 31 2. Food an d Nutrition Experts suggest that healthy eating is necessary for optimal brain development and functioning. Food intake can affect energy levels, concentration and learning. Nutrition and Health Importance of Food Selection and Preparaton of Food Importance of Food l Food groups, food pyramid and food production l Processed food, artificial food, fresh food (kitchen garden, school garden) l food quality, food conservation, nutritive value l Food adulteration Selection and Preparation of Food l Eating a wide variety of food l Balanced l Food l Safe diet preferences food preparation and storage Fast l food/ junk food Food l hygiene Food l requirement for different age groups l Food preparation for maximum nutrition Nutrition and Health l Good eating habits l Nutritional energy and growth l Malnutrition l Food borne illnesses l Emotions, moods and foods 32 Table 1: A Daily Food Guide For Students Food Group Food Stuff 1) Body building food group • milk and milk products • meat and eggs full cream, curd, milk powder, ice cream etc. 2) Preventive fruits and vegetable group • yellow and orange fruits and green leafy vegetables • Vitamin - C food groups bottle gourd, tomato etc. all green leafy vegetables: cabbage, upper layer of onion, carrot, orange, mango,papaya, Citrus fruits like amla, lemon guava, orange, grapes, vegetables 3) Other fruits and vegetables brinjal, beans, potato, cucumber, banana, melon, apple etc. 4) Cereals wheat, rice, millets, ragi, corns, etc. 5) Fats and oils all the oils like groundnut, mustard, til, sunflower, corn, soya, pure ghee, butter vanaspati oil etc… 6) Sugar and gur all sugar 33 Table 2: Different Stages, Different Needs As we grow and change, our activities change, the rate and type of growth in our body is undergoing changes and consequently our food requirement changes. Food requirements for each stage (listed in grams) Food Items Infancy Early Later Childhood Childhood Adolescence Adulthood Cereals 175 270 350 400 480 Pulses 35 35 40 45 48 Greens 40 50 50 50 70 Vegetables 20 30 40 50 70 Dairy products 300 250 250 250 175 Oil fat 15 25 35 35 30 Sugar 30 45 45 40 28 Ba lan ced Diet The diet which contains different types of food in enough quantities and proportions so that the need for energy, proteins, vitamins, minerals, fats, carbohydrates and other nutrients in adequate amount is met for maintaining health, vitality and general well being and makes a small provision for extra nutrients to withstand short duration of leanness. Chew l Good Ea tin g Habits the food properly. Milk and other liquids should never be taken in one gulp. They should be swallowed l slowly. Wash the hands before and after the meal. l Rest after meals helps in digestion and also to avoid abdominal discomfort. l Healthy methods of cooking i.e. roasting, stewing, parboiling, baking to be practiced. l Brush the teeth before and after meals. l The nutritive value of the food can be enhanced by using techniques such as l combination of food stuff. Peeling vegetable long before can cause loss of nutritive value and color change which l can lead to contamination. Too much washing of rice or vegetables removes the nutrients. l 34 3. Persona l, En viron m en ta l Hygien e an d San ita tion Hygiene Personal Hygiene Environmental Hygiene Persona l Hygien e: Personal hygiene is the science of preserving and promoting health mainly through the active efforts of the individual. Personal well-being depends on physical environment facilities like ventilation, lighting etc. It also includes cleanliness and clothing. Myself and others § Personal health care, personal hygiene § Self maintenance § Habit formation § Individual differences § How to Ma in ta in Persona l Hygien e ? It is important to keep our body clean because bacteria thrive in dirt and cause disease. Habits of cleanliness should be developed from early childhood. The following are important: To have a bath daily § To wash hands properly before and after taking § food To brush the teeth daily in the morning and § night To cut nails regularly § To wear clean clothes § To wear comfortable foot wear § 35 En viron m en ta l Hygien e: Health and hygiene in the family and community need to be focused upon :§ In the domestic environment § In the school environment § In factors affecting wellness § In being aware about sources of disease (communicable and non-communicable) § It's our responsibility to keep our surroundings clean. Keepin g School Clean § Do not spit on the walls or on the roads. § Throw garbage and waste paper in the dustbins (many things can be recycled). § Keep the fields clean. § Keep your class and surroundings clean. Preven tion of In fection s by Immun iza tion Children can be protected from infections and diseases by immunization. Common preventable diseases: Small pox Cholera Typhoid Polio Personal cleanliness will help to prevent infection and diseases such as: Skin infections Eye infections Ear infections Head lice Worm infestation Diarrhoea Do a field project in groups. Visit the nearest slum and conduct a survey among families who have immunized their children. 36 4. Physica l Fitn ess The benefits of sport and other form of physical activity on health reduce the risk of cardiovascular diseases, strokes, diabetes and obesity which is a serious concern even among school going children. Physical fitness is the capacity to carry out various forms of physical activities without being unduly tired and includes qualities important to the individual's health and well-being. The Comprehensive National Sports Policy 2007 aims at building on previous sports policies with a view to accomplishing the unfinished agenda and addressing the emerging challenges of India in the 21st century most particularly the national goal of emerging as a global, yet inclusive economic power in the near future. The 2007 Policy fully recognizes the contribution of Physical Education and sport to personal development, especially youth development, community development, health and well-being education, economic development and entertainment and in the promotion of international peace and brotherhood, which is the spirit of Olympism. It therefore, recognises the need for sport to permeate all sections of society and become a way of life. (Draft Policy 2007, Sport Bureau, Ministry of Youth Affairs and Sport, GOI) Physica l Activity in Schools ! Every school should have a playground. School should be penalised if adequate play ground space is not available. ! Minimum of five periods a week for physical activity need to be made mandatory. ! Traditional games like Kho-Kho, Kabbadi, Dances, Yoga and Aerobics must be promoted in school. ! Mass PTs should be encouraged in schools. ! ‘Sports week’ can be conducted twice a year. More emphasis should be given on being physically active and enjoyment of physical activity rather than just winning competitions and excelling. ! Ensure safe cycling and walking pathways to school. 37 ! Dance is a wonderful form of physical activity and is also a great stress reliever. India has a rich cultural tradition of classical and folk dances unique to each state and region. Dances of India both classical and folk forms need to be introduced with increased vigour in the schools. These need to be group and class activities in schools, where children dance and enjoy rather than few students taking part in the functions. ! It has been seen that the quality of the physical activity instructor has a direct corelation to the amount of physical activity happening in any school. Sport, games and physical fitness have been a vital component of our civilization, as is evident from the existence of the highly evolved system of yoga and a vast range of highly developed indigenous games, including martial arts. Sport and Physical Education offered by a school can help to build personal attributes that are important for holistic development. Cardio-respiratory Endurance Muscular Endurance Strength Speed Agility 38 Physical Fitness Power Flexibility • Self esteem • Health and wellness • Appropriate behaviour • Appreciation of ethics and fairplay • Interpersonal relationships • Intra-personal relationships • Coping with stress • Coping with emotions The United Nations General Assembly celebrated 2005 as the "Year of Sport and Physical Education" thereby emphasizing the need to integrate sport and physical education into the overall development agenda. This initiative highlighted sports as: (i) being integral to quality Education with mandatory Physical Education as a necessary pre-requisite to foster education, health and personality development; (ii) improving the health standards of people; (iii) achieving sustainable development through inclusive growth; and (iv) building lasting peace. Ca rdio-respira tory En duran ce: This quality enables a person to continue engaging in reasonably vigorous physical activities for extended periods of time. Muscula r En duran ce: This quality enables a person to sustain localized muscle group activities for extended periods of time. Stren gth: Strength is the amount of muscular force one is capable of exerting in a single muscular contraction. Speed: Speed is the ability to make rapid movements of the same type in the shortest possible time. A gility: Ability of human body to change direction quickly and effectively. Flexibility: It's the ability of muscle to perform movements with large amplitude. It also refers to the functional capacity of joints to move through normal range of motions. 39 Prin cip les of Physica l Fitn ess: § Regularity: Regular Physical Activity is required for an individual to develop and maintain fitness. § Progression: The dosage of exercise should be progressively increased to guarantee the improvement of physical fitness level of an individual. § Total body involvement: The exercise programme should be designed in such a way that it should exercise every part of the body to ensure proportionate body development. § Specificity: The nature and the type of exercise programme should be specific to the component of physical fitness to be developed. § Warming up: Before starting an exercise programme a brief session of warming up is recommended. § Cooling down: Just as the body needs warming up, it also needs gradual cooling down after the exercise. § Rest and sleep: Adequate amount of rest and sleep are vital for regular participation in a fitness programme. Aerobic Tra in in g If done regularly contributes to development of cardio-respiratory endurance. The term aerobic literally means 'with oxygen'. During aerobic training a continuous supply of oxygen by the body is maintained in order to burn carbohydrates and fats for production of energy for these activities. Various activities such as jogging, cycling, calisthenics and rhythmic exercises can be taken up. Pa rticipa tion in Gam es an d Sports Regular participation in indoor and outdoor games and sports provides sufficient exercise to the human body. There are some games which are more vigorous than the others. Participation in vigorous activities can bring about significant improvement in physical fitness of an individual and to maintain physical fitness some sort of regular participation in games and sports is desirable for a change. 40 "Our effort is to see that sports becomes a means for shaping the character of our youth. Through sport they must learn to excel as individuals. They must also learn to play together as a team. We must see that sports are for sports sake and not for winning or losing. Our endeavour should be to build healthy bodies through sports and make ourselves fitness conscious" Prime Minister Rajiv Gandhi, Children's Day, 14 November, 1985 41 v Split jumping. pattern. v Walk and run using a mature motor v Jump a swinging rope held by others. v Running on the spot. bounces. v Toss and catch the ball before it bench. v Walking forward and sideways on a response to signal. side symmetrical and asymmetrical shapes on a variety of body parts. v Balance, demonstrating stillness, in and dodging to avoid or catch others. v Demonstrate skills of chasing, fleeing v Repeatedly jump a self-turned rope. ball toward a target. v Use at least one body part to strike a properly positioned hands. v Catch a gently thrown ball using overhand technique, a orientation and opposition. v Throw a ball hard demonstrating an catch and kick using mature motor patterns, and toward a target. v Throw, strike a softly thrown ball with a bat or paddle demonstrating an appropriate grip, side to target and swing plane. v Consistently a softly thrown, lightweight ball back to a partner using a variety of body parts and combinations of body parts (e.g. the bump volley in volley ball, the thigh in soccer, etc.) v Strike hesitating, travel into and out of a rope turned by others. control while traveling by self and within a group one and two feet take-offs and landings. v Formation of different shapes & v Without v Hand/foot dribble a ball and maintain quickly and safely without falling. v Jump and land using a combination of response to a signal. direction and changing direction in traveling, avoid or catch an individual or object. v While v Travel in backward direction and v Walking forward and in sideways Class - III - V Class - II Class - I Ph ysica l Edu ca tion Program a t Prima ry Level 42 v Kick stationary ball v Dip your face and blow bubbles. of water skills-enter/exit from the pool. v Beginning v Tadasan. v Padmasan. v Breathing Exercise in and out. v Eye Exercises. others. v Enjoy participation alone and with feelings that come from participation in physical activities. v Share guidelines and methods for safe use of equipment. v Share an object on various body parts. v Balance v Marching. v Importance of others in physical feeling of success, failures and challenges. v Introduce v Game of kick ball. v Vajrasan. glide, front and back float, flitter kick, free-style strokes. v Introduce activity. v Be considerate personal success and achievements of others. v Celebrate survival skill in, on and around water. v Introduce v Introduce to rules of games and life. v Game of hockey. v Game of leg cricket. v Different types of relays. v Suryanamaskar. v Halasan. v Changing body movement with Music. v Complete warm up schedule. v Manage body weight. of safety while participating in physical activity. v Run and jump a hurdle. v Run and take off. v Standing broad jump. Jump and land for height. v Class - III - V v Move each joint completely. v Kick a moving ball. in various ways. a variety of body parts or an object into high, middle and low levels. v Kick a stationary ball to a target. and zig-zag pathways while traveling v Place v Roll a ball under hand to a target. Class - II between straight, curved v Distinguish Class - I Ph ysica l Edu ca tion Program a t Prima ry Level Advisory To Schools It is well established that participation in Physical Education & Sports activities is highly beneficial to one's health and it leads to improved performance by students in schools, in addition to helping them in developing many life skills. Children lead happier lives as a result of being actively involved in sporting activities and it has long been established that fitness and improved academics performance go hand in hand. Physical Education and Sports activities during the school hours reduce boredom and help keep students attentive in the classrooms. The Board is of the firm opinion that the Physical Education & Sports programs teach important conflict resolution skills including team work, fair play and communication leading to reduced violent behaviour among children. Further, children who participate in Physical Education & Sports develop a positive attitude towards their every day life activities. In the above background, it is advised that the following in respect of the Physical Education & Sports may be strictly adhered to : a) There should be at least 40-45 minutes of Physical Activities or Games period for Classes I-X everyday. b) For Classes XI-XII it should be ensured that all the students participate in Physical Activity/Games/Mass P.T./Yoga with maximum health benefits for at least two periods per week (90-120 min/week). c) In case the school has constraints of space, climate conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics/Meditation/Yoga & Asanas). d) Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can have. As part of Continuous and Comprehensive Evaluation the students will be assessed on participation and performance in by choosing any two activities from the 13 activities given for Classes VI-VIII and 08 activities given for Classes IX-X. 43 C BS E In ter School Sports & Gam es Competition s 1996-2010 Origin In order to supplement the academic efforts put in by the CBSE for the promotion of Physical Education a need was being felt for quite some time that the class room teaching in Physical Education could be appropriately utilized on the play fields. Structure For operational efficiency and functional convenience, all the independent category of schools affiliated to the Board, numbering nearly 5500 and located all over the country and in the Gulf has been divided into 22 small Clusters and 06 Zones. • • • • • • Stren gths Nearly 5500 Schools Approx. 01 Crore Students Approx. 80000 participants Approx. 30000 Technical officials and observers Approx. 7500 Non technical officials Approx. 4500 Contingent officials "Determin e Strive Achieve" 07 COUNTRIES • Bahrain • Kuwait • Oman • Qatar • Saudi Arabia • UAE • India Growth • The CBSE Inter School Sports and Games competition was introduced in the year 1996 with just one discipline i.e. Athletics. • Presently the competitions are being organized in as many as 15 disciplines. • The CBSE Sport Competitions today are the most organized sporting event in the country at school level. S. No. 1. 2. 3. 4. 5. 44 THE DISCIPLINES, AGE GROUPS & LEVEL OF COMPETITION : Discipline In the Age Groups Under Level of Competition Swimming Chess Judo Skating Kho-Kho 12,14,16, & 19 years 14, & 19 years 12, 14, 17 & 19 years 08,10,12,14,16 & 19 years 19 years Zone & National Zone & National Zone & National Zone & National Cluster & National 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Handball Hockey Football Basketball Badminton Tennis Table-Tennis Volleyball Athletics Taekwondo 14 & 19 years 14 & 19 years 19 years 19 years 14, 16 & 19 years 14 & 19 years 14, 16 & 19 years 19 years 14, 16 & 19 years 14 & 19 years Zone & National Zone & National Zone & National Cluster & National Cluster & National Zone & National Cluster & National Cluster & National Cluster & National Zone & National Results • The performance of CBSE Inter School Sport & Games Competition in Athletics & Swimming are at par with the National Standards. • Many Chess, Badminton, Table Tennis and Tennis players are ranking players in India. • Many Basketball, Hockey, Skating and Volleyball players have represented India. Awa rds • The Board introduced the annual Physical Education Teacher's Award in the year 2005 that is given to the teacher for contribution in the promotion of Physical Education & Sport at school level. • In the year 2005-2006, the Chacha Nehru Sport Scholarship was introduced by the Board for the outstanding talent performance during the CBSE Inter School Sports & Games Competitions. Future • The CBSE envisages this activity for the school going children as very important segment of personality development and career building besides the essential ingredient in achieving health and fitness objectives. • The Board is hopeful that with recognition of CBSE Inter School Sports & Games Programme the performance will further improve which will help the country identify young talent. Why should Every Parent, Teacher and Coach Encourage Children to Participate in Sports? 1.Sports are fun. 2.Participation in sports gives a child a higher level of selfesteem and a more positive outlook on life. 3.Children who participate in sports experience lower levels of depression. 45 4. Children who participate in sports have more positive body image and experience higher states of psychological well-being than those who do not play sports. 5. It teaches the child teamwork, goal-setting and the pursuit of excellence. 6. Adults that were active in sports and recreational activities feel greater confidence in their physical and social selves than those who were sedentary as kids. 7. Sports help develop leadership skills. 8. Children learn how to deal with failures and how it feels to be successful. 9. Sports can teach us to take appropriate risks and to be aggressive when needed. 10. Sports foster bonding friendships. 11. Children improve their skills. 12. Chyildren who participate in sports perform rountine physical activity that keeps them healthy. 13. Regular physical activity among children reduces risk of obesity. 14. Children who exercise weigh less; have lower levels of blood sugar, cholesterol and triglycerides, as well as lower blood pressure, than do non-exercising children. 15. Weight-bearing exercise can help prevent osteoporosis. 16. Studies have shown that exercise reduces many health risks. 17. The athletic child is less likely to get involved into anti-social activities. 18. Children who exercise report being happier, have more energy and feel they are in excellent health more often than non-exercising children. They also miss fewer days of work. 19. Regular exercise improves the overall quality of life. 20. Children learn and understand the sport all while they are having FUN!! 46 5. Bein g Sa fe an d Respon sible Helping learners understand the consequences of risk taking behavior and the means of facilitating a safe living environment for themselves and others. Understanding Safety Creating Safe Environment Safety In The Community Coping With Emergency Un ders tan din g Sa fety Ø Concepts of accident, challenge and risk taking behavior which is accident-prone. Ø Hazards, causal factors, environmental factors, loss of control management. Ø Accidents, attitudes and human behavior, senses and fear Ø Play safe, protective behavior Crea tin g Sa fe En viron m en t At home: Ø Handling and lifting household items Ø Fires and cooking Ø Handling electricity Ø Storage of poisons Ø Dangerous rooms, various types of housing At school: Ø Child's responsibility at school Ø Teacher's responsibility Ø Excursions In the workplace: risk control management Ø Working with machines Ø In factory, on the building site Ø In the field Sa fety In The Commun ity Ø Safety from fire through fire fighters Ø Safety on and in the water Ø Use of protective devices like helmets, seatbelts and protective clothing Ø Preventive measures against violence Ø Safety while playing 47 Ø Everyone should be well aware of the traffic rules and road signs Ø Pedestrian safety to cross the road very carefully and patiently, use zebra crossing when available Ø Everyone should learn to handle emergency situations Copin g With Em ergen cy Ø One should stay calm and patient and take appropriate action. Ø Should be aware about how to handle traumatic conditions. Ø Should have a sound knowledge about first aid which would help them to deal with burns, sprains, cuts, snake and animal bites. Ø Disaster management should be introduced in its practical aspect. Schools should practice drills at regular intervals. Acciden ts Inspite of all the safety measures accidents are very common. Accident is an unexpected event, which D interrupts normal procedure and may lead to injury or be fatal. Each day more people die in road accidents. Accidents can be prevented. Accidents may have an adverse effect on the D physical as well as emotional well being of a person for a long time. Accidents may occur:D • On the road: crossing, narrow streets, driving, cycling, walking • At home: tools/gas stove/electrical devices/floor/medicines • At the school: sports/class rooms/play ground/stairs • At the picnic: water/poisonous plants and animals Why Do Acciden ts Occur? Bad environment- which includes badly maintained roads, poorly maintained vehicles and bad planning. Bad behaviour-which includes carelessness, haste, ignorance, taking risks and lack of knowledge. 48 How To Preven t Acciden ts? Accidents can be prevented if everyone keeps the following things in mind: • ABC of safety-always be careful. • Avoid playing with fire. • Take care while working with tools. • Always form a queue. • Drive slowly on road. • It is better to be late than never arrive . • Cross the road properly. • Do not tease animals. • Safe use of fire at home. • Arrange all the school sports material into two piles depending on whether they are safe or unsafe to play with. • Handle the electric cord properly, never use the electrical appliance with wet hands or without footwear, store the electrical appliance in a safe place. • The best way to reduce injuries is by wearing protective devices. Note: When we walk or drive on the road there are some spots, which can be dangerous, like the turns, the crossing, the broken footpaths, electricity poles and the telephones lines. 49 6. Beha viour An d Life Skills Life skills are abilities for adaptive and positive behaviour that enable individuals to deal effectively with the demands and challenges of everyday life. They are abilities that facilitate the physical, mental and emotional well-being of an individual (WHO). Life skills that we might assess through the Performance Appraisal Card on a five point grading scale are given below: Thinking Skills Social Skills • Self Awareness • Communication • Creative Thinking • Interpersonal Skills • Critical Thinking • Coping with Stress • Problem Solving • Dealing with Emotions • Decision Making • Empathy Con cep t of Life Skills In recent years, the concept of Life Skills has become popular, particularly in the context of adolescent health. WHO, while initiating Life-Skills education, conceptualised Life Skills as psycho-social competence. Psycho-social competence is an individual’s ability to maintain a state of mental well-being and to demonstrate this through adaptive and positive behaviour while interacting with others and with his/her culture and environment. Adaptive means that a person is flexible in approach and is able to adjust to different circumstances. Positive behaviour means that a person is forward-looking and that even in difficult situations he/she can find a ray of hope and find solutions to problems. Key Life Skills Life Skills include psycho-social competencies and interpersonal skills that help people to make informed decisions, solve problems, think critically and creatively, communicate effectively, build healthy relationships, empathise with others, and manage their lives in a healthy and productive manner. Essentially, there are two kinds of skills—those related to thinking called Thinking Skills and those related to dealing with others called Social Skills. While Thinking Skills relate to reflection at a personal level, Social Skills relate to interpersonal skills and do not necessarily depend on logical thinking. It is the combination of these two types of skills that are needed for learning assertive behaviour and negotiating effectively. Negotiation may be seen as a skill not only in making rational decisions but also in being able to make others agree with one’s point of view. To do that, 50 it is important to first come to terms with oneself. Thus, Self-Management is an important skill calling for managing and coping with one’s feelings, emotions, and stress and resisting peer and family pressure. Young people as advocates need both thinking and social skills for consensus building and for advocacy on issues of concern. The Ten core Life Skills are: Self-awareness means the recognition of ‘self’ and of our character, our strengths and weaknesses, our likes and dislikes. Developing self-awareness can help us in recognising when we are stressed or feel under pressure. It is often a pre-requisite to effective communication and interpersonal relations as well as for developing empathy for others. Empathy is the ability to understand what life is like for another person, even in a situation with which we may not be familiar. Empathy can help to accept others who may be very different from us. This can improve social interactions, especially in situations of ethnic or cultural diversity. Empathy can also encourage the adoption of a nurturing attitude towards people in need of care and assistance or tolerance and understanding, as in the case of people with mental disorders, who may be stigmatised and ostracised by the very people on whom they depend for support. Critical thinking is the ability to analyse information and experiences in an objective manner. It can contribute to healthy living by helping us in recognising and assessing the factors that influence attitudes and behaviour, such as values, peer pressure, and the media. Creative thinking is a novel way of seeing and doing things. It consists of four components — fluency (generating new ideas), flexibility (shifting perspective easily), originality (conceiving something new), and elaboration (building on other ideas). 51 Decision making helps us to deal constructively with important issues in our lives and take appropriate action. This can have consequences for healthy living. It teaches us how to be proactive in making decisions about our life in relation to a healthy assessment of the different options available and in determining what effects these different decisions are likely to have. Problem Solving helps us to deal constructively with problems in our lives. Significant problems that are left unresolved can cause mental stress and give rise to accompanying physical strain. Interpersonal Relationship Skills help us to relate in positive ways with the people with whom we interact. This means being able to maintain friendly relations with family, friends and colleagues, which can be of great importance to our mental and social wellbeing as well as an important source of social support. Interpersonal Relationship Skills also mean being able to end relationships constructively without bitterness and anger. Effective communication means that we are able to express ourselves both verbally and non-verbally, in ways that are appropriate to our cultures and situations. This means being able to express our opinions and desires, and also our needs and fears. It means being able to ask for advice and help in times of need. Coping with stress means recognising the sources of stress in our lives, recognising how stress affects us and acting in ways that help us control these levels of stress by changing our environment or lifestyle and by learning how to relax. 52 Dealing with Emotions means recognising our emotions as well as those of others, being aware of how emotions influence behaviour, and being able to respond to emotions appropriately. Intense emotions like anger or sadness can have an effect on our health if we do not respond appropriately. In tegra tion of Life Skills The process of categorising the various Life Skills may inadvertently suggest distinctions among them. However, many Life Skills are inter-related and several of them can be taught together in a learning activity. Syllabus processes involved with planning lessons should establish a practice ground for learners to employ skills in everyday living that enables them to deal effectively with the demands and challenges which may confront them. Such adaptive and positive behaviour is needed in receiving health promoting messages, in developing values and in solving health problems at their level of understanding. The methodology involved in the Life Skills processes include the following: Commun ica tin g: The skill of clear, effective verbal and non-verbal self-expression and listening in culturally appropriate manner. Critica l Thin kin g: The skills to analyse information in an objective way to challenge cultural and other norms. Decision Makin g: The skill needed to internalize knowledge, identify options, select appropriate responses (even under pressure) in order to take clear-headed, unbiased and constructive action in any given situation. Problem Sol vin g: The skill involved in clearly identifying, analysing and describing a problem. Ana lysin g: The skill to examine critically and to determine the essential features of a situation or matter so that clear exposition and understanding is resolved. Co-opera tin g: The skill of working or acting together or jointly to meet a situation or solve a problem. Plan n in g: The skill of organizing, arranging and designing a scheme of action to undertake a project or solve a problem. 53 Persona l Choice: At some point of time the learner is going to make a personal decision at the level of thought, attitude, claimed point of view or course of action, regarding their lifestyle and health. There is a need to ensure that she/ he makes an informed choice. Copin g with Emotion s: It involves recognizing and dealing appropriately with emotions within ourselves and others. Copin g with Stress: The learner should be able to handle stress of various types that arise in life. A Hea lth Educa tion Life Skills Fram ework After identifying the six broad areas which can help the school to improve its performance it is necessary that they should follow a strategy to present a simple health concept, which is important for the child in the class, in the school and in the community. It must be relevant to learner needs and should involve the learner in a practical way. Negotiating Critical Thinking Personal Choice Analysing Listening Life Skills and Sub Skills Planning Valuing Communicating 54 Problem Solving Interacting The following points should be taken care of while framing a methodology for students: Ø Based on meeting with the Student Representative attempt a real health need analysis of the school. Students benefit most if the work is interesting . It must be relevant and impact the real world they live in. Ø Involve participation in planning for the student's growth for future life. Ø Give opportunity to discover learning through investigation and experimentation. It should involve active participation of each student. It should give the student things to do and create a health practice ground. Ø Permit sharing of ideas through discussion, communication techniques, group activities and writing. Ø Involve creative, child-centered activities. Ø Be simple, utilize a simple concept and reinforce it in a number of ways. Ø Use a variety of methods and strategies to more effectively communicate the message to the students. Ø Convey the health message that is important. Ø Use methods which are the part of the learning process involved and which in themselves teach and reinforce living skills. En coura ge the s tuden t to take the hea lth m essa ge to the family. 55 In teractive Activities group work l communications l peer teaching l games l discussions l (e.g. conflict resolution, assertiveness, negotiation) meetings l play l recreation l and outdoor adventure pursuits games l dance l playground l debates l excursions l school visits l role plays l drama games l Crea tive Activities Lea rn in g To Apprecia te Activities l play / street theatre l reviews l improvisations l reports l collages l pictures l poems l simulation games l mimes l dance l gymnastics, LEARNING to LEARN sequencing games l diagrams l problem solving l surveys dilemmas open-ended l stories discussions l question-answer l valuesl continuums l obstacle courses l team strategy l planning problem solving l hypotheticals l 56 l sensory experience (e.g. tasting, listening) l literature l rating skills/practices l group l and pair work action plan l flow chart l timelines l research l situation analysis l plays l trial and error l values clarification l conflict resolution l scales l self-assessment l peer assessment clarification l media analysis l interviews l surveys l experiments l diaries l observation of performance (e.g. ideas, audience) l values Decision Makin g Activities moral l l group work Hea lthy En viron m en t in the School Attention must be paid to the ethos of the school. The climate or the atmosphere of the school is the web of interacting components including the physical, emotional and social environment, cultural values, procedures and policies and positive outreach to home and community. All these have an important bearing on the learning behavior and health of children and teachers. A Child Frien dly School m ean s: ! Quality learning: healthy, well nourished, ready to learn and supported by the family and community. ! Quality content: curricula and materials for literacy, numeracy, knowledge, attitudes and skills for life. ! Quality teaching learning processes: child centered, skill based approaches and technology. ! Quality learning environments: policy and practices, facilities(class room, water sanitation) services (safety physical and psycho-social health). ! Quality outcomes: knowledge, attitudes and skills, suitable assessment at classroom and end of the year examination levels. Cha racteris tics of Qua lity Lea rn in g En viron m en t The term en viron m en t in cludes 1) Physica l en viron m en t The establishment and development of a school building and surroundings to make Ø them health promoting and visually attractive is essential. Classrooms of proper size with glare free black boards fitted at the eye level of the Ø students. Furniture should be suited to height of students and conducive to comfort and good posture, good lighting and ventilation. Library with quiet reading space with good light and ventilation. Ø Auditorium, assembly hall(s), gymnasium all free from hazardous fixtures and with Ø adequate light and ventilation. Stairways not too steep and wide fitted with two railings at appropriate heights for tall Ø and short students with adequate light. Facility for safe drinking water (tested by appropriate authority) with adequate Ø number of water taps or drinking fountains and facility for washing hands. Separate sanitary urinals and toilets in adequate numbers for boys and girls with proper Ø 57 ventilation and lighting. Ø Canteen and eating places with hygienic arrangement for preparation, storage and serving of food including facilities for dish-washing and disposal of waste and garbage. Ø Proper health unit with medical examination and isolation facilities. Ø Sanitary swimming pool with separate shower rooms for boys and girls duly approved by licensing authorities. Ø School garden with adequate watering arrangements. Ø Proper sewage, drainage and garbage disposal arrangements. Ø School buses and drivers, or any other school transport authority or department of education keeping in view the safety of students. Ø Hazard free play area and play equipment. Ø Fire extinguishers and facilities for quick evacuation of school building in case of fire and exit doors opening toward outside. Ø Aesthetic decors inside school premises, classrooms, library, auditorium, assembly halls, gymnasium, canteen, medical unit and corridors. Ø Dustbins at appropriate places. Ø Healthy teachers and other school personnel including food handlers in school canteen or cafeteria. 2) Emotiona l en viron m en t It includes stress management, encouragement to work towards goals, a spirit of non-violence and the creation of 58 learning situations in and out of the class room which will enable the students to analyze situations critically, solve problems, make decisions and to learn from consequences of their actions. An atmosphere of love, care and concern, of tolerance towards one another is important and development of responsibility among children is essential so that the students have a real investment in actions and behavior in the school. An outlook of positive encouragement should extend to every classroom with each pupil being viewed as a valid and valued member of the school community. Emotional environment can be created through : Ø Group activities which promote togetherness, friendliness, mutual understanding, consideration of others and a sense of belonging. Ø Feeling of concern, caring, closeness, trust and confidentiality. Ø Being just and fair in dealings, respect for feelings and emotional outburst of companions. Ø Tolerance about the shortcomings of friends. Ø Opportunities to taste success and enjoy the fruits of success. Ø Mentally healthy teachers. Public policy which sees the school as a center of nation's development and resources is accordingly essential. More importantly a community which sees its children as responsible agents for change has a potential for a healthy future. 3) Tobacco-free en viron m en t The adolescents of today grow up in an environment that surrounds them with mixed messages about smoking, substance abuse , use of alcohol, etc. The onset of the use of tobacco, alcohol and other drugs generally occurs during adolescence. Many teenagers experiment with these substances and then use them to the point that their behaviour interferes with school, family, social relationships and general productivity. Tobacco and alcohol are the most common drugs used by young people. 59 Use of tobacco in any form including passive smoking causes several diseases. Prominent among these diseases are: F Cancers of different parts and organs of body especially oral cancer (cancer of mouth and throat). F Respiratory diseases like pneumonia and emphysema. F High blood pressure. F Heart diseases. F Low birth weight children born to smoking mothers. F Infections of lower respiratory tract in children under 18 months of age born to parents who smoked. To smoke or not to smoke is an important personal decision an individual has to take. However, to enable him to take this decision he or she has to convince himself or herself about the scientific knowledge produced by research about the harmful effects of tobacco on health and strategies that have been successfully tried (i) to reduce the risk of tobacco, if he or she must continue to use it or (ii) how to stop the use of tobacco products. Children need to make use of various methods/techniques to avoid the use of tobacco/alcohol: F Delay Techniques - Don't take any decisions until you have had time to think it over. F Negotiation Technique - Try to find a decision you think is acceptable to both the parties. F Refusal Techniques - 'No, thank you' technique gives a reason to ensure one can walk away, avoid the situation, cold shoulder, change the subject, humour, state a health problem or reverse the pressure. 60 28 4. School Hea lth & Welln ess Clubs Comprehen sive School Hea lth Programm e an d Crea tin g Hea lth Clubs in the school. Childhood and adolescence form the most joyful period of an individual's life. They are times of immense creative energy, self-discovery and exploration of the world. They can also be fraught with feelings of isolation, loneliness and confusion. They can be due to various factors relating to the physical, social, emotional, mental and spiritual well being of the younger generation. Schools, families and communities need to play a positive and responsible role in bringing up young children in a healthy environment which would enable each one to maximize their potential. School life is filled with many opportunities for health promotion and teaching. Throughout the day children are exposed to many situations which influence their thoughts, feelings and habits. By careful planning, various activities can be included to promote health in the school. One of the activities which may be successful is creation of a Health and Wellness Club. Schools can be dynamic settings for promoting health, for enabling children to grow and mature into healthy adults. Yet the potential of the school to enhance health is often underutilized. School Health has largely remained confined to medial check-ups of children or some hours of health instruction in the curriculum. There is a growing recognition that the health and psycho-social well-being of children and youth is of fundamental value and the schools can provide a strategic means of improving children's health, self-esteem, life skills and behaviour. Although schools have undertaken many initiatives in promoting school health, the comprehensiveness and sustainability in these initiatives is not clearly laid out. The need of the hour is a comprehensive school health policy integrated within the school system. Need For Crea tin g Hea lth an d Welln ess Clubs in Schools Healthy living in case of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. Health and Wellness Clubs in Schools focus on the overall well being comprising emotional, social and mental health of the child. It acts as the enabling and organizational point for conducting activities related to various dimensions of health and wellness. A Health Card needs to be created for students which would form a continuous part of their growth and development. This could form an effective monitoring and feedback system for the overall health of a child during schooling. 61 Con s titution of a Hea lth an d Welln ess Club Principal as Convener. • Counselor / Psychologist / P. T • Teacher / Nodal Teacher as Secretary. Student representatives (one boy • and one girl from each level). Identified teachers from each • level. Parent for each level (preferably a • doctor). Respon sibilities of the Hea lth an d Welln ess Club As an organizer of all health relevant activities (at least 8-10 activities in the year at • each level). As a Resource Centre for the overall well being of students. • To screen, diagnose and impart health counselling services to the students. • Objectives of the Hea lth an d Welln ess Club To create Health Cards for each student. • To create a health newspaper at least twice a year/poster competition related to • health issues. To conduct surveys on health related concerns. • To organize health walks as part of social campaigns. • To organize health fairs and immunization projects. • To tap the local resources in the community to arrange health talks. • To render service in any area affected by a disaster or a calamity. • To create health help-line within the school to de-stress, cope with emotional and • social behaviour and to clarify misconceptions regarding sexual and reproductive health. 62 To teach the students techniques of yoga and meditation from an early age . • To inculcate in the students healthy and positive ways of living. • To teach health songs on various health topics. • Celebration of important days (World Health Day-April 7). • Creating awareness regarding World No Tobacco Day (May 31), World AIDS Day • (December 1) etc. School Hea lth an d Welln ess Clubs can a lso help to : The Principal may be the patron of the Club. The Counselor/Psychologist, Trained Ø Physical Education teacher and Doctor/Nurse may be sponsors of the club. The Principal may nominate 3 teachers as co-sponsors of the club. They can be chosen Ø from 3 levels (Primary, Upper Primary and Senior). 2 students from each level can also be nominated and a parent from each level can be Ø included in the Club. Forma tion of a School Hea lth an d Welln ess Club Principal Counselor/Psychologist Physical Education Teacher Doctor/Nurse 3 Levels Primary Teacher Boy Students Parent Girl Students Upper Primary Teacher Boy Students Parent Senior Teacher Girl Students Boy Students Girl Students Parent 63 Workin g Pa ttern of the Hea lth an d Welln ess Club Activities of the Club may be carried out through educational and recreational Ø means. A group system is desirable in order to arrange the Health Club activities according Ø to the needs, interests and understanding of the children. With the close co-operation of the patron and co-sponsors and the sponsor, Ø activities can be conducted. In order to maintain sound communication a staff meeting can be conducted before the commencement of the activities. The course and mode of action of the Club should be discussed. Meeting of the Club may take place before school, or after school in a special Club Ø period during the day. Activities of the Club Ø Health themes from Health Education classes may serve as topics of action by the Club. Children can be taught health songs on various health topics. Ø Health films can be shown at meetings. Ø A health library/health corner can be developed along the following lines: Ø Schools l can subscribe to health magazines, pamphlets, booklets, posters and other publications published by the public health government, WHO, UNICEF, etc. These materials can find permanent display place in the school library. l Periodical l displays of health information on bulletin boards can be undertaken on a regular basis. These should be changed regularly. Many celebrations can be organized and celebrated such as World Health Day Ø (April 7), World No Tobacco Day (May 31), World AIDS Day (December 1), etc which can be included in the school calendar. Health excursions can be arranged. Ø Health talks can be arranged in the Morning assembly. Ø Immunization projects can be organized. Ø Screening activities can be undertaken such as vision screening, screening for Ø nutrition deficiency disease, skin problems, dental problems etc. Weekend tours of health related faculties may be organized. Ø Action through parent organizations; for protected water supply etc. can be Ø initiated. Combined activities with School Health Committee can be organized with teachers Ø and parents . 64 Participation in Quiz programmes on various aspects of health can be organized. Ø Health Fair or Health Melas can also be carried out by the members of the Club. Ø Conducting plays, role-plays, and dramas can be very effective ways of reinforcing the Ø ideas of health. The Club members may plan the situation and then children can act out the dialogue Ø and responses that seem natural for the situation. Puppet Shows: The puppet play has attracted the attention and interest of children Ø and adults through the ages. A simple appropriate stage may be constructed using timber or curtains. The Club members can initiate a script that may increase student's interest in written expression. Simple experiments may be devised by the Club members so that concepts such as nutrition, environmental health may be well understood by the students. 65 Suggested Activities for Promotin g Health and Welln ess in Schools I-V Module 1: Kn owin g Your Bod y 66 Yoga and • meditation Drawing a picture • of oneself Pasting a • photograph Palm Printing / foot • printing Rythmic Exercises • Poem / Rhymes / • Recitation Role Play on Body • Parts Matching of Flash • Cards Self awareness / • diary Sensitivity based • Theater Check up by • doctors/ dentists Health Card • Counseling • Ten Sentences on • Oneself Physical/ Social/Society Likes and dislikes • My list of favourites • Any other ... • VI - VIII Yoga and • meditation Assembly themes • Tapping resources • from neighbourhood / community for health, hygiene and personality Introspection diary • Survey of eating • joints for their nutritive content Health Card • Any other ... • IX - XII Yoga and • meditation Health Mela • Health Newsletter • Class Boards • Decoration House Boards • Decoration Creating recipes • Effective use of • Home Science labortary Health Card • Correct information • on health and personal hygiene Knowledge about • body processes in girls and boys. Any other ... • Module 2: Food an d Nutrition I-V VI - VIII IX - XII Collection of • pictures of nutritive/junk food Class party and • discussion on food items Dietary charts for • the week Jigsaw puzzle • presentation Four corners • Mandatory to bring • one nutritive item Research on • balanced food items Mothers' recipe • book Any other... • Nutritive Recipe • competition Orientation program • for parents and students on good food habits A PMI (plus, minus • and interesting) on generally observed health problems Survey based on • balanced diet of different regions / communities Power point • presentations Any other... • Extempore • Debate • Slogan writing • Theatre • Collâge making • Panel Discussion • Power point • presentations Any other... • 67 I - IV Module 3 Persona l, En viron m e n ta l Hygien e an d San ita tion 68 Tick mark on self • check-list Presentation • Value based • assemblies Shramdaan (cleaning • up of your class at the end of the day) Picking up • wrappers/ foils etc after the break Creating Shramdaan • Clubs Green Brigade clubs • Posters • Outdoor excursions • (Speed, stamina, strength) Any other ... • VI - VIII IX - XII • Board Displays • Research Projects • Skits • Eco-Clubs • Celebrating Environment Friendly Days Preparing Recycled • Paper Visiting a Heritage • Site Any other ... • Resource persons • from NGO's Panel Discussion • Planting Saplings and • trees Eco-Clubs • Rain Water • Harvesting No Polybag Zone • Adopting a National • Heritage Spot Any other ... • I - IV Module 4 Ph ys i ca l Fitn ess Warming up exercises • before the beginning of each Physical Education period Pranayam • Yoga • Physical Education • periods a must for all schools/all classes Drills/aerobics • followed by presentations at the end of every month Skill based • programmes-camps March/run for health • Any other ... • VI - VIII Competitive Sports • Team building • adventure treks Leadership camps • Health Walks social • issues Swimming • Any other ... • IX - XII Inter House • Competitions based on Aerobics / Yoga / Gymnastics Team building • Leadership Camps • Running for a Cause • Any other ... • 69 I - IV Module 5 Bein g Respon sible an d Sa fe 70 Extempore dialogue • delivery Ground rules • preparation in classes Safety activities• sports field/activity period (to be made by students) Traveling • independently (phone numbers/residential numbers) Learning to • communicate problems Campaigns • Vigilance • committee Evacuation drills • VI - VIII Transport Drill • Sports Day • First Aid • Showing movies on • fire safety drill Bravery Award • Research based • projects Health education • issues related to gender sensitivity Any other ... • IX - XII Fire Brigade • Demonstration Disaster • Management Self defence • techniques Traffic rules • Theatre • Visit to • Rehabilitation Centre Sensitization • Programs on Substance Abuse Interpersonal • relationships Parental Awareness • sessions Laboratory Safety • drill I-V Module 6 Beha viour an d Life Skills Consequence games • Learning to say • “NO” Think pair/share • Handling peer • pressure Identification of • good touch and bad touch Any other ... • VI - VIII Learning to say 'no' • Mentoring • Interactive Bulletin • Board Quiz Contest • Poster making / • Painting Competition Group Games on • Adolescent issues Any other ... • IX - XII Handling Peer • Pressure Question Box • Activity Situation Analysis • and Case Studies on sensitive issues Peace March to • mark a social event or issue Panel Discussion • with Eminent Psychologists Guest Speakers Ask • the expert (Doctor) Visit to a • Rehabilitation Centre Any other ... • 71 5. Hea lth Ca re In The School : Hea lth Check-up, Hea lth Ca rd & Firs t Aid School Hea lth Checkups Schools need to take precautionary measures to prevent health hazards in the school Ø premises. The school authorities have to monitor health with both curative and preventive measures. Schools must appoint a qualified and certified medical practitioner to attend medical Ø calls in the school premises round the clock. The school doctor should be available almost round the clock on all days of the Ø academic year. He / she must be responsible for running the hospital and medical services in the Ø campus, deciding on consultants, advising principal, staff and students on health matters, imparting first-aid training to the students and staff, looking after preventive aspects of health and advising them on preventive aspects of various diseases and conditions. The school doctor, school hospital and outside consultants play a preventive role in Ø maintaining health in the school. School clinics should have a compounder or a nursing assistant and cleaning staff to Ø run the clinic. The school doctor should check the students and write the prescription. The nurse should give the medicine to the ailing student according to prescription. The prescription must be kept in Student medical file after it is served. The school doctor should take into account the history and examine the child to reach Ø a provisional diagnosis. This can be confirmed by investigations and second opinion if required. The school doctor after reaching a provisional diagnosis must write the treatment Ø which can be modified after investigations if required. Every day treatment should be reviewed after checking the child's condition and Ø progress. Expiry date of all medicines oral or injectable should always be checked before Ø administering. Sufficient care must be taken to check cross infection in the clinic. Ø A few medicines could be stored in the clinic, rest must be procured when required. Ø The medical history of every child should be on hand. This medical history should have Ø two sections. One section is to be answered by the parents and other section to be answered by the family physician. This questionnaire must contain information about the student and his/her family health. 73 Ø Standing instructions in the written mode to be given to games in charge, catering managers and other persons concerned about a child with chronic illnesses like asthma or epilepsy by the school doctor or nurse. How To Do An Overa ll Gen era l Externa l Examina tion: Importance: Doing a general medical examination to access a child's health is not difficult. It is a very simple and routine procedure and gives a good and general idea about the child's health based on which you can definitely conclude whether a child is healthy or not. 1. Observe (from head to toe as the child enters the medical room) 2. Conduct a general medical examination (step by step) (a) Walk (normal/limps) (b) Overall appearance (tidy/untidy) (c) Scalp/hair (healthy/unhealthy) (d) Nails (smooth or rough) (e) Expression (Smiling or sad) (f) Eyes (bright or dull) (g) Nose and ear (discharge from nose or not) (h) Deformity (ear/cleft/lips/shape of hands or legs) (i) Vaccination (BCG scar indicates that child may have taken all vaccines) 3. Ask questions (a) (b) (c) (d) Has the child passed worms in stools? Is the child presently suffering from any complaints viz. fever, diarrhoea, cough, earache, headache, severe pain in any part of the body? Is the child taking any treatment? Does the child have any history of Epilepsy, TB, or health disorders? Inference and action to be taken only after completing general and medical examination. The doctor will be able to conclude whether the child is healthy or not. If the child is found to be unhealthy or suffering from any problem and needs treatment, he/she may be referred to a hospital or an expert. 74 Recordin g Weight Correctly: Importance: Measuring a child's weight is one of the earliest ways of monitoring her/his growth and development. Weight depends on age and height of a child. Hence there will be differences in weights of children. Recording a child's weight regularly and serially is more important than a single reading alone. Improper weight for age is a cause for concern and it indicates that a child may not be healthy. Procedure: l Set the weighing machine at zero. l Make the child stand on the machine with both feet on either side of the dial. l Record the weight. Do's/ Don't while taking weight: Ensure correctness by removing the parallax. Ensure that scale is set at zero every time before weighing each child. Weigh with only light wear. Inference: Check whether it is within the acceptable normal limit or it is less than or more than normal. If less or more refer to expert. Recordin g Height Correctly: Importance: Measuring a child's height regularly is one very important assessment. It is an indicator showing that she/he is growing normally and is healthy. Improper height for age is a cause for concern and it indicates that child may not be healthy. Inadequate gain in height is also a cause for concern. Procedure: Make the child stand against a vertical l scale (fixed on stand/pasted on wall). Child should stand comfortably with l heels, buttocks, shoulders and head touching the wall and the feet parallel . Mark the height point of the head on the l wall. Measure. l Record the height. l 75 Do's / Dont’s while taking height: a steel measuring tape or special graph scale to be used l never use a tailor's tape. l Inference: Generally there is an increase in height between 2cm every year. If height does not increase serially refer the child to an expert. How to look for an emia ?(eyes, ton gu e, pa lms) Importance: Haemoglobin has a very important function of carrying oxygen to all the parts of the body including brain where it is vital for all higher functions like concentration, memory and the like. Anaemia can also be corrected. Procedure: Compare the color of his/her eyes, tongue and palms with surrounding colors. Inference: if a child has inadequate haemoglobin (less red blood) or is suffering from anaemia (pale tongue, lips and palms), she/he requires to be treated with iron supplements. Routin e Den ta l Check Up : Importance: Routine dental check up involves observing the mouth, gums and teeth. Procedure: Ask the child to open the mouth. l Notice the smell (if there is foul smell, the child needs referral). l Look for gums. l Normal/swollen, red, l pus etc. Observe arrangement of l teeth. Look for teeth (glazed or l unglazed /dull/ /color/ tarter deposits and stains. Look for cavities. l 76 Visua l Acuity an d Color Vision examina tion: Importance: Any child having visual defects mainly has problems related to color blindness (unable to see red or green) or night blindness. This will hamper the child's learning and performance. Procedure: Visual acuity is measured. l Each eye is examined separately. l Color blindness can be assessed . l Ask whether she/he can see properly. l Inference: Child with normal vision must be able to read the seventh line easily (6/6). She/he must be able to distinguish colors. For Testing Near Vision: The chart is held at a distance of 40cm from the person and she is asked to read or identify the letter/symbols in ascending or descending order. The rest of the procedures are the same as for the distance vision examination. Examina tion for hea rin g: Importance: Normal hearing is absolutely essential for a child to be able to learn. Minor hearing problems if undetected will not only result in poor academic performance but risk the child in being labelled as abnormal in a variety of ways. Procedure: Strike gently the tuning fork on the palm. l When it produces vibration, take it near to the ear of the person. l The l child is asked if he/she can hear the sound produced by the vibrating fork. If he/she assures that he/she can hear, tell him/ her to speak. Stop as soon as the l sound stops. Immediately put the tuning fork at the back of the ear and ask the same question. l Inference: If he/she answers that he/she cannot hear the fork refer the child to an expert. 77 School Hea lth Record There are two formats given here regarding a format of Health Cards. The first one is in the form of a child's Health History which the school may take at the time of admission so that the School has a record of the child's Health status. This is merely suggestive. The second format is more general and needs to be periodically updated to keep a record of the continuous format Health status of the child through school. At no stage should the school consider any external Examination or referral without taking the parents into confidence. Establishing good health practices is essential but keeping the parents aware and informed and taking their consent and approval at every step is even more so. For each parent the health of the child is of paramount importance and their support will be assured. SCHOOL HEALTH RECORD General Information Name: ........................ Admission No:.................................................. Date of Birth: ............... Father's/Guardian's Name & Address: Phone No. Office: ............................................. Resi:............................ Mobile: ....................... Note : The schools before implementing the Health Cards may consult a local Registered Medical Practitioner. 78 BOTH SIDES OF THIS FORM TO BE SUBMITTED AT THE TIME OF ADMISSION Name of the Student ......................................... M/F ..............Class................... Date of Birth ............................................ Blood Group ...................... Father's Name ................................. Mother's Name ........................................... VACCINATIONS Immunization Age Recommended BCG 0-1 Month Hepatitis B At Birth Due Date Date 1 Month 6 Month DPT 2 Months 3 Months 4 Months HB 2 Months 3 Months 4 Months Oral Polio At Births 1 Months 2 Months 3 Months 4 Months Measles 9 Months MMR 16 Months DPT+OPV+HIB 18 Months Typhoid 2 Years Hepatitis A (2 Doses) 2 Years Chicken Pox After age 1 year DT - OPA 41/2 Year BOOSTER DOSES Typhoid (every 3 years) TT (every 5 years) Other Vaccines Signature of Father ................................ Signature of Mother ............................. 79 HEALTH HISTORY ALLERGY TO ANY FOOD, ADHESIVE TAPE, BEE STING Allergy What Happened How Severe Medication Taken at the Time of Allergy • Does the child have any problem during physical activity ................................... Signature of Father ......................... Signature of Mother .......................... To be certified by a Registered Medical Practitioner Date of physical examination ................... Height ............... Weight ........... B.P. .................. Pulse .................. Vision L .............. R .................... Squint ................ Conjunctiva ............ Cornea ............. Ear L ......... R ...... Clinical Examination Normal Recommendation Head/Neck Abdomen Surgery Serious Illness Nails Skin Summary of Current health condition, • Fit to Participate in age specific physical activity • Fit to participate in age specific physical activity with precaution • Should not participate in competitive sport Signature of Doctor ......................... Name of the Doctor .................... 80 81 R.E. Eye Vision Colour Rt. Lt. Systemic Examination Kyphosis Knee/Flat Feet/Lordosis/ Muscle, Skeletal System Skin Nails B.P. Pulse Lymph Nodes TONSILS Caries Teeth Occlusion GUMS ORAL CAVITY Middle Ear External Ear Ears : Cornea Conjunctiva Squint Actual Percentile Height Cms L.E. Actual Percentile Weight Kg. General Appearance .......................... School Hea lth Ca rd - II Name: _________________________ Class___________________________________ Age___________________________ Sex ____________________________________ Address:________________________________________________________________ Phone No: ______________________________________________________________ Blood Group:____________________________________________________________ The Major Parameters On Which The Annual Medical Checkups Done Are: Dental _________________________________________________________________ Eyes ___________________________________________________________________ General Cleanliness ______________________________________________________ Systemic Examination _____________________________________________________ Allergy (if any): _________________________________________________________ Date of Examination: ____________________________________________________ Past/Family History:______________________________________________________ _______________________________________________________________________ GENERAL: Height: ________________________ Weight: _________________________________ Nails: __________________________________________________________________ Hair: ___________________________________________________________________ Skin:__________________________________________________________________ Anemia: (Mild , Moderate, Severe or Absent)___________________________________ Ear: ___________________________________________________________________ Nose: __________________________________________________________________ Throat: ________________________________________________________________ Neck: _________________________________________________________ DENTAL EXAMINATION: i. Extra-oral____________________________________________________________ ii. Intra-oral a) Tooth cavity_____________________b) Plaque______________________________ c) Gum inflammation________________d) Stains______________________________ e) Tarter__________________________ f) Bad breath___________________________ g) Gum bleeding____________________h) Soft tissue___________________________ 82 SYSTEMIC EXAMINATION Respiratory System: _________________________________________________________ Cardio vascular system ______________________________________________________ Abdomen: _________________________________________________________________ Nervous System: ____________________________________________________________ Eyes : _____________________________________________________________________ Right__________________ Left_______________________________________________ Important findings: _________________________________________________________ Remarks: __________________________________________________________________ Medical officer's name and signature ___________________________________________ Follow up : ________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Signature : ________________________ Date : __________________________________ Designation : ______________________ Place : __________________________________ Name:____________________________________________________________________ _________________________________________________________________________ 83 Ba sic Em ergen cy Ca re Basic Emergency Care (BEC) is the emergency care which can be provided by schoolchildren, teachers, police and drivers in the absence of advanced medical care. Cardiac arrest occurs in 70% of individuals at home and 20% at workplace and only in 10% at hospital. It is therefore important that non-healthcare persons such as schoolchildren, teachers, police and drivers should learn how to o save life and transport the patient to the nearest health facility. LEARNYouCPR Can Do It! Cardiopulmonary resuscitation (CPR) is a procedure to support and maintain breathing and circulation for a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest). If one school kid is trained in CPR, he or she can take care of peers, family members and community at large. Beside CPR and foreign body removal, it also includes considerations of patient transport such as the protection of the cervical spine and avoiding additional injuries through splinting and immobilization. When witnessing sudden collapse in victims of all ages, the rescuer should first telephone the emergency medical services system and then return to continue CPR (phone first). But for unwitnessed arrest (eg drowning, drug overdose and injured), the rescuer should deliver five cycles of CPR before calling emergency number and then continue CPR (phone first). The Cha in of Sur viva l The highest survival rate from cardiac arrest can be achieved only when the following sequence of events occurs as rapidly as possible: 1. Early recognition of warning signs 2. Activation of emergency medical services 3. Basic CPR 4. Defibrillation 5. Management of airway and ventilation 6. Intravenous administration of medications 84 Early Access Early CPR Early Early Defibrillation Advanced Care Figure 1: The chain of survival. The 4 links of actions in the chain are (1) phone (2) CPR, (3) early defibrillation and (4) advanced care These events have been likened to the links in a chain -The Chain of Survival. It was introduced in 1991 as a model of efficiency and synergy in resuscitative efforts. If any link is weak or missing, the chances of survival are lessened. The links in the Adult chain of survival are: 1. Early access 2. Early CPR 3. Early defibrillation 4. Early advanced cardiac life support In dica tion s for B EC 1. Respiratory Arrest Respiratory arrest is present when respiratory efforts are completely absent or inadequate to maintain effective oxygenation and ventilation. Respiratory arrest without cardiac arrest can result from a number of causes including submersion, near drowning, smoke inhalation, drug overdose, electrocution, suffocation. Immediately establish a patent airway and provide rescue breaths to prevent cardiac arrest and hypoxic injury to the brain and other organs. 2. Cardiac Arrest In cardiac arrest, circulation ceases and vital organs are deprived of oxygen. The victim will have no pulse and no signs of circulation. The victims of cardiac arrest need immediate CPR. For every minute without CPR, survival from sudden cardiac arrest decreases from 7 to 10%. When bystander CPR is provided, the decrease in survival is gradual and averages 34% from collapse to arrival in hospital. Thus, CPR doubles or triples survival from sudden cardiac arrest. Steps of Ba sic Em ergen cy Ca re Assess Responsiveness Non injured patient: shake the victim and shout "Are you all right?" v Injured patient: Tap and talk v The rescuer must determine if the scene is safe. v 85 If alone, shout for help. v If no one responds, activate Emergency medical services (EMS). v Then return to the victim and begin CPR. v If the victim has sustained injuries to the head and neck or if injury is suspected, move the victim only if necessary. Position of the Victim For resuscitation and evaluation to be effective, the victim must be on the back and on a firm, flat surface. If the victim is lying face down, roll the victim as a unit so that the head, shoulders and torso move simultaneously without twisting (" log roll" the victim). Whom to ca ll for help? Activate Emergency Medical System (EMS) If a rescuer finds an unresponsive victim, he should activate the Emergency Medical Services such as ambulance services by calling local ambulance number. After providing the necessary information about the location and condition of the victim, return to provide CPR . CPR in two simple steps - Hands-only CPR This method of CPR was recommended by the AHA in an Advisory Statement (March 31, 2008). It is intended for bystanders untrained in standard CPR, who see an adult suddenly collapse. It is also recommended for situations when the rescuer is unable or unwilling to provide mouth-to-mouth ventilations. 1. CALL Check the victim for unresponsiveness. If there is no response, Call ambulance and return to the victim. 2. PUMP If the victim is still not breathing normally, coughing, or moving, begin chest compressions. Push down on the center of the chest 1 1/2 to 2 inches and keep doing it. Pump at the rate of 100/minute, faster than once per second. 86 Con tin u e Un til Help Arrives CPR FOR CHILDREN (AGES 1-8) CPR for children is similar to CPR for adults. The compression to ventilation ratio is 30:2. There are, however, 3 differences. 1) If you are alone with the child give two minutes of CPR before calling ambulance. 2) Use the heel of one or two hands for chest compression 3) Press the sternum approximately one-third the depth of the chest SPECIAL RESUSCITATION SITUATIONS 1. Drowning Rescuer should provide CPR; particularly rescue breathing, as soon as an unresponsive submersion victim is removed from the water. When rescuing a drowning victim of any age, the lone rescuer should give five cycles (about two minutes) of CPR before leaving the victim to activate the EMS. Mouth-to-mouth ventilation in the water may be helpful when administered by a trained rescuer. The rescuer should remove drowning victims from the water by the fastest means available and should begin resuscitation as quickly as possible. Only victims with obvious clinical signs of trauma or alcohol intoxication or a history of diving, waterslide use or injured should be treated as a "potential spinal cord injured," with stabilization and possible immobilization of the cervical and thoracic spine. 2. Hypothermia Hypothermia is a condition in which core temperature drops below that required for normal metabolism and body functions. In an unresponsive victim with hypothermia, assess breathing to confirm respiratory arrest and assess the pulse to confirm cardiac arrest. If the victim is not breathing, initiate rescue breathing immediately. If the victim does not have signs of circulation, begin chest compressions immediately. Do not wait until the victim is rewarmed to start CPR. Remove wet clothes, insulate or shield the victim, ventilate the victim with warm, humidified oxygen. Avoid rough movement; transport the victim to a hospital as soon as possible. For the hypothermic patient in cardiac arrest, continue resuscitative efforts until the patient is evaluated by advanced care providers. In the out-of-hospital setting, passive warming should be continued until active warming is available. 87 3. Electrocution v Immediately switch off the main electric output .Evaluate and perform the steps of CPR. Wha t ha ve we lea rn ed about C P R ? v To be successful, CPR should be started as soon as a victim collapses. v CPR quality is addressed by stressing good CPR-"push hard, push fast", allow full chest recoil after each compression and minimize interruptions in chest compressions. v We rely on trained and willing public to initiate CPR, call for professional help and an AED. v When these steps happen in a timely manner, CPR makes a difference. 88 Epilepsy Epilepsy is a neurological disorder ( and NOT a mental illness). It Occurs due to sudden burst of abnormal electrical discharges from the brain . In a great majority of patients one does not know the cause for this condition. The medical science is yet to find a cause to many common diseases like high BP, diabetes and so also epilepsy. Epilepsy is a fairly common condition affecting nearly 1-3% of the population which means in our country with one billion population there are at least 10 million patients. The only problem is that no one wants to talk about their illness with the result every one thinks that he/she is the only unfortunate victim. Convulsions/fits are involuntary to and fro movements (tonic clonic) movements of limbs associated with loss of consciousness. Several situations can cause convulsions e.g. patients with kidney failure, liver failure, alcohol intoxication, brain haemorrhage - all these are not epilepsy. These are the manifestation of an underlying disorder. In epilepsy there is no such obvious illness and the person is active and normal in-between the attacks of seizures. Persons who have head trauma due to a road traffic accident could also have seizures. Wha t should be don e durin g the fit ? Do's v Keep calm. v Loosen tight clothes around his/her neck - tie, tight collar, remove the spectacles. v Prevent the patient from injuring himself. Put him/her in a safe place away from glass, machinery, staircase, stones etc. v Turn the patient to a side and wipe the froth from his mouth . v Try to find out if the patient is carrying an ID card with name telephone and doctors contact. Contact that person only when above are done. v Some medicines can be used in emergency. They should be given if clear instructions for there use are given. v Rush the person to hospital if the fit does not stop in 5 minutes. This may be status epilepticus. Don'ts v Do not insert spoon, cloth or any such articles into the mouth. v Do not restrict convulsive movements as it may cause fracture. v Do not crowd around the patient. v Do not give water/tablets or stuff any other liquid in mouth till he is fully conscious. 89 MYTHS & FACTS about epilepsy 90 Myths Facts Epilepsy is because of possession by evil spirit and hence sorcery is the treatment Epilepsy is a neurological disorder and there are medications to treat it effectively People with epilepsy are possessed by God and hence should be worshiped. Epilepsy is due to transient electrical disturbances in the brain and the individual should be treated like any other person. Epilepsy is a mental illness NO, it is a disease of the brain Epilepsy is contagious so one should not come in contact with a person with epilepsy. Certainly it is not contagious. Epileptic attacks damage the brain It is the damaged brain which can cause epilepsy. However a motor fit lasting for more than 5 minutes should be treated as an emergency. People with epilepsy are below normal in their intelligence. Epilepsy does not affect intelligence or memory. If the attacks are frequent or the person is taking large doses of antiepileptic drugs, this may affect temporarily the memory. Epilepsy is hereditary and so one should not marry. Epilepsy is not a hereditary disease. The tendency to get epilepsy is passed on in about 3 % only. Hence epilepsy is no bar for marriage. Marriage cures epilepsy ? OFF COURSE NOT. MEDICINES DO Epilepsy is life long disorder Not at all. In about 75% of people with epilepsy ,the seizures are well controlled and a great majority of them can go off the drugs. Epilepsy is rare Epilepsy affects almost 1% of population all over the world. Seizure can be stopped by giving a key in the hand or making a person to smell onion False. The attack stops on its own and not due to the above factors. During an attack to prevent swallowing of tongue one has to insert a spoon in the mouth. No need to insert any object in the mouth. In fact this may cause damage to the teeth or gums or the object may block the breathing pipe. Epilepsy occurs only in children Though it is common in children, epilepsy can occur at any age. In fact a second peak of incidence occurs between the age of 60-70 years. Dogs Bites an d How to Avoid Them Did You Know that … According to a recent WHO report, over 20,000 people die in a year in India due to v rabies, making it the highest rabies deaths in the world? Children account for some 50% of these deaths? v Over 95% of rabies deaths in India are due to rabid dog bite? v Most dog bites affecting young children occur during everyday activities? v Senior citizens are the second most common dog bite victims? v Awareness is the key to avoid dog bites? v However, the good news is that there are a number of things that we can do to avoid dog bites. How to Avoid Dog Bites Never disturb a dog that is eating, v sleeping or is caring for puppies. Dogs may bite if startled or frightened. Do not throw sticks or stones at a dog. v Do not approach a dog that is tied. v In case of pet dogs, always take v permission from the dog owner before approaching their dog. Be cautious around a mother dog and v her puppies. In order to protect her puppies, the mother dog may bite Respect a dog’s space. Keep your hands v away from a dog’s fence. A dog considers its yard as personal property and may growl or bite to protect it. Do not run or move quickly near dogs. v Do not turn back and run. v 91 Do not look a dog in the eyes. v Speak softly and gently to calm the dog. v Say something like “good dog, Its OK”. Do not yell or make loud noises. If a nervous dog gets close to you, v FREEZE and pretend to be a tree. Allow the dog to sniff and it will usually go away. If a dog attacks, assume the position of v a rock. Curl into a ball and protect your face, neck and head. Anti-Rabies Vaccination: Keep your dog v and those in the neighborhood healthy and happy by vaccinating them against Rabies. Consult an animal welfare NGO or a veterinarian to know more about the Anti-Rabies Vaccinations. 92 Dog Bite Emergencies Most people associate all dog bites with rabies infection. But that’s not so. Only a bite from a dog that is infected or carrying the rabies virus is dangerous. But Rabies is always fatal to humans if not treated. Hence, suitable steps have to be taken to prevent the possibility of infections. What should be done immediately after a dog bite? v Clean bite wound with soap and warm water as soon as possible. v Be sure to rinse all the soap away, or it will cause irritation later. v Always show it to a physician. Some dog bites need antibiotics, particularly if they are deep puncture wounds. v Pour a generous amount of any antiseptic solution into the dog bite wounds. This solution would disinfect the wound site. v Isolate the dog and monitor it. v It’s important to determine if a dog has received its rabies vaccination. Request the dog's owner for proof of rabies vaccination. v Animal Birth Control (ABC) Overpopulation of dogs and cats could contribute to rabies outbreaks. Consult an animal welfare NGO or a veterinarian about ABC to prevent unwanted puppies and kittens. Animal Birth Control also keeps them healthier and better behaved. Firs t Aid Objectives: v to restore and maintain vital functions. The ABC of basic life support (Open airway, Breathing and circulation) should be always the first priority. v to prevent injury and further deterioration. v to ensure that the victim is as comfortable as possible, till help is available. Providing First Aid First aid should be provided in the following order: v First: Access victim for signs of life. If signs of life are absent, call for help v Second: Restore respiration if breathing has stopped v Third: Restore heart action if there is no discernible heartbeat or pulse v Fourth: Stop bleeding v Fifth: Treat for shock Making a First Aid Kit: v First aid box v Triangular bandages - 3 to 5 v Conforming bandages, 10cm and 15 cm - 2 each v Crepe bandage 7.5 cm - 2 v Tape 2.5 cm - 1 roll v Absorbent gauze—(small roll) Sterile dressings—(selection) v Cotton wool( 50 gm) v Antihistamine (for bee stings) v Antiseptic solution (50 ml) v Antiseptic wipes - 4 v Scissors - 1 v Safety pins - 12 v Tongue Depressor - 4 v Latex Gloves - 2 pairs v Clinical Thermometer - 1 v Pen torch - 1 v Skin ointment for pain relief v Ear drops v Gum Paint v 93 Common Firs t Aid Procedures: Burns First Degree (Skin red and tender) Second Degree Third Degree (Involve both epidermis (Destruction of the full and part of underlying dermis) thickness of skin) Rinse with cool water /wet compresses Rinse with cool water / wet compress Extinguish flame by blanket/water Clean the area Gently wash with soap/ clean antiseptic Check for respiration, circulation and signs of shock Apply antiseptic cream Spray (antiseptic) Cover with sterilized dressing Apply cool Compresses Shift to hospital 94 Animal bite Wash the wound with soap and water Apply antiseptic and hydrogen peroxide +antibiotic cream See Physician Fainting Lay the person (on his back with head lower than heart and legs) Loosen clothing to aid breathing 95 Raise the legs higher than head to promote the flow of blood to the heart and brain Heat Exhaustion Move (to cool/shady/air-conditioned place) Loosen clothing Apply cool wet compresses to head and torso Administer fluids Heat Stroke Move to shady, Air-Conditioned areas Loosen clothing Spray cool water 96 Fracture Check the ABC'S (Airway, Breathing, Circulation) Place a sterile dressing over wound, if any Immobilize the part which is fractured Head Injuries Check pulse and respiration Check for signs of brain or neck injury Control bleeding by placing clean gauze over the injury, if any Take the person to doctor (take expert medical advice) 97 Nose Bleeding To sit with head slightly forward Press the nostrils together Maintain pressure (5 to 10 minutes), or till bleeding stops. Sprains Rest Apply ice pack Compression (with an elastic bandage) Elevation (use pillow or sling) 98 Choking Stand behind the victim Make a fist placed above the navel Put your other hand on the top of your fist and give quick upward thrust Repeat till airway clear CPR Start CPR if breathing does not resume Convulsion When seizure begins protect the person from further injury Ease the person to the ground and cushion the head to prevent from banging on the floor Prevent tongue bites After the seizure roll the victim on to one side to prevent choking Do not restrain the person any more than necessary Take the person to doctor for evaluation 99 100 Childhood Illn esses 101 VOMITING AND DIARRHEA Consult your doctor if vomiting or diarrhea persists for more than 6 hours, contains blood or is accompanied by high fever. Have the child rest and keep him off solid foods. When he starts to feel better, give him low fat foods and frequent small amounts of liquid. In dia Immun iza tion Cha rt Vaccine Age Birth 6 weeks 10 weeks Primary Vaccination 14 9-12 weeks months Primary Vaccination BCG X Oral polio X X X X DPT X X X Hepatitis B* X X X X Measles Booster Doses DPT + Oral polio 16 to 24 months DT 5 years At 10 years and again at 16 years Tetanus toxoid (TT) 9, 18, 24, 30 and 36 months Vitamin A Pregnant women Tetanus toxoid (PW): 1st dose As early as possible during pregnancy (first contact) 2nd dose 1 month after 1st dose Booster If previously vaccinated, within 3 years *Only in project areas Source : www.whoindia.org Na tiona l Immun iza tion Schedule BENEFICIARY AGE VACCINE Infants Birth BCG* and OPV** 6 weeks DPT & OPV 10 weeks DPT & OPV 14 weeks DPT & OPV 9 months Measles vaccine 18 months DPT & OPV (Booster dose) 5 years DT Vaccine 10 years Tetanus toxoid 16 years Tetanus toxoid Children 102 * At birth or at the time of DPT/OPV; * dose called as Zero dose and can be given till 14 days of age, if missed early. ABBREVIATION : BCG=Bacillus calmittee Guerin; DPT = Diptheria, Pertussis & Tetanus; OPV = Oral Polio Vaccine; DT = Diph & Tetanus vaccine. Vaccina tion Cha rt for In fan ts an d Children The Government of India recommends the following schedule for vaccinations; Age Vaccine Birth BCG 6 weeks Oral Polio Vaccine (OPV) and Diphtheria, Pertussis and Tetanus (DPT) 10 weeks OPV, DPT 14 weeks OPV, DPT 9-12 months Measles 15-18 months OPV, DPT 4-5 years DT, Typhoid 10-15 years Tetanus, Typhoid The schedule recommended by the Government of India has fully incorporated the recommendations of the EPI schedule given by the World Health Organisation. The followin g table shows the possible adverse reaction s for each vaccin e Vaccine Type Adverse Reactions BCG Live attenuated Axillary adenitis (swelling in the armpits) OPV Live attenuated None DPT Killed Fever, excessive crying, encephalopathy, seizures Measles Live attenuated Fever, rash MMR Live attenuated Fever, rash , arthralgia (pain in the joints) DT Killed Fever TT* Killed Fever Hepatitis B Recombinant Pain, erythema 103 Immun isa tion Schedule In dian Academy of Pedia trics Age Vaccines Note Birth BCG OPV zero Hepatitis B -1 6 weeks OPV-1 + IPV-1 / OPV -1 DTPw-1 / DTPa -1 Hepatitis B -2 Hib -1 OPV alone if IPV cannot be given 10 weeks OPV-2 + IPV-2 / OPV-2 DTPw-2 / DTPa -2 Hib -2 OPV alone if IPV cannot be given 14 weeks OPV-3 + IPV-3 / OPV -3 DTPw-3 / DTPa -3 Hepatitis B -3 Hib -3 OPV alone if IPV cannot be given Third dose of Hepatitis B can be given at 6 months of age 9 months Measles 15-18 months OPV-4 + IPV-B1 / OPV -4 OPV alone if IPV cannot be given DTPw booster -1 or DTPa booster -1 Hib booster MMR -1 2 years Typhoid 5 years OPV -5 DTPw booster -2 or DTP a booster -2 MMR -2 Revaccination every 3-4 years The second dose of MMR vaccine can be given at any time 8 weeks after the first dose Tdap 10 years HPV Only girls, three doses at 0, 1-2 and 6 months Vaccines that can be given after discussion with parents 104 More than 6 weeks Pneumococcal conjugate 3 primary doses at 6, 10, and 14 weeks, followed by a booster at 15-18 months More than 6 weeks Rotaviral vaccines (2/3 doses (depending on brand) at 4-8 weeks interval After 15 months Varicella Age less than 13 years: one dose Age more than 13 years: 2 doses at 4-8 weeks interval After 18 months Hepatitis A 2 doses at 6-12 months interval Dynamics an d Ben efits of School Ba sed Coun selin g Bringing about a change in behavior enables the student to live a more productive ,satisfying life as the student defines it within the society's limitation. Improving the student's ability to establish and maintain relationship helps in improving the quality of relationship with others. Many students have problems relating to other people probably due to poor self image causing him/her to act defensively in relationship or it may be seen as the result of inadequate social skills. Therefore, a counselor helps the student develop and maintain healthy relationship with others. Enhancing Coping Skills is another dynamic of counseling. For a variety of environmental, biological and psychological reasons children may find it difficult to cope with adversities or challenges of everyday life. E.g. examination , peer pressure, failures , emotional setbacks , traumas etc. The student may exhibit physical and psychological problems like frequent headaches, inability to sleep etc. Counselor works with the student to develop healthy coping skills. Promotion of Decision making helps individual obtain information, clarity and sort out personal characteristics and emotional concerns that may interfere with or be related to making decisions. It helps these individuals to acquire an understanding of not only their abilities, interests and opportunities but also of the emotions and attitudes that can influence their choices and decisions. Facilitating student potential can be viewed as a goal towards improving personal effectiveness. Counseling seeks to maximize an individual's freedom within the limitations imposed by his own self and his environment. Skills of a School Coun selor Students might seek advice from various sources , like their parents, teachers, friends, and so on. But ,a counselor had inculcated specific skills as professional. A few of them are: • Non-judgmental, non-critical, avoids prejudices, and presumptions • Curiosity and inquisitiveness: Posses a natural interest in people • An ability to listen: Find listening stimulating • A comfort with conversation : Enjoy verbal exchanges • Empathy and understanding: Can put themselves in another person's place • Emotional insightfulness: Are comfortable dealing with a wide range of feelings • Introspection: Have the ability to see/feel themselves from within 105 6. Guidelin es for Facilita tors / Teachers / Peer Educa tors The purpose of the section is to provide background information for the trainer / teacher. It describes the basic principles and practices of organizing and implementing training course and is common to all the activities. The trainers / teachers are suggested to have a group of 45-50 participants/students for each activity. The activities are suitable for Life Skills enhancement of school going children. At the beginning of any activity with a new group of people it is necessary to spend some time on helping that group to begin to develop its own identity - its “Life”. This can be done by the trainer taking participants through a series of activities given below. Ice Breakers Activities known as the ice breakers are used at the beginning of an activity as part of the climate building process and to help participants get to know each other. Several activities are specifically designed to enable group members to get to know each other's names. The purpose of an energizer is to allow participants to get a 'feel' of the activity - if the energy levels are low - after a meal break for example - then a physical activity can help to lend some motivation to a group. Alternatively, some activities can serve the opposite purpose - to calm down the atmosphere after a difficult period or heated debate. Some energizers can also be used as strategies for dividing participants into small groups. All the activities described here belong to the low risk category. This means that they should not cause any group member undue embarrassment, stress or discomfort by requiring them to reveal too much of a personal nature. Ice Breakin g Activities 1. Name Graffiti : Invite the participants to sit in a circle and place a large piece of flipchart paper in the centre of the circle. Ask each participant, in turn to sign their name on the paper, and to make a brief statement about their name. 2. Reasons Why I Can't Come to School Today? Ask participants to conduct a round, which you initiate e.g., Reasons why I can't come to school today. The reasons for not 106 attending school must begin with the same letter of the alphabet as the person's name, e.g., My name is Shilpa and I can't come to school today because I am sick. 3. Pyramids: Ask the participants to stand up to pick a partner. Encourage them to find someone who they don't know very well and not to wait until they are picked, but to be proactive about choosing. When the partnerships have been formed , ask them to sit down together and then spend one minute to find one thing that they have in common. After the minute is up, ask them to stay with their partner and to find another couple, thus making a foursome and to find one thing in common. The task is then repeated, this time with the foursomes making groups of eight. Ask each group to disclose their commonality at the end of exercise. 4. Clustering: The purpose of this activity is to find all the people in the room who fit a particular description. Ask the participants to stand up and to move around the room, identifying others who fit a range of categories, which you describe. The following are suggestions: Ø All those who share the same birthday month... Ø All those who share the same birth sign... Ø All those who share birth in same part of the country... Ø All those who share the same favourite food... Ø All those who share the same favourite holiday place... 5. Accumulative Nature Game: Ask the participants to sit in a circle and start off by introducing yourself. The person on your left should then give your name, e.g.....and I am ... and then the next person gives the first two followed by their name e.g.... And I am.... and then the next person gives the first two followed by their own name and so on around the circle, each person adding their name to the list. 6. Human Scavenger Hunt Instructions • Give the participants a Human Scavenger Hunt Handout that you have prepared in advance (see sample list below). It should include at least 10 107 statements about things people may have done or experienced in their lives. • Ask them to roam around the room and find as many other participants as possible to whom the listed things apply; they should write each person’s name on the line next to something that applies to him or her. • After 10 minutes, ask the participants to sit down again. • Ask participants of introduce themselves in turn, mentioning the listed item for which they found the most participants, and share interesting things they learned about another member of the group. Human Sca ven ger Hun t: Fin d Som eon e Who: • has an older sister _______________________________________________________ • has not watched TV in the last month________________________________________ • has a birthday in the same month as you__________________________________ • wants to be older _______________________________________________________ • takes a bus to school _____________________________________________________ • has more than six siblings_________________________________________________ • is learning another language ______________________________________________ • was born in another city or village _________________________________________ • has a grandparent living at home___________________________________________ • has planted a tree _______________________________________________________ • is the youngest child in his/her family ______________________________________ • recently read a good book ________________________________________________ • knows how to ride a bicycle _______________________________________________ • has travelled to another city or province ____________________________________ En ergizin g Activities 1. Shoes : Encourage participants to stand still or sit down if they get too tired. Ask all participants to stand up and find a space to move about and explain that they will do the actions associated with different kinds of shoes and demonstrate each one. Ø Walking shoes (walking) 108 Running shoes (running) Ø Ballet shoes (dancing) Ø Hiking shoes (raise legs as if climbing) Ø High heeled shoes (walking on tip toe) Ø Pair of shoes (find a partner and hold hands) Ø Worn out shoes (flop into a chair or on to the floor and relax) Ø Call out the names of the shoes, and ask participants to make the appropriate actions following the lead of the trainer. 2. Changing Places : Ask the participant to sit in a circle and ask the trainer to stand in the middle. Ask all the participants to move places "if...Shout out an instruction, for example, "change places if you are wearing trousers...wearing spectacles...have long hair...etc. While the participants are changing places, move to find a chair for yourself, which means that someone else will be in the middle and will have to find a chair. Continue until everyone is tired. Group Dividin g Activities If participants are asked to form small groups of their choice, they may often choose to work with friends and group cohesion may come in the way of serious work. You can ensure that this does not happen by using some of the following activities: lCount participants off in twos....... lLine up participants according to birth month, initials, signs of the zodiac etc... lLine up participants to find someone who, e.g., has the same height or clothes... lAsk participants to choose a partner or to work with someone they have not worked with before... lDistribute cards at random, which are to be matched up in order to find a partner, e.g, famous couples, matching shapes, letters, or cut up old greeting cards and ask participants to find the piece that completes the pictures... lAsk the participants to move around the room until you call out the number you want in a group... Mana gin g Sma ll Group Work It is often difficult to make an accurate assessment of how long different groups will take to complete a group activity there will always be quick learners! You may have to issue quite a lot of encouraging statements to hurry along 109 the slower groups, and offer time limits, e.g., one minute left. Taking feedback from a larger number of groups can be a time consuming exercise. However, it is important to acknowledge the contribution to the activity made by all the groups. You can cut down on time by: lAsking written feedback (usually on larger posters of paper) to be displayed around the room and for all the participants to look at each other's efforts. lMaking sure that, after the first group's feedback, subsequent groups only add issues and comments, which haven't been raised previously. Settin g groun d rules : Ground rules are the operational guidelines for the participants' and the trainer's behaviour during the activity and encourage co-operation and collaboration, and contribute towards the learning climate. Explain the rationale for establishing ground rules to the group. Stra tegies for Es tablishin g Groun d Rules : Display a list of pre-prepared ground rules on the board/OHP and ask for comments and clarification. Ask participants to add to the list. The following is a list of suggestions for Ground Rules. Ø Be punctual Ø Listen Ø Tolerate Ø Respect each other's views Ø No sarcasm Ø Be positive Ø No negative comments to individuals Ø The participants need to know that you, as trainers, have the power to make decisions about when a discussion has lost immediate relevance and the time has come to move on. They also need to be reassured that you will be available to deal with any individual issues of concern. Con ductin g the Activities : P Use open-ended questions. P Use positive language and statements and then ask participants for their contribution P Value all the contributions you receive from the participants. P Be willing to quote your own opinions if you are asked and to offer personal selfdisclosure if necessary. Admit any mistakes you make. 110 P Allow the participants to have time to reflect. P Ensure that you make eye contact with the people that you talk to and use their names. Be ready to challenge a view presented by a participant if you feel it is P appropriate. Intervene in a firm, yet sensitive fashion, if a discussion is being taken over by one P or two powerful personalities or is losing its way. Think about how and when to intervene during a group activity. It is very important P to set time limits. Fin ishin g An Activity Some of the questions given below can be used for processing and winding up an activity: WHAT? - How did I feel about this, what did I learn about my own behavior? SO WHAT? How can I implement this learning in other areas of my life? Con ductin g Empowerm en t session s by Peers It is always more useful to initiate peer educators (preferably in pairs) to peer teach other students. They can come together to develop skills through activities suggested in the other Manuals. They can use the following set of debriefing questions to focus on better empowerment skills. Co-peer Educa tor Da ily Debriefin g Qu es tion s To improve presentations during a Peer Educator to-peer session, one can discuss the following questions during daily debriefing sessions at the end of each day. 1. How well did we meet the goals of our workshop sessions today? 2. What did we do today that was not effective? 3. What did we do today that was effective? 4. How well did we handle problems that arose during the workshop today? 5. How well are we working together as co-trainers? Is there anything that we need to improve? 6. Is there any feedback we would like for the session the next day? 111 The Experien tia l Lea rn in g Cycle In A Workshop Direct experience (exercise or activity) (Trainer / Peer Educator introduces the activity and explains how to do it) Trainees / Other peers participate in : • • • • • • • brainstorming role-play small-group discussion story-telling case study games drawing pictures Application: next steps (Trainer / Peer Educator gives suggestions) Trainee / Other peers discuss: • • • • • • • how the knowledge can be useful in their lives how to overcome difficulties in using knowledge plan follow-up to use the knowledge story-telling case study games drawing pictures Reflection: thoughts/feelings (Trainer / Peer Edcucator guides discussion) Trainee / Other peers • answer questions • share reactions to activity • identify key results Generalization: Lessons Learned Trainer / Peer Edcucator gives information; draws out similarities and differences, summarizes) Trainees Other peers participate in: • presenting their exercise results • summarizing key points • drawing general conclusions 112 Evaluation can also be conducted on a verbal level as part of the closing activity. A Written Feedback is however preferential. In tern et Sa fety Guidelin es for Studen ts 1. Do not download anything without your parent's permission Real World: Football_champ does not accept toffees, gifts, or anything from strangers, just like we all have been taught by our elders not to from the time we were toddlers. Internet World: Similarly Cool_dude, has a strict policy of not downloading files, even if free, as they can be harmful. They can have viruses. 2. Do not send out a picture of yourself without talking to your parents first. Real World: We only share photographs with people whom we know, such as family or friends, not with complete strangers! Internet World: Complete strangers might view our photographs because on the internet we have no control of onward sharing by others. 3. Share information with people you know in the real world like family, friends and classmates. Real World: It is fun to share with friends regarding funny incidents about parents, little siblings, relatives, etc. We even talk over small disappointments or problems. Internet World: Be especially careful about confiding your emotions or particulars about family, even indirectly, as it is unsafe to do so on the internet. People are not always who they say they are and we would never know. 113 4. Do not use bad language. Respect feelings of others. Real World: Does anybody like a bully? No! So we do unto others what we want others to do unto us. Internet World: Some people think they are anonymous on the internet, that nobody will know who is behind rude messages. They do not realize that all activity, all clicks can be tracked! If somebody bullies or writes cruel messages that make you feel uncomfortable, simply stop the conversation. Do not reply. Tell your parents or a trusted adult about it. 5. Do not fill out online forms without taking your parent's help. Real World: In case any form needs to be filled, who fills it? Parent(s). Internet World: Do not fill online forms. Some people (strangers) might collect the information for misuse. Let parent(s) decide what information to fill in. 6. Have fun on the internet. Real World: You enjoy reading books meant for your own age group. Internet World: Visit sites meant for children to update oneself. 114 DC PC R Guidelin es Medica l Crisis Mana gem en t - Mechan isms in School The escalating incidence of accidents and serious mishaps in the schools of Delhi have led to a growing sense of concern amongst the cross sections of the society over the lack of preparedness and the absence of guidelines in handling medical emergencies in the schools. In the wake of such rising school based medical emergencies an Expert Committee was constituted by the Delhi Commission for Protection of Child Rights (DCPCR) to look into the psychophysical requirements and medical crisis management mechanisms in schools in Delhi. DCPCR has stated the responsibilities of all state holders as detailed under: School Hea lth Committee P All school must have a School Health Committee comprising 6-8 members. P Appropriate authorities - as defined us 2(e) of Delhi School Education Act, 1973. (Education Deptt. of Government Schools / Municipal Corporation of Delhi for MCD run Schools)/Managing Committee for private Schools) must include the school doctor, the school nurse, Principal, Health coordinator teacher and any other staff trained adequately for the function there of. Students and Parents representative along with community leaders should be part of the SHC. P They should meet at least once a month to update, upgrade and reorient the implementation of school health programme including inspection of the emergency preparedness and Health related interventions. P The School Health Committee should formulate individualized management plan for the student with special needs in collaboration with the mental health professional of the school and the parents/guardians. P They must provide the requisite infrastructure including building/accommodation, toilet facilities for boys and girls, drinking water supply (additional if required in case of existing institutions, equipment etc). P In case of setting up of new schools, must ensure proper planning with regard to location, building plans etc., and adequacy of required facilities keeping in view the health and emergency requirements. P An Emergency Response Team (ERT) may be nominated alongside the school health committee and may adopt members from the school health committee. P Review the School Health Index questionnaire for baseline evaluation. P A Crisis or Emergency response team and the School Health Committee should have a rotating membership to allow a dynamic growth and progressive enrichment. Constantly Working with Parents to identity their needs. Constant ideas and to encourage their involvement. 115 The School Prin cipa l As Head of the institution, the basic responsibility for effective planning and implementation of the programme will rest on him/her. His/her main responsibilities would be as follows: P Propagate and ensure a clean, healthy and safe physical environment in the school premises, and promote a proactive School Health Climate, with special attention to dining/canteen/kitchen facilities/baths/hand washing facilities and toilets, drinking water supply points, class/common rooms and hostels. The Principal's leadership in this area is paramount to the importance given to this aspect of education. P Inculcate and enforce healthy lifestyles amongst the teachers, other school staffs (especially those working in kitchen, canteens) and students and check unhealthy habits e.g. smoking, drugs use, unhealthy eating, littering etc. P Set up the School Health Committee for planning, supervising and monitoring the health programme, with regular meetings, at least once in a quarter of the year but more frequently as and when necessary, and proper record of its proceedings and follow up action thereof. P Establish linkages with and enlist support of public health authorities, neighbourhood hospitals/Nursing Homes, doctors from amongst the parents and others, facilities, ambulances (CATS, hospitals and charitable/commercial services etc.) chemists, NGOs, corporate, philanthropists etc.) for optimum utilization of available resources at minimum cost. P Ensure regular supply of all required equipment, including First Aid Box (es), medicines for the Medical/First Aid Room/Box (es) with replacement/ supplementing as and when required. P Provide suitable, centrally located accommodation for Medical/First Aid Rooms on the ground floor(s). (In case of schools in tents or other temporary accommodation, a separate small tent can be put up for this purpose till a regular building/accommodation becomes available). P Arrange and facilitate initial and periodical health checkups of students/staff with the help of school Doctor, volunteers from amongst the parents, with maintenance of proper records/Health Cards by the School Nurse and proper system for communication of results in case of any adverse medical findings or where any remedial action in their part is called for. P Modify the syllabus, with competent approval if any required, to include health education as an integral part of general education in schools. 116 Organize training, including short term orientation courses, in first aid and medical P emergency response for teachers, school bus staff, sports staff, students and even parents willing and capable of imbibing such training, with the help of School Doctor/Nurse, other Doctors available for the purpose (DCPCR can help in such training by planning and providing training modules and even organizing short camps for the purpose). In case of availability of Canteen or authorized vendor on the premises, arrange for P proper care for health and cleanliness aspects, both with regard to eatables, cooking system and medium, type of snacks/food/cold/hot drinks supplied, equipment and premises, with adequate supervision by a specified person and frequent surprise checks. Respon sibilities rela tin g to Medica l Em ergen cy Respon se Facilitate the preparation of a proper plan by the School Health Committee, with P the help and advice of competent medical persons, for coping with different types of medical emergencies. Constitute the Emergency Response Team, with alternates in case of absence of any P designated member for any reason, for responding to a medical emergency; arrange for their proper training and orientation in the drill for handling such an emergency. (The availability of the full team in position should be checked and reported every day at the start of the school). The plan for handling a life-threatening or other serious medical emergency P requiring outside help and necessitating shifting of the victim to a properly equipped medical facility (as assessed by the ER Team) should have the following as its essential elements. An effective alarm system to alert the Team as well as the school head about the P emergency and its nature to enable the team to go into action without any loss of time, but without starting any panic. Detailing specific personnel for: P Calling the ambulance or arranging for any other suitable transport to avoid P loss of time. Alerting the nearest Hospital/Nursing home about the nature of emergency, P arrangements for sending the victim (unless it is by their own ambulance) to prepare them to respond promptly. Informing the parents/guardians, police, in case the nature of incident P warrants the same. (Even assistance could be organized to bring the parents/guardian to the Hospital/School). 117 Identification and establishment of linkages and protocols with the nearest P suitable Hospital/Nursing Home/Clinic, Ambulance/Transport facility for response without any loss of time in routine procedures/formalities etc. in case of such an emergency. These facilities and ambulances should be familiarized with the School lay out, shortest route and gates etc. to avoid loss of time. Availability of a school ambulance, pooling an ambulance or liasoning with P CATS for ensuring of immediate transportation of the acutely injured/ill from the school. Ensure proper documentation of such emergencies and their handling. P Organise mock drill for emergency handling of different types of emergencies, P (such drills can be integrated with similar drills for disaster management programmes, which include medical emergencies). School Hea lth Coordina tor - Teachers / Coun sellor To ensure that the instruction and services provided through various components of P the school health program are carried out in a smooth process with consistent messages. Assist the Principal/Head Master in promoting a culture of clean, safe and healthy P lifestyle amongst the students and other school staff, both by personal example and guidance and motivation to others. To facilitate collaboration amongst school health program personnel and other P school staff and help in organizing and participate in health related programmers and activities. Undergo training in health education and first aid to impart health education to P students. Respond in a responsible manner to any emergency arising in their class or in their P presence, including alerting the medical team, rendering any possible support to the victim till their arrival, ensuring order in the class and preventing any panic. To facilitate collaboration between the school and other agencies who have an P interest in the health and well-being of children and their families. To conduct evaluation activities those assess the implementation and results of the P 118 school health program. The School Doctor Responsibilities of the school doctor are the following : v Registered Medical Practitioner Employed with the school part-time/fulltime (especially where there are school hostels) v Medical Check-ups, diagnosis and prescribing treatment. v Playing leadership in all Health Education and Health Awareness campaigns of the school. v Making appropriate referrals to specialists v Ensuring follow up of children especially with chronic underlying ailments. v Inspecting of school environment and sanitation v Holding meetings/seminars with parents and teachers v Ensuring maintenance of Health records and reports v Evaluation of the CSHP and redefining programme objectives and activities. School Hea lth Nurse v A qualified registered full time nurse trained for school health emergencies and first aid. Ratio recommended 1:750 children. In charge of the PAS (Public address system and buzzer activation for the emergency response) teachers and the SHC. v Assisting in periodical examination of school children and annual health cards. v Inspection of school health environment and provisions for nutrition support, advice and follow-up of health education strategies for children and adolescents. v Manage the spectrum of minor illnesses/injuries and provide adequate first aid. v Skillfully use the available physical and health assessment tools to identify factors that may place the student at risk of emotional, behavioural and learning problems. v Coordinating the referral services of the school in conjunction with families. v Work along with the school doctor as a facilitator for Health Promotion and Health Education (Training and Development) activities of the school. Studen ts v Maintain a clean, healthy and safe physical environment, not only in the school but also in their home and the community, and adopt a clean and healthy lifestyle for themselves, their family and community. 119 Abjure any unhealthy habits themselves and also advise and prevail upon their v friends/classmates to do the same. Participate in health counselling in the school. v Participate in health related programmes and activities in the school-take up v health related subjects for project work. Undergo First Aid training to manage their own health problems and also to help v others. Work as peer trainers to impart health education/training to others. v Work on and assist the ERT. v Pa ren ts an d Gua rdian s Adopt a clean and healthy environment and lifestyle for themselves and inculcate v the same in their wards. Check any unhealthy habits or unhealthy company among their wards. v Participate in health related programmes and activities in the school. v To keep updated themselves about the common childhood emergencies and the v First Aid approach. In case of health professionals, actively help the schools in their health v programmes, including imparting training to teachers, students and other parents etc., rendering medical aid to students and school personnel, medical examination of students and in planning for medical emergencies. To inform and keep the school updated of any underlying Chronic Ailments v (Asthma, diabetes etc.) or unexpected developments in the health of a child, which may need the joint attention of the school and parents. In consultation with the family physician, make the child carry any essential v medical device e.g. inhaler or medication with him/herself to the school, with proper understanding about their regular/emergency use. To participate in any health related School based activities and programmes or v campaigns wherever parents are required to be present. School bus /an y tran sport for s tuden ts It is to be ensured that appropriately upgraded and updated First Aid Box is v positioned at the designated place in the school bus. The drivers and conductors of the school bus are appropriately trained in First Aid v and CPR. 120 Periodical Assessment of the First Aid provisions of the school bus is carried out by v the school authorities. Sa fety Check Lis t Am I Sa fe in M y School? Are awareness programmes organized for the students and the staff? v Are the teachers and students aware of vulnerable areas in school? v Are mock drills performed regularly in school? v Are safe places/shelters identified in school? v Is the staff assigned duties and responsibilities? v Is the staff trained for first aid? v Do we have fire fighting system? v Are the electrical panel/mains in good condition? v Does our school building have protection against lightning? v Are the major repair works carried out for the strengthening or the damaged part of v building? School Fire Sa fety Check lis t Wha t to do in ca se of fire? Establish a fire safety plan. v Evacuate the students in immediate danger. v Sound the alarm. v Fight the fire with proper equipment. v Close room doors and hallway doors to prevent air movement and spread of smoke. v Do not panic. Advise students to remain calm. v Fire drills: Always take the fire drills seriously and evacuate the school when the alarm sounds. v Hold fire drills on a regular basis. v Ensure the school employees know how to evacuate their work areas. v Sound the fire alarm as the first step of a drill. v Be familiar with the location of the nearest fire alarm and extinguisher. v Learn how to operate fire extinguishers, fire blankets and fire hoses. v 121 Labora tories: Store flammable liquid properly. v Avoid storing incompatible chemicals next to each other. v Survey chemicals annually and discard any that are obsolete. v Clean up spills immediately. v Repair all electrical hazards. v Dispose of rubbish regularly. v Cla ssrooms: Clearly mark the evacuation route on the school floor plan and place it adjacent to v the classroom door. Check electrical appliances and cords regularly. v Keep all doorways clear. v Dispose of rubbish daily. v Protect all unused outlets in kindergarten and pre-school nurseries with safety plugs. v Auditorium: Check emergency lighting regularly. v Keep all doorways clear. v Keep exits lights in working order. v Extension cords should not be used as a replacement. v Ha lls An d Doorwa ys: Identify exits with lighted exit signs and keep them unobstructed. v Avoid Wedging open hallway doors. v Check emergency lighting regularly to ensure it is in proper working order. v Test fire doors regularly to make certain that the doors do not jam and that the v hardware is not detached. Boilers An d Ma in ta inan ce Rooms DO NOT store combustibles in boiler rooms or furnace rooms. v 122 Service heating equipment annually and check units regularly to make sure they are v in proper working condition. DO NOT store combustible materials in electric rooms. v Gas powered equipment should be stored outdoors or in fire-rated room (one-hour v fire separation). Sa fety Rules Of The Road Drive defensively and avoid heavily traveled routes whenever possible. v Always keep to the left and drive with the traffic, not against it. v Use arm signals to indicate stops and turns. Indicate turns a good half block ahead. v If it's necessary to turn left at a busy intersection, walk the bike fully across the v street, then to the left after the light changes, then remount and enter traffic again from the right. Drive single file, keeping a safe distance from the vehicle ahead. v Never hitch a ride from another vehicle. v Carry packages in a basket or carrier, keeping both hands free to control the bike. v Don't carry passengers, except on adult bikes fitted with special passenger seats. Be on the alert for car doors opening and for parked cars pulling out into traffic. v Never stunt-ride, show off or engage in horseplay. v Avoid driving in snow or on ice. Watch out for sand, stones, gravel, potholes and v other surface hazards. Don't drive fast downhill. v Never turn or apply brakes on unstable or slippery surfaces. Coast through them in a v straight line. In heavy traffic, dismount and walk bike across intersections, using the pedestrian v crosswalk. For night driving use special precautions; light or white clothing, front bike light, v reflectors and reflective tape. Wear a clip guard on trouser cuffs. v 123 124 Focus Area durin g Em ergen cy 1. Display Do's and Don'ts & evacuation plan of your school building with safe and unsafe buildings. 2. Every class must be oriented for drill. 3. Prior to drill assign duties to active members of DMC and other staff members at various points. 4. Explain evacuation plan to, students, teachers & other staff. 5. Meeting place should be predecided. 6. Proper arrangement of siren or bell which is well known to whole school. Norm Ba sed On Suprem e Court Guidelin es For Sa fe Buildin gs an d Fire Sa fety Mea sures In Schools: I. Provision of adequate capacity and numbers of fire extinguishers of ISI marks to be provided in eye-catching spots in each block of the school. II. First Aid kits and necessary medicines should be readily available in the school. III. Provision of water tank and separate piping from the tank with hose reel to the ground floor and first floor. IV. Fire fighting training to all teachers and students from X to XII standards. V. Fire Task Force in every school comprising of Head of the institutions, two teachers/staff members and one member from the Fire and Rescue Department should be constituted. The Fire & Rescue Department member shall monitor and make fire safety plan and conduct inspections once in every three months. VI. Display of emergency telephone numbers and list of persons to be contacted on the notice board and other prominent places. VII. Mock drills to be conducted regularly. Fire alarm to be provided in each floor and for rural schools separate long bell arrangement in case of emergency. VIII. All old electrical wiring and equipment shall be replaced with ISI mark equipments and routine maintenance conducted by the School Management in consultation with the Fire and Rescue Department. IX. No High Tension lines should run inside or in close proximity to the school. Steps must be taken to shift them if they are already there. X. The Fire and Rescue Department shall frame guidelines with "DOS and DON'Ts " for schools and issue a fitness certificate, which shall be renewed periodically. 125 Tra in in g of school teachers an d other s ta ff: I. The teachers along with other staff shall be trained to handle safety equipment, initiate emergency evacuations and protect their students in the event of fire and other emergencies by the Fire and Rescue Department. II. They shall also be trained in providing emergency first-aid treatment. III. There shall be a School Safety Advisory Committee and an Emergency Response Plan drafted by the Committee in approval and consultation with the concerned Fire & Rescue Department. IV. Emergency Response Drills conducted at regular intervals to train the students as well as the school staff. V. All schools to observe Fire Safety Day on the 14th of April every year with awareness programs and fire safety drills in collaboration with the Fire and Rescue Department. School Buildin g Specifica tion: I. The school buildings shall preferably be a 'A' Class construction with brick/stone masonry walls with RCC roofing. Where it is not possible to provide RCC roofing only non-combustible fireproof heat resistance materials should be used. II. The nursery and elementary schools should be housed in single storied buildings and the maximum number of floors in school buildings shall be restricted to three including the ground floor. III. The School building shall be free from inflammable and toxic materials, which if necessary, should be stored away from the school building. IV. The staircases, which act as exits or escape routes, shall adhere to provisions specified in the National Building Code of India 2005 to ensure quick evacuation of children. V. The orientation of the buildings shall be in such a way that proper air circulation and lighting is available with open space all round the building as far as possible. VI. Existing school buildings shall be provided with additional doors in the main entrances as well as the class rooms if required. The size of the main exit and classroom doors shall be enlarged if found inadequate. VII. School buildings have to be insured against fire and natural calamities with Group Insurance of School pupils. VIII. Kitchen and other activities involving use of fire shall be carried out in a secure and safe location away from the main school building. 126 IX. All schools shall have water storage tanks. Pla y Groun d Sa fety The Physica l En viron m en t Before letting your child spend time in a playground, check it out yourself to make sure that the play area is safe. Here's what to look for: v The playground should be surrounded by fences to prevent younger children from wandering in and out and to allow the area to be closed off when no supervisor is present. Fences also insure that the equipment will only be approached from the proper direction. v The equipment should be arranged according to the age group for which it is intended. Facilities for younger children should be separated from facilities for older children. This will keep the younger child away from equipment that requires a strength and skill he/she doesn't yet have and will protect him/her from being caught up in the more vigorous, potentially dangerous, activities of older kids. v Adequate space should be marked off for each activity to protect both the participants and the passers by Boundaries must be clearly indicated by physical barriers or painted lines. Make sure your child understands the importance of staying outside them when he/she's not actively playing. v Particularly around equipment, the surface of the playground should consist of relatively soft materials such as grass, earth, sand or tanbark. Concrete, asphalt and other hard, unyielding surfaces greatly increase the chances of serious injury. Check that the surface is given the necessary maintenance to keep it safe. v Make sure the playground is kept clear of broken glass, bottles, metal tabs from cans and other debris, especially around slides, sand boxes and swings. Pla ygroun d Equipm en t Broken-down, dilapidated structures are obviously dangerous and should never be used. However, every piece of equipment used in the playground must be examined to make sure it is safe for your child's play. v The equipment must be firmly anchored into the ground. In most public playgrounds, the apparatus is safely embedded in concrete. Backyard equipment anchored with pegs must be checked regularly to make sure that they haven't worked their way loose. All anchoring devices should be buried well below ground where they won't be tripped over. v Check that the equipment hasn't shifted with use. Structural components designed to be horizontal or vertical must be maintained that way. Shifts in position can impose a strain on the structure which may eventually lead to its breaking or collapsing. 127 Screws and bolts holding the equipment together must not be loose or missing. v Exposed screws and bolts should fit flush or be capped and any protruding parts covered with tape. Fittings must be examined frequently to make sure they remain securely in place. Split-link chains, S-hooks and similar fittings separate easily and are extremely v dangerous. Hanging rings should either be much smaller than a child's head or much larger, under v 5 inches (12.7 cm) or over 10 inches (4.4 cm.). Metal structures should be kept free form rust. v Wooden equipment should be protected against deterioration and restored or v replaced as required Check for splinters. 128 7. Assessm en t an d Eva lua tion Fun ction s of Assessm en t • Too much focus on Assessment and Evaluation rather than on the understanding and application skills inherent in the course of study should be avoided. Stress must be placed on acquiring health skills for entire life. However the following are purposes for which assessment may be considered. • Teaching: Students and teachers may gain greater understanding of the substance of the program when the results of test and assignments are reported to them. • Communication: Students tend to organise their study around the demands of assignments and assessment requirements. Thus assessment helps them to understand the objectives of the course and the standards expected. • Grading: To determine whether a student has achieved a satisfactory standard or may count the course towards some level of award. • Evaluation: Assessment can provide the student with information on personal level of attainment and the teacher with indication of success and suitability of methods, resources and effectiveness of teaching. • Clarification: Allow students to clarify and refine their understanding of attitudes and values of themselves and others. Skills Attainment: To demonstrate whether a student has attained the necessary practical skills required in a particular area. • Prediction: The readiness of the student to proceed to the next unit of word or course may be determined by appropriate assessment procedures. Who Should Be Assessed? When considering the evaluation necessary it is important to consider the need in varying circumstances to assess all students, selection groups, individual students, the teaching, the course, organisation and administration. Who Should Assess? At varying times, students should be encouraged to self-assess, groups of students may undertake peer assessment. The whole class may assess a piece of work, the teacher may assess in varying ways a teacher from another group. 129 Frequ en cy of Assessm en t Assessment may profitably occur in varying ways as process assessment during the course of the program or as outcome evaluation at the completion, at the end or during each lesson, during a workshop or tutorial, at the end of a unit of work, at the end of each term, at the conclusion of the year's work at graduation. Examina tion s Examinations in this syllabus are required and are to be used in assessment of progress. Care should be taken in development of examination papers to ensure that there is an array of question types (as indicated as follows) and that the examinations are valid in that they test the subject matter taught but also allow for some deductive reasoning in solving problems posed. Furth er, as the health work covered is very practical in nature, at least 30% of marks should be allocated for practical work carried out in the home, school or community. This may be done as a project task undertaken by an individual or small group in which a final report is written by each student, individually covering: 1. Clear statement of the problem; 2. Aims of the project; 3. Methods undertaken to achieve aims; 4. Problems which were encountered; 5. Conclusion. 130 Sources of Eviden ce When considering objectives which encompass health knowledge, attitudes and skills, assessment procedures must include a variety of approaches, including; - individual as well as group assignments and reports - essays, children's writing - observation and analysis of behaviour, in classroom, school, community - records of staff meetings - changes in maintenance of school facilities - critical incidents, reports, journals, diaries, reports - judgement against standards - interviews, discussions, meetings, surveys, reports from parents - restricted response questionnaires, rating scales - free response questionnaires, interviews, feedback sheets - teachers' subjective judgement - already available information • Indicators of Impact may be varied in a course involving health and living skills. They may include: - improvement in personal hygiene, - better home sanitation, - improvement in institutional health and hygiene practices, - evidence of better, cleaner maintenance of school toilets, - increase in confidence, - greater flexibility, - increased care for the well-being of the other, - increase in ability to cope with problems and difficulties, - increase in decision -making opportunities and responsibilities, - improvement in communication, research, oral/written work, presentation, - improved responses to quizzes, tests, examinations on knowledge, - practical ability improved in health situations, - accepting and respecting each other's opinions, - increase in team-work and group decision-making, - challenge in stereotype and prejudice, - easy reorganisation of classroom for active, participatory teaching/learning, - more experiential, practical teaching/learning strategies, - reduction in incidents of transferable disease, 131 - low morbidity, - better immunisation cover, - less home, school, street, recreation and workplace accidents, - better cooking and food preservation practices, - decrease in corporal punishment, abuse and exploitation, - greater rewarding and appreciation of children, - better communication between home and school, - more responsibility and decision-making opportunities for students, - equal treatment for all children, for boys and girls, for children with special needs. Assessment and evaluation should thus be one means of seeking a better learning and teaching environment and thus improved personal and group health. Assessm en t a n d E va lua tion Som e Examp les of m ethods of a ssessm en t Tests Tests are often used to evaluate knowledge, which may be a starting point for change in thinking, attitudes and behaviour. It is difficult to devise valid, reliable tests and it is often desirable to use a variety of types. Some Sample tests. 1. Short answer (a) What are three ways in which infectious diseases may spread? ___________________________________________________ (b) Why is safe waste disposal so important for health? ___________________________________________________ ___________________________________________________ ___________________________________________________ (c) Describe how you may assist your little sister or brother to play more safely. ___________________________________________________ ___________________________________________________ ___________________________________________________ 132 (d) Your friend had a bicycle accident. What would you do to help? ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ 2. True or False 1. Are the following statements true or false: a) Hepatitis B is a form of STD. ___________ b) Smoking can produce cancer of the lips. ______________ c) Noise pollution can cause deafness. _______________ d) The joint at the elbow is ball-and -socket joint. ____________ e) Myopia sufferers are unable to distinguish distant objects clearly. ___________ 2. If we cut down forests we risk ending up with: (tick the correct answers) a) no ground cover,_________ b) eroded land , __________ e) cleaner water, ________ d) more soil, _______ e) less oxygen being produced, ________ 3. Sickness may be transmitted at home by (tick the correct answer) (a keeping food covered, (b) washing hands before eating, (c) eliminating places where mosquitoes breed, (d) keeping water uncovered, (e) not using a toilet 4. Draw a line to join each disease with the correct route of transmission. Disease Route of transmission Influenza air AIDS lack of hygiene Gastroenteritis animal bites Malaria mosquitoes Tetanus blood products 133 5. Essays a) Write an essay on ‘ How can we create our home vegetable garden’. 6. Attitude scales Complete the following by putting a mark on the line to indicate your preference a) By smoking I am placing my health at risk. 1_______3_________5 Strongly Strongly agree disagree (b) To maintain fitness, both sensible exercise and balanced diet are necessary. 1_______3_________5 strongly strongly agree disagree (c) I would dislike having someone in my class with a deadly disease. 1_______3_________5 strongly strongly agree disagree 7. Interviews A. With students: a) What has the Health Program taught you about family relationships? b) Without writing your name, discuss the best thing about this program. B. With parents: a) What does your son/daughter feel about the lesson on drugs? b) What areas do you things need more emphasis? 8. Surveys Anonymous collection of information about behaviour and behaviour change a) How has this program affected your behaiour at home and at school? b) What are the important things which you learnt from this program? 9. Feedback sheets Immediate response to a lesson or a workshop may be obtained by using the feedback sheet. a) In this workshop 134 I felt _______________________________________________________________ I learned ____________________________________________________________ I liked ______________________________________________________________ This lesson was ( Circle the most appropriate face.) 10. Pre-existing data a) Data that may be useful for planning units / lessons or for extension study is often available from census figures, surveys carried out by various agencies, magazines or newspaper reports. 11. Practical exercises a. Young children may be asked to walk or ride a bicycle over a set course to determine ability to follow safety rules and road laws. b. A class group are asked to arrange a debate on a controversial topic which has arisen in the class. The ability to organise, to listen to opposing viewpoints without prejudice, to argue a viewpoint which they don’t necessarily support may all be indicators of lesson success. c. Young children may be asked to draw a scene from their ‘healthy home’. 135 Appendix-1 WEBSITES Adolescent and Youth Reproductive Health in India, Status, Policies, Programs and Issues, http://www.policyproject.com/pubs/countryreports/ARH_India.pdf Approach to Adolescents: UNESCO's Objective, www.un.org.in/jinit/unesco.pdf Culture and Adolescent Development, www.ac.wwu.edu Future of Mid-day Meals, www.hinduonnet.com Health Needs of Adolescents in India, www.icrw.org History of Games and Sports in India, www.indianmirror.com J. Niti, Teens, www.boloji.com Joseph Ammo, The World According to Adolescents, www.hsph.harvard.edu Kumar Anant, 'Poverty and Adolescent Girl Health', www.bihartimes.com Parents and Children, www.arogya.com Patel, Andrews et al, 'Gender, Sexual Abuse and Risk Behaviors in Adolescent: A CrossSectional Survey in Schools in Goa, India, www.who.int PH@ a Glance: Adolescent Nutrition, wbln0018.worldbank.org Physical Education, Yoga and Health Education, http://diet.pon.nic.in Problems of Adolescent Learners, www.ncert.nic.in Scheme for Promotion of Yoga in Schools, www.education.nic.in Seth Mridula, Building life skills for better health-the Rajasthan experience. Delhi, UNFPA http://www.unfpa.in Sex and the Adolescent, www.webhealthcentre.com Sex Education and Children, www.indianparenting.com Sex, Studies or Strife? What to Integrate in Adolescent Health Services, www.ncbi.nlm.nih. Sexual Behavior among Adolescents in Delhi, India: Opportunities Despite Parental Control, www.iussp.org/Bangkok2002/s30 Mehra.pdf 136 Six Billion and Beyond, www.pbds.org Yoga in Kerala government, www.kerala.gov.in/dept_generaleducation Youth, Gender, Well-being and Society, www.icrw.org http://wwwedu.ewc www.unu.edu/unupress/food/unupress.htm Food & Nutrition Board http:/www.rxpgnews.com/food&nutrition/indexshtml http:/www.whoindia,org/en/section20/section29-152&htm 137 Appendix-2 Hea lth Promotin g School In itia tive -A Ca se Stud y In troduction: The Health Exhibition is an activity carried out by the school Health Committee on behalf of the school or by a school committee to create awareness in the school as a whole and in its surrounding community about the comprehensive School Health Program, the prevention of disease and promotion of health. It is a means to reach out to the community by the school and an opportunity to present the school as a caring educational institution which is very much part of the community it serves. Gen esis of the Hea lth Exhibition: (Nirog Dham) Health exhibition is a school-level event involving all stakeholders-children, teachers, health functionaries and the community. It gives the parents and community an opportunity to know more about their own health and their well being of their children. Objectives of Hea lth Exhibition: v Health check ups by renowned and super-specialist hospitals. v Display of Ayurvedic, homeopathy, naturopathy system of medicine, medicinal plants and organic products prepared by Home Science students. v Lectures by eminent expert and clinicians on concepts and applications of dimensions of health and awareness regarding adolescence concerns. Inter-school Competitions to create awareness regarding health. v Exhibitions and sale of books and publications, food supplements and eco-friendly products, fitness products and knowledge regarding health insurance. v A Primary Health Unit, adulteration tests and experiments conducted under DNA club presented by science students. Prepa ra tion: 138 Preparation was the key to successfully organizing and conducting the health exhibition. Preparation, discussions and meetings were started in the beginning of the academic year. The health exhibition was named as NIROG DHAM. The date for conducting the exhibition was decided well in advance and was incorporated in the school calendar. Pamphlets and advertisements were designed to attract the health agencies to participate the exhibition. 1. The Hospitals and other healthcare institutes were contacted and were asked to participate in the exhibition. The Different indicators of health were taken by each hospital to impart different health check-ups. 2. The Home Science faculty was responsible to collect the recipes of different organic product of amla like chutney, murabba, candy and supari. The Home Science students prepared different products under the supervision of Home Science teachers. 3. The super specialist doctors of different fields were approached to give review regarding various health concerning problems. Expressions India also took keen interest in conducting work shops on Parent Advocacy and different Adolescence issues. 4. The school librarian contacted different publishers to display magazines, books and other material related to healthcare in the exhibition. 5. The Science faculty was responsible for training the students to handle different medical emergencies. The different science models and displays were prepared by the children under the supervision of science teachers. The DNA club presentation also showcased different activities, field trips and experiments conducted through out the academic year. The Process: On the Hea lth Exhibition Da y: One could hardly recognize the school on the D-day. With more than 2000 people gathered, the entire school building was converted into a health catering institute, as the name symbolized NIROG DHAM. The school ground was covered with bright shamiana, numerous colorfully dressed people; the atmosphere was no less than that during a village jathre (fair) bustling with activity. The hustle and bustle began at around 9"00 a.m. The class rooms were nicely decked up with bright canopies. Each classroom had two stalls. On the whole 36 health catering institutes participated in the health exhibition. 12 organizations were for check-ups, 8 organizations were for Ayurveda, naturopathy and homeopathy consultancy, 4 organizations for books and publishers, 2 for medical insurance and 1 for medicinal plants. At the entrance was a registration desk where children noted the names of visitors. Here each visitor was handed a printed list of institutions participating and feedback form to indicate the grade obtained by him/her after visiting each of the stall. 139 People gathered in large numbers around each stalls and it was amazing to observe the children working as a team. The children were totally in charge of the stalls and hence communicated freely and made independent decisions. Word of mouth was a strong force in drawing people to the exhibition. People who first came and visited the exhibition must have gone back home and told their friends and neighbours that this was an event not to be missed. Bud get: The expenses of the exhibition were minimal especially considering the wide spread participation of the people. Care was taken to minimize expenses by using in-house expenses. Props and the decorating material- to decorate the entire school building were prepared by art & craft faculty. The infrastructure i.e. chairs, beds (PHC), bulletin boards, display boards were all in house. Banners and the instructional material were prepared by the teachers. Food was in issue that was discussed at length. Ultimately it was decided that two times tea/coffee from vending machine should be served to the participants while the doctors who came for the health check ups could be served with lunch. The cost of shamianas was saved as the entire event was held in the building. However the competition were held in the playground, hence required few shamianas. The table below gives detail of the approximate expenditure towards organizing the exhibition. Expenditure for Health Exhibition (Approx) S.No. Items Amount (Rs.) Remarks 1. Props 1000 In house 2. Stationary 1000 3. Registration Forms/Feedback 500 Forms 4. Shamiana (only for 3000 competitions,outside) Can be avoided by using the school space more creatively and mobilizing the school resources. 140 5. Banners & art work 1000 6. Food 1000 7. Miscellaneous 1000 Total 8500 Approximately Pa rticipa tion of Peop le in the Exhibition: Particulars Number Children (SPS) 1500 Children (Other Schools) 500 Teachers 300 Community Members 500 Total 2800 Outcom e an d Impact: About 1800 parents & students got their health check ups done from the reputed v hospitals from Gurgaon and Delhi region in the school. The Students, Teachers and the Parents were made aware regarding the different v alternative medicines. The products prepared by Home Science students were appreciated to a great extent. The event provided a space for children to act independently with immense self v confidence, as the students projected their models & displays. The Primary Health Centre Unit involved a lot of group dynamics. Lectures by eminent experts helped the students and community to gain insight v regarding childhood related problems like diabetes, Asthma and different adolescence concerns like HIV/AIDS, substance abuse etc. Sale & Display on books inspired the students and parents to be aware about health v education and the latest finding in this stream. 141 Appendix-3 Plan of the Yea r - Medica l 2009-2010 Activities Month Date April 6th, 7th, & 8th May Important Days Tentative Plan Details World Healthy Day (7th) -Healthy Tiffin Competition for o Montessori o Primary -To be coordinated by primary wing -Yoga & Meditation o Middle o Senior -Art of Living/Physical Education Department 22nd World Earth Day (22nd) -Presentation on Global Warming o Primary oSenior -Power point presentation by Medical Faculty 9th (on PTM) World Asthma Day (3rd) -Health Talk on Asthma for parents -By expert/School Doctor No Tobacco Day (31st) -Inter-house quiz Competition -Students to be given literature before hand to prepare World Populatin Day (11th) -Skit -Skit in the assembly to be coordinated by Music/Dance Faculty 13th, July 8th August 11th, Dengue Prevention Day (10th) -Banner/Rally-On Cleanliness -To be prepare by the students of Class VII & IX 20th World Mosquito Day (20th) -Inspection by the Students September 1st to 7th 22nd -Criteria to be provided by the Medical faculty -Selection Criteria by the World Nutrition Week (1st to -Quiz with Wellness Club -Self made Nutritious recipe medical, counseling & home 7th) competition/ science faculty -Talk by the class XI Home science students on nutrition related issues World Alzheimer's Day (21st) -Question Answer Session -In the assembly October 10th (Open Day) World Sight Day (12th) -Eye Check up by Venu Eye Institute -For Staff, Students & Parents November 10th & 11th World Diabetic Day (14th) -Blood Sugar Check Up for Obese and Children having Family History of Diabetes -Criteria Medical Records December 1st World AIDS Day (1st) -Red Ribbon Distribution for Senior Student -To be distributed to the students of class XI & XII in their respective classes January 13th Laughter Day (13th) -Jokes session by class XI students in the assembly -To be coordinated by senior teachers 16th -No Smoking Day (13th) -Poster Making Competition -For classes VI to IX February March 142 Appendix-4 STUDENT'S MEDICAL RECORD (To be filled by the parent on the first day of the session) 1. Specific ailments suffered in the past: __________________________________________________________________ 2. Operations undergone in the past, if any specify: __________________________________________________________________ 3. Allergies, if any: __________________________________________________________________ 4. Is the child on any regular medication? If so, give details: __________________________________________________________________ __________________________________________________________________ Lea ve /Absen ce (on m edica l groun ds) 1. A student who has been sick should bring a medical & fitness certificate from the doctor on rejoining the school after illness. 2. The parents should fill in the reason for the absence of the child from the school in the 'Record of Absence" given in the Almanac or fill the Leave Application From available at the reception. 3. Students suffering from the following disease must observe the prescribed period of quarantine before returning to the school :(a) Conjunctivitis Till full recovery (b) Measles Two weeks after the rash disappears (c) Mumps 7 to 10 days after the swelling subsides (d) Chicken Pox Two weeks after the onset of lesions (e) Jaundice Six weeks after recovery 143 Appendix-5 Experien ce Sha rin g By The Peer Tra in ers Initial Impressions We got the chance to meet students from various schools and realized that they were v not much different from us. i.e. they had similar interests, queries etc. chance to meet students from various schools and realized that they were not much different from us. i.e. they had similar interests, queries etc. We got a platform to voice our opinions and felt that sharing our thoughts was easier v in this group. Rather, a variety of opinion was encouraged. What we learnt We learnt that the issues, which bothered us, were actually important and needed v appropriate handling. Concepts of Life Skills were introduced, which appeared timeless and ageless. v The workshop on Anger and stress helped to understand how different people react to v same situation differently. Learnt more about deadly disease (AIDS/HIV), its diagnosis and prevention. v At an age when many of us differ in opinions with our family, we learnt the various v effective ways to cope up with situations in the workshop on Family Relations and Bonding. During the session in our school, we got a chance to know our peers better though they v have studied with us for many years. What we did about it We conducted the workshop on 'Introduction to Life Skills' in our school v It was conducted on the basis of the initiation session. v We divided the students in to 10 groups and gave each of them a thought provoking v task based on different life skills. For example, Creative Thinking - Forming a unique prefectorial board; Coping with v stress and emotions - Role play on dealing with a bully. Each group was asked to make a presentation; followed by a group discussion. v Finally the significance of life skills was discussed and feedback taken. v Our Future Plan s We plan to conduct these workshops for classes IX to XII and form a rapport of being v friendly peers. With the help of our counselor want to develop a Peer Mentor Club so that no needy v student suffers silently and has someone to share and discuss. We, the Peer Trainers and our Counsellor, thank the team of EXPRESSIONS and v especially Dr. Jitendra Nagpal for this learning experience. Bal Bharati Public School, Brij Vihar, Ghaziabad. 144 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI-110092. ACAD/EO/2006 Dated : 31.5.2006 Circular No. 09 All the Heads of the institutions affiliated to CBSE. Subject: Comprehensive School Health Programme and Creating Health Club in the school. Dear Principal, Childhood and adolescence form the most joyful period of an individual’s life. They are times of immense creative energy, self-discovery and exploration of the world. They can also be fraught with feelings of isolation, loneliness and confusion. They can be due to various factors relating to the physical, social, emotional, mental and spiritual well being of the younger generation. Schools, families and communities need to play a positive and responsible role in bringing up young children in a healthy environment which would enable each one to maximize their potential. Schools can provide dynamic settings for promoting health, for enabling children to grow and mature into healthy adults. Yet the potential of the school to enhance health is often underutilized. ‘School Health’ has largely remained confined to medical check-ups of children or some hours of health instruction in the curriculum. There is a growing recognition that the health and psycho-social wellbeing of children and youth is of fundamental value and the schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Although schools have undertaken many initiatives in promoting school health, the comprehensiveness and sustainability in these initiatives is not clearly laid out. The need of the hour is a comprehensive school health policy integrated within the school system. The Central Board of Secondary Education suggests that schools plan out a Comprehensive School Health Programme which could be initiated through HEALTH CLUB in each school to begin with. Need For Creating Health Clubs in Schools Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. Health and Wellness Clubs in Schools would focus on the overall well being comprising emotional, social and mental health of the child. It would act as the enabling and organizational point for conducting activities related to various dimensions of health and wellness. A Health Card needs to be created for students which would form a continuous part of their growth and development. This could form an effective monitoring and feedback system for the overall health of a child during his schooling. …………………/-2- 145 Constitution of a Health Club Principal as Convener Counselor / Psychologist / P. T Teacher / Nodal Teacher as Secretary Student representative (one boy and one girl from each level) Identified teachers from each level Parent for each level (preferably a doctor) Responsibilities of the Health Club As an organizer of all health relevant activities (at least 8-10 activities in the year at each level). As a Resource Centre for the overall well being of students Objectives of the Health Club To create Health Cards for each student To create a health newspaper at least twice a year/poster competition related to health issues To conduct surveys on health related concerns To organize ‘health walks’ as part of social campaigns To organize health fairs and immunization projects To tap the local resources in the community to arrange health talks To render service in any area affected by a disaster or a calamity To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding sexual and reproductive health To teach the students techniques of yoga and meditation from an early age To inculcate in the students healthy and positive ways of living To teach health songs on various health topics Celebration of important days (World Health Day – April 7) Creating awareness regarding ‘World No Tobacco Day’ (May 31), ‘World AIDS Day’ (December 1) etc. The Board is suggesting a plethora of activities in Annexure A for various levels which can be conducted as part of co-curricular inputs during the calendar year. The activities mentioned here are recommended as pointers and many more can be added as per local needs and requirement. The Board is also in the process of preparing a Manual on a Comprehensive School Health Program which will be available shortly. Any further suggestions on this issue are always welcome. Yours sincerely (VINEET JOSHI) SECRETARY Encl : Annexure A 146 Annexure A COMPREHENSIVE SCHOOL HEALTH PROGRAM Suggested Activities for promoting Health in School I – IV Module 1 Know yourself Yoga and Meditation Drawing a Picture of oneself Pasting a Photograph Palm Printing / Foot Printing Rythmic Exercises Poem / Rhymes / Recitation Role Play on Body Parts Matching of Flash Cards Self awareness / Diary Sensitivity based Theater Check up by Doctors/ Dentists Health Card Counselling Ten Sentences on oneself Physical/ Social/Society Likes and dislikes My list of favourites Any other….. Yoga & Meditation Assembly themes Tapping resources from neighbour-hood / community for health, hygiene & personality Introspection diary Survey of eating joints for their nutritive content Health Card Any other V-VIII Yoga and Meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. Health Card Any other Module 2 Food and Nutrition Collection of Pictures of nutritive/junk food Class Party and discussion on food items Dietary charts for the week Jigsaw Puzzle presentation Four Corners Power point Presentations Mandatory to bring one nutritive item Research on food items – balanced items Mothers’ recipe book Any other Nutritive Recipe competition Orientation program for Parents and Students on good food habits A PMI (plus, minus and interesting) on generally observed health problems Survey based on balanced diet of different regions / communities Any other 147 IX-XII Yoga and meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. Health Card Any other Extempore Debate Slogan writing Theatre Collage making Panel Discussion Any other I – IV Module 3 Hygiene Tick mark of self check-list Presentation Value based assemblies Shramdaan (cleaning up of your class at the end of the day) Picking up wrappers/ foils etc after the break Creating shramdaan clubs Green brigade clubs Posters Outdoor excursions (Speed, stamina, strength) V-VIII Board Displays Research Projects Skits Eco-clubs Celebrating Environment Friendly Days Preparing Recycled Paper Visiting a Heritage Site Any other IX-XII Resource persons fromNGO’s Panel Discussion Planting Eco-clubs Planting Sapling and Trees Rain Water Harvesting No Polybag Zone Adopting a National Heritage Spot Module 4 Physical fitness Module 5 Safety Measures -Fire Accidents, Emergencies Warming up exercises before the beginning of each physical education period Pranayam Yoga Physical education periods a must for all schools/all classes Drills/aerobics followed by presentations at the end of every month Skill based programmes-camps March/run for health Any other Extempore dialogue delivery Ground rules preparation in classes Safety activities-sports field/ activity period (to be made by students) Travelling independently (phone numbers/ residential numbers) Learning to Communicate problems-Circle time) Campaigns Vigilance Committee Evacuation Skills Competitive Sports Team building adventure treks Leadership camps Health Walks for social issues Swimming Any other Transport drill Sports Day First Aid Showing Movies on fire safety drill Bravery Award Research based Projects Sexual Health Education issues related to Gender Sensitivity 148 Inter House Competitions based on Aerobics / Yoga / Gymnastics Team building Leadership Camps Running for a Cause Any other Fire Brigade Demonstration Disaster Management Self – defence techniques Traffic rules Theatre-visit to Rehabilitation Centre Sensitization Programmes on Substance Abuse Interpersonal relationships Parental Sessions Laboratory Safety drill I – IV Module 3 Behavioural and Life Skills Consequence games Learning to say “NO” Think pair share Handling peer pressure Identification of good touch and bad touch V-VIII Learning to say no Mentoring Interactive Bulletin Board Quiz Contest Poster making / Painting Competition Group Games on Adolescent issues 149 IX-XII Handling Peer Pressure Question Box Activity Situation Analysis and Case Studies of sensitive issues Peace March to mark a social event or issue Panel Discussion with Eminent Psychologists] Guest Speakers from the experts (Doctor) Visit to a rehabilitation centre CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/CIRCULAR/2007 14th March,2007 Circular No. 17 All Heads of Institutions Affiliated to CBSE. Subject : Importance of Nutrition for Bone Health. Dear Principal, Bone Health is a neglected area and has resulted in various problems both for adults and young children. The major causes for the poor bone health in India are genetic predisposition, lower bone mineral density due to deficiency of calcium and vitamin D, inadequate exposure of body surface area to direct sunshine even though the country has plenty of sunshine throughout the year, clothing pattern, relatively pigmented skin, poor diet, lack of availability of foods fortified with essential vitamins and minerals and lack of physical activity. Childhood and adolescence is the time when bones are beginning to be modeled until around the age of 30 when peak bone mass is achieved. Diet in the modeling phase is extremely important. A critical element that helps absorb deposition of dietary calcium into bone mass is vitamin D. Deficiency of vitamin D is one of major contributory factor responsible for lower bone mineral density (BMD). A related bone problem is flurosis. It is prevalent in 17 States and has affected 66 million people including about 6 million children below the age of 14. It results from consuming ground water with excessive fluoride leading to bone disorders. Inadequate exposure of body surface area to direct sunshine, clothing pattern, relatively pigmented skin, environmental pollution, faulty housing architecture which does not allow enough sunshine, poor diet and lack of required food fortification, are among the major factors responsible for compromised bone health. It is important to pay attention to bone health right for childhood. It is in this regard, schools may be advised to take steps regarding the following aspects : 1. Schools should promote outdoor physical activity after 9.00 a.m. and before 4.00 p.m. for adequate exposure to sunshine. Sunshine is the most important source of vitamin D. Vitamin. D helps absorption of calcium. The main source of vitamin D is the exposure to sunlight. Exposure of legs and arms to sunlight for about 25 minutes between 9 AM and 4 PM is adequate. Physical activity at all ages, particularly weight bearing activity, is important for bone health. It also reduces the risk of falling by strengthening muscles and maintaining balance. Calcium is critical for sound bone health. Foods containing calcium like milk, leafy green vegetables, etc. should be a part of the normal daily diet. 150 3. During the educational programs, schools should emphasis the importance of calcium and vitamin D and thus the schools play a crucial role in creating awareness on such vital issues by sharing this message with the entire student community as well as the parents. With regards, Yours sincerely (C.GURUMURTHY) DIRECTOR(ACADEMICS) Copy to : 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18, Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791111. 7. The Director of Education, Govt. of A & N Islands, Port Blair-744101. 8. The Secretary, Central Tibetan School Administration, Sector 5, Rohini, Delhi-110085. 9. All the Regional Officers of CBSE. (C.GURUMURTHY) 151 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI - 110092 NO. CBSE/ACAD/HELATH/2007 20th June,2007 Circular No. 29 All the Heads of the institutions affiliated to CBSE Subject : Comprehensive School Health Programme : Dear Principals, The Central Board of Scondary Education in continuation of its Circular No. 09 dated 31.5.2006 regarding Comprehensive School Health Programme and creating Health Club in school would like to reiterate and create awareness about the following issues : 1. School must have by now intiated the creation the creation of Health Clubs to implement the Comprehensive School Health Programme. i) ii) iii) 2. Health and Wellnesss Clubs in schools need to focus on over all well being comprising mental and social health of the child. These would act as nodal centres for creating an enabling environment in the school to ensure an ambience of wellness and fostering reventive health care. The Constitution, responsibilities and objectives of a Health Club have already been stated in the previous circular. Activities for promoting health and wellness in schools have also been stated in the circular. Comprehensive School Health Manual The Comprehensive School Health Manual addressed a basic gap in schooling that has crept in over the years. The is largely to do with the aspect of school health which has somehow been relegated to sporadic health check ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health. The School Health Policy and now the Manual proposes to view health holistically, utilize all educational opportunities for health promotion including formal and informal aproaches in curriculum and pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behaviour, ensuring physical fitness activities and sports, providing nutritous snacks in the school canteen, ensuring access to primary health care services, providing emergency care for illness or injury, providing counselling services and integrated family and community activities and staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in the circular issued to all schools regarding setting up of Health Clubs. Comprehensive School Health Manual will be available to all schools by August 2007. 3. Health Websites : The Ministry of Health and Family Welfare (MOHFW), Government of India has commissioned a website on Health Living (www.healthy-india.org) to address the concerns in India on the lifestyle preventable diseases. 152 The a) b) c) d) e) f) objectives of the website are : to harmonize the burden of preventable chronic diseases in the country by creating awareness to bring in the need for a healthy lifestyle to create Agents of Change among school children with regard to health issues to encourage the setting up of a health fostering school to create awareness regarding canteens as social responsible outlets which inculate healthy eating behaviours to ensure that there is enough emphasis on physical activity in schools and on enjoyment of this physical activity. The website has been so designed that it is user - friendly and containg a number of dynamic sections for interative sessions. As India advances economically and gains greater control over traditional health threats, diseases related to distorted lifestyles and unhealthy living habits are rapidly growing as major public health problems. Imbalanced diet, physical inactivity, tobacco consumption and alcohol abuse are leading to many Indians suffering from diabetes, heart disease, cancer and lung disease. Many of these diseases are preventable. Such preventive efforts are best started in childhood and in schooling years. Armed with appropriate health information people can protect and promote their personal health and families can create healthy living conditions for individuals of all ages. Schools and colleges are important stakeholders in disseminating healthy lifestyle information to children and youth. Healthy India endeavours to advance consciousness of disease prevention opprtunities, encourage earlier detection and treatment of chronic diseases and foster healthy living through information and resources on healthy lifestyle viz. Healthy Diet; Physical Activity; Dealing with Tobacoo and Alcohol related health problems; Yoga Stress Management; Diabetes; Cancers; Heart Attacks and Strokes. We would request you to encourage students, teachers and staff to adopt healthy life style practices suggested in this useful site (www.healthy-india.org) and practice the provided advise therein. Yours Sincerely (VINEET JOSHI) SECRETARY 153 Copy to : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat Sector-9 Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Officers, KVS 10 All Education Officers and Asstt. Education Officers, CBSE 11 E.O. to Chairman CBSE 12 P.A. to Director (Academic) CBSE (VINEET JOSHI) SECRETARY 154 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/HEALTH MANUAL/2008 24th June,2008 Circular No. 27/08 All the Heads of the institutions affiliated to CBSE. Subject : Comprehensive School Health Programme and Release of School Health Manuals in four Volumes. Dear Principal, Children are the greatest asset of a country and those in school have a right to a happy and healthy life within the school environment as well as at home. Investment in the health of children is an investment in the future of the nation. It is essential to build on the components of knowledge relating to health and nutrition, develop healthy attitudes and enhance Life Skills to overcome the multiple health concerns affecting school going children both in the urban and remote areas of the country. This is further to our circulars (No. 09 dated 31.5.2006 and No. 29 dated 20.6.2007) on Comprehensive School Health Programme in which the Board has requested schools to set up `Health Clubs' in order to implement the Comprehensive School Health Programme. It is heartening to note that some of the schools affiliated with the board have responded positively in this regard. Comprehensive School Health Programme and Health Manuals : The objectives of the School Health Club as mentioned in the earlier circular are also being reiterated: • To create Health Cards for each student • To create a health newspaper at least twice a year / poster competition related to health issues • To conduct surveys on health related concerns • To organize ` health walks' as part of social campaigns • To organize health fairs and immunization projects • To tap the local resources in the community to arrange health talks • To render service in any area affected by a disaster or a calamity • To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding adolescent health • To teach the students techniques of yoga and meditation from an early age • To inculcate in the students healthy and positive ways of living • To teach health songs on various health topics ……………../- • Celebration of important days (World Health Day - April 7) • Creating awareness regarding `World No Tobacco Day' (May 31), `World AIDS Day (December 1) etc. 155 Health Manuals : The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. School Health has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It was imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and now the Manuals propose to view health holistically, utilize all educational opportunities for health promotion including formal and informal approaches in curriculum pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behavior, ensuring physical fitness activities and sports, providing nutrituous snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill. There are four Manuals in this package. The first Manual-Vol I is addressed to all stakeholders concerned with school health. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consist of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VI-VIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal and Environmental Hygiene, Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objectives of the modules and activities is to focus on the different aspects of growth and age appropriate development of the child. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will carry on the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help to empower them to construct knowledge for themselves in a classroom or out of the class setting. ……………../The graded activities provided in the manual follow outcome based approach to learning, teaching and assessment. They are positive in attitude and stress on developing health promoting habits from an early age which emphasizes the concept of learning throughout life. For the success of the school health programme it has to be developed and implemented by a strong indigenous group committed teachers under the guidance of the dynamic head of the organization as well as a committed management. A special feature of this development would be a cooperative, caring and concerned atmosphere which it is hoped will be the key note of the school learning environment while implementing the programme. The integration of school and community efforts should be related where the school is regarded as a social unit providing a focal point from which the school may reach out to the family, to the local community and to the community at large as a whole which in turn may support the efforts of the school. 156 It is hoped that the Health Manuals will foster the need to provide for a healthy environment for each child studying in a school and in that sense the CBSE Comprehensive School Health Program is dedicated to all children. The Health Clubs can be used to conduct the activities which are detailed in the School Health Manuals in four Volumes being released to all the schools. One set of the four volumes is being sent to all schools free of cost, however, for additional volumes the school will have to make a request as these will be priced documents. These will be available from the Stores, CBSE, 17 Institutional Area, Rouse Avenue, New Delhi as well as from the Regional Offices. (VINEET JOSHI) SECRETARY Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar-791111. ……………../- 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic) CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 157 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/EO(L)/ACAD/2008 1st Sept.,2008 Circular No. 33/08 All the Heads of the institutions affiliated to CBSE. Subject : Creating a Healthy School Environment Dear Principal, One of the lofty aims of education is to shape young individuals into caring, thinking sensitive and value enriched citizens of the country. These are achievable when the schools provide a nurturing environment and create a value based climate within the school. The schools affiliated to CBSE are seen as powerful resources of Human Resource Development. This is possible and can be ensured only if the schools themselves are convinced of the positive benefits of a value enriched environment. The conflicting role models thrown up by the social context as well as the explosion of media often result in giving out ambiguous signals to young minds. It thus becomes even more mandatory that the schools serve as agents of change and transformation by bringing out the best from within each child. The inspiration, motivation and upliftment of spirit should go hand in glove with transaction of academic knowledge. The Central Board of Secondary Education has received feedback about certain schools where the school authorities forcibly keep the children back in Classes IX & XI under various pretexts. This has been viewed very seriously. The Board requires all heads of institutions to reflect on the long term objectives of imparting holistic education in schools. It is impossible to create vibrance and a joyful and friendly learning ambience to ensure there is collaborative synergy between learners, teachers, heads of the institutions, parents and the management of the school. Unless the heads of schools realize their own responsibility towards all these stakeholders there will be a serious backlash from all these quarters. Cases of indiscipline, rowydism, bullying, smoking and other kinds of drug abuse in some institutions have also been reported to which a blind eye is turned by the school authorities. The Adolescence Education Programme and the Life Skills ……………./Programme as well as the Comprehensive School Health Programme advocated by the Board focuses on the growing concerns of adolescence which need to be addressed with an urgency and immediacy and unless stringent action is taken at the right point of time in collaboration with the parents of the adolescents it may become a matter of serious concern. Life Skills Education is an excellent tool for bringing about positive behavioural changes in individuals. It is essential that all stakeholders involved in imparting value based education within the school environment should come together to find an answer to some of these areas that ultimately concern all of us. This may be brought to the notice of all teachers, students and parents through staff meetings / assembly meetings, circulars and advisory issued and reinforced from time to time. Yours sincerely (VINEET JOSHI) SECRETARY 158 Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. ………………./- 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic), CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 159 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/CSHP/2008 6th Nov.,2008 Circular No. 49 All the Heads of the institutions affiliated to CBSE. Subject: Follow up on Comprehensive School Health Programme. Dear Principal, The Central Board of Secondary Education has recommended the setting up Health and Wellness Clubs and launched the four manuals in the package of Comprehensive School Health Manuals (vide circular no. 27 dated 24th June, 2008). We hope that you have received the following four volumes of the Comprehensive School Health Manuals : 1. Comprehensive School Health Teachers Activity Manual Volume I 2. Teacher's Manual for Classes I-V 3. Teachers' Activity Manual for Classes VI-VIII 4. Teachers' Activity Manual for Classes IX - XII In continuation of the above the Board would like to bring to you an advisory on some of the components related to health such as Physical Fitness, Substance Abuse and Emotional Concerns. 1. Physical Fitness : a. There should be at least 30 minutes of Physical Activities or games with maximum health benefits for Classes I-VIII everyday. a. For Classes IX - XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least 2 periods per week (90120 min / week). b. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation & breathing exercises / Yoga). c. Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can use. d. Too much of time being spent by children at house in watching TV or playing computer games needs to be carefully monitored by the parents. An advisory can be sent by schools to parents and reinforced in the beginning of every term. e. Parental Awareness Programmes regarding Adolescent concerns including the above may be held at regular intervals by the schools. 160 2. Eating Habits and Diet: School canteens should provide healthy snacks which can be monitored by the Health Clubs of the schools. Doctors / Nutritional Experts/ dieticians / Counsellors / Nurses/ Home Science Department may be involved in designing the recipes for the menu (healthy, nutritious, wholesome) and monitoring quality of the food items. Junk / fast food needs to be replaced completely with healthy snacks. Carbonated and aerated beverages may be replaced by juices and diary products (Lassi, Chach, Flavored milk etc.) 3. Substance Abuse : Passive smoking is as harmful as indulging in active tobacco use. Awareness regarding the hazardous effects of passive smoking need to be created among the students and this may also be a part of the Parental Awareness Programmes. Awareness on recent laws enacted on prohibition of Tobacco products in public places needs to be created among students. Heads of Institutes should ensure that no Tobacco products should be sold either by minor or by major children in the vicinity of the educational institutes. Regular vigilance against smoking at home and school needs to be emphasized. The matter can be discussed in PTA meetings with parents. Project work on Substance / Tobacco abuse may be assigned to students as part of school assignment across disciplines and `No Tobacco Week' may be celebrated in school. A substance abuse control committee at school level involving PTA member's local leaders and students may also be initiated. Value Education and Value Enhanced Life Skills should form a part of the larger curriculum plus activities in the schools. Schools should also be able to integrate unstructured programmes on Value Education through their Literary Clubs, Health Clubs and Eco Clubs. 4. Emotional Health: There is a need for Value Education aided Conceptual Framework of Life Skills related to values for sensitizing teachers and learners to the Universal Skills such as Thinking Skills (Creative and Critical Thinking, Self Awareness, Problem Solving, Decision Making), Social Skills (Interpersonal Relationships, Effective Communication, Empathy) and Emotional Skills (Managing feeling / Emotions, Coping with Stress). Yours sincerely (DR.SADHANA PARASHAR) EDUCATION OFFICER(L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 161 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair- 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD(AIEEE), CBSE 19. PRO, CBSE EDUCATION OFFICER(L) 162 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/CM/ 2008 Dated: 11.11.2008 Circular No. 51/08 All Heads of Institutions Affiliated to the Board Subject: Safety in School Science Laboratories Dear Principal, Science laboratories are essential and critical component in Science education. All students study Science as a compulsory subject upto grade X and a significant percentage of them continue studying Physics, Chemistry, Biology, BioTechnology, Home Science etc. at senior secondary level. This requires conduct of regular practical work and use of variety of equipment, instruments, gadgets, materials, chemicals, glassware etc. It is of utmost importance that in order to ensure safety of students working in Science laboratories, every essential precaution is taken well in advance. It is not uncommon to observe that in many cases, the essential safety measures are either not given much attention or are ignored altogether. Gas fittings in chemistry laboratory often do not fulfil the mandatory standards and requirements. Chemical are, in many cases, not stored in safe manner and kept under safe custody. It is also observed that exhaust fans are sometimes not provided in chemistry laboratory. Mandatory items such as laboratory coats, goggles and gloves are not used while doing experimental work. Electrical fittings are at times done with sub-standard materials and components. Laboratories are not located with easy and open exits. Fire extinguishers are not installed at desired locations. First aid facilities are inadequate or missing. Medical facilities are also found wanting on many occasions. All such negligent actions may result in dangerous and unfortunate incidents and need to be attended to urgently. In order to ensure safety of students in Science Laboratories, there is an urgent need to look into its different aspects and make the following provisions: • Designing of all science laboratories according to necessary norms and standards. • Two wide doors for unobstructed exits from the laboratory. • Adequate number of fire extinguishers near science laboratories. • Periodical checking of vulnerable points in the laboratories in relation to possibility of any mishappening. • Ensuring gas fittings in Chemistry laboratory fulfilling desired norms and standards. • Periodical checking of electrical fittings/ insulations for replacement and repairs. • Timely and repeated instructions to students for careful handling of chemicals and equipments in the laboratory. • Display of do's and dont's in the laboratory at prominent places. • Safe and secure storage of all chemicals. • • Proper labelling and upkeep of chemicals. Proper safety and protection provisions such as fume hood, goggles and gloves while doing practical work. • Careful supervision of students while doing practical work. • Advance precautionary arrangements to meet any emergency situations. • Conduct of any additional experimental work only under supervision and with due advance permission. 163 • • Availability of First Aid and basic medical facilities in the school. Proper location of the laboratories. The tragic fire incident in a school at Kumbakonam in 2004 is still afresh in which nearly 100 children lost their precious lives. The Board had issued a detailed Circular no. 28/2004 dated 26th July, 2004 asking schools to take all safety measures for meeting adverse situations and ensuring safe custody of children in the school. It is reiterated that all necessary safety measures may be taken and the above guidelines may be discussed in detail with the teachers as well as students for greater awareness and sensitization on safety matters. The Board may depute an expert team to visit your school to find out whether all safety provisions in Science laboratories have been made. With best regards Yours faithfully, (VINEET JOSHI) CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160 017. 5. 6. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim - 737 101. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 9. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE CHAIRMAN 164 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/EO (L)/NUSSA/2009 Dated:24.6.2009 Circular No. 22 All the Heads of the Institutions Affiliated to CBSE. Subject : National Urban School Sanitation Awards 2009 in the context of setting up of `Health and Wellness Clubs and `Eco-Clubs' in schools. Dear Principal, The CBSE in collaboration with the Ministry of Urban Development and GTZ has introduced the `National Initiative on School Sanitation' and the aim is to inculcate good sanitation habits among the school children. The Annual National Urban School Sanitation Awards(NSSUA) has been instituted by Ministry of Urban Development along with German Technical Cooperation (GTZ) and Central Board of Secondary Education CBSE to inspire, acquaint and celebrate excellence in Urban School Sanitation. These Awards are instituted with the purpose of honouring urban schools who are taking significant steps towards effective sanitation and improvement in service delivery leading to behavioral change. The awards are open to all school affiliated to CBSE which include Kendriya Vidyalayas, Jawahar Navodaya Vidyalayas, Government Schools, Private Independent Schools, DAV Schools, CTSA Schools, Army Schools etc. Awards will be given in the following categories which schools can take up as part of Health and Wellness Clubs and Eco-Clubs Awareness Generation leading to Behavioural Change through Students and Community Mobilization Technical Innovation and Interventions Improving Sanitation facilities for the Girl Child Best performing Health and Wellness Clubs Sustainability of the Effort Waste Management and Disposal Water conservation and Waste Water Recycling and its Utilization Conservation of Green Spaces Public Private Partnership Parameters for the Selection 1. Sustainability :Demonstrated success geared towards long term hygiene and safe sanitation. 2. Replicability: Potential for replication of practices and models that have resulted in better service delivery. 3. Safe Hygiene Practices 4. Waste Segregation and Waste Management 5. Awareness Generation Efforts and impact leading to Behavioral Change 6. Water and Sanitation:Tangible Improvements in Service Delivery 165 7. Efforts towards Water Management 8. Innovation: Demonstrated Innovation, Uniqueness and Originality in the use of Ideas, Technology and Resources 9. Dynamism: Activity points scored by participation in various activities as organized from time to time through website; www.schoolsanitation.com Mechanism and Procedures MoUD, CBSE and GTZ have constituted an Advisory Group for deciding on Awards. Initial scrutiny will be done by Committee and then the final hundred entries will be submitted for critical examination and final selection for the Awards by the Advisory Group. The Awards will be in the form of certificates of excellence, mementos, citations, participation in a school sanitation exchange programmes, joint development of pilot projects on zero waste producing concepts with the schools and also special certificates to Principals, teachers and students associated with excellent Health & Wellness Clubs and Eco Clubs. You are requested to disseminate the information to all and participate in this initiative of National importance. You are requested to send in CD-ROM addressed to the Nodal Officer, National Urban School Sanitation Awards 2009 by courier at CBSE, Shiksha Sadan, 4th Floor, Room No. 404. Under no circumstances either projects or models should be sent to the CBSE or GTZ Office. For more information about the National initiative on Urban School Sanitation visit: www.schoolsanitation.com and for further queries, the Academic Branch at CBSE may be contacted at telephone no. 011-23234324 (Dr. Sneha Singh / Syed Shaney Alam) Yours sincerely, (DR.SADHANA PARASHAR) EDUCATION OFFICER (L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdictions: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi 02 The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Offices, KVS 166 10. All Education Officers and Asstt. Education Officers, CBSE 11. Joint Secretary .IT. CBSE 12. E.O. to Chairman CBSE 13. P.A. to Secretary CBSE 14. P.A. to Director (Academic) CBSE 15. P.A. to Controller of Exams. CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD (AIEEE), CBSE Education Officer (L) 167 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 (An autonomous Organisation under the Union Ministry of Human Resource Development, Govt.of India). ‘Shiksha Sadan’, 17, Institutional Area, Rouse Avenue, New Delhi -110002 CBSE/ACAD/HEALTH/2010 July 28,2010 Circular No. 38 All the Heads of Independent Schools Affiliated to the CBSE Subject: Observation of International Day against Drug Abuse and Illicit Trafficking on 26th June, 2010. Dear Principals, As you are aware that each year 26th June is observed as the International Day against Drug Abuse and Illicit Trafficking. Kindly refer to our earlier circular no.18 dated June19, 2009 whereby all schools affiliated to CBSE had been asked to observe the day in a befitting manner by organizing activities like awareness campaigns, conducting seminars and workshops and holding exhibitions etc. You are hereby requested to send a report on the specific activities conducted in your school on this occassion such as debates, elocution, essay writing, poster making competition and other suitable extra curricular activities. Yours Sincerely ( C.Gurumurthy) Director (Academic) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim – 737 101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESS ESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 9. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the 168 affiliated schools of the Board in their respective regions. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE ( C.Gurumurthy) Director (Academic) 169 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/Sports/2010-2011 Dated: 27.10.2010 Circular No. 71 All the Heads of the Institutions Affiliated to CBSE Subject: Physical Education & Sports in Schools – reg.. Dear Principal, Schools are dynamic settings for promoting health and wellness through various correlated areas such as Physical Education and Sports as well as through Health and Wellness Clubs. There is a growing awareness that the health and psycho-social well-being of young children is of paramount importance and schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. The CBSE through its various advisories (Circular No. 09 dated 31.5.2006, Circular No. 29 dated 20th June, 2007, Circular No. 27/08 dated 24th June, 2008, Circular No. 49 dated 6th Nov., 2008 and Circular No. 57 dated 20.11.2009) has directed schools to set up Health and Wellness Clubs which can be used to conduct the activities which are detailed in the School Health Manuals in four volumes already released to all the schools. It is well established that participation in Physical Education & Sports activities is highly beneficial to one’s health and it leads to improved performance by students in schools, in addition to helping them in developing many life skills. Children lead happier lives as a result of being actively involved in sporting activities and it has long been established that fitness and improved academics performance go hand in hand. Physical Education and Sports activities during the school hours reduce boredom and help keep students attentive in the classrooms. Keeping in view the above, the Central Board of Secondary Education has time and again recommended for providing compulsory time schedule for Physical Education & Sports activities for the students of all classes. The Board is of the firm opinion that the Physical Education & Sports programs teach important conflict resolution skills including team work, fair play and communication leading to reduced violent behaviour among children. Further, children who participate in Physical Education & Sports develop a positive attitude towards their every day life activities. In the above background, it is advised that the following in respect of the Physical Education & Sports may be strictly adhered to: a. b. There should be at least 40-45 minutes of Physical Activities or Games period for Classes I-X everyday. For Classes XI – XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least two periods per week 170 (90-120 min / week). c. d. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation / Yoga & Asanas). Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can have. As part of Continuous and Comprehensive Evaluation the students will be assessed on participation and performance in by choosing any two activities from the 13 activities given for Classes VI-VIII and 08 activities given for Classes IX-X. It is earnestly hoped that all schools will follow these directives to ensure that all students draw maximum health benefit in terms of physical fitness and team building as well as collaborative skills. This may be brought to the notice of all teachers, students and parents. Yours sincerely VINEET JOSHI CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 05 06 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD (AIEEE), CBSE 19. PRO, CBSE CHAIRMAN 171 Sunday, December 27, 2009 12:59 PM Unfiled Notes Page 1 Unfiled Notes Page 2 Unfiled Notes Page 3 Unfiled Notes Page 4 Unfiled Notes Page 5 Unfiled Notes Page 6 Unfiled Notes Page 7 Unfiled Notes Page 8 Unfiled Notes Page 9 Unfiled Notes Page 10 Unfiled Notes Page 11 Unfiled Notes Page 12 Unfiled Notes Page 13 Unfiled Notes Page 14 Unfiled Notes Page 15 Unfiled Notes Page 16 Unfiled Notes Page 17 Unfiled Notes Page 18 Unfiled Notes Page 19 Teacher's Activity Manual for Classes I - V) Revised School Health Manual (Teacher's Manual for Classes I - V) VOL. II Revised School Health Manual, Vol-II for classes I-V PRICE : Rs. 100/- EDITION : December, 2010 © CBSE, India COPIES : 5000 No part of this publication may be reproduced , stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical photocopying, recording or otherwise without the prior permission of the publisher. PUBLISHED BY : The Secretary, Central Board of Secondary Education, Shiksha Kendra, 2, Community Centre, Preet Vihar, Delhi - 110092. DESIGN, LAYOUT & ILLUSTRATIONS BY : Multi Graphics, 5745/81, Reghar Pura, Karol Bagh, New Delhi - 110005 Phone : 25783846 PRINTED BY : Preface Childhood and the age of adolescence are perhaps the most momentous periods in an individual’s journey of life. They are characterized by creative bursts of energy, immense curiosity about the self and the world, sudden changes in the physical, emotional and social dimensions and expanded need for communication. They are also periods of grappling with an identity crisis, feelings of isolation, anxiety, alienation and confusion. Each individual is unique with inherent positive attributes and latent potential and it is the responsibility of the school to provide opportunities for young talent to blossom and flourish. The biggest killer in the world today is not war, disease or natural calamity. It is life style related diseases. Health is an important component of the concerns regarding adolescent issues. Obesity, lack of physical activity and exercise, mental and emotional stress are major concerns. The experiences gained as children often stay with us throughout life. Therefore there is a need to create health oriented school climate so that appropriate ambience is created which is sensitive to the health needs of school going children and helps to promote their well being. The new millennium schools must provide a setting where in education and health programmes come together to create a health promoting environment which in turn promotes learning. It must constantly strengthen its capacity as a healthy setting for learning and preparing for life. Such schools use its full organization potential to promote health among students, staff, families and community members. Schools need to provide a safe healthy environment which includes safe, clean water and sufficient sanitation facilities, freedom from abuse and violence, a climate of care, trust and respect, social support and mental health promotion. The school can work in the areas of Food and Nutrition, Knowing Your Body, Personal, Environmental Hygiene and Sanitation. Behaviour and Life Skills, Physical Fitness and Being Responsible and Safe. The Manual provides guidelines to all stakeholders including managers, principals, teachers and students. There are activities designed for different levels in the different volumes of the Manual. The first part of the Manual recommends setting up of a Health ans Wellness Club to further carry on these enrichment activities within the school. The ultimate objective of the Manual is to involve the school going child in making healthy life style choices. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. The Comprehensive School Health Manuals are an outcome of the collaborative effort of CBSE along with the guidance provided by WHO India. The Manuals would not have been possible but for the effort and support provided by the material production team. I would also like to thank Dr. Sadhana Parashar, Head (Innovation & Research) and Mr. Pramod Kumar T.K., Asst. Education Officer, CBSE for coordinating and editing the Manual. There are four volumes in the package. The First volume is Introductory and the other three consist of graded activities for each level : Primary, Upper Primary and Secondary as well as Senior Secondary. Any further suggestions for improving the Manuals are always welcome. Vineet Joshi CHAIRMAN Acknowledgements Acknowledgements Advisors: Sh. Vineet Joshi (IAS) Dr. Cherian Varghese Dr. Jitendra Nagpal Dr. Manoj K. Johar Material Production: Dr. Indu Khetrapal Ms. Usha Ram Mrs. Kalpana Kapoor Mrs. Neeta Rastogi Dr. Divya Prasad Chairman, CBSE, Delhi. WHO, India, New Delhi. Expressions India Vimhans, New Delhi. Academy for International Career & Education, New Delhi. Principal, Salwan Public School, Gurgaon, Haryana. Principal, Laxman Public School, Hauz Khas, New Delhi. Principal, Delhi Public School Ghaziabad Vasundhara, Ghaziabad. Principal, Sadhu Vaswani International School, Shanti Niketan, New Delhi. Psychologist, Vimhans, New Delhi. Contributors: Dr. Lalit Modak Head Mistress, Jr. School, DPSG Vasundhara, Ghaziabad. Ms. Mousmi Mahopatra PGT (Chemistry), DPSG Vasundhara, Ghaziabad. Mrs. Seema Banerjee Head of Social Work, Laxman Public School, Hauz Khas, New Delhi. Ms. Dimple Vij, Counsellor Laxman Public School, Hauz Khas, New Delhi. Ms. Neha Sharma Headmistress, Amity International School, Vasundhara. Dr. Manjari Tripathi Associate Professor, Dept. of Neurology, AIIMS, New Delhi. Dr. Sanjeev Bhoi Assistant Professor, Dept. of Emergency Medicine, AIIMS, New Delhi. Jago Teens (NGO) Stray Relief and Animal Welfare (STRAW) Cover Page-Courtesy : Dr. Indu Khetrapal Principal, Salwan Public School, Gurgaon. Art and Layout: Mr. Amitav Bose Photography Club, DPSG Vasundhara, Ghaziabad. Editing: Dr. Sadhana Parashar Mrs. Kalpana Kapoor Mr. Mukesh Kohli Co-ordination: Mr. Pramod Kumar T.K. Ms. Harjot Kaur Dr. Sneha Singh Head (Innovation & Research), CBSE, Delhi. Principal, Delhi Public School Ghaziabad, Vasundhara, Ghaziabad. Reader, Department of Physical Education, Ram Lal Anand College, University of Delhi. Asst.Education Officer, CBSE, Delhi. Consultant, AEP Consultant, AEP H k k j r d k l af o / k u m í sf ' k d k g e ] H k k j r d sy k sx ] H k k j r d k s, d ^ ¹ l E i w. k Zi zH k qR o & l ai U u l e k t o k n h i aF k f u j i s{ k y k sd r a= k k R e d x . k j k T ; º c u k u sd sf y , ] r F k k m l d s l e L r u k x f j d k sa d k s% l k e k f t d ] v k f F k Zd v k Sj j k t u Sf r d U ; k ; ] f o p k j ] v f H k O ; f D r ] f o ' o k l ] / e Z v k Sj m i k l u k d h L o r a= k r k ] i zf r " B k v k Sj v o l j d h l e r k i zk I r d j k u sd sf y , ] r F k k m u l c e sa] O ; f D r d h x f j e k v k Sj ¹ j k " V ªd h , d r k v k Sj v [ k . 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Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "Sovereign Democratic Republic (w.e.f. 3.1.1977) Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "unity of the Nation (w.e.f. 3.1.1977) THE CONSTITUTION OF INDIA Chapter IV A Fundamental Duties ARTICLE 51A Fundamental Duties - It shall be the duty of every citizen of India(a) to abide by the Constitution and respect its ideals and institutions, the National Flag and the National Anthem; (b) to cherish and follow the noble ideals which inspired our national struggle for freedom; (c) to uphold and protect the sovereignty, unity and integrity of India; (d) to defend the country and render national service when called upon to do so; (e) To promote harmony and the spirit of common brotherhood amongst all the people of India transcending religious, linguistic and regional or sectional diversities; to renounce practices derogatory to the dignity of women; (f) to value and preserve the rich heritage of our composite culture; (g) to protect and improve the natural environment including forests, lakes, rivers, wild life and to have compassion for living creatures; (h) to develop the scientific temper, humanism and the spirit of inquiry and reform; (i) to safeguard public property and to abjure violence; (j) to strive towards excellence in all spheres of individual and collective activity so that the nation constantly rises to higher levels of endeavour and achievement. Content Page About the Comprehensive School Health Manuals Page No. i-iv 1. Knowing your Body 1-8 2. Food and Nutrition 9-18 3. Personal Hygiene, Environment & Sanitation 19-28 4. Physical Fitness 29-36 5. Being Resoponsible & Safe 37-44 6. Behaviour and Life Skills 45-54 7. Frequently Asked Questions 55-60 8. Appendices 61-92 About The Comprehen sive School Hea lth Man ua ls The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. This is largely to do with the aspect of school health which has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and the Manual proposes to view health holistically, utilize all the educational opportunities for health promotion including formal and informal approaches in curricular pedagogy. Providing a safe school environment, an activity oriented health education curriculum to prevent health-related risk behavior, ensuring physical fitness activities and sports, providing nutritious snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in a circular issued to all the schools regarding the setting up of Health and Wellness Clubs. There are four Manuals in this package. The first Manual-Volume I is addressed to all stakeholders concerned with school health. A health promoting school strives to provide a healthy environment conducive to students' health, education and school health services along with school/community projects and outreach opportunities for physical education and recreation, social support and mental health promotion. School Health and Wellness Clubs can become the focal point of school health promotion which would encompass the entire school environment and become a school campus activity. A checklist for a Health Promoting School is included so that schools can monitor their own School Health Plan. The responsibilities of the Administrators, Principals, Teachers, Counsellors and Community leaders have also been enlisted. Monitoring, Evaluation and (i) Sustainability of the Health Plan in each school is extremely essential. Fact Sheets regarding a Health Promoting School, focusing resources on Effective School Health and Improving School Performance through health promotion are other areas of concern. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consists of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VIVIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal, Environmental Hygiene and Sanitation Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objective of the modules and activities is to focus on the different aspects of growth and appropriate development of the child. Kn owin g Your Bod y Activities will take the child from knowing body parts and their functions to appreciation of the importance of each body part. This will lead to heightened understanding of the need for correct information regarding growing up processes which will help in creating a well informed individual. Food An d Nutrition Activities focus on the effect of the right food and nutrition intake to generate positive energy and thus influence learning capacity. Variation in geographical location alter or modify nutritional intake. Food can effect energy levels, concentration and learning. Persona l, Activities En viron m en ta l Hygien e an d San ita tion emphasize on the need to ensure that children follow clean and regular habits regarding bath, bowel movement, sleep, oral hygiene, nails and hair. Once personal hygiene becomes a part of the regular system the child will look forward to having a cleaner environment. Sanitation activities have been added in the Revised Manual. (ii) Physica l Fitn ess Activities will help children to maintain fitness, strengthen cardiovascular and respiratory system, keep bones and muscles strong, ease depression, manage pain and stress and above all make one feel alive, vibrant and energetic. Bein g Sa fe An d Respon sible Activities help learners to understand the consequences of risk taking behavior and create a safe environment for themselves and others. This would lead to a better quality of personal life and would enhance positive behaviour towards self and environment. Security and an environment that is physically and emotionally safe is the need of the hour and equipping a child to handle situations that are age appropriate is the task of the school, family and community. Beha viour An d Life Skills Section focuses on bringing about an awareness and in-depth understanding of behavioural issues revolving around a child which will certainly influence his or her academic performance and social development. The module is an attempt to forge clarity for the teachers to facilitate the child's learning progress. The objective of the activities is to highlight self management and infuse skills within the child which will help him or her emerge as an individual who will be well equipped to handle related issues. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The CBSE had also undertaken a Global School Health Survey across different types of schools in various parts of the country. This was to collect data on health behaviours and protective factors that affect the immediate (iii) and long term health status of young children. The results from the survey will help in policy formulation at the local and national level. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will be implemented in the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help learners to empower themselves to acquire knowledge for themselves in a classroom or out of the class setting. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. These include Sports/Indigenous Sports, NCC/NSS, Scouting and Guiding, Swimming, Gymnastics, Yoga, First Aid, Gardening / Shramdaan. Teacher may record observations about the student’s participation over a period of time either in Anecdotal Records or a Portfolio. All students must take up at least two activities to ensure maximum health benefit in terms of physical fitness. The future of young India is being shaped in the schools and it is imperative that all of us take a proactive role in ensuring that healthy and balanced young minds leave school and forge ahead confidently. We wish teachers will find the Manuals useful and enrich them further with their wisdom and experience. It is an investment that each teacher, principal and parent must make to generate and augment creative and protective capacity of young people in school. This will go a long way in creating a sustainable, social, healthy and peaceful society. Dr. SADHANA PARASHAR HEAD (INNOVATION & RESEARCH) (iv) 1 Kn owin g You r Bod y Activity : Awa ren ess Kit BACKGROUND : Awareness is the first step to realization. Knowledge of one's body parts helps in understanding the various changes taking place and those that have already taken place in the child's body so far. The identification of parts and their function helps a child to convey properly if he is facing any discomfort or is unwell physically. METHODOLOGY: The teacher starts the class with positive and specific reinforcement l statements like: “You're doing a good job in drawing that hut!” “Your teeth are sparkling!” “What a nice smile you have!” “You were very graceful in aerobics that day!” “You are a very fast runner. Keep working on your strengths and weaknesses too!” CONCEPT : To know the functions of various parts of one's body. OBJECTIVE : To help in identifying the various parts of the body and to know their functions. MATERIALS REQUIRED: Two chart papers showing parts of the body. MODE : Individual “I appreciate your 100% attendance The teacher l puts up a chart on the board showing parts of the body. about functions of every body part the teacher asks the students to list down what according to them is the probable function of each body part. TIME REQUIRED : Talking l 45 minutes Important points of discussion can be put up on the board. l The questions can be graded i.e from simple to complex depending upon the class and age appropriateness. OBSERVATION: Students will be able to write down most of the functions of body parts themselves. Teacher can give inputs wherever necessary. 3 Knowing Your Body CONCLUSION: Every part of the body has a specific role to perform. A healthy body doesn't feel fatigued or tired easily. INFORMAL ASSESSMENT: (i) In the human body, one fine day the liver decides to go on a holiday. A lot of problems start arising and the other organs decide to write a letter to the “Brain” citing their problems and the crisis which arose after the absence of the liver. Draft a letter to the brain (in not more than 60 words) on behalf of the organs of the body citing why liver should be immediately called back from the holiday.[Students can be asked to write similar thematic paragraphs in situations like what if the heart goes on strike OR What if the stomach decides to go to his parent's house OR What will happen if ears will stop listening to sounds. ] (ii) Do you watch Television? If so identify positive advertisements or images that project the importance of body parts. KEY MESSAGES: (i) (ii) (iii) (iv) Self analysis Self regulation Knowledge of one's body parts Awareness of “feeling good and looking good” SUGGESTED ACTIVITIES: (i) Invite friends over and encourage them to wear whatever makes them feel good-sweat suits, flip flops, pyjamas—and serve delicious food or snacks without any guilt. Urge everyone to come prepared to talk about their feelings and experiences. (ii) Try a new physical activity just for fun. Stop weighing yourself, and change your goal from weight loss to improving your health. (iii) Conduct a “Love Your Self Campaign” in the school. (iv) Write a poem on “My Eyes” (v) Empty outline method:- The teacher can give a short paragraph involving the various parts of the body using incomplete sentences. The child will be required to complete them. (vi) Select rhymes, poems or stories that talk the about relevance of body parts. 4 Knowing Your Body Activity : Sma ll Won ders BACKGROUND : Finer parts of our body are equally essential for the proper functioning of our body. The nostrils and their mucous lining, eye lids/lashes, fingers, ear muscles, tongue, teeth ,lips etc. play a vital role in conduction systems of our body efficiently. There are certain other parts called as "vestigial organs," which are present in our body but they don't contribute much to the functioning of the body. Examples of vestigial organs are villi, outer ear lobe muscle, eyebrows, hair and nails. METHODOLOGY: 1. Divide the class into groups comprising two students each. 2. Each group will be given the task of finding details regarding a particular "fine body part". For e.g. one group works on fingers, the second works on nails, the third works on hair, fourth works on eyelids and eyebrows, fifth works on tongue etc. Allotment of the "parts" should be done in such a way that it covers all the major systems of the human body. 3. The students should be given at least two days time to find out relevant information about the body part. 4. Every group will do presentations in the class. 5. While one group is doing the presentation, the other students will be noting down the key areas (the function/presence/mode of action etc.) of the presentation in their science copy. CONCEPT : Knowledge of various parts of the body, even the minutest one will lead to self-knowledge in child and respect for those parts OBJECTIVE : To make oneself aware of the need to take care of the minutest part of the body MATERIALS REQUIRED: Copy, Pencil, Crayons or Colours, Chart Paper MODE : Group TIME REQUIRED : 30 minutes 6. The teacher sums up the exercise by elaborating the importance of the "small wonders" on the blackboard. OBSERVATION: Children already have some prior knowledge about the different parts of the body. They will be interested to know the science behind every organ/body part irrespective of how small it is. 5 Knowing Your Body CONCLUSION: Our body is a combination of different systems which work collaboratively in terms of functional aspects of its processes both at cellular as well as sub-cellular level. INFORMAL ASSESSMENT: Divide the students into groups of four(QAXP-Q for question, A for answer, X for expand and P for paraphrase) and conduct a quiz.e.g first group asks a question: What is the role of our nostrils in respiration? The second group provides answer to the question. The third group explains the role of nostrils in detail while the fourth group summarizes the answer. Every group gets a chance to switch roles i.e if once a group asks a question, the next time they answer the question asked by the second group, the third time a question is asked by a group they expand the answer given by another group, and in the fourth time they get a chance to paraphrase the answer . Highlight the need to be healthy rather than slim. In this context highlight the role of muscle building with respect to age, sex and geographical locations. KEY MESSAGE: (i) Importance of exercise (ii) Self-monitoring (ii) Team work. SUGGESTED ACTIVITIES: Ask questions like: (i) What is “appendicitis”? What are “villi” and why are they called “vestigial organs”? (ii) Conduct simple exercises for increasing the flexibility of fingers. (iii) Play a game. Let children look into the eyes of their neighbouring student and watch who blinks the eyelids first. This exercise will not only help in improving the concentration levels of a child but will also be a good exercise for the eyes.[Overstraining of eyes should be avoided. This exercise should never be done if one is suffering from any minor/major eye infection] (iv) Write an autobiography of an ape.[Points to be included:] -relationship with man -development of body parts -social interactions -beauty both inner and outer -development of the brain -thinking skills (v) Put on good rhythmic music and let children understand that every part of their body is involved in the exercise. 6 Knowing Your Body Activity : Ha vin g Fun ! BACKGROUND : CONCEPT : To give conceptual knowledge alongwith demonstration of various body parts The need and necessity of each part of the body helps to maintain the general appearance and up-keep of the body. METHODOLOGY: OBJECTIVE : Activity-A The students will l be able to label the bones in the hand; l create a model of the hand; l compile a set of fingerprints; l realize the importance of the thumb. 1. The students discuss the most used part of the body – the hands. 2. They make a short list of activities that they can do with their hands. 3. Then they make a list of activities that can be done without the use of the hands. 4. All answers will be discussed. Activity-B 1. The teacher asks the students to toss a ball around the classroom using their hands. 2. The teacher will ask the students about what they had done. 3. Then they write down how they threw the ball. 4. The class discusses the needed hand movements. 5. Then the students pass a small ball by using any part of the body other than the hands. Activity-C MATERIALS REQUIRED: Note book paper, slips of paper (1 for each student), Crayons, Flour, Water, Pencil, sticking tape, Masking tape, Scissors, Blank paper, Wax paper MODE : Group/individual TIME REQUIRED : 2-3 periods 1. The students place their fingers together at the second knuckles with the pinkies up and touching. 2. They try to move them without sliding them sideways. 3. They try this with each finger to determine which finger is immobile. 7 Knowing Your Body Activity-D 1. The students tape down their thumbs and try to complete a number of exercises, such as writing, catching a ball, buttoning clothes, etc. Activity-E 1. The students use a mixture of flour, salt and water to create dough. 2. They flatten it out and press their hand into it to create a handprint. 3. A partner uses a plastic knife to cut the excess dough from between the fingers. 4. The students then place the bone structure cut out in the appropriate parts of the hand. 5. The dough is left to dry for several days. Activity-F 1. 2. 3. 4. 5. 6. The students trace their hand on a blank sheet of paper. They make fingerprints by using a pencil to make graphite shavings. Then they rub their finger across the graphite. The partner places a one-inch piece of clear tape across the darkened part of the finger. This piece of tape is applied to the matching finger on the traced hand. This is continued until all fingers are done. OBSERVATION: Children will develop motor skills which will help them to actively participate in class activity. CONCLUSION: At the conclusion of this lesson the students will be able to identify the anatomy of the hand including the fingerprints. They will also know the importance of the hand and its many uses for different activities. KEY MESSAGES: 1. Importance of body parts should be acknowledged and every body part should be given equal importance. 2. There are children who are differently abled. SUGGESTED ACTIVITIES: 1. Other body parts like nose, eyes, ear, legs and feet may also be considered to illustrate the importance of body parts. 2. Let the children try out activities with body parts other than the ones they use. 3. A game of Simon says can be played where in teacher says, Simon says, raise your hands so the students raise their hands. - She can continue Simon says eyes see and students can touch their eyes. - For every sensory organ she can call out phrases. 8 2 Food a n d Nutrition Activity : M y Persona l diet ! CONCEPT : A proper diet helps a person to be healthy. BACKGROUND : Learn the four basic food groups: l milk products: milk, cheese, yogurt and ice cream OBJECTIVE : l meat/eggs: red meat, poultry, fish and To make oneself aware of the nutritive value of food items. eggs l grains: bread, cereals, rice, pasta and so forth · l fruits/vegetables: may be consumed as MATERIALS REQUIRED: solids or juices. One should know what to eat before exercise. Eating meat does not improve athletic performance. The best food items to be consumed before prolonged exercise are complex carbohydrates. These include bread, pasta odles), potatoes and rice. These should be consumed 3 to 4 hours before the athletic event so that they have passed out of the stomach. Water consumption continues to be important upto the time of participation and every 20 to 30 minutes during the activity. METHODOLOGY: (no Chart papers for the groups, pictures related to the four basic food groups. MODE : Group/individual TIME REQUIRED : 2 periods 1. Let the children bring pictures related to the above four basic food groups. 2. Working in groups, let the groups make a collage based on the components of a nutritive diet. 11 Food and Nutrition 3. The students are asked to maintain a daily nutritive diary wherein they enter all that they have eaten during the day and the category of the food. 4. In the next class students are expected to bring their responses and classify them under the given headings. (i) Everyday (ii) 2-3 times a week (iii) 3-5 times a week (iv) Need to cut down on 5. The teacher now provides insights into the calories provided by various food items and puts it on the board for students to review. Let the chart remain on the board till this activity is conducted. OBSERVATION : Children will be able to identify their likes and dislikes with regard to the food they eat. The importance of each component will also become clearer by the end of the activity. CONCLUSION: Every food item influences the human body in some way or the other. INFORMAL ASSESSMENT : (i) Write a poem on fruits and vegetables. (ii) How are the following useful to our body? Carrots, Spinach, Rice, Pulses, Chocolates, Toffee. (iii) Empty outline method:- The teacher can give a short paragraph involving the four basic food groups using incomplete sentences. The child will be required to complete them. KEY MESSAGE : 12 (i) Importance of a proper diet (ii) Knowing oneself Food and Nutrition (iii) Self analysis (iv) Self regulation SUGGESTED ACTIVITIES: (i) Prepare a matrix to show which food item helps in the building process of a body part. e.g. S. No Name of the food item The food item is rich in Body part it helps to grow Av a i l a b l e the season in [The teacher can help the students in filling up column 3 and 4 or else give the task for independent work] Ask the questions: (ii) What is a balanced diet? Give an example of a balanced meal a child of your age must eat. (iii) Give reasons why certain food items should not be eaten. You can even have a debate on it. 13 Food and Nutrition Activity : I Lo ve Ea tin g! CONCEPT : Know your favourite food BACKGROUND : The need and necessity of each part of the body that helps to maintain the general appearance and up-keep of the body. METHODOLOGY: OBJECTIVE : FAVOURITE FOOD CHART Students will be able to identify their favourite food items. 1. The students will name their favourite foods. 2. Have a large piece of chart paper put up on the board . 3. Ask the children to think of all their favourite foods; food their parents make, food they eat at their grandparents house, food they eat out, or foods they eat at their friends' homes. 4. Ask the children to name each food, write it down on the chart paper. 5. Let them illustrate their words. 6. They could look at all the words that begin with a particular letter. 7. They could also look for letters in their names that appear on the chart. OBSERVATION : MATERIALS REQUIRED: Chart papers, colored pens to display the list of favourite food items. MODE : Groups / Individual Students are able to state their liking for a particular type of food item. CONCLUSION : TIME REQUIRED : Every food item if taken according to its nutritive value with respect to likes and dislikes will help the child to develop good eating habits. 1 Period of 35 min INFORMAL ASSESSMENT : (i) Provide art paper and art medium such as paints or crayons. (ii) During free time, allow the children to make pictures of their favourite food items or provide old magazines from which they can cut pictures of their favourite food items. (iii) Write each child's comments about his/her pictures somewhere on the picture. (iv) Display the pictures in the room. (v) Let the class decide on a title for the art display. 14 Food and Nutrition (vi) Write the title on a word strip and post it on the board along with the names of the children. (vii) The students can be evaluated by asking them to record the daily food intake they take according to the food pyramid. They can write food servings taken by them in the food pyramid. Note them for a month and let them discover for themselves the utility of a food pyramid. KEY MESSAGE : Identification of various food items of their choice will help them to be independent in knowing the value of food items. SUGGESTED ACTIVITIES : (i) Students can play a quiz naming the most popular food items. (ii) Mother's Recipe book can be created highlighting nutritious food. 15 Food and Nutrition Activity : Nutriman ! BACKGROUND : The knowledge of the need and necessity of each part of the body helps CONCEPT : Children are prone to eating junk food and are not made to understand the harmful effects of food items that have no nutritive value. to maintain the general appearance and up-keep of the body. METHODOLOGY : 1. Have NUTRIMAN the puppet hold the following pictures of food in his pocket; whole apple, apple slices, apple juice, milk, parantha, different fresh vegetables or any other nutritious food available. 2. Explain that many of the food items we like can be fixed in several OBJECTIVE : Student will be able to understand the importance of eating nutritious and healthy food items. different ways. The way a food is prepared may make it a favourite food or one they do not like at all. Everyone likes variety in the food items. 3. Use the cards from the puppet's pocket to show how rotis and rice and nutritious food available can be prepared in many different ways. MATERIALS REQUIRED: Cloth to make puppets, pictures of food items, fresh vegetables, milk 4. Explain how foods items change as they go through the preparation process. MODE : 5. Post pictures along with the food chart on bulletin board to be displayed during the week. Groups / Individual OBSERVATIONS : Students will get to know the value of every food item. They will also be TIME REQUIRED : able to identify the food items if taken according to the food pyramid 1 period of and also highlight them as stated by NUTRIMAN. They will also learn to 35 min x 2 classes mix and match food items. CONCLUSION : Diet in different food forms is taken up by different people according to what they like. Every food item if taken according to its nutritive value will help us to grow properly. KEY MESSAGE: 16 Food and Nutrition (i) Nutritious and value added food enhances the eating habits of fussy children. (ii) Liking for a particular type of food can make a child learn the importance of food. (iii) Balanced diet plays an important role in the proper development of every individual. Hence proper diet plans will help every person to stay fit and strong. (iv) Every food form has its own nutritive value. SUGGESTED ACTIVITIES : (i) Interactive bulletin board can be used to help students visualise what is taught in the class. (ii) Role plays between junk food and nutritive food (iii) A debate – (for and against)- Topic-Junk food is necessary in order to have variety in the diet. (iv) Daily Diary of food intake. (v) Lyric writing advocating balanced diet. (vi) Jingles or advertisements for 30 seconds on any one food item. (vii) Interview a cheese burger and salad burger (Design a questionnaire). 17 Food and Nutrition 18 Personal, Environmental Hygiene and Sanitation 3 Person a l, En viron m en ta l Hygien e a n d Sa n ita tion Activity : Open Your Mouth ! Ha !Ha !Ha CONCEPT : Hygiene of our “Mouth” is very important. BACKGROUND : Learn the following: Pieces l of food get trapped in the tooth surface and in between the teeth when OBJECTIVE : To make oneself aware of the need to keep the mouth clean. we eat food items such as bread, cereals, pasta, crackers and potato chips which stay in the mouth for long periods of time. If we l do not brush our teeth, the food stays in between our teeth and the bacterias that live in our mouth break the food into sugar products. These sugar products are converted into acids that decay the tooth l enamel. Enamel l is the protective outer coating of the Chart papers showing pictures of the mouth [Students with neat teeth and gums can be used as props]. If possible recorded jingles or advertisements advocating oral hygiene can also be used. MODE : Group teeth. If you l MATERIALS REQUIRED: eat snacks a lot, food is left on the teeth longer and increases your risk of tooth decay TIME REQUIRED : 30 minutes (cavities). 21 Personal, Environment Hygiene and Sanitation For these reasons, sugar and starche food items should be eaten during mealtime when there l is a higher level of saliva (spit) production to prevent cavities. Food l itmes that produce cavities include cake, candies, cookies, cough drops, doughnuts, gums, honey, jams, jellies, mints, molasses, pies, popsicles, soft drinks, syrups, and table sugar. METHODOLOGY: 1. Place a chart on the blackboard showing mouth and its various parts. 2. Now place another chart showing a person smiling heartily. 3. Point to the picture and ask the children the following questions: a. What is this person doing with her mouth? b. Could you smile if you did not have a mouth? c. What would your smile look like without teeth? d. How would you feel if you couldn't smile? 4. Point to the picture that shows a person eating. Ask the children the following questions: a. What is this person doing with his mouth? b. What moves when you eat food? c. What part of your mouth do you use when you are eating food? d. How would you feel if you couldn't eat? 5. The teacher talks about mouth, its parts and their utility. “Cleanliness” of the mouth needs to be emphasized with due reference to microbes, bad odour, tooth decay and bleeding gums. OBSERVATION : Children have some prior knowledge already about mouth and the necessity to maintain its cleanliness. They will be interested to know more about how to keep their mouth ,teeth and gums in proper condition. CONCLUSION : Every food item we consume influences the mouth in some way or the other. INFORMAL ASSESSMENT : (i) Write five lines on the oral hygiene “Teeth are important for your smile” 22 Personal, Environment Hygiene and Sanitation (ii) How are the teeth useful to our body? (iii) Frame two stories -One on healthy teeth and gums called the Happy teeth story and the other about bad teeth, foul breath and aching gums called the Sad teeth story. (iv) Cover any size playblocks with magazine pictures of nutritious food items and use food with added sugar as well. Let children choose a block and talk about whether the food is both nutritious and good for the teeth. If so, have them use the block to build a strong tower. (v) Explore the options used in cleaning of teeth, tongue and mouth in both rural and urban sector. KEY MESSAGE : (i) Self awareness (ii) Self monitoring (iii) Proper daily habits (iv) Oral hygiene SUGGESTED ACTIVITIES: (i) Conduct a group discussion in the class on when and why do gums start bleeding? [A student can keep noting down the key points of discussion on the board for every one to see and reflect upon]. (ii) Matching activity: Distribute a page having six cliparts on “What we use to keep our mouth organs clean” to each student. Help children match the organ to be cleaned with the item used for cleaning. They may cut out the items and place the matched items side by side and glue them in their science copies. (iii) Make arrangements for a dentist to visit your class. Have him explain what happens during a visit to the dentist. The visit can also be simulated through a role play. 23 Personal, Environment Hygiene and Sanitation Activity : Am I Clean ? CONCEPT : Personal Hygiene is very important. BACKGROUND : Different people coming from different areas have specific habits. METHODOLOGY: 1. Remind children not to share l food and drinks l eating and drinking utensils l personal toiletries e.g. toothbrush, toothpaste, etc 2. Ask the children why the above should not be shared. 3. Wash hands with soap and water frequently especially : (i) before eating (ii) before preparing food (iii) after visiting the toilet (iv) after handling rubbish 4. Ask the children why they think hands should be washed. 5. Cough, sneeze, or blow your nose into a tissue. Do not reuse the towel/napkin. Wash hands immediately after it. Spit into a tissue or napkin in case of emergency and dispose it in a litterbin. 6. Practical demonstration of cleaning hands with soap: Work up a good lather. Cover the areas between fingers, under the nails and the back of the hand up to the wrists. Put your hands under running water. Dry hands with a clean towel. 24 OBJECTIVE : Children learn good personal hygiene practices and toilet habits. MATERIALS REQUIRED: Soap, towel MODE : Group / Individual TIME REQUIRED : 35 min Personal, Environment Hygiene and Sanitation OBSERVATIONS: Students are keen to practically try the soap cleaning process. INFORMAL ASSESSMENT : Students can be graded for their day-to-day activity based in class by the class teacher as he/she marks them for the responsibility shown by every child before and after taking his food or returning from the toilet. SUGGESTED ACTIVITIES : Team l leaders can be made in class to note down the personal hygiene code of conduct being followed by each child. Nails can be checked by a class representative every week. l A daily l diary by students can be made wherein the teacher records comments on personal hygiene and their relationship with the environment. Placards can be put up in the toilets stating l (i) Flush Toilet After Use (ii) Wash Hands After Use Students l can enact a role-play situation wherein a child can be made a doctor and other a patient. They may just talk of awareness of good toilet habits and personal hygiene. 25 Personal, Environment Hygiene and Sanitation Activity : En viron m en ta l Hygien e BACKGROUND : Students will be able to develop a positive attitude towards environmental cleanliness. Students will be involved in framing certain ground rules in maintaining the environment in their school premises. METHODOLOGY: 1. Students are asked to bring 1-2 handouts on issues related to environmental hygiene. 2. They are divided into groups and asked to visit various areas of the school such as playground, corridors, laboratories and drinking water corner. 3. They prepare a report on the hygiene level of cleanliness in these areas. 4. After the survey is concluded they get back into groups followed by group discussions. 5. After the discussions, the students should frame basic ground rules to be put up in the classes. Some rules should be on the suggestion for improvement to re-inforce the ground rules of cleanliness. Help of cut-outs should be taken to emphasize the importance of cleanliness. OBSERVATIONS: Students will observe if any positive changes have taken place over a period of time (say in a week) and report their findings in the form of a journal entry or presentation in the class or assembly. EXERCISE / EVALUATION / ASSESSMENT: Students will be submitting their report every month regarding the condition of cleanliness in different areas of their school. They will be graded in groups according to the level of maintenance of cleanliness in their areas. KEY MESSAGE: A healthy school will prepare students to maintain a healthy environment. SUGGESTED ACTIVITIES: a. Shramdaan can be conducted on monthly basis. b. Story telling competition can be held at interclass/inter- house levels. c. The various groups can be asked to make questions for a quiz to list the basic rules that are being practiced. 26 CONCEPT Nurturing environmental ethics. OBJECTIVE The student will be able to understand the importance of creating hygienic conditions. MATERIALS REQUIRED: Magazines, newspapers MODE Group Work TIME Two periods of 30 minutes each. Personal, Environment Hygiene and Sanitation Activity : Food Hygien e CONCEPT : Health and hygienic l conditions are essentials to achieve full mental and physical growth. BACKGROUND : Encouraging students to understand l the importance of Healthy eating habits l the need for maintaining food hygiene. OBJECTIVE : the various l Sensitize children for adopting measures for maintaining essential food hygiene and to maintain overall health. hygienic conditions that decreases the development of chronic diseases. METHODOLOGY: 1. Students will be divided into two groups A and B and given two surveys. 2. Children of each group have to undergo an individual survey at home for the following: A) Adequate water supply in kitchen. B) Maintenance of food in hygienic conditions. 3. Group survey in a school for encoding and highlighting the hygienic conditions in various areas of school. 4. Group A and B will document their findings by making power point presentation on hygienic conditions in school. 5. The best chart and presentation will be applauded in the class. Students will observe if any positive changes have taken place over a period of time. Group A Group B Chart paper and l coloring material. Computer and l internet facility. MODE : EVALUATION: List of groups MATERIALS REQUIRED: contents PowerPoint presentation/ chart Presentation in the class Individual/team work Individual TIME REQUIRED : 2-3 periods KEY MESSAGE l Children should be aware of maintaining hygienic conditions at home and in school. l Habit of maintaining food hygiene helps children to achieve physical and mental growth. SUGGESTED ACTIVITIES 1. Brainstorming sessions can be taken up in a class for keeping food hygiene. 2. Students can make daily check list for do's and don'ts of maintaining hygienic conditions INDEPENDENT PRACTICES : FROM SCHOOL TO HOME 1. Do an individual survey at home to find out how many times junk food is prepared for one’s family in a month. 2. Prepare a comparative chart to study the advantages and disadvantages of nutritious food and junk food. 27 Personal, Environment Hygiene and Sanitation Ba sic Hygien e POINTS FOR HEALTH EDUCATION LET CHILDREN LEARN THE FOLLOWING: i) Take a bath every day. Use soap and water or a soft paste made from a small amount of gram flour mixed with a little water. Scrub the body, especially the back and feet, with a brush, or a rough cloth, or a dried gourd. Take care to wash the folds in the armpit and groin. ii) Wash the hair at least once a week and more often during the hot weather. Comb it regularly. If it is long, plait it neatly and tie ends with a ribbon or a strip of cloth. iii) Every evening after school, comb the hair with a fine toothed comb to look for lice and nits (eggs). If there are lice in the hair, take the necessary treatment before the number of lice increases. iv) Keep your fingernails and toenails short and clean. Cut your fingernails once a week. If you work in the garden or field scrub your nails with a brush to take out the dirt. v) Wash your hands well with soap and water after you go to the toilet and before taking food. vi) Always wear clean clothes. Wash your clothes frequently especially in the summer. If you have to wear the same clothes on the next day, keep them to air or in the hot sun. Clothes worn next to the skin (underclothes) should be washed every day. vii) Wear light and loose clothes. These should be cool in the summer (e.g. cotton garments) and warm in the winter (e.g. woollen or padded garments). viii) When you go out of the house, wear well-fitting shoes, sandals or chappals. See that there are no nails coming through the sole of your shoe. ix) When you go home, leave your footwear outside the house. Wash your feet before coming into the house. NATURE & HEALTH POINTS FOR HEALTH EDUCATION i) Tell and show children how water collections become breeding places for mosquitoes and explain how mosquitoes can cause malaria and filariasis. ii) Get children to help in filling in any water collections in the school compound with earth. iii) Get children to help in constructing soakage pits. iv) Get children to help in planting and maintaining the kitchen garden. 28 4 Ph ysica l Fitn ess Activity :Jumpin g Jack BACKGROUND : Activities to enhance a child's motor skill development could include the following: animal imitation -- have the children imitate various animals by jumping like a frog or hopping like a rabbit; kicking and running -turn the children lose in an open area to play; follow the leader -- have the children dance like a ballerina, waddle like a duck, or walk a straight line like a tightrope walker; riding a broomstick horse -- a broom with a bag over the top can be the transportation for a cowboy or cowgirl; shadow tag -- on a sunny day in the playground have the children try to step on the shadows of other children; buttoning and zipping -- attach the following items to a sturdy board: a sneaker with laces, a zipper from a pair of pants, a belt with a buckle, and a row of buttons and buttonholes from a shirt; dressing up -- in the dramatic play centre, or at home, provide the children with plenty of adult wardrobe clothing so they can practice learning how to dress; and cutting -with safety scissors, allow a child ample opportunities for cutting (World Book, 1987; Ebert, 1991; Hammett, 1992). CONCEPT : Activities like jumping, hopping etc can enhance child's motor skill OBJECTIVES : To develop motor skills MATERIALS REQUIRED: As per activities MODE : Group/Individual TIME REQUIRED : One period INFORMAL ASSESSMENT: (i) The child prepares a self-assessment diary on the times and types of activities conducted by him/her in a day. [The teacher should review the diary fortnightly.] (ii) Conduct simple activities in the class to promote skill of speed counting and matching objects one-to-one. 31 Physical Fitness Examples of activities to promote math readiness include: counting from one to 10 -- in the bottom of each pocket of an empty egg carton, place different quantities of items such as buttons or beans and ask the child to count how many are there in each pocket; «What Time Is It Mr./Mrs. Lion» -- have the children ask Mr./Mrs. Lion what time it is. If the lion says it's three o'clock, the children take three steps forward, but if the lion says it's dinner time then he/she chases the children back to a predetermined line; One-to-one matching -- have the children set the lunch table by placing a fork, cup, plate and napkin at each seat; help children develop skills in number awareness, counting and measuring; «Five Little Ducks» song -- use colourful pieces of felt to make five little ducks, including a mother and father, and act out the song on a flannel board; and matched cards -- make a set of numbered cards and a set of object cards and then match each numbered card with an object card (World Books, 1987; Stravos, 1987; Inderbaum, 1985). KEY MESSAGE: (i) Learning by playing (ii) Self review (iii) Importance of staying fit (iv) Correlation of a healthy mind and a healthy body. SUGGESTED ACTIVITIES: (i) Empty outline method: I believe I am physically fit today because _______.I think I have to improve on ________. Two years down the line, I see myself____________ physically. I can achieve it by________. I should not have bad habits like _______ as it may affect my health. My health is very precious to me because _________. (ii) Answer the following questions: (a) List two ways which help a person to stay fit. (b) A healthy mind rests in a healthy body. Do you agree? Justify your answer in ten lines. (c) What is the role of muscles in our body? (d) What is meant by reflex action? (iii) Maintain a diary to keep a record of your fitness routine. 32 Physical Fitness Activity : Prana yama or brea thin g exercise is the key to good hea lth CONCEPT : Studies and sports are equally important. Rightly said “ A healthy mind rests in a healthy body” BACKGROUND : Student will be sensitized to the importance of breathing properly. They will be taught simple pranayama pratices so that they can take care their health in a better way. METHODOLOGY: The importance of pranayam and its process will be demonstrated. Step 1 Sit down with legs folded. Free your hands and lay your palms on your thighs. Step 2 Close your eyes and try to calm yourself. Step 3 Take a deep breath in and then exhale out. Repeat this process slowly at least ten times. Step 4 Now breathe through one nostril and release through the other. Repeat this process at teast ten times. OBJECTIVE : The aim is to teach the young ones simple breathing exercise which are like a mantra to a healthy living. MATERIALS REQUIRED: A small mat (2mx2m), music player, cassette. If mat is not available newspapers can be used. [Do this with the other nostril now.] MODE : Group TIME REQUIRED : 30 minutes 33 Physical Fitness At no point of time should one be stressed to do it. Any discomfort should be informed immediately to the teacher. Very carefully, with calmness and poise, meditation has to be done with constant soft speech and well-planned instructions on how to perform the breathing exercises. OBSERVATIONS: Students will feel fresh after the session. CONCLUSION: Wonderful things happen in silence. Pranayama is a very effective tool to build concentration and will power in children. INFORMAL ASSESSMENT : Problem recognition tasks: Let student write down the time when he feels tired in a day. Providing clues (related to his eating habits, sleeping cycle, studies, posture he adopts during studies, time he devotes to games etc.) help him analyze his physical fitness. Ask the children to make a chart showing how many days in a month the child has been able to practice prayanama at home. NOTE: The PT /sports teacher taking the class can be present during this activity to get insights which will help him note down the areas of concern of a child. KEY MESSAGE: (i) Awareness of our culture and traditions (ii) Getting up early (iii) Importance of yoga and pranayam. SUGGESTED ACTIVITIES: 34 (i) What is Yoga? How is Yoga related to our Indian culture? (ii) Mention any two forms of Yoga. (iii) Prepare a table for yourself indicating study hours, games/sports timings, pranayam practice, sleeping hours, dinner timings and duration. Get it signed by parents first and then show it to the teacher. The teacher in the mentoring classes can take up the issue with the student as to how to lead a regulated and structured life. (iv) A soul stirring Shloka can be played on the music player while students are told to meditate. As the music is played the students repeat the steps learnt during the period. Physical Fitness Activity :Sta yin g Fit ! CONCEPT : BACKGROUND : There is a need for awareness in the society about staying fit. The child has a duty for his community. He needs to spread the message of good health to every part of the community he comes in contact with and the advantages of physical fitness. OBJECTIVE : Physical fitness : Keeps our body in excellent shape. It makes the body supple. It tones up muscles and strengthens bones. To spread awareness in the locality about physical fitness. Generates l spirit of camaraderie : It teaches a child about teamwork and unselfish play. Playing for team and not for personal accomplishment is the goal. Teaches to accept defeat gracefully : It assists a child in developing l the skill for handling disappointments Generates healthy spirit of competition. l Channelizes l energies constructively : It inspires and energizes youngsters. Makes a child more disciplined. l Sports improves body postures and lends grace to the body, thus enhancing self-esteem. It boosts a child's morale when he excels at a specific skill he has. e.g. If he is very good at fielding and bowling in cricket, he can work more towards honing that skill. MATERIALS REQUIRED: A small mat (2mx2m), music player, cassette. If mat is not available newspapers can be used. Builds self esteem and confidence : l MODE : Group Builds good immune system : It improves body immune system thus l promoting good health. It builds good appetite. METHODOLOGY: 1. Students are asked to make posters on “Staying fit”. TIME REQUIRED : One hour 2. A rally can be organized in and around the community. 3. Dressed in a sporty attire to get a feel of the run for health, students can demonstrate poses, slogans, verbal dialogues, importance of medical kit etc.on the microphone and spread the message .A team of teachers has to supervise the whole event. Constant soft speech and well-planned instructions on how to perform the breathing exercises is essential. 35 Physical Fitness OBSERVATIONS: Students participate enthusiastically . They will love to go out of the school and communicate the message to the community. CONCLUSION: It is equally essential to spread awareness in the society about the importance of being fit. INFORMAL ASSESSMENT : a) Design a poem or a pledge to reinforce the importance of Being Fit. b) Write any five slogans on “Physical Fitness”. c) Matrix method: Let the students complete the following matrix S.No Name of my... Things they do for me... Things I will do for them... PARENTS FRIENDS SCHOOL COMMUNITY COUNTRY KEY MESSAGES: (i) Appreciation (ii) Importance of spreading socially relevant messages (iii) Valuing interpersonal relations (iv) Sensitivity towards people who may be physically unfit. SUGGESTED ACTIVITIES: 36 (i) What is a social message? (ii) Make a list of any five social messages being shown on the television. (iii) Prepare a collage for the class bulletin board based on social messages. (iv) Do an opinion poll in your class/school on how many students follow/implement the social messages. Ways I will fulfill my responsibilities towards my... 5 Bein g Respon sible An d Sa fe Activity : M y Hom e Sa fety CONCEPT : Safety at homes is an essential requirement. BACKGROUND : Home Safety can protect people from intruders, but it can also be harmful if security features prevent quick escape during a fire emergency. Families seeking to protect themselves from one hazard can unknowingly put themselves at risk from others. Home security and home safety can and should work together and you should take the time to examine your entry points (doors and windows) to make sure home security doesn't interfere with your safety. METHODOLOGY: 1. Divide the class into groups (maximum eight in a group). OBJECTIVE : To make students aware of various issues related to safety in homes. MATERIALS REQUIRED: A pen, paper, role play requirements (if any) 2. Give separate topics related to homes where safety is a concern. e.g. kitchen, living room, electronic devices etc. MODE : 3. Ask the students to prepare a role play on the given topic. Group 4. The teacher can give as many inputs as required, related to the class level concerned and help them create a dramatised presentation. TIME REQUIRED : 5. This can be showcased in the class first and after further refinement can be shown in the assembly. 40 minutes CONCLUSION: Every corner of the house needs safety measures to be followed. A little negligence can become the cause of a major accident. INFORMAL ASSESSMENT: (i) Write five/ten lines on the learning that took place after the presentation. 39 Being Responsible & Safe (ii) Poster making: Prepare a poster on Safety of my house. (iii) Mention any four safety measures one should undertake when there is a gas leakage in the kitchen. KEY MESSAGE: (i) Self realization (ii) Skills enhancement (iii) Being preventive SUGGESTED ACTIVITIES: (i) How can lightening affect the electronic devices at home? (ii) 'What iffing': A range of open ended questions can be thrown to the class e.g: (a) What if the electric bulb bursts all of a sudden? (b) What if your younger brother or sister gets a cut and it starts bleeding? (c ) What if ……? 40 (iii) Name three chemical substances to be kept at home for safety purposes and which can be used as First Aid after an accident. (iv) Put up a list of Do's and Dont's safety rules in your own home as well as in the school. (v) Make a list of First Aid measures in case of mini fire, injury or insect bike. Being Responsible & Safe Activity : Sa fety Kit BACKGROUND : A child needs to know how to go to school safely and walk down home safely. Accidents during travel are very common now-a –days. A child has to know minimum Life Skills while travelling on the road anytime so that he does not endanger his life and also the persons with him on the road. Drive and let others drive safely too should be his motto. METHODOLOGY: CONCEPT : Safe travelling is a very important area of concern. OBJECTIVE : To generate newer ideas in children (creative thinking) about safety issues on the road/while travelling. 1. Select any seven speakers from a class. 2. Conduct an extempore in the school in one of the language classes. 3. Students can be briefed about various issues, accidents happening in and around by the teachers from time to time. 4. On an informed date with proper instructions being given the child can be asked to express his points related to safety. 5. Different situations can be given like on road, during air travel, on train, while walking and trekking etc…. Safety norms need to be highlighted during the presentation. MATERIALS REQUIRED: Posters on Road Safety, Traffic Rules. MODE : Individual TIME REQUIRED : 1 minute for each child OBSERVATIONS: Students will be able to speak on the given issue and will also benefit from what others say. CONCLUSION: Extempore is a very healthy technique to enhance Speaking skills and Creative Thinking in a child. INFORMAL ASSESSMENT : (i) Collâge making: Prepare a collâge from newspaper cuttings on the topic My role in building a safe society. Ask questions like: (ii) What is a safety kit? What should it contain? 41 Being Responsible & Safe (iii) Take the students out to the field for a hockey /cricket/volley ball match. After words let them plan their safety tool kit for the class and preserve it for the whole session. l What type of planning should be done with regards to safety while traveling. The child can choose his/her own mode of travel. l Children can be made to practice sitting, standing and moving with awareness and confidence. They practice how to look and speak more confidently so that people will bother them less and listen to them more. They practice noticing and observing what is happening around them so that they can prevent the trouble before it starts. KEY MESSAGE: (i) Planning ahead (ii) Self monitoring (iii) Being preventive (iv) Devising Safety Kits SUGGESTED ACTIVITIES: l Choose the right chores according to the child's age and level of ability. Choose beginner-level task at which your child can easily succeed. Make tasks manageable. Assign chores that produce pleasant effects. Give an incentive to finish the chore properly. Set reasonable performance standards. l Dramatization of Road Safety Rules l Organizing Safety Weeks. l Creative writing on issues that children need to be aware of while travelling (unclaimed objects, talking to strangers, good touch and bad touch, helping the elderly, younger children and differently abled). l Collection of newspaper cuttings and reports that reinforce Safety Norms. 42 Being Responsible & Safe Activity : I Am Respon sible ! BACKGROUND : CONCEPT : Responsibility in public areas is extremely important While in public places like canteens, malls, zoos, theatres, market places etc. one needs to behave responsibly. METHODOLOGY: Arrange for children to participate in a community project such as planting flowers in a favourite park. Help your child understand why you chose particular social causes and convictions. Allow him to voice his opinions. Focussed listening: 1. Divide the class into groups. 2. Start off a discussion on the responsibility of an Indian citizen and generate more ideas with help of the students. 3. Motivate them to speak. 4. Add variety to the discussion by changing the subtopics under the broader perspective of Need for a responsible Indian. To make the discussion interesting show cut-outs from papers and keep brainstorming on the issue. OBJECTIVE : To make the child aware of responsible acts in public areas MATERIALS REQUIRED: Articles, Stories, Editorials MODE : Group TIME REQUIRED : 40 minutes 5. One student is to be made the recorder who will keep noting down the points discussed in the class on the notice board. 6. Conclude by summarizing the discussion. OBSERVATIONS: Students will mostly participate freely in the class. Newr ideas will be generated and different students may see one picture differently. CONCLUSION: If students are empowered to make responsible decisions and participate in discussions related to their neighbourhood, community and their country, they will emerge as responsible Indians. 43 Being Responsible & Safe INFORMAL ASSESSMENT : (i) Why is it unsafe to step out of home alone in the night? (ii) When you go out for vacations what safety measures should you equip your house with? (iii) Make a note of the traffic signals and their meanings in your copy. KEY MESSAGE: (i) Concern for a better India (ii) Togetherness (iii) Responsibilty SUGGESTED ACTIVITIES: 44 (i) You think your house is a safe house. Why? Justify your answer with five valid points. (ii) Prepare an interactive bulletin board in the class based on the above answers. (iii) Give the child an independent assignment to find solutions to questions like: (a) Do you believe that you or your family will probably never meet a serious accident? (b) Do you believe accidents only happen to other people? (c) Do you believe your family's current safety knowledge is sufficient to keep everyone safe? (d) As a child what measures can you adopt in order to be called A Responsible Citizen of India? 6 Beha viou r An d Life Sk ills Activity : Expression ! BACKGROUND : CONCEPT : There is a way to raise awareness about the way we feel and react in a particular situation. Emotions are an integral part of life and leave an effect on everything we do. METHODOLOGY: 1. On the slips of paper have the students write examples of times when kids of their age might feel disappointed or feel like a failure. 2. Have them pick one slip at a time from the hat, read it aloud and offer suggestions on how to deal with it. OBSERVATION : Students are able to identify their emotion and are found to be equipped with the confidence to deal with them. OBJECTIVE : To make the students aware of different types of emotions and correct way of handling them. MATERIALS REQUIRED: Markers, charts, hat CONCLUSION: Students are able to relate themselves to the situations and thus develop their resources. MODE : INFORMAL ASSESSMENT / SELF ASSESSMENT : Group Plan out strategies required to deal with emotions. KEY MESSAGE : Understanding our emotions is the first step towards having more control over them. TIME REQUIRED : 1 hour SUGGESTED ACTIVITY : Divide the class into groups and brainstorm the group on Five different situations which will make them angry, disappointed, worried, sad etc. List the situations on the chart paper let the students form pairs to work together to find one healthy/ unhealthy way to respond to the situation. 47 Behaviour And Life Skills Activity : A.S.K. : A Three Step Process For Sa yin g 'No' CONCEPT : Understand the process of Assertiveness. BACKGROUND : Sometimes we get into trouble because we don't ask the right questions. When someone encourages you to do something that you think might end up causing problem, use this process. METHODOLOGY: Divide the class into pairs and give situations to each group. Each group has to discuss the situation and follow A-S-K process. Later they have to come in front of class and answer various questions such as : - OBJECTIVE : To help the students in taking decisions and thus enhancing their Decision Making Skills. Describe the situation in which you used A-S-K process. l MATERIALS REQUIRED: Describe what happened as you used the 3 steps. l Handout What did you say for 'A'. l What did the other person say for 'A'. l What did you say for 'S'. l MODE : What did the other person say (if anything). l Group What did you say for l 'K'. How did you feel about the outcome? l Before starting this activity make the students understand A-S-K process. A- Ask questions So that you know what you are getting into and decide if the situation could lead you in to trouble S- Say 'No' If it is wrong or will get you in to trouble. K- Know alternatives OBSERVATIONS: Increase in Assertiveness, Confidence, Self-Esteem and Responsible behaviour. 48 TIME REQUIRED : 30 minutes Behaviour And Life Skills CONCLUSION: It is better to say 'no' than to land yourself in to trouble. This activity will help in dealing with pressures which we have in our life. INFORMAL ASSESSMENT : To have clubs in schools which will help you to check the change in student's ways of dealing with pressures. KEY MESSAGE : Evaluate what the situation offers and then decide your action plan. SUGGESTED ACTIVITY : Give students various situations related to problems they face and discuss openly various ways to say 'No' in situations that lead to troublesome consequences. 49 Behaviour And Life Skills Activity : Emp ty or full? BACKGROUND : CONCEPT : The way we perceive things around us makes a difference. Having a Positive Attitude makes it easier for us to go ahead in our life. METHODOLOGY : 1) Fill a glass half way with coloured liquid. 2) Ask the students to say whether it's half empty or half full. Quickly they will conclude it could be either. 3) Explain that the way you see things or your point of view is called 'perspective'. Your attitude can be categorised by the way you interpret glass as 'half empty' (negative attitude) or half full (positive attitude). Ask for examples, how our attitude can influence the way we see many things in our lives. OBSERVATION : Students were able to develop positive perception / attitude towards events in their life. CONCLUSION : OBJECTIVE : To make students able to think about different ways of viewing situations. To make them accept the positive side of situation and move with confidence towards their goals. MATERIALS REQUIRED: Glass of coloured water This activity will help students to have better critical thinking. INFORMAL ASSESSMENT : MODE : Give students some tough jobs and notice the change in their perception and the level of effort they put in to cope with the situation with the help of positive attitude. Group KEY MESSAGE : TIME REQUIRED : Having positive attitude has long list of advantages, out of which some are: increase in self-esteem, self-confidence and enhanced decision making skills. SUGGESTED ACTIVITIES : Divide the class into groups and give them various situations. They have to look for perceptions of common people towards that situation and their own. Have discussion and come out with healthy way of perception. 50 45 minutes Behaviour And Life Skills Activity : Brea thin g in deep ly BACKGROUND : This activity highlights the importance of correct breathing techniques. This practice has a great influence at the pranic level and it is very useful for harmonizing and improving the functions of the internal organs. METHODOLOGY : 1) For this activity, the children should be made to sit in base position, which is sitting with legs stretched in front of the body. After that they should hold the right foot and place it under the left thigh, and then hold the left foot and place it under the right thigh. Place the hands on the knees and keep the spine absolutely straight, for proper breathing. 2) When small children are asked to breathe deeply, they tend to inhale hurriedly and in a shallow manner. To encourage deep breathing, the children should be made aware of doing it slowly and to hold it longer. 3) It should also be emphasized that the head should not keep moving up and down during this process. The children need to focus inward on their breathing pattern during this practice. CONCEPT : The correct way of breathing is instrumental in providing peace to the mind and calmness in thoughts. OBJECTIVE : To make the children understand the importance of deep breathing through the nose. MODE : Group/Individual TIME REQUIRED : 2-3 minutes OBSERVATION AND SUGGESTIONS: The mind and the body are highly influenced by the pattern of our breathing. If the body lacks in stamina and supple movements, then the mind becomes restless and dull. But if the breathing process is correct, the child can easily move towards developing a focused and sharp mind. KEY MESSAGE : Breathing done in the correct way helps us concentrate on our studies. FOLLOW UP ACTIVITY : This activity should be practiced at least two or three times in the morning and in the evening, on an empty stomach. 51 Behaviour And Life Skills Activity :Stretchin g like a tree (Tree Pose) CONCEPT : BACKGROUND : The importance of physical and mental balance in relaxing the child's mind and body. This activity highlights the importance of physical and mental balance in relaxing the child's mind and body. The entire spine if stretched and relaxed, helps to clear up any congestion of the spinal nerves. OBJECTIVE : METHODOLOGY : In this activity, the children should be made to stand erect, interlock the fingers and lift their palms up, over the head. Inhale and stretch the arms above the head, while standing on their toes. Then, gently and slowly, start exhaling and lowering the heels back to its starting position. This is one round. Do 5-7 rounds. OBSERVATION AND SUGGESTIONS: The mind and the body are highly influenced by the pattern of our breathing. If the body lacks in stamina and supple movements, then the mind becomes restless and dull. But if the breathing process is correct, the child can easily move towards developing a focused and sharp mind. KEY MESSAGE : Stretching like a tree makes us grow tall. FOLLOW UP ACTIVITY : This activity should be practiced at least two or three times in the morning and in the evening, on an empty stomach. 52 To help the children keep their spine straight. To develop a sense of balance and focus within them. MODE : Group/Individual TIME REQUIRED : 2-3 minutes Behaviour And Life Skills Activity : Roa rin g like a lion BACKGROUND : This activity, which is highly recommended for children, is practiced facing the Sun. It helps in curing swollen tonsils and is a good remedy against ailments of throat, nose, ears, mouth and teeth. METHODOLOGY : For this activity, children should assume a kneeling position, with the toes touching, heels apart and soles facing upward. While facing the Sun, place the hands on the floor between the knees, then lean forward, resting the body on the arms. Inhale deeply and then, tilt your head backward, open the mouth and stretch out your tongue as much as possible, so as to expose your tongue and throat to the rays of the Sun while exhaling. Keep producing a roaring sound from the throat during this practice. Do 5-7 rounds. CONCEPT : The activity can be a good remedy against ailments of throat. OBJECTIVE : To remove stuttering and stammering. To give a vent to the pent up feelings within kids. MATERIALS REQUIRED: Mats OBSERVATION AND SUGGESTIONS: The children usually do not understand the significance of this activity, and so they do not open their mouth wide enough or roar loud enough. The roaring sound should be loud and clear. KEY MESSAGE : MODE : Group/Individual Roaring like a lion is excellent for keeping all kinds of throat related problems at bay. FOLLOW UP ACTIVITY : This activity should be practiced at least two to three times in the morning and in the evening, on an empty stomach. TIME REQUIRED : 2-3 minutes 53 Behaviour And Life Skills Activity : Hummin g like a bee CONCEPT : Humming like Bee can relieve stress BACKGROUND : This activity is mainly to relieve the stress caused by anger and is beneficial for children who are aggressive and restless. OBJECTIVE : METHODOLOGY : To remove stuttering and stammering. For this activity, children must sit in a comfortable position with erect spine and knees resting on the floor. Inhale fully through both nostrils and plug the ears with the index fingers. After this, with mouth still closed, exhale completely while producing a humming sound like a bee. Exhalation should be slow and steady and they should focus on a humming sound. Lips should be together or slightly apart. Do 5-7 rounds. To give a vent to the pent up feelings within kids. MATERIALS REQUIRED: Mats MODE : Group/Individual OBSERVATION AND SUGGESTIONS: This activity helps to relax the child's mind and body. Since if children are nervous and tense, this activity helps them relieve their stress. KEY MESSAGE : Humming like a bee shuts us out from the external world and helps us experience the beauty of the internal world. FOLLOW UP ACTIVITY : This activity should be practiced at least two-three times in the morning for a relaxed start to the day. 54 TIME REQUIRED : 2-3 minutes Frequ en tl y Ask ed Q u es tion s Q1 What is the correct method to wash our hands? Work up a good lather. Cover the areas between fingers, under the nails and the back of the hand upto the wrists. Put hands under running water. Dry hands with a clean towel . Q2 How can I help people in the slums to be aware about their personal hygiene? You can stage some 'nukkad shows' along with your classmates wherein you emphasize the steps to be taken for proper maintenance of personal hygiene. You could create slogans and work on campaigns to promote personal hygiene. Q3 I have a cavity in my teeth. It gives me a lot of pain. I am afraid to go to the dentist. What should I do? Dentists are friends who help you in maintaining good oral health. Every cavity in your teeth will lead you to more serve pain later on. So quickly meet a good dentist. He will advise you properly. Q4 Is calcium really good for my teeth? Yes, calcium gives the basic covering to the teeth. If this covering is strong the teeth will live a good life. Q5 I am 14 yrs old. My hair has started to grey. Shall I start applying colour/mehendi to my hair? Application of colour to the hair may damage them. Greying of hair at such a tender age may be due to eating habits that do not contain proper balanced diet. So take the help of a good dietician who will help you to decide a good diet for you. Q6 I have a friend who has a habit of biting nails. How can he be helped? Your friend should develop a positive attitude of self-consciousness. It may be an attitude problem or a medical problem. He should talk to a good counsellor so that he can be helped for the development of confidence and take a diet which is rich in calcium. Q7 I have very long hair. It becomes difficult for me to wash my hair daily. What should I do? The geographic location where you live in should help you to decide frequency of hair wash. If you live in a humid area probably washing the hair every alternate day should be helpful. Q8 I have a lot of dandruff and my friends tease me as I scratch my hair. Help me. Dandruff is not a disease. You should take proper care of your scalp. Use a medicated shampoo if possible or reetha powder to clean your hair and your dandruff will disappear gradually. If it persists consult a doctor immediately. Q9 Why is it said that self discipline is important for physical fitness? S e l f - d i s c i p l i n e p r o m o t e s p u n c t u a l i t y, d e d i c a t i o n , will power, which are imperative for physical fitness. Q10 commitment and strong One has to do tons of push ups and dumb bells to really get that strong muscular look. How far is this true? 55 This is not true. Overuse of crunches will only shorten your abs, pull your head forward, and give you bad posture. Any standing exercise that will contract your abs will do, but you should specifically target your lower back to strengthen the muscles that support your spine. Along with proper exercise proper eating habits is a must and do not forget to consult your doctor before starting any diet and exercise plan. Q11 Will indoor games also help me? Yes. Indoor games like Chess, Carom board, Chinese checkers and Abacus inspire the mind to think independently which ultimately helps a child in dealing with real life situations too. Computer games, if selected carefully can also increase a child's speed and mental skill. Q12 What are the benefits of yoga? It helps in finding your limits, expanding your boundaries and relaxation of mind. It includes meditation and certain exercises, which improve breathing techniques, reduce physical and mental disorders, help maintain calmness and teach one to concentrate. Q13 I jog every morning. How good is a morning walk? A proper morning fitness schedule can have exercises including walking which decreases the risk of death, heart attacks, stroke, high blood pressure, some cancers, osteoporosis, depression, anxiety and obesity. It also improves overall health, helps in osteoarthritis and diabetes, reduce high cholesterol levels and lightens mood. As long as there are no medical conditions that contraindicate walking (such as predisposition to falls or advanced degenerative joint disease), walking is an excellent inexpensive form of exercise. Walking slowly for 30 minutes uses 100 calories. Even making a few minor changes in your lifestyle and walking the extra distance can make a difference. Q14 I am fat and I can't walk or run distances easily. I get tired very easily. What should I do to be fit and not obese? When it comes to eating here are some helpful do's and don'ts . l Do eat slowly and avoid junk foods. l Do listen to your body and eat only when you are hungry. Don't mistake thirst for hunger. Drink plenty of waters. l Don't eat because you are bored or want to pass time. l Don't skip meals. Overeating, however, is not the main reason for obesity. Inactivity is the main reason. Exercise makes you burn energy much faster than you do when you are resting for e.g. resting for 20 minutes burns around 10 calories of energy while 20 minutes of running burns around 300 calories. An obese person needs to burn more calories than they consume. Q15. Is cycling or swimming an exercise? Yes. It is an exercise as it helps to improve body composition, muscular strength and endurance, muscular flexibility, toning of the body and thus helps in staying fit. Q 17 Usually girls feel they should stay slim and trim to be fit. So "dieting" is the solution where they eat less and work more on exercises to remain thin. How healthy is it? 56 This is a classic myth. One needs to have proper dietary habits to remain fit. Fitness has nothing to do with slimness. To be fit one should be healthy which can happen only when one eats well in the required amounts. On the contrary, eating less and doing more workouts may lead to cardiovascular problems, poor strength of muscles, malnutrition arracmia like anemia and weakness. Q18 Will martial arts ,aerobics ,dance classes ,kung fu etc. help me to stay fit? The above mentioned arts help in promoting greater aerobic capacity, balance, flexibility, muscle endurance and strength. They can be considered as an excellent form of exercise for the promotion of fitness in adolescents and an alternative method to the traditional exercise. Q19 Is it necessary that healthy eating habits can be obtained only if we take vegetarian food? No, this is not true. Balanced diet is a diet which contains all the components of food in proper amounts. So it can be achieved from vegetarian as well as non-vegetarian sources. Q20 If I eat one pizza daily will it harm me? Yes. It contains a huge amount of fat that takes a long time or extensive workout to digest. So, once a week is fine but definitely not on daily basis. Q21 We used to eat rice based items in Chennai. But now we are living in Delhi and I have a stomach ache daily. Is this because of my eating rice daily? Yes, your stomach ache could be due to eating rice daily. There cab be many reasons for your problem. It may be that you are growing up,rice diet is not helping you to cope with the demands and growing requirements of your body. Before you take any decision on your own it is advisable to have an appointment with a good dietician who will definitely help you. Q22 I like to eat chocolates. My mother does not allow me to eat even one chocolate. What should I do? Your mother definitely is concerned for your health. If you eat one chocolate daily it may harm your oral health. Q23 Can I lose weight by missing meals? Research shows that missing meals can actually lead to an over-compensation and increased food consumption at the next meal. The result can be a gain, not loss in weight. Not only that, when a meal is missed, the body makes up for lost energy by conserving what you have already eaten and thus slows up your metabolism. Q24 Are vegetarian diets healthier than meat-based diets? Vegetarian diets vary greatly and can range from avoiding meat to a strict vegetarian diet, where all foods of animal origin are excluded. Some studies show that vegetarians suffer less from heart disease, some cancers, high blood pressure and type 2 diabetes, and that they live longer than meat-eaters. However, any beneficial effect is also likely to be due, in part, to a generally healthier lifestyle adopted by vegetarians including not smoking and taking more exercises. It is not simply a case of omitting meat from the diet. Thus, a vegetarian diet is not automatically healthier than an omnivorous diet and non-vegetarians who are health conscious can live just as long as vegetarians. Vegetarian diets can even be unhealthy if meat and animal products, rich in essential vitamins (e.g. vitamin B12) and minerals (e.g. iron, zinc), are not substituted by nutritionally appropriate foods or compensated by adequate food supplements. 57 Q25 Does sugar cause diabetes? When sugar is consumed, the hormone insulin is required to bring blood sugar levels back down to normal. Diabetes is caused due to a lack of sugar in the diet and not excess. Once someone has diabetes it is important to manage the frequency and amount of eating and the types of carbohydrate, (including sugar) consumed to allow the body to maintain good blood sugar control. Q26 If both my mother and grandmother are overweight, does that mean that I too will be overweight? You do not inherit fat, but you have a tendency to become fat. The women in your family may tend to store excess weight around their thighs while the men expand around their bellies. But whether you accumulate this fat or not depends on the way you lead your life. If the number of calories you eat each day match those which you burn then you will not gain weight anywhere on your body, regardless of your parents' shape. What tends to happen, however, is that we inherit eating and lifestyle habits from those we grow up with. Kick those habits, eat well, get active. You will look and feel better. Q27 Is it wrong to drink water in between meals? As such there is no set rule for drinking water. It is said that water should be taken only after meals are complete. This is just a myth. Q28. Which are the areas where I have to be very careful? List out the accident prone areas which a child may normally encounter. Fire and burns, motor vehicle safety, choking, suffocation, poisoning, falls, water drowning, risk of any adventure for which one is unprepared for etc. Q29 Where can I find out about road safety? Newspapers carry large coverage on road safety. The Internet has it in plenty. Moreover, police stations, traffic departments and other government departments related to transport have information about it. Q30 In case of a fire at home/school what should I do? At home such matters should be immediately informed to parents/elders present at that time in the home and if in school the matter should be reported to any teacher /principal. However a knowledge of use of fire extinguisher and water, switching off the main electricity connection can come in handy. Q31 Why is it important to have the phone numbers of all family members? It is important to have the phone numbers of all family members so that people surrounding you can contact your near and dear ones in case of any emergency. An Identity Card is always helpful when one is out of the house for any reason. Q32 What do I do incase of a road accident? The nearest police station is to be intimated immediately or the person be rushed to a nearby hospital if he requires any medical help. 58 Q33. When do we get an electric shock? Electricity is always trying to get to the ground. It takes shortcuts whenever it can. If something that conducts electricity gives electricity an easy path to the ground, electricity will take it. You can never tell when contact with electricity will be fatal, but you can be sure that it will always hurt. Electric shock can cause muscle spasms, weakness, shallow breathing, rapid pulse, severe burns, unconsciousness, or death. Appliances have protective insulated cords and coverings to keep you from contacting the electricity inside. It's important to use appliances and cords the way they were designed to be used so you don't damage the insulation or contact live electrical parts. If a live wire inside an appliance, toy, or power tool touches the inside of the device and you touch the device, it would be like touching a bare live wire. In a shock incident, the path that electric current takes through the body gets very hot. Burns occur all along that path, including the places on the skin where the current enters and leaves the body. Q34. How does one act responsibly when parents are out or when one is all alone at home? The house should be locked from inside. Care should be taken of the younger siblings. Any emergency should be reported to the neighbours first and then to the parents too. The telephone numbers of the neighbours is a must. One needs to apply one's presence of mind in problematic situations when parents have gone very far off. Help of neighbours should be taken judiciously. Q35. Why do we have mock drills in our school? One of the key objectives of these safety programmes is to create awareness about issues related to Road Safety amongst students and general masses. The students are told about safety rules and regulations through the use of audio-visual aids, interaction through quizzes and live demonstrations wherever undertaken. Other events such as skits on road safety and traffic drills are also organised to educate children on road safety. Mock drills expose a person to situations, which he/she has never encountered before. So the information helps in tackling them. Mock drills are also a part of evacuation drills in case of disasters. Q36 I know my father hates me. He finds ways to beat me. What should I do? Parents just don't beat up their children because they want it that way. There might definitely be some ways by which you may talk to your parents and find a good communication channel with your parents. Q37 I do not have a thumb. I feel ashamed and try to remain indoors. Not having a thumb is a body deformity but it definitely is not a disability. Even Eklavya did not have a thumb. But he became a legend and was a master archer. So respect yourself for what you are and get ahead in life. Q38 How can I know that my friends like me truly? It is not a measurable quantity to be known. But if you get along well with your friends and you are able to keep up a good communication with your friends you have already won the hearts of all. Q39 Is my IQ level appropriate according to my age? IQ of every person depends on the logical approach that an individual has developed as he grows 59 up. So IQ's may vary in the same age group. Q40 Why am I so tall compared to others in my class? Everybody says I am a Giraffe!! You are tall because your genes carry dominant height genes. Your parents might also be tall. So you do not have to worry. Feel privileged, carry yourself well and enjoy being tall. Q41 Why is it that I catch cough and cold very easily? Your immune system might be not as strong as it should be for your age. Consult a good physician who will advise you on proper eating habits which will help you to develop a strong immune system. Q42 I have white spots on my face. My classmates laugh at me! Your white spots may be due to deficiency of some minerals and vitamins that may be required by your system. Do not get obsessed by the fact. Instead, consult a good physician and a good dermatologist. Q43 My classmates always laugh at me saying I am too short. What should I do? You are short in height and may have small stature because of your genes. Your parents might be short. So you do not have to worry. Q44 I have heard my teacher saying "my sixth sense works for me". Which sense is called the sixth sense and why? Sixth sense is your inner consciousness that helps you to guide yourself in adversities. As you grow up you may feel guided by this sense. Q45 Is it necessary to know one's blood group? Yes, this is very important as this helps you in case of any emergency. Q46 How can I improve on my bad habits? Who decides what is good or bad? If you are able to analyze yourself and make a positive effort to come out of the so-called bad habits you have done a great job! Writing a daily diary may also help you in your self-introspection. Take the help of your parents & teachers. Q47 Everybody in my class hates me because I have a "Me -Too" attitude. How should I come out of this situation? "Me-Too" attitude is definitely not good for one's image. It is great that you have self introspected and feel the urge to come out of it. Take the help of a good counsellor or a teacher who will help you to overcome this attitude. Q48 How can I increase my concentration power ? Concentration power can be developed in many ways such as: (i) Improve your listening skills. (ii) Recapitulate all that you have listened to as early as possible. (iii) Try to jot down important points. (iv) Avoid any kind of distraction when involved in serious work. 60 61 v Kick stationary ball. v Dip your face and blow bubbles. of water skills enter/exit from the pool. v Beginning v Tadasan. v Padmasan. v Breathing Exercises in and out. v Eye Exercises. others. v Enjoy participation alone and with body movements with personal success and achievements of others v Celebrate around water. v Introduce survival skill in, on and v Introduce to rules of games and life. and challenges. v Game of hockey. v Introduce feelings of success, failures v Game of leg cricket. v Different types of relays. v Suryanamaskar. v Halasan. Music. v Changing v Marching. v Complete warm up schedule. v Run and jump a hurdle. v Game of kick ball. and method for safe activities. use of equipments. v Introduce glide, front and back float, v Tell about feelings that come from flitter kick, free style strokes. participation in physical activities. v Vajrasan. v Tell guidelines a variety of body parts or an v Move each joint completely. object into high, middle and low v Manage body weight. levels. v Tell about importance of safety while v Balance an object on various participating in physical activities. body parts. v Be considerate of others in physical v Place v Kick a moving ball. v Run and take off. v Jump and land for height. in various ways. v Roll a ball under hand to a target. Class - III - V v Standing broad jump. between straight, curved Class - II and zig-zag pathways while travelling v Kick a stationery ball to a target. v Distinguish Class - I APPENDIX -I PHYSICAL EDUCATION PROGRAM AT PRIMARY LEVEL APPENDIX -II Advisory To Schools It is well established that participation in Physical Education & Sports activities is highly beneficial to one's health and it leads to improved performance by students in schools, in addition to helping them in developing many life skills. Children lead happier lives as a result of being actively involved in sporting activities and it has long been established that fitness and improved academics performance go hand in hand. Physical Education and Sports activities during the school hours reduce boredom and help keep students attentive in the classrooms. The Board is of the firm opinion that the Physical Education & Sports programs teach important conflict resolution skills including team work, fair play and communication leading to reduced violent behaviour among children. Further, children who participate in Physical Education & Sports develop a positive attitude towards their every day life activities. In the above background, it is advised that the following in respect of the Physical Education & Sports may be strictly adhered to : a) There should be at least 40-45 minutes of Physical Activities or Games period for Classes I-X everyday. b) For Classes XI-XII it should be ensured that all the students participate in Physical Activity/Games/Mass P.T./Yoga with maximum health benefits for at least two periods per week (90-120 min/week). c) In case the school has constraints of space, climate conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics/Meditation/Yoga & Asanas). d) Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can have. As part of Continuous and Comprehensive Evaluation the students will be assessed on participation and performance in by choosing any two activities from the 13 activities given for Classes VI-VIII and 08 activities given for Classes IX-X. 62 63 Class - II Class - III - V v Split jumping. pattern. v Walk and run using a mature motor v Jump a swinging rope held by others. v Running on the spot. bounces. v Toss and catch the ball before it bench. v Walking forward and sideways on a responses to signal. v Formation of different shapes and response to a signal. side and dodging to avoid or catch others. Balance, demonstrating stillness, in symmetrical and asymmetrical shapes on a variety of body parts. v Demonstrate skills of chasing, fleeing v Repeatedly jump a self-turned rope. ball towards a target. v Use at least one body part to strike a properly positioned hands, a gently thrown ball. v Catch, using overhand technique, a orientation and opposition. v Throw a ball hard demonstrating an Skills of chasing, fleeting, and dodging to avoid or catch others. catch and kick using mature motor patterns, and towards a target. v Throw, strike a softly thrown ball with a bat or paddle demonstrating an appropriate grip, side to target and swing plane. v Consistently a softly thrown, lightweight ball back to a partner using a variety of body parts, and combinations of body parts (e.g. the bump volley in volley ball, the thigh in soccer, etc.) v Strike hesitating, travel into and out of a rope turned by others. v Without maintain control while travelling by self and within a group. one and two feet take-offs and landings. v Demonstrate v With Hand/foot dribble a ball and v Jump and land using a combination of v Walking forward and sideways v Travel in backward direction and v While travelling, avoid or catch an quickly, safely, without falling. in dividual or object. direction and change direction in Class - I PHYSICAL EDUCATION PROGRAM AT PRIMARY LEVEL APPENDIX -III CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI-110092. ACAD/EO/2006 Appendix-IV Dated : 31.5.2006 Circular No. 09 All the Heads of the institutions affiliated to CBSE. Subject: Comprehensive School Health Programme and Creating Health Club in the school. Dear Principal, Childhood and adolescence form the most joyful period of an individual’s life. They are times of immense creative energy, self-discovery and exploration of the world. They can also be fraught with feelings of isolation, loneliness and confusion. They can be due to various factors relating to the physical, social, emotional, mental and spiritual well being of the younger generation. Schools, families and communities need to play a positive and responsible role in bringing up young children in a healthy environment which would enable each one to maximize their potential. Schools can provide dynamic settings for promoting health, for enabling children to grow and mature into healthy adults. Yet the potential of the school to enhance health is often underutilized. ‘School Health’ has largely remained confined to medical check-ups of children or some hours of health instruction in the curriculum. There is a growing recognition that the health and psycho-social wellbeing of children and youth is of fundamental value and the schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Although schools have undertaken many initiatives in promoting school health, the comprehensiveness and sustainability in these initiatives is not clearly laid out. The need of the hour is a comprehensive school health policy integrated within the school system. The Central Board of Secondary Education suggests that schools plan out a Comprehensive School Health Programme which could be initiated through HEALTH CLUB in each school to begin with. Need For Creating Health Clubs in Schools Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. Health and Wellness Clubs in Schools would focus on the overall well being comprising emotional, social and mental health of the child. It would act as the enabling and organizational point for conducting activities related to various dimensions of health and wellness. A Health Card needs to be created for students which would form a continuous part of their growth and development. This could form an effective monitoring and feedback system for the overall health of a child during his schooling. …………………/-2- 64 Constitution of a Health Club • • • • • Principal as Convener Counselor / Psychologist / P. T Teacher / Nodal Teacher as Secretary Student representative (one boy and one girl from each level) Identified teachers from each level Parent for each level (preferably a doctor) Responsibilities of the Health Club • • As an organizer of all health relevant activities (at least 8-10 activities in the year at each level). As a Resource Centre for the overall well being of students Objectives of the Health Club • • • • • • • • • • • • • To create Health Cards for each student To create a health newspaper at least twice a year/poster competition related to health issues To conduct surveys on health related concerns To organize ‘health walks’ as part of social campaigns To organize health fairs and immunization projects To tap the local resources in the community to arrange health talks To render service in any area affected by a disaster or a calamity To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding sexual and reproductive health To teach the students techniques of yoga and meditation from an early age To inculcate in the students healthy and positive ways of living To teach health songs on various health topics Celebration of important days (World Health Day – April 7) Creating awareness regarding ‘World No Tobacco Day’ (May 31), ‘World AIDS Day’ (December 1) etc. The Board is suggesting a plethora of activities in Annexure A for various levels which can be conducted as part of co-curricular inputs during the calendar year. The activities mentioned here are recommended as pointers and many more can be added as per local needs and requirement. The Board is also in the process of preparing a Manual on a Comprehensive School Health Program which will be available shortly. Any further suggestions on this issue are always welcome. Yours sincerely (VINEET JOSHI) SECRETARY Encl : Annexure A 65 Annexure A COMPREHENSIVE SCHOOL HEALTH PROGRAM Suggested Activities for promoting Health in School I – IV Module 1 Know yourself • • • • • • • • • • • • • • • • • • • • • • • • Yoga and Meditation Drawing a Picture of oneself Pasting a Photograph Palm Printing / Foot Printing Rythmic Exercises Poem / Rhymes / Recitation Role Play on Body Parts Matching of Flash Cards Self awareness / Diary Sensitivity based Theater Check up by Doctors/ Dentists Health Card Counselling Ten Sentences on oneself Physical/ Social/Society Likes and dislikes My list of favourites Any other….. Yoga & Meditation Assembly themes Tapping resources from neighbour-hood / community for health, hygiene & personality Introspection diary Survey of eating joints for their nutritive content Health Card Any other V-VIII • • • • • • • Yoga and Meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. • Health Card • Any other Module 2 Food and Nutrition • Collection of Pictures of nutritive/junk food • Class Party and discussion on food items • Dietary charts for the week • Jigsaw Puzzle presentation • Four Corners • Power point Presentations • Mandatory to bring one nutritive item • Research on food items – balanced items • Mothers’ recipe book • Any other • Nutritive Recipe competition • Orientation program for Parents and Students on good food habits • A PMI (plus, minus and interesting) on generally observed health problems • Survey based on balanced diet of different regions / communities • Any other 66 IX-XII • • • • • • • Yoga and meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. • Health Card • Any other • • • • • • • Extempore Debate Slogan writing Theatre Collage making Panel Discussion Any other I – IV Module 3 Hygiene • • • • V-VIII Board Displays Research Projects Skits Eco-clubs Celebrating Environment Friendly Days • Preparing Recycled Paper • Visiting a Heritage Site • Any other • Resource persons from NGO’s • Panel Discussion Planting • Eco-clubs • Planting Sapling and Trees • Rain Water Harvesting • No Polybag Zone • Adopting a National Heritage Spot • Warming up exercises before the beginning of each physical education period • Pranayam • Yoga • Physical education periods a must for all schools/all classes • Drills/aerobics followed by presentations at the end of every month • Skill based programmes-camps • March/run for health • Any other • • • • • • • Inter House Competitions based on Aerobics / Yoga / Gymnastics • Team building • Leadership Camps • Running for a Cause • Any other • Extempore dialogue delivery • Ground rules preparation in classes • Safety activities-sports field/ activity period (to be made by students) • Travelling independently (phone numbers/ residential numbers) • Learning to Communicate problems-Circle time) • Campaigns • Vigilance Committee • Evacuation Skills • • • • • • • • • Tick mark of self check-list Presentation Value based assemblies Shramdaan (cleaning up of your class at the end of the day) Picking up wrappers/ foils etc after the break Creating shramdaan clubs Green brigade clubs Posters Outdoor excursions (Speed, stamina, strength) • • • • • IX-XII Module 4 Physical fitness Module 5 Safety Measures -Fire Accidents, Emergencies Competitive Sports Team building adventure treks Leadership camps Health Walks for social issues Swimming Any other Transport drill Sports Day First Aid Showing Movies on fire safety drill • Bravery Award • Research based Projects • Sexual Health Education issues related to Gender Sensitivity 67 • • • • • • • • • Fire Brigade Demonstration Disaster Management Self – defence techniques Traffic rules Theatre-visit to Rehabilitation Centre Sensitization Programmes on Substance Abuse Interpersonal relationships Parental Sessions Laboratory Safety drill I – IV Module 3 Behavioural and Life Skills • • • • • Consequence games Learning to say “NO” Think pair share Handling peer pressure Identification of good touch and bad touch V-VIII • • • • • Learning to say no Mentoring Interactive Bulletin Board Quiz Contest Poster making / Painting Competition • Group Games on Adolescent issues 68 IX-XII • Handling Peer Pressure • Question Box Activity • Situation Analysis and Case Studies of sensitive issues • Peace March to mark a social event or issue • Panel Discussion with Eminent Psychologists] • Guest Speakers from the experts (Doctor) • Visit to a rehabilitation centre CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/CIRCULAR/2007 14th March,2007 Circular No. 17 All Heads of Institutions Affiliated to CBSE. Subject : Importance of Nutrition for Bone Health. Dear Principal, Bone Health is a neglected area and has resulted in various problems both for adults and young children. The major causes for the poor bone health in India are genetic predisposition, lower bone mineral density due to deficiency of calcium and vitamin D, inadequate exposure of body surface area to direct sunshine even though the country has plenty of sunshine throughout the year, clothing pattern, relatively pigmented skin, poor diet, lack of availability of foods fortified with essential vitamins and minerals and lack of physical activity. Childhood and adolescence is the time when bones are beginning to be modeled until around the age of 30 when peak bone mass is achieved. Diet in the modeling phase is extremely important. A critical element that helps absorb deposition of dietary calcium into bone mass is vitamin D. Deficiency of vitamin D is one of major contributory factor responsible for lower bone mineral density (BMD). A related bone problem is flurosis. It is prevalent in 17 States and has affected 66 million people including about 6 million children below the age of 14. It results from consuming ground water with excessive fluoride leading to bone disorders. Inadequate exposure of body surface area to direct sunshine, clothing pattern, relatively pigmented skin, environmental pollution, faulty housing architecture which does not allow enough sunshine, poor diet and lack of required food fortification, are among the major factors responsible for compromised bone health. It is important to pay attention to bone health right for childhood. It is in this regard, schools may be advised to take steps regarding the following aspects : 1. Schools should promote outdoor physical activity after 9.00 a.m. and before 4.00 p.m. for adequate exposure to sunshine. Sunshine is the most important source of vitamin D. N N N Vitamin. D helps absorption of calcium. The main source of vitamin D is the exposure to sunlight. Exposure of legs and arms to sunlight for about 25 minutes between 9 AM and 4 PM is adequate. Physical activity at all ages, particularly weight bearing activity, is important for bone health. It also reduces the risk of falling by strengthening muscles and maintaining balance. Calcium is critical for sound bone health. Foods containing calcium like milk, leafy green vegetables, etc. should be a part of the normal daily diet. 69 3. During the educational programs, schools should emphasis the importance of calcium and vitamin D and thus the schools play a crucial role in creating awareness on such vital issues by sharing this message with the entire student community as well as the parents. With regards, Yours sincerely (C.GURUMURTHY) DIRECTOR(ACADEMICS) Copy to : 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18, Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791111. 7. The Director of Education, Govt. of A & N Islands, Port Blair-744101. 8. The Secretary, Central Tibetan School Administration, Sector 5, Rohini, Delhi-110085. 9. All the Regional Officers of CBSE. (C.GURUMURTHY) 70 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI - 110092 NO. CBSE/ACAD/HELATH/2007 20th June,2007 Circular No. 29 All the Heads of the institutions affiliated to CBSE Subject : Comprehensive School Health Programme : Dear Principals, The Central Board of Scondary Education in continuation of its Circular No. 09 dated 31.5.2006 regarding Comprehensive School Health Programme and creating Health Club in school would like to reiterate and create awareness about the following issues : 1. School must have by now intiated the creation the creation of Health Clubs to implement the Comprehensive School Health Programme. i) ii) iii) 2. Health and Wellnesss Clubs in schools need to focus on over all well being comprising mental and social health of the child. These would act as nodal centres for creating an enabling environment in the school to ensure an ambience of wellness and fostering reventive health care. The Constitution, responsibilities and objectives of a Health Club have already been stated in the previous circular. Activities for promoting health and wellness in schools have also been stated in the circular. Comprehensive School Health Manual The Comprehensive School Health Manual addressed a basic gap in schooling that has crept in over the years. The is largely to do with the aspect of school health which has somehow been relegated to sporadic health check ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health. The School Health Policy and now the Manual proposes to view health holistically, utilize all educational opportunities for health promotion including formal and informal aproaches in curriculum and pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behaviour, ensuring physical fitness activities and sports, providing nutritous snacks in the school canteen, ensuring access to primary health care services, providing emergency care for illness or injury, providing counselling services and integrated family and community activities and staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in the circular issued to all schools regarding setting up of Health Clubs. Comprehensive School Health Manual will be available to all schools by August 2007. 3. Health Websites : The Ministry of Health and Family Welfare (MOHFW), Government of India has commissioned a website on Health Living (www.healthy-india.org) to address the concerns in India on the lifestyle preventable diseases. 71 The a) b) c) d) e) f) objectives of the website are : to harmonize the burden of preventable chronic diseases in the country by creating awareness to bring in the need for a healthy lifestyle to create Agents of Change among school children with regard to health issues to encourage the setting up of a health fostering school to create awareness regarding canteens as social responsible outlets which inculate healthy eating behaviours to ensure that there is enough emphasis on physical activity in schools and on enjoyment of this physical activity. The website has been so designed that it is user - friendly and containg a number of dynamic sections for interative sessions. As India advances economically and gains greater control over traditional health threats, diseases related to distorted lifestyles and unhealthy living habits are rapidly growing as major public health problems. Imbalanced diet, physical inactivity, tobacco consumption and alcohol abuse are leading to many Indians suffering from diabetes, heart disease, cancer and lung disease. Many of these diseases are preventable. Such preventive efforts are best started in childhood and in schooling years. Armed with appropriate health information people can protect and promote their personal health and families can create healthy living conditions for individuals of all ages. Schools and colleges are important stakeholders in disseminating healthy lifestyle information to children and youth. Healthy India endeavours to advance consciousness of disease prevention opprtunities, encourage earlier detection and treatment of chronic diseases and foster healthy living through information and resources on healthy lifestyle viz. Healthy Diet; Physical Activity; Dealing with Tobacoo and Alcohol related health problems; Yoga Stress Management; Diabetes; Cancers; Heart Attacks and Strokes. We would request you to encourage students, teachers and staff to adopt healthy life style practices suggested in this useful site (www.healthy-india.org) and practice the provided advise therein. Yours Sincerely (VINEET JOSHI) SECRETARY 72 Copy to : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat Sector-9 Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Officers, KVS 10 All Education Officers and Asstt. Education Officers, CBSE 11 E.O. to Chairman CBSE 12 P.A. to Director (Academic) CBSE (VINEET JOSHI) SECRETARY 73 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/HEALTH MANUAL/2008 24th June,2008 Circular No. 27/08 All the Heads of the institutions affiliated to CBSE. Subject : Comprehensive School Health Programme and Release of School Health Manuals in four Volumes. Dear Principal, Children are the greatest asset of a country and those in school have a right to a happy and healthy life within the school environment as well as at home. Investment in the health of children is an investment in the future of the nation. It is essential to build on the components of knowledge relating to health and nutrition, develop healthy attitudes and enhance Life Skills to overcome the multiple health concerns affecting school going children both in the urban and remote areas of the country. This is further to our circulars (No. 09 dated 31.5.2006 and No. 29 dated 20.6.2007) on Comprehensive School Health Programme in which the Board has requested schools to set up `Health Clubs' in order to implement the Comprehensive School Health Programme. It is heartening to note that some of the schools affiliated with the board have responded positively in this regard. Comprehensive School Health Programme and Health Manuals : The objectives of the School Health Club as mentioned in the earlier circular are also being reiterated: • To create Health Cards for each student • To create a health newspaper at least twice a year / poster competition related to health issues • To conduct surveys on health related concerns • To organize ` health walks' as part of social campaigns • To organize health fairs and immunization projects • To tap the local resources in the community to arrange health talks • To render service in any area affected by a disaster or a calamity • To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding adolescent health • To teach the students techniques of yoga and meditation from an early age • To inculcate in the students healthy and positive ways of living • To teach health songs on various health topics ……………../- • Celebration of important days (World Health Day - April 7) • Creating awareness regarding `World No Tobacco Day' (May 31), `World AIDS Day (December 1) etc. 74 Health Manuals : The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. School Health has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It was imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and now the Manuals propose to view health holistically, utilize all educational opportunities for health promotion including formal and informal approaches in curriculum pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behavior, ensuring physical fitness activities and sports, providing nutrituous snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill. There are four Manuals in this package. The first Manual-Vol I is addressed to all stakeholders concerned with school health. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consist of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VI-VIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal and Environmental Hygiene, Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objectives of the modules and activities is to focus on the different aspects of growth and age appropriate development of the child. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will carry on the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help to empower them to construct knowledge for themselves in a classroom or out of the class setting. ……………../The graded activities provided in the manual follow outcome based approach to learning, teaching and assessment. They are positive in attitude and stress on developing health promoting habits from an early age which emphasizes the concept of learning throughout life. For the success of the school health programme it has to be developed and implemented by a strong indigenous group committed teachers under the guidance of the dynamic head of the organization as well as a committed management. A special feature of this development would be a cooperative, caring and concerned atmosphere which it is hoped will be the key note of the school learning environment while implementing the programme. The integration of school and community efforts should be related where the school is regarded as a social unit providing a focal point from which the school may reach out to the family, to the local community and to the community at large as a whole which in turn may support the efforts of the school. 75 It is hoped that the Health Manuals will foster the need to provide for a healthy environment for each child studying in a school and in that sense the CBSE Comprehensive School Health Program is dedicated to all children. The Health Clubs can be used to conduct the activities which are detailed in the School Health Manuals in four Volumes being released to all the schools. One set of the four volumes is being sent to all schools free of cost, however, for additional volumes the school will have to make a request as these will be priced documents. These will be available from the Stores, CBSE, 17 Institutional Area, Rouse Avenue, New Delhi as well as from the Regional Offices. (VINEET JOSHI) SECRETARY Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar-791111. ……………../- 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic) CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 76 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/EO(L)/ACAD/2008 1st Sept.,2008 Circular No. 33/08 All the Heads of the institutions affiliated to CBSE. Subject : Creating a Healthy School Environment Dear Principal, One of the lofty aims of education is to shape young individuals into caring, thinking sensitive and value enriched citizens of the country. These are achievable when the schools provide a nurturing environment and create a value based climate within the school. The schools affiliated to CBSE are seen as powerful resources of Human Resource Development. This is possible and can be ensured only if the schools themselves are convinced of the positive benefits of a value enriched environment. The conflicting role models thrown up by the social context as well as the explosion of media often result in giving out ambiguous signals to young minds. It thus becomes even more mandatory that the schools serve as agents of change and transformation by bringing out the best from within each child. The inspiration, motivation and upliftment of spirit should go hand in glove with transaction of academic knowledge. The Central Board of Secondary Education has received feedback about certain schools where the school authorities forcibly keep the children back in Classes IX & XI under various pretexts. This has been viewed very seriously. The Board requires all heads of institutions to reflect on the long term objectives of imparting holistic education in schools. It is impossible to create vibrance and a joyful and friendly learning ambience to ensure there is collaborative synergy between learners, teachers, heads of the institutions, parents and the management of the school. Unless the heads of schools realize their own responsibility towards all these stakeholders there will be a serious backlash from all these quarters. Cases of indiscipline, rowydism, bullying, smoking and other kinds of drug abuse in some institutions have also been reported to which a blind eye is turned by the school authorities. The Adolescence Education Programme and the Life Skills ……………./Programme as well as the Comprehensive School Health Programme advocated by the Board focuses on the growing concerns of adolescence which need to be addressed with an urgency and immediacy and unless stringent action is taken at the right point of time in collaboration with the parents of the adolescents it may become a matter of serious concern. Life Skills Education is an excellent tool for bringing about positive behavioural changes in individuals. It is essential that all stakeholders involved in imparting value based education within the school environment should come together to find an answer to some of these areas that ultimately concern all of us. This may be brought to the notice of all teachers, students and parents through staff meetings / assembly meetings, circulars and advisory issued and reinforced from time to time. Yours sincerely (VINEET JOSHI) SECRETARY 77 Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. ………………./- 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic), CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 78 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/CSHP/2008 6th Nov.,2008 Circular No. 49 All the Heads of the institutions affiliated to CBSE. Subject: Follow up on Comprehensive School Health Programme. Dear Principal, The Central Board of Secondary Education has recommended the setting up Health and Wellness Clubs and launched the four manuals in the package of Comprehensive School Health Manuals (vide circular no. 27 dated 24th June, 2008). We hope that you have received the following four volumes of the Comprehensive School Health Manuals : 1. Comprehensive School Health Teachers Activity Manual Volume I 2. Teacher's Manual for Classes I-V 3. Teachers' Activity Manual for Classes VI-VIII 4. Teachers' Activity Manual for Classes IX - XII In continuation of the above the Board would like to bring to you an advisory on some of the components related to health such as Physical Fitness, Substance Abuse and Emotional Concerns. 1. Physical Fitness : a. There should be at least 30 minutes of Physical Activities or games with maximum health benefits for Classes I-VIII everyday. a. For Classes IX - XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least 2 periods per week (90120 min / week). b. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation & breathing exercises / Yoga). c. Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can use. d. Too much of time being spent by children at house in watching TV or playing computer games needs to be carefully monitored by the parents. An advisory can be sent by schools to parents and reinforced in the beginning of every term. e. Parental Awareness Programmes regarding Adolescent concerns including the above may be held at regular intervals by the schools. 79 2. Eating Habits and Diet: School canteens should provide healthy snacks which can be monitored by the Health Clubs of the schools. Doctors / Nutritional Experts/ dieticians / Counsellors / Nurses/ Home Science Department may be involved in designing the recipes for the menu (healthy, nutritious, wholesome) and monitoring quality of the food items. Junk / fast food needs to be replaced completely with healthy snacks. Carbonated and aerated beverages may be replaced by juices and diary products (Lassi, Chach, Flavored milk etc.) 3. Substance Abuse : Passive smoking is as harmful as indulging in active tobacco use. Awareness regarding the hazardous effects of passive smoking need to be created among the students and this may also be a part of the Parental Awareness Programmes. Awareness on recent laws enacted on prohibition of Tobacco products in public places needs to be created among students. Heads of Institutes should ensure that no Tobacco products should be sold either by minor or by major children in the vicinity of the educational institutes. Regular vigilance against smoking at home and school needs to be emphasized. The matter can be discussed in PTA meetings with parents. Project work on Substance / Tobacco abuse may be assigned to students as part of school assignment across disciplines and `No Tobacco Week' may be celebrated in school. A substance abuse control committee at school level involving PTA member's local leaders and students may also be initiated. Value Education and Value Enhanced Life Skills should form a part of the larger curriculum plus activities in the schools. Schools should also be able to integrate unstructured programmes on Value Education through their Literary Clubs, Health Clubs and Eco Clubs. 4. Emotional Health: There is a need for Value Education aided Conceptual Framework of Life Skills related to values for sensitizing teachers and learners to the Universal Skills such as Thinking Skills (Creative and Critical Thinking, Self Awareness, Problem Solving, Decision Making), Social Skills (Interpersonal Relationships, Effective Communication, Empathy) and Emotional Skills (Managing feeling / Emotions, Coping with Stress). Yours sincerely (DR.SADHANA PARASHAR) EDUCATION OFFICER(L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 80 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair- 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD(AIEEE), CBSE 19. PRO, CBSE EDUCATION OFFICER(L) 81 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/CM/ 2008 Dated: 11.11.2008 Circular No. 51/08 All Heads of Institutions Affiliated to the Board Subject: Safety in School Science Laboratories Dear Principal, Science laboratories are essential and critical component in Science education. All students study Science as a compulsory subject upto grade X and a significant percentage of them continue studying Physics, Chemistry, Biology, BioTechnology, Home Science etc. at senior secondary level. This requires conduct of regular practical work and use of variety of equipment, instruments, gadgets, materials, chemicals, glassware etc. It is of utmost importance that in order to ensure safety of students working in Science laboratories, every essential precaution is taken well in advance. It is not uncommon to observe that in many cases, the essential safety measures are either not given much attention or are ignored altogether. Gas fittings in chemistry laboratory often do not fulfil the mandatory standards and requirements. Chemical are, in many cases, not stored in safe manner and kept under safe custody. It is also observed that exhaust fans are sometimes not provided in chemistry laboratory. Mandatory items such as laboratory coats, goggles and gloves are not used while doing experimental work. Electrical fittings are at times done with sub-standard materials and components. Laboratories are not located with easy and open exits. Fire extinguishers are not installed at desired locations. First aid facilities are inadequate or missing. Medical facilities are also found wanting on many occasions. All such negligent actions may result in dangerous and unfortunate incidents and need to be attended to urgently. In order to ensure safety of students in Science Laboratories, there is an urgent need to look into its different aspects and make the following provisions: • Designing of all science laboratories according to necessary norms and standards. • Two wide doors for unobstructed exits from the laboratory. • • Adequate number of fire extinguishers near science laboratories. Periodical checking of vulnerable points in the laboratories in relation to possibility of any mishappening. • • Ensuring gas fittings in Chemistry laboratory fulfilling desired norms and standards. Periodical checking of electrical fittings/ insulations for replacement and repairs. • Timely and repeated instructions to students for careful handling of chemicals and equipments in the laboratory. • • Display of do's and dont's in the laboratory at prominent places. Safe and secure storage of all chemicals. • Proper labelling and upkeep of chemicals. • Proper safety and protection provisions such as fume hood, goggles and gloves while doing practical work. • Careful supervision of students while doing practical work. • • Advance precautionary arrangements to meet any emergency situations. Conduct of any additional experimental work only under supervision and with due advance permission. 82 • • Availability of First Aid and basic medical facilities in the school. Proper location of the laboratories. The tragic fire incident in a school at Kumbakonam in 2004 is still afresh in which nearly 100 children lost their precious lives. The Board had issued a detailed Circular no. 28/2004 dated 26th July, 2004 asking schools to take all safety measures for meeting adverse situations and ensuring safe custody of children in the school. It is reiterated that all necessary safety measures may be taken and the above guidelines may be discussed in detail with the teachers as well as students for greater awareness and sensitization on safety matters. The Board may depute an expert team to visit your school to find out whether all safety provisions in Science laboratories have been made. With best regards Yours faithfully, (VINEET JOSHI) CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. 2. 3. 4. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160 017. 5. 6. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim - 737 101. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 9. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE CHAIRMAN 83 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/EO (L)/NUSSA/2009 Dated:24.6.2009 Circular No. 22 All the Heads of the Institutions Affiliated to CBSE. Subject : National Urban School Sanitation Awards 2009 in the context of setting up of `Health and Wellness Clubs and `Eco-Clubs' in schools. Dear Principal, The CBSE in collaboration with the Ministry of Urban Development and GTZ has introduced the `National Initiative on School Sanitation' and the aim is to inculcate good sanitation habits among the school children. The Annual National Urban School Sanitation Awards(NSSUA) has been instituted by Ministry of Urban Development along with German Technical Cooperation (GTZ) and Central Board of Secondary Education CBSE to inspire, acquaint and celebrate excellence in Urban School Sanitation. These Awards are instituted with the purpose of honouring urban schools who are taking significant steps towards effective sanitation and improvement in service delivery leading to behavioral change. The awards are open to all school affiliated to CBSE which include Kendriya Vidyalayas, Jawahar Navodaya Vidyalayas, Government Schools, Private Independent Schools, DAV Schools, CTSA Schools, Army Schools etc. Awards will be given in the following categories which schools can take up as part of Health and Wellness Clubs and Eco-Clubs N Awareness Generation leading to Behavioural Change through Students and Community Mobilization N Technical Innovation and Interventions N Improving Sanitation facilities for the Girl Child N Best performing Health and Wellness Clubs N Sustainability of the Effort N Waste Management and Disposal N Water conservation and Waste Water Recycling and its Utilization N Conservation of Green Spaces N Public Private Partnership Parameters for the Selection 1. Sustainability :Demonstrated success geared towards long term hygiene and safe sanitation. 2. Replicability: Potential for replication of practices and models that have resulted in better service delivery. 3. Safe Hygiene Practices 4. Waste Segregation and Waste Management 5. Awareness Generation Efforts and impact leading to Behavioral Change 6. Water and Sanitation:Tangible Improvements in Service Delivery 84 7. Efforts towards Water Management 8. Innovation: Demonstrated Innovation, Uniqueness and Originality in the use of Ideas, Technology and Resources 9. Dynamism: Activity points scored by participation in various activities as organized from time to time through website; www.schoolsanitation.com Mechanism and Procedures N N MoUD, CBSE and GTZ have constituted an Advisory Group for deciding on Awards. Initial scrutiny will be done by Committee and then the final hundred entries will be submitted for critical examination and final selection for the Awards by the Advisory Group. The Awards will be in the form of certificates of excellence, mementos, citations, participation in a school sanitation exchange programmes, joint development of pilot projects on zero waste producing concepts with the schools and also special certificates to Principals, teachers and students associated with excellent Health & Wellness Clubs and Eco Clubs. You are requested to disseminate the information to all and participate in this initiative of National importance. You are requested to send in CD-ROM addressed to the Nodal Officer, National Urban School Sanitation Awards 2009 by courier at CBSE, Shiksha Sadan, 4th Floor, Room No. 404. Under no circumstances either projects or models should be sent to the CBSE or GTZ Office. For more information about the National initiative on Urban School Sanitation visit: www.schoolsanitation.com and for further queries, the Academic Branch at CBSE may be contacted at telephone no. 011-23234324 (Dr. Sneha Singh / Syed Shaney Alam) Yours sincerely, (DR.SADHANA PARASHAR) EDUCATION OFFICER (L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdictions: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi 02 The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Offices, KVS 85 10. All Education Officers and Asstt. Education Officers, CBSE 11. Joint Secretary .IT. CBSE 12. E.O. to Chairman CBSE 13. P.A. to Secretary CBSE 14. P.A. to Director (Academic) CBSE 15. P.A. to Controller of Exams. CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD (AIEEE), CBSE Education Officer (L) 86 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 (An autonomous Organisation under the Union Ministry of Human Resource Development, Govt.of India). ‘Shiksha Sadan’, 17, Institutional Area, Rouse Avenue, New Delhi -110002 CBSE/ACAD/HEALTH/2010 July 28,2010 Circular No. 38 All the Heads of Independent Schools Affiliated to the CBSE Subject: Observation of International Day against Drug Abuse and Illicit Trafficking on 26th June, 2010. Dear Principals, As you are aware that each year 26th June is observed as the International Day against Drug Abuse and Illicit Trafficking. Kindly refer to our earlier circular no.18 dated June19, 2009 whereby all schools affiliated to CBSE had been asked to observe the day in a befitting manner by organizing activities like awareness campaigns, conducting seminars and workshops and holding exhibitions etc. You are hereby requested to send a report on the specific activities conducted in your school on this occassion such as debates, elocution, essay writing, poster making competition and other suitable extra curricular activities. Yours Sincerely ( C.Gurumurthy) Director (Academic) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim – 737 101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESS ESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 9. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the 87 affiliated schools of the Board in their respective regions. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE ( C.Gurumurthy) Director (Academic) 88 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/Sports/2010-2011 Dated: 27.10.2010 Circular No. 71 All the Heads of the Institutions Affiliated to CBSE Subject: Physical Education & Sports in Schools – reg.. Dear Principal, Schools are dynamic settings for promoting health and wellness through various correlated areas such as Physical Education and Sports as well as through Health and Wellness Clubs. There is a growing awareness that the health and psycho-social well-being of young children is of paramount importance and schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. The CBSE through its various advisories (Circular No. 09 dated 31.5.2006, Circular No. 29 dated 20th June, 2007, Circular No. 27/08 dated 24th June, 2008, Circular No. 49 dated 6th Nov., 2008 and Circular No. 57 dated 20.11.2009) has directed schools to set up Health and Wellness Clubs which can be used to conduct the activities which are detailed in the School Health Manuals in four volumes already released to all the schools. It is well established that participation in Physical Education & Sports activities is highly beneficial to one’s health and it leads to improved performance by students in schools, in addition to helping them in developing many life skills. Children lead happier lives as a result of being actively involved in sporting activities and it has long been established that fitness and improved academics performance go hand in hand. Physical Education and Sports activities during the school hours reduce boredom and help keep students attentive in the classrooms. Keeping in view the above, the Central Board of Secondary Education has time and again recommended for providing compulsory time schedule for Physical Education & Sports activities for the students of all classes. The Board is of the firm opinion that the Physical Education & Sports programs teach important conflict resolution skills including team work, fair play and communication leading to reduced violent behaviour among children. Further, children who participate in Physical Education & Sports develop a positive attitude towards their every day life activities. In the above background, it is advised that the following in respect of the Physical Education & Sports may be strictly adhered to: a. b. There should be at least 40-45 minutes of Physical Activities or Games period for Classes I-X everyday. For Classes XI – XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least two periods per week 89 (90-120 min / week). c. d. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation / Yoga & Asanas). Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can have. As part of Continuous and Comprehensive Evaluation the students will be assessed on participation and performance in by choosing any two activities from the 13 activities given for Classes VI-VIII and 08 activities given for Classes IX-X. It is earnestly hoped that all schools will follow these directives to ensure that all students draw maximum health benefit in terms of physical fitness and team building as well as collaborative skills. This may be brought to the notice of all teachers, students and parents. Yours sincerely VINEET JOSHI CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 04 05 06 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD (AIEEE), CBSE 19. PRO, CBSE CHAIRMAN 90 Appendix-V BASIC EMERGENCY CARE Cardiac arrest occurs in 70% of individuals at home and 20% at workspace and only in 10% at hospital. It is therfore important that non-healthcare persons such as schoolchildren, teachers, police and drivers should learn how to o save life and transport the patient to the nearest health facilit. Cardiopulmonary resucitation (CPR) is a procedure to support and maintain breathing and cirulation for a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest.) Basic Emergency Care (BEC) is the emergency care which can be provided by schoolchildren, teachers, police and drivers in the absence of advanced medical care. If one school kid is trained in CPR, he or she can take care of his peers, family members and community at large. Beside CPR and foreign body reomoval, it also includes considerations of patient transport such as the protection of the cervical spine and avoiding additional injuries through splinting and immobilization. When witnessing sudden collapse in victims of all ages, the rescuer should first telephone the emergency medical services system and then return to continue CPR (phone first). But for unwitnessed arrest (eg drowning, drug overdose and injured), the rescuer should deliver five cycles of CPR before calling emergency number and then continue CPR (phone fast). THE CHAIN OF SURVIVAL The highest survival rate from cardiac arrest can be achieved only when the following sequence of events occurs as rapidly as possible : 1. Early recognition of warning signs 2. Activation of emergency medical services 3. Basic CPR 4. Defibrillation 5. Management of airway and ventilation 6. Intravenous administration of medications Figure 1 : The adult chain of survival. The 4 links of actions in the chain are (1) phone (2) CPR, (3) early defibrillation and (4) advanced care 91 These events have been likened to the links in a chain - The chain of Survival. It was introduced in 1991 as a model of efficiency and synergy in resuscitative efforts. If any link is weak or missing, the chances of survival are lessened. The links in the Adult chain or sruvival are : 1. Early access 2. Early CPR 3. Early defibrillation 4. Early advanced cardiac life support LEARNYouCPR Can Do It! Reference : Basic Emergency Care - by Dr. Sanjeev Boi, Dr. John. Bera, Dr. Chhavi Sawhney, Published by Paras Medical Publisher, Hyderabad. 2009 92 Revised School Health Manual (Teacher's Manual for Classes VI - VIII) VOL. III Revised School Health Manual, Vol-III for classes VI-VIII PRICE : Rs. 130/- EDITION : December, 2010 © CBSE, India COPIES : 5000 No part of this publication may be reproduced , stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical photocopying, recording or otherwise without the prior permission of the publisher. PUBLISHED BY : The Secretary, Central Board of Secondary Education, Shiksha Kendra, 2, Community Centre, Preet Vihar, Delhi - 110092. DESIGN, LAYOUT & ILLUSTRATIONS BY : Multi Graphics, 5745/81, Reghar Pura, Karol Bagh, New Delhi - 110005 Phone : 25783846 PRINTED BY : Preface Childhood and the age of adolescence are perhaps the most momentous periods in an individual’s journey of life. They are characterized by creative bursts of energy, immense curiosity about the self and the world, sudden changes in the physical, emotional and social dimensions and expanded need for communication. They are also periods of grappling with an identity crisis, feelings of isolation, anxiety, alienation and confusion. Each individual is unique with inherent positive attributes and latent potential and it is the responsibility of the school to provide opportunities for young talent to blossom and flourish. The biggest killer in the world today is not war, disease or natural calamity. It is life style related diseases. Health is an important component of the concerns regarding adolescent issues. Obesity, lack of physical activity and exercise, mental and emotional stress are major concerns. The experiences gained as children often stay with us throughout life. Therefore there is a need to create health oriented school climate so that appropriate ambience is created which is sensitive to the health needs of school going children and helps to promote their well being. The new millennium schools must provide a setting where in education and health programmes come together to create a health promoting environment which in turn promotes learning. It must constantly strengthen its capacity as a healthy setting for learning and preparing for life. Such schools use its full organization potential to promote health among students, staff, families and community members. Schools need to provide a safe healthy environment which includes safe, clean water and sufficient sanitation facilities, freedom from abuse and violence, a climate of care, trust and respect, social support and mental health promotion. The school can work in the areas of Food and Nutrition, Knowing Your Body, Personal, Environmental Hygiene and Sanitation. Behaviour and Life Skills, Physical Fitness and Being Responsible and Safe. The Manual provides guidelines to all stakeholders including managers, principals, teachers and students. There are activities designed for different levels in the different volumes of the Manual. The first part of the Manual recommends setting up of a Health ans Wellness Club to further carry on these enrichment activities within the school. The ultimate objective of the Manual is to involve the school going child in making healthy life style choices. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. The Comprehensive School Health Manuals are an outcome of the collaborative effort of CBSE along with the guidance provided by WHO India. The Manuals would not have been possible but for the effort and support provided by the material production team. I would also like to thank Dr. Sadhana Parashar, Head (Innovation & Research) and Mr. Pramod Kumar T.K., Asst. Education Officer, CBSE for coordinating and editing the Manual. There are four volumes in the package. The First volume is Introductory and the other three consist of graded activities for each level : Primary, Upper Primary and Secondary as well as Senior Secondary. Any further suggestions for improving the Manuals are always welcome. Vineet Joshi CHAIRMAN Acknowledgements Acknowledgements Advisors: Sh. Vineet Joshi (IAS) Dr. Cherian Varghese Dr. Jitendra Nagpal Dr. Manoj K. Johar Material Production: Dr. Indu Khetrapal Ms. Usha Ram Mrs. Kalpana Kapoor Mrs. Neeta Rastogi Dr. Divya Prasad Chairman, CBSE, Delhi. WHO, India, New Delhi. Expressions India Vimhans, New Delhi. Academy for International Career & Education, New Delhi. Principal, Salwan Public School, Gurgaon, Haryana. Principal, Laxman Public School, Hauz Khas, New Delhi. Principal, Delhi Public School Ghaziabad Vasundhara, Ghaziabad. Principal, Sadhu Vaswani International School, Shanti Niketan, New Delhi. Psychologist, Vimhans, New Delhi. Contributors: Dr. Lalit Modak Head Mistress, Jr. School, DPSG Vasundhara, Ghaziabad. Ms. Mousmi Mahopatra PGT (Chemistry), DPSG Vasundhara, Ghaziabad. Mrs. Seema Banerjee Head of Social Work, Laxman Public School, Hauz Khas, New Delhi. Ms. Dimple Vij, Counsellor Laxman Public School, Hauz Khas, New Delhi. Ms. Neha Sharma Headmistress, Amity International School, Vasundhara. Dr. Manjari Tripathi Associate Professor, Dept. of Neurology, AIIMS, New Delhi. Dr. Sanjeev Bhoi Assistant Professor, Dept. of Emergency Medicine, AIIMS, New Delhi. Jago Teens (NGO) Stray Relief and Animal Welfare (STRAW) Cover Page-Courtesy : Dr. Indu Khetrapal Principal, Salwan Public School, Gurgaon. Art and Layout: Mr. Amitav Bose Photography Club, DPSG Vasundhara, Ghaziabad. Editing: Dr. Sadhana Parashar Mrs. Kalpana Kapoor Mr. Mukesh Kohli Co-ordination: Mr. Pramod Kumar T.K. Ms. Harjot Kaur Dr. Sneha Singh Head (Innovation & Research), CBSE, Delhi. Principal, Delhi Public School Ghaziabad, Vasundhara, Ghaziabad. Reader, Department of Physical Education, Ram Lal Anand College, University of Delhi. Asst.Education Officer, CBSE, Delhi. Consultant, AEP Consultant, AEP H k k j r d k l af o / k u m í sf ' k d k g e ] H k k j r d sy k sx ] H k k j r d k s, d ^ ¹ l E i w. k Zi zH k qR o & l ai U u l e k t o k n h i aF k f u j i s{ k y k sd r a= k k R e d x . k j k T ; º c u k u sd sf y , ] r F k k m l d s l e L r u k x f j d k sa d k s% l k e k f t d ] v k f F k Zd v k Sj j k t u Sf r d U ; k ; ] f o p k j ] v f H k O ; f D r ] f o ' o k l ] / e Z v k Sj m i k l u k d h L o r a= k r k ] i zf r " B k v k Sj v o l j d h l e r k i zk I r d j k u sd sf y , ] r F k k m u l c e sa] O ; f D r d h x f j e k v k Sj ¹ j k " V ªd h , d r k v k Sj v [ k . 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Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "Sovereign Democratic Republic (w.e.f. 3.1.1977) Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "unity of the Nation (w.e.f. 3.1.1977) THE CONSTITUTION OF INDIA Chapter IV A Fundamental Duties ARTICLE 51A Fundamental Duties - It shall be the duty of every citizen of India(a) to abide by the Constitution and respect its ideals and institutions, the National Flag and the National Anthem; (b) to cherish and follow the noble ideals which inspired our national struggle for freedom; (c) to uphold and protect the sovereignty, unity and integrity of India; (d) to defend the country and render national service when called upon to do so; (e) To promote harmony and the spirit of common brotherhood amongst all the people of India transcending religious, linguistic and regional or sectional diversities; to renounce practices derogatory to the dignity of women; (f) to value and preserve the rich heritage of our composite culture; (g) to protect and improve the natural environment including forests, lakes, rivers, wild life and to have compassion for living creatures; (h) to develop the scientific temper, humanism and the spirit of inquiry and reform; (i) to safeguard public property and to abjure violence; (j) to strive towards excellence in all spheres of individual and collective activity so that the nation constantly rises to higher levels of endeavour and achievement. Content Page About the Comprehensive School Health Manuals Page No. i - iv 1. Knowing your Body 1-16 2. Food and Nutrition 17-30 3. Personal and Environmental Hygiene 31-54 4. Physical Fitness 55-70 5. Being Resoponsible & Safe 71-82 6. Behavioural and Life Skills 83-100 7. Frequently Asked Questions 101-104 8. Appendices 105-133 About The Comprehen sive School Hea lth Man ua ls The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. This is largely to do with the aspect of school health which has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and the Manual proposes to view health holistically, utilize all the educational opportunities for health promotion including formal and informal approaches in curricular pedagogy. Providing a safe school environment, an activity oriented health education curriculum to prevent health-related risk behavior, ensuring physical fitness activities and sports, providing nutritious snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in a circular issued to all the schools regarding the setting up of Health and Wellness Clubs. There are four Manuals in this package. The first Manual-Volume I is addressed to all stakeholders concerned with school health. A health promoting school strives to provide a healthy environment conducive to students' health, education and school health services along with school/community projects and outreach opportunities for physical education and recreation, social support and mental health promotion. School Health and Wellness Clubs can become the focal point of school health promotion which would encompass the entire school environment and become a school campus activity. A checklist for a Health Promoting School is included so that schools can monitor their own School Health Plan. The responsibilities of the Administrators, Principals, Teachers, Counsellors and Community leaders have also been enlisted. Monitoring, Evaluation and (i) Sustainability of the Health Plan in each school is extremely essential. Fact Sheets regarding a Health Promoting School, focusing resources on Effective School Health and Improving School Performance through health promotion are other areas of concern. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consists of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VIVIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal, Environmental Hygiene and Sanitation Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objective of the modules and activities is to focus on the different aspects of growth and appropriate development of the child. Kn owin g Your Bod y Activities will take the child from knowing body parts and their functions to appreciation of the importance of each body part. This will lead to heightened understanding of the need for correct information regarding growing up processes which will help in creating a well informed individual. Food An d Nutrition Activities focus on the effect of the right food and nutrition intake to generate positive energy and thus influence learning capacity. Variation in geographical location alter or modify nutritional intake. Food can effect energy levels, concentration and learning. Persona l, Activities En viron m en ta l Hygien e an d San ita tion emphasize on the need to ensure that children follow clean and regular habits regarding bath, bowel movement, sleep, oral hygiene, nails and hair. Once personal hygiene becomes a part of the regular system the child will look forward to having a cleaner environment. Sanitation activities have been added in the Revised Manual. (ii) Physica l Fitn ess Activities will help children to maintain fitness, strengthen cardiovascular and respiratory system, keep bones and muscles strong, ease depression, manage pain and stress and above all make one feel alive, vibrant and energetic. Bein g Sa fe An d Respon sible Activities help learners to understand the consequences of risk taking behavior and create a safe environment for themselves and others. This would lead to a better quality of personal life and would enhance positive behaviour towards self and environment. Security and an environment that is physically and emotionally safe is the need of the hour and equipping a child to handle situations that are age appropriate is the task of the school, family and community. Beha viour An d Life Skills Section focuses on bringing about an awareness and in-depth understanding of behavioural issues revolving around a child which will certainly influence his or her academic performance and social development. The module is an attempt to forge clarity for the teachers to facilitate the child's learning progress. The objective of the activities is to highlight self management and infuse skills within the child which will help him or her emerge as an individual who will be well equipped to handle related issues. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The CBSE had also undertaken a Global School Health Survey across different types of schools in various parts of the country. This was to collect data on health behaviours and protective factors that affect the immediate (iii) and long term health status of young children. The results from the survey will help in policy formulation at the local and national level. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will be implemented in the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help learners to empower themselves to acquire knowledge for themselves in a classroom or out of the class setting. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. These include Sports/Indigenous Sports, NCC/NSS, Scouting and Guiding, Swimming, Gymnastics, Yoga, First Aid, Gardening / Shramdaan. Teacher may record observations about the student’s participation over a period of time either in Anecdotal Records or a Portfolio. All students must take up at least two activities to ensure maximum health benefit in terms of physical fitness. The future of young India is being shaped in the schools and it is imperative that all of us take a proactive role in ensuring that healthy and balanced young minds leave school and forge ahead confidently. We wish teachers will find the Manuals useful and enrich them further with their wisdom and experience. It is an investment that each teacher, principal and parent must make to generate and augment creative and protective capacity of young people in school. This will go a long way in creating a sustainable, social, healthy and peaceful society. Dr. SADHANA PARASHAR HEAD (INNOVATION & RESEARCH) (iv) 1 Kn owin g You r Bod y Fact Sheet Students in the age group of 10-14 years have entered into the Adolescence period and are generally confused as they undergo physical, physiological and psychological change. All that happens during Adolescence has implications that last through a lifetime and affects both individual and public health. Children at this age go through rapid but uneven physical growth, social and psychological development. They enter into the physical maturity phase. They develop early adolescent anxieties about the transition to adolescence and puberty in particular. While becoming older brings with it new found freedom and independence, children and adolescents also recognize the mysteries of transition to puberty and many feel relatively unprepared for profound physical changes they are experiencing. These changing conditions create an impact on the behaviour of the adolescent. It is important that adults around them provide support and guidance to facilitate their healthy development. Through this unit we have tried to provide an opportunity to the children of this age group to identify themselves at body level through different activities. These are a few suggested activities. Teachers/Counsellors can devise activities more suitable/relevant and appropriate to age group. 3 Knowing Your Body Activity – Kn ow Your Bod y ! Background : During this time, the students will see the greatest amount of growth in height and weight. Adolescence is a time for growth spurts and puberty changes. An adolescent may grow several inches in several months followed by a period of very slow growth, then have another growth spurt. Changes with puberty may occur gradually or several signs may become visible at the same time. Methodology : The Physical Education teacher/ Nurse / Class Teacher should pin up the given Standard charts (Boys' and Girls' Height and Weight) on the bulletin board of either Medical room or classroom. Observation / Discussion : Any deviation from standard measurements except more height requires attention. In the remarks column teacher / counsellor / nurse can write various dietary measures / general exercise to be undertaken by the student or refer to a doctor. CONCEPT : Developing awareness about body height and weight is important OBJECTIVE : Awareness about body height and weight helps to identify if any measures are required to be taken in case of under - weight, over-weight or any height related problem. MATERIALS REQUIRED : Chart paper, A-4 sheets and Sketch pens Conclusion : Measuring a child's Height and Weight is a way to monitor her / his growth and development. Recording child's Height and Weight regularly and serially is more important than a single reading alone. MODE : Individual Key message : Student should make conscious effort to maintain body weight within the acceptable normal limit. Even if a student is overweight they should be counselled about the need to come to their ideal weight. TIME REQUIRED : 20 minutes Suggested activities : Student should repeat this exercise on her / his own every 4 or 6 months and note the trend of growth. Consult doctor if required. Important Note : Teachers must ensure that no child is ridiculed on any physical parameter. 4 Knowing Your Body Teacher should ask each student to either know or find out about her/his Height and Weight and make a note of it. Each student should now compare her/his Height and Weight with the Standard Measurements given in the chart. Students may be asked to note the findings in the following Table: Sr. No. Your actual 1 2 As per Standard Chart Weight Height Deviation Remarks More/Less More/less STANDARD CHARTS Girls Height Chart Age Height in (cm) Height in feet Birth 46.70 1.56 3 months 58.40 1.95 6months 63.70 2.12 9 months 67.00 2.23 1 Year+ 72.50 2.42 2 Years + 80.10 2.67 3 Years + 87.20 2.91 4 Years + 94.50 3.15 5 Years + 101.40 3.38 6 Years + 107.40 3.58 7 Years + 112.80 3.76 8 Years + 118.20 3.94 9 Years + 122.90 4.10 10 Years + 123.40 4.11 11 Years + 136.00 4.53 12 Years + 140.00 4.67 13 Years + 144.00 4.80 14 Years + 150.00 5.00 15 Years + 152.00 5.07 16 Years + 152.50 5.08 17 Years + 153.00 5.10 5 Knowing Your Body STANDARD CHARTS Boys Height Chart 6 Age Height in (cm) Height in feet Birth 47.10 1.57 3 months 59.10 1.97 6months 64.70 2.16 9 months 68.20 2.27 1 Year+ 73.90 2.46 2 Years + 81.60 2.72 3 Years + 88.90 2.96 4 Years + 96.00 3.20 5 Years + 102.10 3.40 6 Years + 108.50 3.62 7 Years + 113.90 3.80 8 Years + 119.30 3.98 9 Years + 123.70 4.12 10 Years + 124.40 4.15 11 Years + 130.00 4.33 12 Years + 136.00 4.53 13 Years + 147.00 4.90 14 Years + 153.00 5.10 15 Years + 158.00 5.27 16 Years + 162.00 5.40 17 Years + 164.00 5.47 Knowing Your Body STANDARD CHARTS Weight Chart in KGs Age Girls Birth 2.60 3 months 5.30 6months 6.70 9 months 7.40 1 Year+ 8.40 2 Years + 10.10 3 Years + 11.80 4 Years + 13.50 5 Years + 14.80 6 Years + 16.30 7 Years + 18.00 8 Years + 19.70 9 Years + 21.50 10 Years + 23.50 11 Years + 29.00 12 Years + 34.50 13 Years + 35.00 14 Years + 38.00 15 Years + 44.50 16 Years + 50.50 17 Years + 52.00 7 Knowing Your Body STANDARD CHARTS Weight Chart in KGs 8 Age Boys Birth 2.60 3 months 5.00 6months 6.20 9 months 6.90 1 Year+ 7.80 2 Years + 9.60 3 Years + 11.20 4 Years + 12.90 5 Years + 14.50 6 Years + 16.00 7 Years + 17.60 8 Years + 19.40 9 Years + 21.30 10 Years + 23.60 11 Years + 28.00 12 Years + 31.00 13 Years + 34.00 14 Years + 41.00 15 Years + 44.00 16 Years + 46.00 17 Years + 48.00 Knowing Your Body Activity: Physica l Ma tura tion Background : Physical maturation that occurs during puberty results due to hormonal changes. As the child nears puberty, a gland in the brain called the pituitary gland increases the secretion of hormones. Hormonal changes are a time of accelerated growth and physical changes second only to infancy. The physical changes baffle students and often become a cause of concern and anxiety. Methodology : It is difficult to know exactly about the onset of puberty. Students experience changes during this phase. These physical changes consume much of the energy and concentration of middle school students. Such distractions can greatly impact what they learn. It is the wise teacher who recognizes this, adjusts to the students' needs and develops lessons and strategies that take advantage of these changes. Teacher can ask the students to collect information about physical maturation and prepare a project report. Students may be guided to refer to library book for collecting information. They must also make a note of their personal experiences. These reports can be kept in the class library and made accessible to student. Note : If the teacher wishes following information may be provided to students. Observation : We as teachers may have observed that students in this CONCEPT : Generate awareness about Physical Maturation. OBJECTIVES : Unpredictable and worrisome middle school students will be able to come out of the confused state by understanding that • every individual has to pass through this phase in his/her life • these changes are signs of growth • hormones are responsible for these changes • changes are gradual • promoting healthy development is instrumental in preventing adolescent health problems MATERIALS REQUIRED : A-4 Worksheets MODE : Integrated approach in groups TIME REQUIRED : All through the session as and when required 9 Knowing Your Body age group trip over their own feet, they squeak, they load up on perfume or aftershave to cover body odours. They eat more. They sleep more. They are confused. All these are a part of the hormonal changes in the body of the adolescents. Discussion : Adolescents experience rapid rates of growth and maturation of the reproductive organs and glands. Together, these physical changes accomplish the biological task of transforming a child into an adult. Rapid change combined with wide variation among individuals tend to make adolescents extremely sensitive to their appearance. At no other time in life are feelings about the self (self-esteem) so closely tied to feeling about the body (body image). Conclusion : Temporary problems with appearance and self-image may occur as a result of acne, changes in fat distribution and increase in weight. Increased awareness of one's own self and others and the tensions that accompany growing independence require parental support-and the respect of adults and to a certain extent, other people of the same age (peers), such as school friends. Adolescents feel a far greater need for privacy, which needs to be respected. Key message : Teachers and parents must deal with adolescents with great care and patience. Students need direction which may be provided by adults around them. Suggested activities : • Workshop and activities may be organized to create awareness among parents and teachers. Games, role-plays, debates, discussions involving the theme Physical Maturation may be organized to give an opportunity to students for expression. • Many opportunities need to be provided where adolescents can participate, enhance knowledge, skills and attitude by looking within themselves and their experiences to identify areas where they have problems. 10 Knowing Your Body STUDENT WORKSHEET What changes will occur during puberty? Physical maturation that occurs during puberty is a result of hormonal changes. As a child nears puberty, a gland in the brain called the pituitary gland increases the secretion of a hormone called follicle-stimulating hormone (FSH). In girls, FSH activates the ovaries to start producing estrogen. In boys, FSH causes sperm to develop. The following are additional changes that may occur for the male as he experiences the changes during puberty: • His body size will increase, with the feet, arms, legs and hands sometimes growing "faster" than the rest of the body. (This may cause the adolescent boy to experience a time of feeling clumsy). • Some boys may get some swelling in the area of their breasts as a result of the hormonal changes that are occurring. This is common among teenage boys and is usually a temporary condition. (Consult with your adolescent's physician if this is a concern.) • Voice changes may occur, as the voice gets deeper. Sometimes, the voice may "crack" during this time. This is a temporary condition and will improve over time. • Boys will also experience hair growth on their face, under their arms and on their legs. • As the hormones of puberty increase, adolescents may experience an increase in oily skin and sweating. This is a normal part of growing. It is important to wash and bathe daily, otherwise Acne may develop on skin including the face. Specific stages of development is case of girls : • There is a spurt of growth in height and weight, with the feet, arms, legs, and hands sometimes growing "faster" then the rest of the body causing awkward gait. • The body starts maturing in a way and fills out. • There may be rapid weight gain or loss. 11 Knowing Your Body • Menstruation may begin. Menstruation is a woman's monthly bleeding. It is also called menses, menstrual period, or period. When a woman has her period, she is menstruating. The menstrual blood is partly blood and partly tissue from the inside of the uterus (womb). It flows from the uterus through the small opening in the cervix, and passes out of the body through the vagina. • Acne and pimples may develop leading to stress about body image. Pimples are the commonest of all chronic disorders in your age group. This is the result of hormonal changes that activate your sebaceous gland. Usually this is a temporary condition that will eradicate, as you will grow up. Balanced diet and personal hygiene helps to correct this condition. 12 Knowing Your Body Activity – Bod y Ima ge Background : As adolescents CONCEPT : Development of a body image with healthy food habits. experience significant physical changes in their bodies during early puberty, they are likely to experience highly confusing perception of body image. Body image of students strongly influence self esteem. Methodology : Brainstorm : Adolescents may speak in subtle or a strong way about a disliked part of the body or a concern about eating or food; use body comments as a OBJECTIVES : To help students: • Develop a healthy Body Image in order to have high self–esteem and high self – worth. • Overcome influence of myths and misconceptions regarding diet and Body Image. starting point to initiate a discussion to explore their perception of their body and whether or not they are accurate. Give students worksheet plenary. Discuss with teacher or the counseller about their concerns. MATERIALS : REQUIRED: Copies of Questionnaire for SelfAssessment MODE : Groups TIME REQUIRED : One Period (40 minutes) 13 Knowing Your Body Observations : Lean female images and strong and lean male images are common to all societies and body image concerns have become widespread among adolescents. For girls, “the way I look” is the most important indicator of self worth, while for boys, self worth is based on abilities and looks. Discussion : Puberty for boys brings characteristic-height, speed, broadness and strength. Puberty for girls brings with it characteristics which one different as girls generally get rounder and have increased body fat. These changes can serve to further enhance dissatisfaction among girls. Generally, early development for girls and late development for boys present the greatest challenges to healthy body image. Conclusion : Poor body image is strongly associated with low self-esteem and low self worth, both of which can severely limit the potential for an adolescent to succeed. Teachers and parents must deal with adolescents with great care and patience. Students need direction which may be provided by adults around them. Key message : Over concern with body image and shape can lead to restrictive dieting and unhealthy weight control methods which may lead to potentially dangerous disordered eating behaviors. Suggested activities : Ask students to answer the following for self assessment. • Do you look in the mirror and focus on your positive features and not the negative ones? • Do you say something nice to your friends about how they look? • Do you think about your positive traits that are not related to appearance? • Do you read magazines with a critical eye to find how photographers make models look the way they do? • Do you want to lose weight? (Be realistic in your expectations and aim for gradual change). 14 Knowing Your Body • Do you realize that every one has a unique size and shape? • Do you have questions about your size or shape? (Ask a health professional). 15 Knowing Your Body STUDENT WORKSHEET Self – Assessment • Are you concerned about your weight (or shape or size) at all? Do you think your friends are concerned about their weight a lot? • Do you know that diets are the worst way to lose or maintain weight? Have you ever dieted? Why? • Do you know how to tell if you are too thin or too heavy or just right? • How do you feel right now? • Do you know that eating only low-fat or fat-free foods is NOT healthy eating? • Do you know that you need fat in your diet and without it you can have all kinds of health problems? • What would you do if you had a problem with your eating or if you were concerned about a friend who had a problem? • Do you know anyone who has a problem with their eating habits? Have you talked to them about it? • Do you follow any special diet? (like counting calories and/or fat grams, fad diets, skipping meals, etc.) • Do you ever take any pills to control your appetite or your weight? Do you know anyone who does it? If yes, why do you think he/she does it? • What kind of exercise do you do? Why do you do it? 16 2 Food An d Nutrition Nutrition can be defined as the procurement of substance (nutrients) through food, necessary for growth, development, maintenance and activities of a living organism. Students of classes-6 to 8 ( age group 10-14) are in the stage of wanting to become independent in all the spheres. So, it becomes our collective responsibility to train them in a way where they learn and become conscious about their food and the nutrition they derive from it. School going students need nutritive food for their optimum growth as these are the formative years of their physical growth. Teachers and parents must very consciously plan daily routine so that students develop good food habits. Values inculcated at school and home during this period invariably become part of one's personality. Through this Unit we have tried to provide an opportunity to the students of this age group to experiment and have hands on experiences which can enthuse them and leave an impact of a lifetime. These are a few suggested activities given in this Unit. Teachers/counsellors can devise activities more suitable/relevant to their social and cultural ethos and appropriate to the age group they deal with . 19 Food and Nutrition STUDENT WORKSHEET - I SELF ASSESSMENT :1. Cereals, pulses, milk and its products, fruits and vegetables, fat and sugar are the different food groups. Does your food include all these food groups? 2. What do you usually carry for school lunch? 3. What do you prefer to carry for picnics (chips, colas, fruits, cakes)? 4. Do you regularly have breakfast before going to school? 5. Does your diet contain a daily serving of raw fruits? 6. Do you exercise daily? 7. Do you include sprouts in your diet? 8. How often do you eat sweets such as chocolates, cakes and ice cream (once a week/twice a week / everyday). 9. Do you prefer adding vegetables in your noodles? 10. Name any two common adulterants found in food. 11. Is it important to check the seal and label before buying a packed food product? 12. Why is khichadi more nutritious than plain rice? 13. Is it necessary to include soya bean/nutrient nuggets in your diet? 20 Food and Nutrition STUDENT WORKSHEET - II TRUE OR FALSE 1. Carbohydrates, fats and proteins provide the body with energy. q 2. Studying hard uses a lot of energy and for this one should take vitamin pills. q 3. It is a good idea to drink plenty of aerated water in summer. q 4. Solid foods do not contain water. q 5. Cellulose cannot be digested. Therefore, it is not useful in the diet. q 6. Only starch can be obtained from grain and it is fatty. q 7. An athlete in training needs meals rich in protein only. q 8. Milk contains all nutrients. q 9. Polished rice is better than any other variety of rice. q 10. The quality of protein present in milk and soya bean is better than those found q in pulses. 11. Fruit juices are healthy as compared to whole fruit. q 12. Rice eating leads to obesity. q 13. The amount of water intake should be reduced if one is suffering from diarrohea. q 14. Anger at meal time interferes with digestion. q 15. You need to eat more when you use your muscles vigorously. q 16. You need to drink 8 to 10 glasses of water everyday. q 21 Food and Nutrition 17. None of the vitamins in vegetable leaks out into the water in which they q are cooked. 18. It is a good idea to add some baking soda to the water in which green vegetables q are to be cooked because it keeps them looking fresh and green. 19. Exercise and balanced diet are both equally important to avoid obesity. q 20. Whole grain cereals are more nutritious than refined cereals. q 21. Cooking food for more then 15 minutes results in loss of nutrients. q 22. q We should wash vegetables before cutting them. 23. Fermented foods are nutritious. q 24. The left over oil after deep frying is safe for re-using as the medium for cooking. q 25. Excess water may be discarded after boiling food. q Answers 22 1. T 2. F 3. F 4. F 5. 8. F 9. F 10. T 11. F 12. F 13. F 14. T 15. T 16. T 17. F 18. F 19 T 20 T 21 T 22. T 23. T 24. T 25. F F 6. F 7. F Food and Nutrition Activity – Mana gin g School Can teen ! CONCEPT : Value of nutritive food. Background : During this phase the students will see the greatest amount of growth in height and weight and so it is important that they are aware of requirement of nutritive diet to keep healthy. Methodology : Students to be given Worksheets I and II before the activity. Class teacher may divide the students in five groups based on their interest and prepare the following duty chart. Group-1 : Preparing day wise menu for a week.(This can be repeated) While preparing menu ensure that you suggest those items, which have high nutritive content and fewer calories. You may also advise to add Soya product wherever it is possible. Group-2 : Preparing chart showing nutritive value of the fresh snack to be served in the canteen. Group- 3 : With the help of canteen in-charge teacher, keep a check on the packed food items so that no junk food is sold from the canteen. Canteen should operate as a small outlet with limited facility, which will encourage students to bring food from home. Group- 4 : Should occasionally check the hygienic condition and raw materials used in the canteen. OBJECTIVES : • To make nutritive food available to students • To make students know the nutritive value of what they are eating. • Students develop collaborative operative spirit by working as a team. MATERIALS REQUIRED : Papers and pencil, Student Worksheet I, II, III Group-5 : Should be responsible for cleanliness outside the canteen and arrange for two types of dustbins with labels so that students throw biodegradable and non- biodegradable waste separately. Students to be given worksheet III before and after managing school canteen for a week. MODE : Group Work Observation : Some times due to unavoidable reasons students fail to bring their tiffin from home and so schools are required to provide an alternative solution i.e. canteen. If students and teachers manage the canteen's menu, it can become a great learning experience of making nutritive food available to students and develop cooperative spirit by working as a team. TIME REQUIRED : 45 minutes Conclusion : School going students need nutritive food for their optimum growth as these are the formative years of their growth. Food habits inculcated at school and home during this period invariably become part of one's personality. 23 Food and Nutrition Key message : A school is a place where learning takes place at all levels. In order to make learning an enjoyable experience, it is desired that the school must create an atmosphere where learning takes place effortlessly and when children grow up in such an environment, they turn out to be more aware and hence knowledgeable in every discipline. 24 Food and Nutrition STUDENT WORKSHEET - III Fill in the food items you have during breakfast, lunch and dinner. Mention about the nutrient present by putting (√) in the respective box Sr.No. Food Items 1. Breakfast (for e.g.) v Cornflakes With Milk v One slice of bread with butter v Fruit juice 2. Lunch 3. Dinner Carbohydrates Proteins Fat Minerals Vitamins Is the meal you have at home balanced ? 25 Food and Nutrition Activity : Newspaper In Hea lth Educa tion CONCEPT : Generating awareness about food and learning more about it in an informal way. Background : Media has a very strong influence on children. Taking advantage of this informal approach students can be guided to develop good food habits. Methodology : Teacher may ask students to: 1. Cut one news clipping from the newspaper or magazine related to nutrition and paste it on an A-4 sheet. OBJECTIVES : Students will develop a habit of reading newspaper daily and also identify various nutrition related news which will make them concerned about health related issues. 2. Read the news article and note down difficult words and queries they have on the same sheet , below the news item. 3. Find out the meaning of these difficult words and write it against them. 4. Clarify doubts (queries) from teachers, internet or the library books and note them down on the same sheet. 5. Pin their sheet on the bulletin board and place the bulletin board near library for the other students to read. Observation/Discussion : It is important that students become aware about the food they eat. Newspapers carry many news articles related to food but students are unaware of such information. In order to make them aware, it is important that they are given an opportunity to discuss news related to nutrition among themselves. Gradually students will develop an interest and eventually awareness about food and nutrition. Conclusion : The awareness will motivate students to think and develop an attitude to be selective about the food they eat. 26 MATERIALS REQUIRED : Newspapers, Magazines and Journals MODE : Individual Work / Pair Work/ Group Work TIME REQUIRED : One Period (40 minutes) Food and Nutrition Key message : Learning takes place all the time. Schools should use all such resources to make learning an enjoyable experience for the students .This will inculcate a healthy practice among the students to learn from these resources through out their life. Suggested activities : Students together can organize a quiz competition based on the articles put on the bulletin board. 27 Food and Nutrition Activity : Food and Consumer Awareness Background : The market is flooded with a large variety of food items. CONCEPT : Awareness about food you eat as a consumer Student must be well informed and trained to make right choices without getting trapped into fake marketing forces. OBJECTIVE : Methodology : Before you buy any food items, note the following carefully • Date of manufacturing/packing. • Date indicating time before it is required to be consumed • Presence of “F.P.O.” or “AGMARK” marks • Maximum Retail Price • Ingredients used • Red /green dot indicating non-veg/veg • Nutrient content Observation/Discussion : As an enlightened citizen, it is your duty to take up any issue related to adulteration and bring to the notice of concerned authorities. Key message : All that glitters is not gold. Do not compromise with the quality of food as it directly affects your health. Suggested activities : Collect information about common adulterants found in milk, turmeric powder, black pepper, mustard seeds, edible oil and honey. 28 MATERIALS REQUIRED : Paper , pencil, Student Worksheet Adulteration of food items is becoming more prevalent and eating outside is gaining momentum. When such food is consumed more often, it is important that students know what they are eating. Conclusion : Students will develop an attitude to be selective about their food habits and also develop awareness about their right as a consumer in order to lead a healthy life. MODE : Individual/ Group Work TIME REQUIRED : Two Periods (40 minutes each) Food and Nutrition STUDENT WORKSHEET Fill in the table given below for any five food items Sr. No. Food item Date of Packing Best before Trade Mark Ingredients used Nutrient Content Red/Green Dot M.R.P. 29 Food and Nutrition Teacher can demonstrate various tests to identify adulterants in the food items. Some are given below. • Vanaspati in Ghee or Butter-Melt one teaspoon full of Ghee or butter sample in a test tube. Add an equal amount of concentrated Hydrochloric Acid and a pinch of common sugar. Shake well for about one minute and allow the tube to stand for five minutes. If you observe a crimson colour appearing in the lower layer, it shows the presence of Vanaspati in Ghee or Butter. • Argemone oil in Edible oil-Add concentrated Nitric acid to the sample and shake carefully. Observe the colour of the acid layer. A red to reddish brown colour indicates the presence of Argemone oil. • Metanil yellow in Dal-Shake five grams of Dal with five ml of water. Add a few drops of Hydrochloric Acid. A pink colour indicates the presence of Metanil yellow. Note : Student's must not be allowed to use concentrated forms of acid themselves. Teacher must demonstrate the activities to them. 30 Personal, Environmental Hygiene and Sanitation 3 Activity – Germs grow on dirty surface Background : Germs grow fast under unhygienic conditions Methodology : CONCEPT Students observe the growth of germs on three germcovered potato slices and one control potato slice. OBJECTIVE : • • Divide students into small groups (three or four students). • Provide each group with four plastic bags. • Each should have a label attached. • The students should write on each label one of the following: Potato 1: Handled by group members Potato 2: Rubbed on surface Potato 3: Blown on by group members Potato 4: Control • Cover part of each group's work area with waxed paper. Place the potato slices on the waxed paper. (NOTE: Handle the potato by the outer, skincovered surface only. Do not touch the inside, exposed surface of the potato.) Tell students not to touch the potato yet. • To help children learn the importance of washing hands. To help children learn the importance of hygiene. MATERIALS REQ UIRED : • 4 plastic sandwich bags • masking tape or self-adhesive mailing label (to label each bag) • markers, pens or pencils • waxed paper • a potato cut into four slices of roughly equal size • toothpicks • writing paper MODE : Individual/ Group Work TIME REQUIRED : Two Periods (40 minute each) • Ask students in each group to pass around the first potato slice; each student should have an opportunity to thoroughly handle the slice. Then have a student put the slice in Bag 1. 33 Personal, Environmental Hygiene and Sanitation • Have students rub the second potato slice on a selected surface in the classroom (e.g., the floor, a countertop, a wall) and fill in the blank on the bag to indicate the surface the potato was rubbed on. Then ask a student to put that slice in Bag 2. • Show students how to use a toothpick to handle the next potato slice. Tell students not to touch the potato or let it touch any surface. Have each student take a turn holding the toothpicked potato and blowing on it for about ten seconds. Ask a student to put that potato slice into Bag 3. • Finally, have a student use another (clean) toothpick to place the fourth slice in Bag 4. That slice is the control slice. It has not been touched, rubbed on any surface, or blown upon. • Ask students to record on paper what they have done. Have them predict which potato slice contains the most germs and the least germs. Then have each group gather its four bags and place them in a dark closet. Leave the potato slices in the closet for a week. • At the end of the week, ask students to observe each potato under the microscope then ask them to record the results of the experiment, including answers to the following questions: Which potato slice had the most germs? Which had the least? Why might that be? Did you predict correctly? How is a control important in a scientific experiment? • Have students record their observations and write a statement that explains what this experiment taught them about germs. Follow up with this question: What does this experiment teach you about the importance of washing your hands regularly? Extended Activity : Invite the school nurse to participate in this activity and to help add to the discussion. Supplement the lesson with a children's book about germs. Discussion : Germs Informal Assessment : Evaluate students on their observations and discussion of the experiment's questions. Key messages : Importance of washing hands before and after meals. Food should be stored under hygienic conditions Suggested activities : Visit the school canteen with your teacher and make a report on the hygiene and cleanliness standards/conditions maintained in the canteen. Observation : Complete the table given in the Student Worksheet. 34 Personal, Environmental Hygiene and Sanitation STUDENT WORKSHEET Observations after a week Comments Potato Potato Potato Potato Bag 1 Bag 2 Bag 3 Bag 4 35 Personal, Environmental Hygiene and Sanitation Activity – Wha t Can We Do With Rubbish ? Background : All rubbish is not of the same nature. Some part of it can be made useful for the soil and rest of it can be reused and recycled. Methodology : • The students will prepare a questionnaire to test how much people know about biodegradable and nonbiodegradable wastes and about their disposal. • The students will extend this questionnaire to other students, their teachers and other workers in the school to enable percolation of their message at all levels in the school. • The students will also circulate the same in their locality. Observations : The students will be able to gauge the understanding in people about the waste disposal, a point they want to make through this survey. Discussion : Discuss ways with the teacher to make community conscious of the importance of correct ways of waste disposal. Technique of composting and segregating wastes to enable zero waste generation can be taught. Conclusion : Awareness about the nature of wastes generated in daily life. OBJECTIVE: To understand the concept and importance of the four R's (Reduce,Reuse, Recycle and Refuse) in daily life. MATERIAL REQUIRED : A questionnaire to check the awareness about biodegradable and nonbiodegradable wastes. MODE : Group activity Gauging awareness about waste disposal. Informal Assessment : Student Worksheet People should be aware about what they do to the wastes they generate. Suggested Activities : Poster making, slogan writing, debates and discussions. 36 CONCEPT : TIME REQUIRED : One Week Personal, Environmental Hygiene and Sanitation STUDENT WORKSHEET HOW MUCH DO YOU KNOW ABOUT THE WASTE YOU GENERATE EVERYDAY? 1) Can you list the waste that you have generated today?(like newspaper pamphlets, food leftovers, fruit peels etc)_______________________________ 2) Count the number of wastes that can rot and disappear over a period of time from the list given: Aluminium foil, plastic bag, toffee wrapper, banana peel, leftover food and meat, paper, atta, cans, leather wallet.____________. 3) Have you ever done the following? • Used water left from washing dals, vegetables to water the plants?______________. • Recycled water while washing clothes to mop the house or clean the courtyard?________. • Used the water left in your water bottle to water a nearby plant ?_______________. • Used kitchen waste to manure the plants in your home?______________. • Made sure that you don't throw plastics on the streets?________________________. • Carried a can or packet of something you have consumed on your way to some place all the way to be disposed in a bin only and nowhere else. _______________________ . 4) Are you aware of biodegradable and nonbiodegradable wastes? ____________________. 5) Have you heard of compost or organic manure?____________________________. 6) Have you heard of zero waste management?__________________________________. 7) Do you segregate dry and wet waste at home?_________________________________. 8) Do you Reduce, Reuse, Recycle and Refuse? _______________________. 37 Personal, Environmental Hygiene and Sanitation Activity - Hygien e - Persona l an d CONCEPT : Personal Hygiene is importance. En viron m en ta l Background : Personal Hygiene is an important component of Growth and Development. Methodology : OBJECTIVE : To help the child learn the importance of good habits leading to personal hygiene. • Children are divided into groups of four. • A set of 6 cards is given to each group.Each card has pictures showing activities related to personal hygiene.Each child discusses and gives his own reasons for selecting good and bad habits related with Personal Hygiene. MATERIAL REQUIRED : Flash cards (6 are given) Observations : Understand and reason out the importance of Personal Hygiene. MODE : Group activity (Discussion) Conclusion : Students clearly state how one can maintain Personal Hygiene. Self Assessment : A teacher can questionnaire. give a Key Message : Good habits make one achieve sound body and mind. Suggested Activities : To follow upon the action plan given in the Student Worksheet. 38 TIME REQUIRED : 2 Periods (40 mins each) Personal, Environmental Hygiene and Sanitation STUDENT WORKSHEET-I Fact Sheet - Do’s or Dont’s Hair • It is your crowning glory. • Wash your hair at least once a week using soap or mild shampoo. • Dry your hair after a wash. • Brush your hair three to four times a day with a soft bristled brush or a wide toothed comb. Wash your brush and comb every time you wash your hair. • Oil the scalp, once a week. 39 Personal, Environmental Hygiene and Sanitation Skin • Soap and water are essential for keeping the skin clean. A good bath once or twice a day is recommended, especially in tropical countries like India. Those who are involved in active sports or work out to a sweat would do well to take a bath after the activity. • Wash off the soap lather well. Drying with a clean towel is important. Avoid sharing soaps and towels. Teeth • Have you heard of the sixty-second battery operated wonder brush? It has been analysed that it takes only that long to give your teeth a good brush. You have to hold the brush to your teeth and say cheese (and then perhaps S-A-U-C-E for the brush to get a good scrub inside!). • Well, whether it is a neem twig or battery brush, you cannot give brushing a miss. • While brushing, pay attention to the fact that you are getting rid of the food particles stuck in between the teeth and in the crevices of the flatter teeth at the back, the molars and pre molars. Brush down on the upper teeth and brush teeth and brush up on the lower teeth. Use a circular motion. Pay attention to the tongue and the inner surface of teeth as well. 40 Personal, Environmental Hygiene and Sanitation Hands • The world around us swarms with micro-organisms. Some bacteria are found on our bodies. In countries where food is eaten and prepared with bare hands, extra attention has to be paid to the cleanliness of hands. • Wash hands thoroughly with soap and water before and after every meal and after visiting the toilet. Soaping and rinsing should cover the areas between fingers, nails and back of the hand. Hands should be dried with a clean towel after wash. The towel at the wash stand has to be washed and changed everyday. Nails Healthy body ensures healthy nails. Brittle or discoloured nails show up deficiencies or disease conditions. • Clip nails short, along the shape of feet. • Don't cut them so close that it pinches the skin. • Clean feet are essential for personal hygiene . • Clean between the toes also. • Feet should be washed after coming back home. • Alway wear comfortable shoes. 41 Personal, Environmental Hygiene and Sanitation STUDENT WORKSHEET - II Aims Section 1 How tidy is our school? Section Summary • To encourage Students to Identify cared for and uncared for places in school. • Students will use 'before and after' picture cards showing situations and places in the school . • To make Students aware of • look at different ways of tidying up • go around school and look for and photograph/video places that could be improved • discuss and make an action plan, put into action, record and evaluate different ways of clearing up • To encourage pupils to take responsibility and make them aware of their environment. Section 2 • To make Students aware of different ways of disposing rubbish. Students will: • sort rubbish into different types of Material What can we do with the rubbish? • To understand the concept and practicalities of recycling and reusing rubbish • visit a local Recycling Collection Plant • collect recycling material at home and bring it into school • look at packaging – how could waste be minimized ? • consider how waste can be reused Section 3 A project to develop a garden in the community 42 To participate in an activity that creates a pleasant environment in the neighbourhood (School / Home). Students will : • take part in ground clearance in a park or garden Personal, Environmental Hygiene and Sanitation There is a game for you to play. You can make this on your own on a cardboard. SNAKES AND LADDERS 43 Personal, Environmental Hygiene and Sanitation For Snakes For Ladders 46 When you came out of the room you did not switch off the fan. 3 You plant a sapling on your birthday. 49 You did not use the zebra crossing to cross the road. 8 In your neighborhood you encourage all school children to attend school. 58 You collected your old notebooks and threw them in the dustbin. 36 you organized a rally in your nearby community to educate people about the importance of judicious use of water. OR. 62 While trying to chase a dog you and your friends were throwing stones at it. 36 you always carry and encourage other members to carry a jute bag or a cloth bag for shopping. 72 You and your friends destroyed many plants to create space for your cricket match. 47 You are member of the School's Eco Club and make positive contributions to protect the environment 93 You do not clean your coolers regularly. 98 You burn crackers on every small festive occasion. 44 60 You use natural colours to celebrate Holi. Personal, Environmental Hygiene and Sanitation Activity - Wa ter Con ser va tion Background : Encouraging students to understand simple ways which help in saving water. Methodology : CONCEPT : Water is scarce so should be used judiciously. A lot of water can be saved if we are careful about the way we use it at school. 1. Students will be divided into four groups of two students each. OBJECTIVE : 2. Each group will brainstorm and list down certain ways/methods in which water wastage can be reduced. • 3. The groups present/show their list in the class. 4. Ten such ways are listed in the survey sheet. 5. Each child has to question ten children in the school and find out which one of the listed way is used most often by them. 6. Before the next class, the students present the information collected, in the form of a graph and draw conclusions. 7. In the next class the children will present their surveys along with graphical presentation and the conclusions they draw from their activity. 8. A selected group of five students will list down the findings of the class and present it in the assembly through a presentation which will also include ways in which water wastage can be reduced. Developing awareness about the simple actions which reduce wastage of water MATERIAL REQUIRED : • Survey Sheet • A4 Sheets MODE : Group activity (Discussion) Evaluation: Students will be evaluated on their individual work List of Students Student 1 Completion Graphic Conclusions Neatness of survey Presentation Drawn TIME REQUIRED : • 2 Periods (once in a week) • 10 minutes of assembly Student 2 Student 3 Student 4 45 Personal, Environmental Hygiene and Sanitation Key Message : 1. There are simple ways in which water wastage can be reduced. 2. Students can shoulder responsibility in promoting simple water conserving behaviours in their school and home environments. Independent Practice: From school to home Waste water management 1. Students will conduct survey at their home and locality on how much water is used for gardening and daily chores in each house. 2. The survey conducted can then be brought back to school and a comparative chart can be made based on locality usage and conservation of water. 46 Personal, Environmental Hygiene and Sanitation Activity - Sa fe Drin kin g Wa ter CONCEPT : • Water for drinking should be pure and from a safe source. • Judicious use of drinking water can avoid scarcity. Background : Encouraging students to understand • the sources of safe drinking water • the need for safe drinking water • the various water borne diseases OBJECTIVE : • the different ways of purifying water Developing awareness about judicious use of water Methodology : 1. Students will be divided into eight groups and given two topics as given below. MATERIAL REQUIRED : (A) The sources and need for safe drinking water • Computers (B) The process of purification before water reaches our home and some ways of purifying water at home • Internet Facility 2. Four groups will study topic 'A' and the other group of four students will study topic 'B'. 3. Each group will document their finding in a power point presentation (10 - 15 slides). 4. The presentations will be made group wise in the class. MODE : Group activity (4-5 Children in a group) 5. The best presentation on each will be presented in the assembly. TIME REQUIRED : Evaluation: Students will be evaluated from group presentations List of Students Content Power Point Presentation Team Presentation in the class Work • 2 Periods (once in a week) • 10 minutes of assembly Group 1 Group 2 Group 3 Group 4 47 Personal, Environmental Hygiene and Sanitation Key Message : Students should be aware of issues relating health and growth Suggested Activities 1. A holiday project in the form of a file presentation. 2. Surveys (in the school, neighborhood) 3. Making of posters to spread awareness about the judicious use of drinking water. 4. Making placards (to spread awareness about the judicious use of drinking water) and placing them in significant places in the school. 5. Theatre - Street play or one act play. Independent Practice: From school to home Water management 1. Find out in your neighborhood as to how many neighbours treat water before drinking (boil / use aqua guard / use R.O. systems) 2. Collect pH paper from your teacher and find out the pH of water being used in your respective homes (Acidity / Basicity) 48 Personal, Environmental Hygiene and Sanitation Activity - M y School A Clean En viron m en t CONCEPT : Developing a clean School Environment through student Involvement Background: Encouraging Students to analyze: OBJECTIVE : • the need for a clean School environment. To involve students spread the idea of healthy living • the areas which help to make the school environment clean. • student role and responsibility in keeping the school environment clean Methodology 1. Students will be apprised about the Topic, Areas of Evaluation, and the Dos and Don'ts of the presentation by the Theatre Teacher 2. Role Play : Student will be given a topic on different topics like how to keep your classroom clean, how to maintain clean toilets, washing of hands before taking food, keeping clean their surrounding etc. for role play will be given. 3. Students in each group will Brainstorm the topic and put down the points to be covered in the presentation. 4. Each group practices in the next theatre period. 5. Presentation in the subsequent theatre period. MATERIAL REQUIRED : Some waste material available at home or school to be utilised for for making props MODE : Group activity TIME REQUIRED : 3 Theatre Periods (One in a week) 6. The best two groups will perform in the assembly. Evaluation Students will be evaluated from group presentations 49 Personal, Environmental Hygiene and Sanitation List of Groups Content (areas covered) Following Effectiveness deadlines of the team (observations) Team work Presentation time Group 1 Group 2 Group 3 Group 4 Key Message 1. There are areas and people who make the school not so clean. 2. Students have responsibility in keeping the school clean. Suggested Activities 1. Shramdaan-cleaning the classroom after every lunch breaks as per the house on duty. 2. Surveys -the things/items that make a classroom dirty. 3. Making of posters/ slogans. Independent Practices: from school to home: • Carefully observe for the following in your school (i) Proper lighting and ventilation arrangements. (ii) White washing and cleaning in your school. • Prepare slogans based on hygiene and display them in corridors of your school. • Delegate proper shramdaan duties in your school. • Prepare a check-list for all the above and follow it up regularly. 50 Personal, Environmental Hygiene and Sanitation Activity - In s titutiona l trou gh pa rticipa tory approach buildin g -Sus ta inable san ita tion Background: CONCEPT : • Developing a Clean School Environment through Student Involvement OBJECTIVE : • the areas which help to make the school environment clean • To involve students' strengths to spread the ideas of healthy living by establishing an operation and maintenance process. • student role and responsibility in keeping the school environment clean by sustaining and helping each other by learning operating and maintaining procedures. MATERIAL REQUIRED : Encouraging Students to analyze: • the need for a clean school environment that has to be sustained. Methodology The operation and maintenance of corridors, classrooms and toilets is very simple. The most important do's can be achieved by preparing a check-list for the following guidelines: Cleansing detergents, scrubbers, tissues etc MODE : Group activity 1. Observe for cleanliness in classrooms and corridors everyday. 2. Pick up any paper bits, toffee/chocolate wrappers from the floor and put them in dustbin. 3. Before the first use and final use of the toilet seat, flush the seat properly. TIME REQUIRED : • 1 Period per day 4. Always keep the toilet seat clean and dry. 5. After each use (for defecation), the toilet should be a clean sight for the next user. 6. Tissue paper used (if any) for cleaning should be thrown properly in a dust bin. 7. Keep a brush/scrubber or small piece of cloth for cleaning the pan at regular intervals. 8. Wash hands with soap after defection. 9. Always wear gloves during cleaning the toilets. 51 Personal, Environmental Hygiene and Sanitation Evaluation Students will be evaluated from group presentations List of Groups Content (areas covered) Following deadlines Effectiveness of the team observations Team work Presentation time Group 1 Group 2 Group 3 Group 4 Key Message : To enable young students to analyze • There are areas and people who make the school look neat and clean. • Students have responsibility in sustaining the operation and maintenance system of the school. Suggested Activities: 1. Shramdaan-cleaning the classroom after every lunch break as per the house on duty 2. Surveys - Make a list of items that make a classroom dirty. 3. Making of posters/slogans 4. Helping the junior students to make them aware of having clean toilet habits and practices. Independent Practices: From school to home 1. Prepare a survey on how many institutional buildings are their in their own locality. 2. Perform Nukkad-nataks to promote the understanding of sustaining of operating and maintenance procedures in their school/home and locality. 52 Personal, Environmental Hygiene and Sanitation Activity - Clean toilet habits For Sta ff m embers Background: Providing toilet facilities to the children which are need and age appropriate. Methodology 1. Staff members are divided into four group depending on the interests of the member and their individual strengths (some may be tech-savvy, some regular newspaper reader etc.) 2. Group 1 will survey on designs and dimensions of toilets and washbasins which are age appropriate (eg. Lover toilets for young children, separate toilets for boys and girls) 3. Group 2 will survey on requirements of separate toilet conditions for boys and girls (eg. Arrangements of newspapers in senior girl's toilets and dustbins in each toilet) 4. Group 3 will survey on types of toilet that need to be designed for disabled. (eg. Special seats etc) 5. Group 4 will survey on environmental friendly ways of disposal of toilet wastes. (urine , excreta, napkins etc) 6. Each group will collect the information and give their report to the management. CONCEPT : Developing awareness among all members of the community for clean toilet habits, considering individual needs of the different members OBJECTIVE : Children will be provided with toilet facilities that are environment friendly ; age and need specific and children will also be trained for clean toilet habits. MATERIAL REQUIRED : books, internet, magazine MODE : Group 7. Each group must take care that their reports are as practical as possible. Evaluation TIME REQUIRED : About 15 days Evaluation of the various groups will depend on the practicality of the survey and suggestions made by each group. Observations The staff members will be able to understand the needs of different students for clean toilet conditions. 53 Personal, Environmental Hygiene and Sanitation Key Message : It is important to provide healthy and age appropriate toilet conditions to the students in the school. Suggested Activities • Surveys on methods of waste water disposal. • Role plays can be enacted showing harmful defects of unsafe disposal of toilet wastes Suggested Activities for Students: 1. Shramdaan-cleaning the classroom after every lunch break as per the house on duty 2. Surveys - Make a list of items that make a classroom dirty. 3. Making of posters/slogans 4. Helping the junior students to make them aware of having clean toilet habits and practices. Independent Practices for Students: From school to home Toilets 1. Prepare a check-list at your home for the regular cleaning of your toilets 2. Conduct a survey in your own locality for the kind of toilet systems (English/Indian) for their comfortability and also prepare a comparative chart for the two types of toilet systems. 54 4 Ph ysica l Fitn ess Fact Sheet Although childhood is a time for playing, running, jumping and all kinds of physical activities yet the children these days are not as active as the previous generation. This phenomenon can be attributed to a sedentary lifestyle wherein children spend time glued to television sets or plugged into video games. Once children enter adolescence, exercise drops off dramatically especially in girls. Very often this pattern of inactivity accompanies kids into adulthood. It is the need of the hour to break down these fetters of complacency and lead life replete with physical activity. In addition to promoting physical health, exercise has an extremely positive effect on the well-being of the children. Individuals who exercise have lower rates of depression and anxiety and they are able to cope with life's stress more effectively than their sedentary counterparts. Children engaged in fitness related activities have high levels of self-confidence as well as happiness that comes with greater self-esteem. What does it mean to be physically "fit"? Physical fitness is defined as 'a set of attributes that people have or achieve that relates to the ability to perform physical activity' (USDHHA, 1996). Physical Fitness is more than being able to run long distances or carry out exercises. It is not only defined by the kind of activity one does. Overall fitness is made up of five main components. Body composition Cardio respiratory endurance Components of Physical Fitness Flexibility Muscular strength muscular endurance Physical exercise in all its forms is an ongoing process rather than product . The goal is to make physical activity a customary part of our daily routine. It should be associated with pleasure rather than pain. 57 Physical Fitness Values of physical fitness Promotes efficiency in work performance Resistance to diseases Musculoskeletal development Success in games and sports Mental health and alertness Efficient functioning of body systems Delays ageing From now on, I will : 1. Cut down on refined carbohydrates 2. Avoid junk food 3. Eat frequent small portions 4. Do not diet 5. Follow a Fitness regime 6. Exercise daily! 7. Get going 58 Physical Fitness Activity : Bracin g Up Background : to Exercise - Joggin g Jogging is an easy running and an elementary, CONCEPT : Participating in physical activities enhances cardiorespiratory performance. economical and personally geared exercise programme to develop general physical fitness. Methodology : • Measure your heart rate- ___________ beats per minute. • Jog in your place for 10 minutes. OBJECTIVE : To achieve and maintain a level of physical fitness. • Begin slowly and then build up to a faster pace. • Ask your friend to measure your heart beat at the end of the jogging session.____beats/min. • Do this consistently for a week and keep a record of your heart rate. • Find out how the heart rate changes with consistent exercise. MATERIALS REQUIRED : Jogging shoes, Stethoscope MODE : Individual Observation : In the plenary discussion elicit/inform the class about the following: • Why does the heart rate increase after exercise? • Although the initial heart rate is similar for most people, the response to exercise varies. • Discuss why this happens? Conclusion : TIME : Early morning (30 minutes) Its major contribution is towards the development of cardio-respiratory fitness. Informal assessment : Continue to jog slowly or walk to allow the blood concentrated in your legs to circulate to the other parts of the body. Failure to do so may result in giddiness or fainting. Key messages : Through jogging gross muscle groups as well as ankle and knee joints can be exercised and physical fitness developed. 59 Physical Fitness Suggested activity : Try to find out the predisposing conditions/ ailments which lead to a higher cardio-respiratory response to exercise. (hours, dinner timings and duration. Get it signed by parents first and then show it to the teacher. The teacher in the mentoring classes can take up the issue for the student.) The Right Way to Jog 60 1. Wear comfortable shoes with laces tied properly. 2. Breathe through your mouth 3. Head and body relaxed and upright. 4. Straight heel to toe landing action. Physical Fitness Activity – The Art of Hea lthy livin g Background : CONCEPT : Fitness through deep breathing exercises. Breathing exercises form the basis of healthy living. They rejuvenate the circulatory system and optimize the effect of exercises. Methodology : 1. Students are asked to sit in the correct posture ( Padmasan) 2. Students are asked to close their eyes and concentrate. 3. They take a deep breath through their nose and exhale with the sound of 'om'. Observation/ Discussion : Fill in the qualities that you are able to develop through this exercise OBJECTIVE : To make the students understand the importance of pranayama MATERIALS REQUIRED : exercise mats. MODE : group TIME REQUIRED : 5-7 minutes during assembly. Self Control 61 Physical Fitness Conclusion : It is equally essential to spread awareness in the society about the role of breathing exercises in remaining healthy. Informal Assessment : The children should make a time table to ensure that they follow up the pranayama practices at home on a regular basis. This time table should be signed by parents and shown to the teacher on a monthly basis so that the teacher and parent join hands in helping the child adopt yoga as a part of his lifestyle. Key Messages : Pranayama helps to control anger and overcome the problem of distraction. Suggested Activities : Take a deep breath and hold it. Block your ears with the thumbs and place the middle and ring fingers of both the hands on them. Exhale with a loud humming sound. Repeat three times. 62 Physical Fitness Activit y : Pa r ticipa tion in Gam es a n d Spor t Background : The amount of exercise which an activity provides depends on the nature of the activity undertaken. Methodology : CONCEPT : Physical fitness helps in making one a team person. OBJECTIVE : To help develop spirit of sportsmanship. • Identify the sport that you enjoy and also fix your goal. • Play the sport and try to achieve the goal set by you. Observation / Discussion : 1. Assess your fitness status within the health related components. 2. Evaluate the effectiveness of physical exercise and other factors to obtain physical fitness goals ( losing weight/ becoming a good team player etc.) 3. List out your strengths and weaknesses and discuss with the teacher how the weaknesses can be turned into strengths. Conclusion : Participation in any game of your choice can bring about significant improvement in physical fitness and help to maintain it. MATERIALS REQUIRED : School sports ground and equipment MODE : Group TIME REQUIRED : 30 minutes (PE Period) Recapitulation : Playing games motivates you to live as a fit individual with a firm, lean and a healthy body. Informal Assessment : Regularity, enthusiasm and willing participation. Key Messages : Regular participation in indoor and outdoor sports provides sufficient exercise to the human body. Extended Activity : Watch a match on TV and write your observation on the following theme “ When any sport is played between two nations, the playfields turn into battle fields” 63 Physical Fitness Activity : Good Pos ture ! Background : A sound mind can exist only in a sound body. Correct CONCEPT : Cultivation of good posture is essential. posture helps in avoiding various health problems. Methodology : Teacher will show flash cards showing right and wrong OBJECTIVE : postures and after discussing with students she divides them into stacks of 'right' and 'wrong'. To make the students understand the importance of maintaining correct posture. Observation/ Discussion : Why is it important to maintain the right posture? Conclusion : Correct posture helps the system and the organs to develop in such a manner that organic and functional development of the body takes place. Recapitulation : Recall the technique of correct posture. Informal Assessment : Head, backbone, limbs are in perfect alignment. MATERIALS REQUIRED : Pictures/ diagrams drawn on flash cards. No strain is experienced by any part of the body. Key Messages : The system and the organs of the body have to function optimally to cope with the daily stress and strife in life. MODE : Group Suggested Activities : Keep reminding yourself about the technique for correct posture while studying, watching television and doing other daily activities. You must see that the weight of the body is balanced equally on both the legs. 64 TIME REQUIRED : 15 minutes Physical Fitness Activity : Ba lan ced Diet for Hea lthy Growth CONCEPT : Awareness about healthy weight and balanced diet is important. Background : Body Mass Index (BMI) is a measure of body fat based on height and weight that applies to both boys and girls. Methodology : Students will be required to find their Body Mass Index. The students will be first asked for their own interpretation of BMI after they identify themselves as overweight, healthy or underweight. Observation : It will be pointed out that growth of body and increase of height may be affected by hereditary factors. Control of BMI is entirely in one's own hands. Depending upon the kind of active or sedentary lifestyle the BMI increases or decreases. The formula for finding the BMI will be given and its use will also be explained. • Enter your weight and height using Standard or Metric measures. OBJECTIVE : To develop a firm, lean body, a strong heart, a slower heart rate, normal blood pressure muscle strength, muscle endurance and flexibility. MATERIALS REQUIRED : Weighing machine, Measuring tape. • Calculate BMI using the formula given below weight in kilograms BMI = ( kg/m²) height in meters² MODE : Classroom Interaction TIME REQUIRED : 2 Periods (40 minutes each) 65 Physical Fitness BMI Categories: • Underweight = <18.5 • Normal weight = 18.5-24.9 • Overweight = 25-29.9 • Obesity = BMI of 30 or greater Conclusion : The very important rule of good health is to maintain a proper balance between the intake of food and daily energy expenditure in order to control and maintain ideal body weight. Recapitulation : The amount and type of diet consumed must contain foods which supply the essential nutrients vital to body weight. Informal Assessment : Keep your BMI under check by adhering to the BMI categories. Key Messages : All the nutrients are essential for maintaining proper growth and development of the body. Imbalance of any nutrient can adversely affect the BMI . Extended Activity : Fill in the table given in the student worksheet as per the directions. Observe and list your daily intake of food, the kind of routine followed in school and then at home. List your preference for outdoor/ indoor activities. Now look at the BMI as per the given formula. Do you find any relation between your food intake and the kind of lifestyle you enjoy, to your BMI? Time to ponder and adopt corrective measures. 66 Physical Fitness STUDENT WORKSHEET Reflect and Introspect Days Food Intake (school) Food Intake (home) Activities at home or school Preferred (activity) Introspection Monday Tuesday Wednesday Thursday Friday Saturday Sunday 67 Physical Fitness How can we Manage Weight? An increase in physical activity is an important part of your weight management program. Most weight loss occurs because of decreased caloric intake. Sustained physical activity is most helpful in the prevention of weight regain. In addition, exercise has a benefit of reducing risks of cardiovascular disease and diabetes. Start exercising slowly and gradually increase the intensity. Trying too hard at first can lead to injury. Examples of moderate amounts of physical activity Common Chores Sporting Activities Washing and waxing a car for 45-60 minutes Playing volleyball for 45-60 minutes Washing windows or floors for 45-60 minutes Playing touch football for 45 minutes Gardening for 30-45 minutes Walking 1¾ miles in 35 minutes (20min/mile) Pushing a stroller 1½ miles in 30 minutes Basketball (shooting baskets) 30 minutes Raking leaves for 30 minutes Bicycling 5 miles in 30 minutes Walking 2 miles in 30 minutes (15min/mile) Dancing fast (social) for 30 minutes Stairwalking for 15 minutes Water aerobics for 30 minutes Swimming Laps for 20 minutes Basketball (playing game) for 15-20 minutes Bicycling 4 miles in 15 minutes Jumping rope for 15 minutes Running 1½ miles in 15 min. (10min/mile) Your exercise can be done all at one time, or intermittently over the day. Initial activities may be walking or swimming at a slow pace. You can start out by walking 30 minutes for three days a week and can build to 45 minutes of more intense walking, at least five days a week. With this regimen, you can burn 100 to 200 calories more per day. All adults should set a long-term goal to accumulate at least 30 minutes or more of moderate-intensity physical activity on most and 68 Physical Fitness preferably all days of the week. This regimen can be adapted to other forms of physical activity, but walking is particularly attractive because of its safety and accessibility. Also try to increase "every day" activity such as taking the stairs instead of the elevator. Reducing sedentary time is a good strategy to increase activity by undertaking frequent, less strenuous activities. With time, you may be able to engage in more strenuous activities. Competitive sports, such as tennis and volleyball, can provide an enjoyable form of exercise for many but care must be taken to avoid injury. Activity Progression For the beginner, activity levels can be light and would include an increase in standing activities, special chores like room painting, pushing a wheelchair, yard work, ironing, cooking and playing a musical instrument. The next level would be light activity such as slow walking at 24 min/mile, garage work, carpentry, house cleaning, child care, golf, sailing and recreational table tennis. The next level would be moderate activity such as walking 15 minute/mile, weeding and hoeing a garden, carrying a load, cycling, skiing, tennis, and dancing. High activity would include walking 10 minute/mile or walking with load uphill, tree felling, 69 Physical Fitness heavy manual digging, basketball, climbing, or soccer/kick ball. You may also want to try : • flexibility exercise to attain full range of joint motion • strength or resistance exercise • aerobic conditioning 70 5 Bein g Respon sible An d Sa fe It is very important to understand that students falling in the age group of 10 to 14 years are particularly prone to a large range of accidents, as they tend to get excited about everything and in the process compromise with their safety. Safety involves being careful in order to prevent an accident or risk that could cause harm or injury. Thus it is important for us to teach them to be safe and avoid injury. As safety is freedom from danger or harm and prevention is an important element of safety; everyone needs to know how to act safely in dangerous situations. Acting responsibly in dangerous situations can sometimes save a life. For example, every school should have a plan for escaping from the school building in case of fire or natural disaster. Safety should also be considered whenever the student starts a new activity, for example, when learning to ride a bike, use a skateboard; or learning to cook, the student should be taught safe techniques. For instance, following some simple guidelines such as not leaving burning candles unattended can prevent many fires. Through this Unit we have tried to provide an opportunity to the students of this age group to identify the "not so safe" areas/activities and help them to handle them. These are few suggested activities. Teachers / counsellors can modify the activities according to the local needs. 73 Being Responsible And Safe Activity – Evacua tion Drill Background : In today's world it is important that all the students should have a fair knowledge about the calamities/disasters and the basics of how to handle such emergencies. Thus, drill can become a part of routine that can be followed in an emergency situation. Methodology : Students are told to assemble, given briefing, shown plan and then the situation is simulated. Time set is maintained. Practical exercise, according to the situation is taken up. Observation : Students understand the situation, analyze and react without panic and are mentally alert to face crisis. Discuss the problems faced. Conclusion : Awareness regarding urgency in case of an emergency. CONCEPT : Developing a sense of discipline and urgency during emergency. OBJECTIVE : To train the students to evacuate the building in case of fire, flood or earthquake. To evacuate the building without panic, anxiety or stampede. Teach the students to respond to emergency alarm. Key Messages : Practice makes a man perfect. Self-assessment : • Make a list of feelings and reactions • Time management • Regular introspection. Suggested activities : • Quiz based on the information provided • Worksheets-sample attached • Hold a school-wide Fire Safety Poster contest. Winning posters at each grade/ level might be displayed in the library or in the windows of the class room. • Power point presentation to be prepared by the students. 74 MATERIALS REQUIRED : copies of the plan, audiovisual presentation, Whistle/alarm MODE : Whole School TIME REQUIRED : 1hour/2periods Being Responsible And Safe ELECTRICAL SAFETY WORLD-STUDENT WORKSHEET 1 How Can Electricity Hurt You? Name: ____________________________________ Date: ______________________ 1. Electricity always takes the easiest path to the ___________ a) sky b) tree c) ground 2. You have to be touching the ground directly to be shocked by electricity. (True or False) ____________________. 3. You should never touch anything electrical while you have wet hands or while standing in water because _______________________________________________________________________________ _______________________________________________________________________________ 4. Draw a picture of a dangerous situation inside or outside a home that could result in someone being shocked by electricity 5. Now, explain something that people can do to correct the shock hazard you just drew. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 75 Being Responsible And Safe ELECTRICAL SAFETY WORLD-STUDENT WORKSHEET 2 In Case of Emergency Name: ____________________________________ Date: ______________________ 1. What can happen if you throw water on an electrical fire? What should you do instead for an electrical fire? _______________________________________________________________________________ _______________________________________________________________________________ 2. If you touch someone who has been shocked and they are still contacting the source of the electricity, what could happen to you? _______________________________________________________________________________ _______________________________________________________________________________ 3. What is the only safe thing to do if you see a fallen power line? a) jump over it b) stay far away from it and tell an adult c) move it with a stick 4. What is the safest thing to do if you are in a car with a power line on or near it? a) climb out of the car window b) stay in the car c) get out of the car as fast as you can d) get onto the car roof and stay there _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 5. If you see lightning or hear thunder and can't get indoors, you are safest 76 a) under a tree b) in a hardtop car c) on a wooden bench d) in a wooden boat on a lake Being Responsible And Safe Activity – Sa fety Rules to be followed in va rious situa tion s Background : Teaching safety rules help the students to take care of themselves. India is very prone to disasters. Over the years these disasters have caused extensive damage to life and property. Thus in order to have pro-active, comprehensive and sustained approach to disaster management and to reduce the detrimental effects of disaster it is important to begin early. Methodology : • The teacher starts the session by asking the students about safety rules. • Then she classifies the rules into different categories such as: 1. Common Rules (i) Road 2. Specific Rules (ii) Fire (iii) Strangers (iv) Anything related to local dangers. • Divide the whole class into small groups and let each of the group work on each category. • Each group presents their findings through role plays, posters etc. Observation : CONCEPT : OBJECTIVE : • To teach consequences of risk-taking behaviour. • To facilitate safe living for themselves and others. MATERIALS REQUIRED : Computer with Internet connection, writing material, chart papers etc. MODE : Group work Students will learn to understand safety; create safe environment and cope with any emergency. Conclusion : Students should know about the safety rules that should be followed in various situations ranging from crossing the road to being aware of other potential dangers in the environment such as dealing with strangers. TIME REQUIRED : 2 periods (40 minutes each) Key Message : Safety saves and Precaution matters. Self-assessment : We should keep these things in mind. Check and complete the information. • Do you have a number on the front of your house? • Can the number be seen easily from the street during the day and night? This is very important in case the driver of a fire truck or ambulance needs to find your house quickly. 77 Being Responsible And Safe EXAMPLE POSTERS/FACT SHEETS THAT CAN BE PUT UP Facts About Fires • Real fires are FAST. In a few minutes your whole house could be on fire. • Real fires are HOT. Temperatures can be more than 600 degrees. • Real fires are DARK. You won't be able to breathe and you can't see anything. • Real fires are DANGEROUS -- no matter how small. If you see a fire, get out and get help. Home Fire Safety • Draw a simple picture of your home. Plan at least two escape routes from your home and two ways to get out of every room. • Agree on an outside meeting place. • Decide who will take charge of each child. • Practice the escape routes during fire drills. (Practice escapes at night, that's when most deadly fires occur.) • Show children who live in high-rise buildings the shortest route to a safe exit. Warn them not to use the elevator. In a Fire... • GET OUT FAST, seconds count. Phone for help from a neighbor's home, not from inside a burning building. • COVER your mouth and nose. • CRAWL LOW under the smoke to the nearest exit. • TEST the door. If it's hot or there's smoke, use another way out. • ONCE OUT, STAY OUT. There's nothing more important in your home than you. If someone is missing, tell a firefighter. • GATHER at your designated meeting place. • NEVER go back into a burning building. 78 Being Responsible And Safe If Clothing Catches on Fire... • STOP. Running fans the flames, making fire burn faster. • SHOUT for help. Don't run for help. • DROP to the floor and cover your face. • ROLL back and forth to put out flames. • COOL a burn with cool water. Smoke is Deadly • Each year, fires and burns kill hundreds of children and permanently scar thousands, yet more fire victims die from the smoke than flames. Smoke can overwhelm a child or adult in minutes. • Protect your family by installing smoke detectors outside all sleeping areas and on every level of your home. • Test them monthly, following manufacturers' instructions. Change batteries at least once a year -- even if they are still working. • Caution: Never remove batteries for use in toys, a flashlight, or radio. • Teach your children about smoke detectors. Let them help test the detectors, so they recognize the alarm. Follow up by practicing your escape route. Matches and Children Don't Mix • Matches and lighters are tools for adults; they are not toys. • Children who play with matches or lighters can be badly burned and can hurt others. • Teach children that if they find matches, they should tell an adult the location right away. Suggested Activities Class can again be divided into groups to develop and do the following : • Snakes and ladders game based on the area of interest • Crossword puzzles to enhance the vocabulary • Colouring activities • Matching games • Quiz 79 Being Responsible And Safe Firs t Aid Essen tia ls !!! Background : Teaching First-Aid will make the students independent and responsible to handle small emergencies. This exposure will help the students to overcome anxieties related to injuries. Methodology : Activity starts with a pre-activity preparation, that is, School team comprising of Nurse, Doctor and Counsellor take care that venue is ready, material required is ready etc. • Parents belonging to similar profession are also involved. • Activity starts with a formal introduction to First-Aid followed by a multimedia presentation showing how to handle emergencies. Observation : Students will be able to handle minor injuries like cuts, sprains etc without panic and anxiety and would be able to distinguish between fracture and sprain. Conclusion : As complexity in life is increasing and students are CONCEPT : First-Aid is simple and immediate emergency treatment that one can give to an injured or ill person. OBJECTIVE : To train students to attend to small injuries that may occur on playgrounds, in a school building or in neighbourhood. MATERIALS REQUIRED : Demonstration materials leading a very active life, it is necessary that they learn to deal with small emergencies themselves. MODE : Group work TIME REQUIRED : 1-day workshop 80 Being Responsible And Safe Self-assessment : Please maintain the kit and keep updating it. A list of all the essential items is given below. First Aid Kit Every office, factory, home and school should have an accessible first-aid box. It is readily available in shops but you can use a tin or cardboard box at home as your first aid box. Following are the common stuff you should have in your first aid box. • First-aid book • Sterile adhesive bandages in assorted sizes • Small roll of absorbent gauze or gauze pads of different sizes • Adhesive tape • Triangular and roller bandages • Cotton (1 roll) • Band-aids (Plasters) • Scissors • Pen torch • Latex gloves (2 pairs) • Tweezers • Needle • Moistened towels and clean dry cloth pieces. • Antiseptic • Thermometer • Tube of petroleum jelly or other lubricant 81 Being Responsible And Safe • Assorted sizes of safety pins • Cleansing agent/soap Non-prescription drugs • Pain relievers • Anti-Diaorrhea medication • Antihistamine cream (for Bee Stings) • Antacid (for stomach upset) • Laxative Keep your first aid kit where it is easily accessible. Replace drugs whenever they reach the expiry date. Suggested activities : • Make a list of important people and phone numbers in case an emergency occurs • Organise a First Aid camp in the school • Community service : Older students can take responsibility for teaching younger students about first aid. • Writing : Invite a representative of the Red Cross Society/Local hospital/CGHS to come to school to talk to your students. Students might prepare questions for the First Aid in advance question about fire safety and also jobs related to the field. • Students can use the information they gather to write a "news story" about the First Aid camp 82 6 Beha viou r An d Life Sk ills As health education and Life Skills have evolved during the past decade, there is growing recognition of and evidence for the role of psycho-social and interpersonal skills in the development of young people from their earliest years through childhood, adolescence, and into young adulthood. These skills have an effect on the ability of young people to protect themselves from health threats, build competencies to adopt positive behaviours and foster healthy relationships. There is now strong evidence from an increasing number of studies that skills-based health education, including education that fosters the development of Life Skills, changes behaviour. Skills-based health education is an approach to creating or maintaining healthy lifestyles and conditions through the development of knowledge, attitudes, and especially skills using a variety of learning experiences with an emphasis on participatory methods. Life Skills are abilities for adaptive and positive behaviour that enable individuals to deal effectively with the demands and challenges of everyday life (WHO ). Essential Life Skills include such things as being able to recognize and describe one's feelings, giving and receiving feedback, recognizing assumptions, setting realistic and attainable goals and employing problem-solving strategies. In the following Unit an attempt is made to acquaint the students with some Life Skills which can help them to develop better. These are few suggested activities. Teachers / Counsellors can modify the activities according to the local needs. 85 Behaviour And Life Skills Activit y : Expressin g On e Self Background : CONCEPT : Life Skills are the skills necessary for successful living. Essential Life Skills include such things as being able to recognize and describe one's feelling, giving and receiving feedback, recognizing assumptions, setting realistic and attainable goals, and employing problem solving strategies It is a way to raise awareness about the way we feel and react in a particular situation. Methodology : OBJECTIVE : • Teacher instructs the students to look through photographs or magazines for things they like or that describe them. This activity provides an insight into students' perception and attitude towards others in relation with oneself. • Cut them out and arrange them on the poster board. Make any design they like. Paste pictures of things that make them feel good, express what they like and who they are. Hang them on the wall with pride. • Do one every six months and you will be amazed at the results. Observations/discussion : Students draw the family's painting, which provide an insight in their perception and self esteem. Conclusion: Growing up children are not able to express their conflicts verbally. Thus, it is a good idea to ask the student to draw and paint their view of the relationship of their family. Key message : Insights are steppingstones for desirable behavior modification. 86 MATERIALS REQUIRED : Pencils, colours, mounting board, glue, sparkles etc. MODE : 100% participation TIME REQUIRED : 2 periods (40 minutes each) Behaviour And Life Skills Self-Assessment : In this activity the teacher observes the student and asks certain questions based on the work presented. Some guidelines for the interview are:• The colours used by the student • Content analysis • Injury from the seemingly disturbed student. • Parental interview and counselling to both, the child and the parents. Suggested Activities : • Visit to art gallery • Rate your emotion • Write poetry • Assign symbols to various emotions • Pretend to be grown up and behave accordingly 87 Behaviour And Life Skills STUDENT WORKSHEET Exercise: Warm-up questions Take a few minutes to answer the following questions: 1. A time I couldn't have made it through something difficult without my mom/dad/team ... ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. A time when I appreciated my mom/dad/team was ... ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 3. Something I like about my mom/dad/team is ... ______________________________________________________________________________ 4. One of my strengths is ... ______________________________________________________________________________ 5. The biggest challenge for me is ... ______________________________________________________________________________ 6. One positive change I would like to make is ... _________________ I promise to work towards IT!! I promise to take help if I feel the need. Signature: ______________________________________________________________________________ 88 Behaviour And Life Skills Activit y : Buildin g Empa th y Background : Role-play creates an environment in which young people begin to experience intimately what a situation may mean and feel, thereby helping them to empathise. Besides, it introduces young people to the use of drama in education. This also helps students to break down barriers of self consciousness. Methodology : Divide the class into small groups. Assign the students CONCEPT : Role-play techniques are ideally suited for situations where identification is sought for the characters especially for contrasting or evolutionary behaviour. their roles and give them time to practice. Allow them to display. Discuss and ask the students for comments. Materials Required: Role-play does not require a mountain of props, rather the opposite. The idea is to focus on the characters whose roles have to be played out. Props only provide a distraction to the audience and the actors. Of course, minima also means that groups make do with what is available. Therefore, if there are tables, chairs and other furniture in the room where you are working, the groups could use these in OBJECTIVE : This activity aims at generating innovative and reflective range of responses towards a particular situation. It will enhance the personal skills while providing safe environment to give vent to one's 'emotions'. Besides, it helps the students to empathise. some way. Room setting should be done according to the designed activity. Observation/discussion : Students would be able to empathize, organize, analyze and reflect their perception and relationships MODE : Group-Work with others and their environment making the self more responsible. Conclusion : Through role-play, participants can experience the feeling and potential outcomes of a social situation without suffering the actual consequences of their decisions. TIME REQUIRED : 1 hour/2 periods Self-assessment : Ask the students to work on the provided guidelines • Think of a situation • Decide the roles 89 Behaviour And Life Skills • Write down the feelings • Discuss and share • Expert advice Suggested Activities : • Breathing together: The full group should form a circle with everybody being able to see everyone else. Without speaking, they work to synchronize the rhythm of their breathing. • Name chants: The full group is randomly divided into groups of four and each of these is then given five minutes to make short song, chant, rap, using their names. They then perform for other groups. • Charades • Mime machines • Tableaux - moving tableaux Key message : Feelings are integral part of one's life. One experiences wide range of feelings and their proper communication is a skill which every student must learn. 90 Behaviour And Life Skills Activity : Extempore Expression ! Background : Instantaneous expression about an individual or the situation provides an insight in the person's thinking styles/difficulties/hang ups etc. CONCEPT : On the spot activity such as extempore provide an insight into students thinking style OBJECTIVE : To provide the opportunity to share their opinions. This may help the school to mould their polices according to present need. MODE : Group TIME REQUIRED : 1 hour/ 2 periods 91 Behaviour And Life Skills Activity : Developm en t Background : Discussion would help student's curiosity to ebb. It also leads to an increase in awareness level of students. CONCEPT : Understanding the problem from an expert's viewpoint is more convincing than others. Methodology : Minimum three experts from the fields can be invited. Principal, parent representative, school doctor and counsellor also join the panel. Students are encouraged to ask any question that may be pertaining to the subject. At the end experts are given opportunity to express their viewpoints and inform about the neglected aspects. Observation/discussion : OBJECTIVE : To ensure that students have gained all the necessary information, which help them to take up active and safe life. Increases awareness • Type of questions asked provides insight to policy makers regarding cause and effect relationship. Conclusion : Role models play an important role in moulding young minds and their viewpoints help the students to internalize the good values. These kinds of activities motivate the students to emulate their role models behavior. Key Message : MATERIALS REQUIRED : Room setting is important MODE : Group Open discussion widens the horizons. Self-assessment : Follow the format. TIME REQUIRED : 1 hour • Talk to the expert if confused. • Approach a responsible adult, if in trouble. • Share their views with friends, teachers and parents. Note to the teacher : Panel Discussion A panel consists of a small group of six persons, who carry on a 92 Behaviour And Life Skills guided and informal discussion before an audience as if the panel were meeting alone. The proceedings of the panel should be the same as those described for informal discussion: volunteering of facts, asking questions, stating opinions-all expressed with geniality, with respect for the contributions of other members, without speech making, and without making insidious personal references. This primary function should occupy approximately two-thirds of the allotted time-say forty minutes of an hour's meeting. The secondary function of the panel is to answer questions from the audience. This discussion method is suitable for use when a relatively large audience is anticipated. The disadvantage of the method is that it confines most of the discussion to the panel itself. The audience listens and is given a chance to ask questions, but for the most part is passive and receptive. Panel discussions, if well conducted are usually more interesting to the audience than is the single-speaker forum. They provide sufficiently varied opinions presentation of facts is from multiple perspectives. 93 Behaviour And Life Skills Activit y : Self Es teem Methodology : This activity can be done in the classroom in the language, students are comfortable with. Maximum time should be given to each student. The teacher keeps on recording the talk on various dimensions. Deliberate effort is made to give emotionally laden topics. Observation/Discussion : CONCEPT : Students self esteem can be enhanced by giving opportunities for expression. The pitch of the voice, the confidence in which the students speak provides an insight into students' selfconcept. Conclusion : Students in their pre-adolescent years are easily excited OBJECTIVE : To enhance the self esteem of students and while participating in such activities tend to voice their viewpoints on the issues of their concern. Key Message : Expression improves mental health. Self Assessment : Make a list of emotions students experience in different situations, such as:• When you are angry ____________________________________ • When facing exams ____________________________________ MATERIALS REQUIRED : List of the relevant topics to be prepared by the teacher in advance (peer pressure, generation gap, communication gap popular culture etc) • Seeking permission from parents when you think they might refuse _______________________________________________ MODE : • Your friend stops talking to you _____________________________________________________ Group presentation • Your best friend says something about you to others _____________________________________________________ • A boy in your class asks you to do something which you don't like _________________________________________________ NOTE TO TEACHER : Referral services according to the need may be provided Counselling to be provided at whatever level needed be it - School / Class / Individual / Peer group level 94 TIME REQUIRED : 1 hour / 2 periods Behaviour And Life Skills Activit y : Con n ectin g with you r in n er self th rou gh th e brea th Background : CONCEPT : By focusing our awareness on the natural sound of breath, the mind becomes tranquil and calm The natural sound of the breath is SO-HAM. The sound of inhalation is SO and the sound of exhalation is HAM. By focusing our awareness on the natural sound of breath, the mind becomes tranquil and calm. Methodology : OBJECTIVE : • To settle the restlessness within the student. • To manage the anger that he/she may be facing at the personal level The teacher/facilitator is supposed to give the following instruction: • Sit comfortably on a chair - hands down on the knees, legs together, head, neck and spine in one straight line, eyes closed and face relaxed. If a separate period is allotted for such rejuvenating activities, then participants can lie down on a mat - head, neck and spine in one straight line, legs slightly apart, hands by the side of the MODE : GroupWork/Individual body, palms up. Eyes are closed and face relaxed. • Bring your awareness to your breath. Observe the way you are breathing. Is your breath shallow or is it deep? Now make a deliberate effort to deepen your breath by taking a deep breath TIME REQUIRED : 2-3 Minutes in and then, breathe out in a slow, rhythmic manner. Make sure that there should not be any facial contortion during this practice. The head or the shoulders should not move up and down while you are trying to deepen your breath. • When your breath becomes slow and rhythmic, imagine there is a tiny hole in the centre of your throat. Air goes in and out through this hole. 95 Behaviour And Life Skills • Now, gently contract the 'glottis' of your throat so that a soft snoring sound like the breathing of a sleeping baby is produced in the throat. The sound of the breath should only be audible to you. • Now listen to the sound of inhalation which is SO and keep your awareness focused on the sound of exhalation which is HAM • Keep listening to the natural sound of your breath for sometime. You can count 21 breaths backward to one like this. One round means - one inhalation and one exhalation. Do 21 such rounds. Release the contraction of the throat, breathe in deeply and breathe out. Rub your palms and put them on your eyes. Open your eyes. Observation/ suggestion : • Children have a tendency to hunch their back while sitting still for any rejuvenation technique. The facilitator should make sure that their shoulders are not hunched. • Many times students close their eyes very tightly and folds are visible in the area of the eyes. The facilitator should ensure that eyes are closed gently and there is no facial contortion while doing the practice. • When the students are asked to snore gently like a baby after contracting the back of their throat, they mostly snore loudly to have a hearty laugh in the class. A hearty laugh is fine. But after a hearty laugh, they should be made aware of the intricacy of the practice - only a gentle snoring sound is what is needed - even the person sitting next to you should not be able to hear this snoring sound that is being made. It should only be audible to you. Key Message : The natural sound of the breath is very relaxing and it makes the student feel immediately settled after the practice. Follow up Activity : The students are advised to do this practice at home regularly. They can do so early in the morning or in the evening at the study table before they sit down to study for 2-3 minutes and see for themselves how their retention improves when such practices are done regularly and incorporated as a part of the study schedule at the beginning. 96 Behaviour And Life Skills Activit y : Rela xin g th e min d by rela xin g th e bod y pa r ts CONCEPT : the natural sound of breath, the mind becomes tranquil and calm. The progressive movement of awareness through the different parts of the body not only induces physical relaxation, but also tears up all the nerve pathways to the brain Methodology : OBJECTIVE : This practice is better performed by children when the • To enable the student to experience complete relaxation of the body as well as the mind. • To bring about a sense of focus within the student. Background : The natural sound of the breath is SO-HAM. The sound of inhalation is SO and the sound of exhalation is HAM. By focusing our awareness on facilitator/teacher give the instructions step wise. The instructions follow like this: • Sit straight hands on knees, eyes closed. • Visualise the place where you are sitting. • Take a deep breathe in and breathe out. Make sure your exhalation is at least as long as your inhalation. • Count 11 such breaths backwards to one. One round means one MODE : GroupWork/Indiidual inhalation and one exhalation. • Now take your awareness to your feet. Feel the muscular tension TIME REQUIRED : in the region of the feet vanishing into the thin air around you. As this happens, your feet feel as light as a feather. 3-5 Minutes • Now shift your awareness to your lower leg (Experience the same feeling as just mentioned above) • Now both knees - same feelings as mentioned above Now both thighs - " " " Now lower abdomen - " " " Now chest - " " " 97 Behaviour And Life Skills Both shoulders - " " " Both upper arms - " " " Both lower arms - " " " Both hands - " " " Forehead - " " " Both closed eyes - " " " Both cheeks - " " " Around the lips - " " " You are feeling absolutely relaxed - as relaxed as you can be, Your body is feeling as light as a feather. Now bring your awareness back to the place where you are seated. Take a deep breath in, breath out. Do two more rounds of deep breathing. Rub your palms together vigorously. Put them on your eyes. Open your eyes gently. Observation/ suggestion : • Children sometimes tend to be very fidgety during practice. The facilitator should ensure that they should be absolutely still during the entire practice. • Students sometimes keep their eyes partially open during this practice. The job of the facilitator is to make the students understand that during this practice they are supposed to be cutting themselves of from the outside world. The eyes are like windows to the outside world. Unless these windows are shut, they can never enjoy this wonderful technique. Key Message : Practice make a man perfect. Following up Activity : The children / students have to remember that practice makes a man perfect. The more they practice this technique at home, the more they will be able to relate to it and the more will be the benefits that will get out of it. At home, they can practice whenever they feel mentally or physically tired. 98 Behaviour And Life Skills Activit y : Developin g th e power of ima gin a tion Background : Children experience a great sense of pleasure in imagining. They are able to relate to natural scenes in the most wonderful way. 'Recalling visual images in the form of natural scenes induces a great sense of calmness and relaxation in children.' Not only this, recalling visual images in the form of natural scenes is said to reduce the level of anxiety / stress that the children may be facing at the personal level. Methodology : The facilitator is required to give the following instructions: • Sit comfortably on a chair - hands down on the knees, legs CONCEPT : Recalling visual images in the form of natural scenes induces a great sense of calmness and relaxation in children. OBJECTIVE : • To make the student experience complete physical and mental relaxation. • To improve the concentration of the learners. • To improve the power of retention of the students. together, head, neck and spine in one straight line, eyes closed and face relaxed. • If a separate period is allotted for such rejuvenating activities, MODE : GroupWork/Individual then participants can lie down on a mat - head, neck and spine in one straight line; hands by the side of the body, palms facing up. Eyes are closed and face relaxed. • Bring your awareness to your breath. Observe the way you are TIME REQUIRED : 3-5 Minutes breathing. • Now make a deliberate effort to deepen your breath by taking a deep breath in and make sure that your exhalation is slow and rhythmic too. • Count 11 such breaths backward to 1 • Now visualize the following - a red rising sun, the sky at the time of sun rise, a forest, a grassland, a milky white river flowing down 99 Behaviour And Life Skills a valley, a sandy beach, golden particles of sand glittering as the rays of the sun fall upon them, absolutely dark night, a full moon night, starts at night, pink lotuses in a pond, a clear blue sky, waves in an ocean, aquatic plants inside the ocean bed, clouds gathering in the sky, heavy rainfall, a bright sunny day. • Now bring your mind back to the place where you are seated. • Think of the person sitting closest to you • Take a deep breath in, breath out. Count three such breaths at your own pace. • Rub your palms together; put them over your closed eyes. • Open your eyes gently. Observation/ suggestion : • Students sometimes close their eyes very tightly. They should be corrected and told that eyes should be gently closed. • The facial muscles too look quite tight. The facilitator has to make sure that there is no facial contortion. • Eyebrows sometimes show lot of strain. They should be relaxed. • Students sometimes keep tapping their fingers every now and then. The facilitator should make sure that no part of the body moves. Key Message : Connecting with nature has a great therapeutic effect on the mind as well as the body. Following up Activity : If possible the students can make their own audio cassettes in their voice once they learn the instructions to be given during this practice. They can use this audio cassette during examination time to reduce their nervousness and stress. 100 FREQUENTLY ASKED QUESTIONS Q1 Will my birth sign affect my growth? No. Proper exercise and diet have direct impact on our growth. Q2 I am a twelve-year-old girl and I am very fat. I hate myself. What shall I do? Consult a medical practitioner or a dietician. Under an expert's advice examine your diet and exercise schedule and modify it. Follow the instructions given by the expert religiously. Gaining or losing of body weight is in our hand. Q3 What are the physical changes that take place during adolescent years? Boys-development of beard, moustache and low-pitch voice and increase in height. Girlshigh-pitch female voice, female pattern of body hair distribution, onset of menstruation cycle, growth of mammary glands. Q4 I am a thirteen-year-old boy. My voice has become so hoarse that I do not want to talk to any one. This change is part of normal growth and development. Hoarseness is because of the lowpitch voice, which boys normally develop during adolescent years. Q5 I used to wear shorts, suddenly after class-VI, my father started discouraging me from wearing shorts or skirts. In conservative Indian society such parental instructions are not uncommon. Largely parents' opinions are influenced by the society in which they live. Q6 I feel my parents do not trust me any more. In our society, parents very frequently advise their children on various issues out of care and concern, it could be misconstrued and thought to be lack of trust. It is better to have an open communication with your parents. Q7 My height has suddenly increased and now I am the tallest in my class. My friends keep on teasing me. This depresses me. This change is part of normal growth and development. Boys normally experience sudden increase in height during adolescent years. Q8 My friends told that a person can gain a kilogram or more from eating a serving of cake, ice cream or junk food. 101 You should not be concerned and unnecessarily worried about this issue. It is important to understand that no food is good or bad for you. Quite the contrary, some people believe that when they take any food, it will immediately be visible on their body as excess weight. This is not how food works. In fact, when a person eats food, it is broken down by the body into energy and fuel for growth and alertness. Particularly, when you eat nutritionally dense or nourishing foods in appropriate amounts, it all gets used up and disappears before it could ever be stored as fat. Also it is important to exercise everyday. Q9 I know that very skinny models and actresses have unhealthy eating and exercise lifestyles. I must not model myself after them. Is that right? TRUE. It is unnatural and unhealthy to try to get your body to be thinner than it needs or wants to be, no matter how normal the models or actors make thinness seem. When you eat right and stay active, your body will determine that best weight for you and will maintain that weight to keep you feeling good and fit. Q10 Is it true that no one can know how fit or unfit I am simply by looking at me. TRUE. Nobody can tell how fit you are simply by looking. Largely built or overweight people are often strong, healthy and in very good shape; their heredity may determine their large size. Do you know that many overweight people exercise regularly and vigorously and are fine athletes. Q11 Is it true that body shapes and sizes vary from one person to the next. No two bodies can or should look the same. TRUE. Just as every finger print is different from every other, no two people are created to look just the same. We all come in different sizes and shapes, with different strengths and weaknesses, with different talents and interests. Our unique qualities set us apart and make us special. Who we are as people has less to do with how we look and more to do with how we think, feel and behave. Q12 Kids become overweight because they eat too much. Do they need to eat less? No one becomes overweight because he or she eats too much nutritious food. People become overweight when they eat too much of less nutritious foods and/or when they do not remain active, or engage in sports or other forms of regular exercise. Moving your body vigorously through space in some form of exercise is one sure way to keep your metabolism healthy and capable of burning fat, giving you energy and keeping you trim. When people are overweight, they do not need to diet or eat less. They may need only to learn to eat differently, to establish a healthier eating and exercise lifestyle. 102 Q13 Is it true that I will be thinner if I skip breakfast. The fewer meals, I have, the thinner I will become. NO. You can't expect to be alert and to learn efficiently at school unless you feed your brain well after its extended overnight fast. People who skip breakfast damage the function of their metabolism, interfering with their body's capacity to burn fat effectively. In addition, excessively hungry people tend to overeat their next meal or snack; nonbreakfast eaters are more apt to develop weight problems in their childhood and into their adult years. Q14 Is it true that sweets are not good for me. FALSE. There is nothing wrong with eating sweets. A dessert now and then, even once a day, is fine. A few extra sweets on birthdays and festivals is great fun and in the spirit of celebration. It would in fact be problematic if you could not feel free to eat these foods. Sweets become problems only when people eat them in excess or instead of foods that nourish and build strong bodies. Q15 Eating fat in your food makes you fat. Is this true. No. Eating fat in your diet does not make you fat. Though an over-abundance of saturated fats can be unhealthy, other kinds of fats are necessary to keep your body healthy and functional. The healthy eater is the person who eats all types of foods, as long as they are eaten in moderation (not too much and not too little). Q16 I worry that the more I eat, the more weight I will gain. FALSE. When your body is well fed and healthy, it will eventually arrive at what is called its "set point" weight. The body's set weight is the weight your body wants and needs in order to be healthy. Once this weight is achieved, it will stay, give or take a kilo here or there. If one day you eat more than usual, the scale may show a slight increase in weight but within a day or so of eating naturally again, your body will settle comfortably back to its set point weight. You can count on it. Q17 Everybody talks about puberty, what does it actually mean? Adolescence is usually defined as the period in a boy's or girl's life, which occurs between childhood and adulthood. Adolescence begins with puberty, which technically is the time when your secondary sexual characteristics appear. This is triggered by the pituitary gland, which secretes a surge of hormones into the blood stream and begins the rapid maturation of the gonads: the girl's ovaries and the boy's testicles. It varies from person to person. It may also be by the genetic make up of the person. 103 Q18 What really happens during this period (puberty)? On an average, a child enters a period of accelerated growth just prior to pubescence. The greatest increase in height occurs around 11½ years of age for girls, and around 14 years for boys. Girls usually start their first menstrual period between 11 and 14 years of in age. Other signs such as filling out of body, enlargement of the breasts, growth of hair in girls, change of voice, increase in size of genitalia and growth of hair in boys, also occur around 11 to 15 years of age and complete themselves by 14 years for girls and 15 years for boys on an average. Medically, a boy or girl is now capable to procreate i.e. have a baby. Q19 What is the age when the first period starts? The average age of menarche (first period) is considered to be between the ages of 11 and 14. Menarche usually occurs a year or two following other puberty related changes like breast development and hair growth. A young woman's age of menarche is also often related to the age that her mother had her first period. Research suggests that the average age of menarche has fallen over the last century. Q 20 What is menstruation? Menstruation is a woman's monthly bleeding. It is also called menses, menstrual period, or period. When a woman has her period, she is menstruating. The menstrual blood is partly blood and partly tissue from the inside of the uterus (womb). It flows from the uterus through the small opening in the cervix, and passes out of the body through the vagina. Q 21 I am 14 years old, and am worried about developing spots and pimples on my face. Pimples are the commonest of all chronic disorders in your age group. This is the result of hormonal changes that activate your sebaceous gland. Usually this is a temporary condition that will eradicate, as you will grow up. Balanced diet and personal hygiene helps to correct this condition. 104 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI-110092. ACAD/EO/2006 Appendix-1 Dated : 31.5.2006 Circular No. 09 All the Heads of the institutions affiliated to CBSE. Subject: Comprehensive School Health Programme and Creating Health Club in the school. Dear Principal, Childhood and adolescence form the most joyful period of an individual’s life. They are times of immense creative energy, self-discovery and exploration of the world. They can also be fraught with feelings of isolation, loneliness and confusion. They can be due to various factors relating to the physical, social, emotional, mental and spiritual well being of the younger generation. Schools, families and communities need to play a positive and responsible role in bringing up young children in a healthy environment which would enable each one to maximize their potential. Schools can provide dynamic settings for promoting health, for enabling children to grow and mature into healthy adults. Yet the potential of the school to enhance health is often underutilized. ‘School Health’ has largely remained confined to medical check-ups of children or some hours of health instruction in the curriculum. There is a growing recognition that the health and psycho-social wellbeing of children and youth is of fundamental value and the schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Although schools have undertaken many initiatives in promoting school health, the comprehensiveness and sustainability in these initiatives is not clearly laid out. The need of the hour is a comprehensive school health policy integrated within the school system. The Central Board of Secondary Education suggests that schools plan out a Comprehensive School Health Programme which could be initiated through HEALTH CLUB in each school to begin with. Need For Creating Health Clubs in Schools Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. Health and Wellness Clubs in Schools would focus on the overall well being comprising emotional, social and mental health of the child. It would act as the enabling and organizational point for conducting activities related to various dimensions of health and wellness. A Health Card needs to be created for students which would form a continuous part of their growth and development. This could form an effective monitoring and feedback system for the overall health of a child during his schooling. …………………/-2- 105 Constitution of a Health Club • • • • • Principal as Convener Counselor / Psychologist / P. T Teacher / Nodal Teacher as Secretary Student representative (one boy and one girl from each level) Identified teachers from each level Parent for each level (preferably a doctor) Responsibilities of the Health Club • • As an organizer of all health relevant activities (at least 8-10 activities in the year at each level). As a Resource Centre for the overall well being of students Objectives of the Health Club • • • • • • • • • • • • • To create Health Cards for each student To create a health newspaper at least twice a year/poster competition related to health issues To conduct surveys on health related concerns To organize ‘health walks’ as part of social campaigns To organize health fairs and immunization projects To tap the local resources in the community to arrange health talks To render service in any area affected by a disaster or a calamity To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding sexual and reproductive health To teach the students techniques of yoga and meditation from an early age To inculcate in the students healthy and positive ways of living To teach health songs on various health topics Celebration of important days (World Health Day – April 7) Creating awareness regarding ‘World No Tobacco Day’ (May 31), ‘World AIDS Day’ (December 1) etc. The Board is suggesting a plethora of activities in Annexure A for various levels which can be conducted as part of co-curricular inputs during the calendar year. The activities mentioned here are recommended as pointers and many more can be added as per local needs and requirement. The Board is also in the process of preparing a Manual on a Comprehensive School Health Program which will be available shortly. Any further suggestions on this issue are always welcome. Yours sincerely (VINEET JOSHI) SECRETARY Encl : Annexure A 106 Annexure A COMPREHENSIVE SCHOOL HEALTH PROGRAM Suggested Activities for promoting Health in School I – IV Module 1 Know yourself • • • • • • • • • • • • • • • • • • • • • • • • Yoga and Meditation Drawing a Picture of oneself Pasting a Photograph Palm Printing / Foot Printing Rythmic Exercises Poem / Rhymes / Recitation Role Play on Body Parts Matching of Flash Cards Self awareness / Diary Sensitivity based Theater Check up by Doctors/ Dentists Health Card Counselling Ten Sentences on oneself Physical/ Social/Society Likes and dislikes My list of favourites Any other….. Yoga & Meditation Assembly themes Tapping resources from neighbour-hood / community for health, hygiene & personality Introspection diary Survey of eating joints for their nutritive content Health Card Any other V-VIII • • • • • • • Yoga and Meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. • Health Card • Any other Module 2 Food and Nutrition • Collection of Pictures of nutritive/junk food • Class Party and discussion on food items • Dietary charts for the week • Jigsaw Puzzle presentation • Four Corners • Power point Presentations • Mandatory to bring one nutritive item • Research on food items – balanced items • Mothers’ recipe book • Any other • Nutritive Recipe competition • Orientation program for Parents and Students on good food habits • A PMI (plus, minus and interesting) on generally observed health problems • Survey based on balanced diet of different regions / communities • Any other 107 IX-XII • • • • • • • Yoga and meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. • Health Card • Any other • • • • • • • Extempore Debate Slogan writing Theatre Collage making Panel Discussion Any other I – IV Module 3 Hygiene • • • • V-VIII Board Displays Research Projects Skits Eco-clubs Celebrating Environment Friendly Days • Preparing Recycled Paper • Visiting a Heritage Site • Any other • Resource persons from NGO’s • Panel Discussion Planting • Eco-clubs • Planting Sapling and Trees • Rain Water Harvesting • No Polybag Zone • Adopting a National Heritage Spot • Warming up exercises before the beginning of each physical education period • Pranayam • Yoga • Physical education periods a must for all schools/all classes • Drills/aerobics followed by presentations at the end of every month • Skill based programmes-camps • March/run for health • Any other • • • • • • • Inter House Competitions based on Aerobics / Yoga / Gymnastics • Team building • Leadership Camps • Running for a Cause • Any other • Extempore dialogue delivery • Ground rules preparation in classes • Safety activities-sports field/ activity period (to be made by students) • Travelling independently (phone numbers/ residential numbers) • Learning to Communicate problems-Circle time) • Campaigns • Vigilance Committee • Evacuation Skills • • • • • • • • • Tick mark of self check-list Presentation Value based assemblies Shramdaan (cleaning up of your class at the end of the day) Picking up wrappers/ foils etc after the break Creating shramdaan clubs Green brigade clubs Posters Outdoor excursions (Speed, stamina, strength) • • • • • IX-XII Module 4 Physical fitness Module 5 Safety Measures -Fire Accidents, Emergencies Competitive Sports Team building adventure treks Leadership camps Health Walks for social issues Swimming Any other Transport drill Sports Day First Aid Showing Movies on fire safety drill • Bravery Award • Research based Projects • Sexual Health Education issues related to Gender Sensitivity 108 • • • • • • • • • Fire Brigade Demonstration Disaster Management Self – defence techniques Traffic rules Theatre-visit to Rehabilitation Centre Sensitization Programmes on Substance Abuse Interpersonal relationships Parental Sessions Laboratory Safety drill I – IV Module 3 Behavioural and Life Skills • • • • • Consequence games Learning to say “NO” Think pair share Handling peer pressure Identification of good touch and bad touch V-VIII • • • • • Learning to say no Mentoring Interactive Bulletin Board Quiz Contest Poster making / Painting Competition • Group Games on Adolescent issues 109 IX-XII • Handling Peer Pressure • Question Box Activity • Situation Analysis and Case Studies of sensitive issues • Peace March to mark a social event or issue • Panel Discussion with Eminent Psychologists] • Guest Speakers from the experts (Doctor) • Visit to a rehabilitation centre CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/CIRCULAR/2007 14th March,2007 Circular No. 17 All Heads of Institutions Affiliated to CBSE. Subject : Importance of Nutrition for Bone Health. Dear Principal, Bone Health is a neglected area and has resulted in various problems both for adults and young children. The major causes for the poor bone health in India are genetic predisposition, lower bone mineral density due to deficiency of calcium and vitamin D, inadequate exposure of body surface area to direct sunshine even though the country has plenty of sunshine throughout the year, clothing pattern, relatively pigmented skin, poor diet, lack of availability of foods fortified with essential vitamins and minerals and lack of physical activity. Childhood and adolescence is the time when bones are beginning to be modeled until around the age of 30 when peak bone mass is achieved. Diet in the modeling phase is extremely important. A critical element that helps absorb deposition of dietary calcium into bone mass is vitamin D. Deficiency of vitamin D is one of major contributory factor responsible for lower bone mineral density (BMD). A related bone problem is flurosis. It is prevalent in 17 States and has affected 66 million people including about 6 million children below the age of 14. It results from consuming ground water with excessive fluoride leading to bone disorders. Inadequate exposure of body surface area to direct sunshine, clothing pattern, relatively pigmented skin, environmental pollution, faulty housing architecture which does not allow enough sunshine, poor diet and lack of required food fortification, are among the major factors responsible for compromised bone health. It is important to pay attention to bone health right for childhood. It is in this regard, schools may be advised to take steps regarding the following aspects : 1. Schools should promote outdoor physical activity after 9.00 a.m. and before 4.00 p.m. for adequate exposure to sunshine. Sunshine is the most important source of vitamin D. N N N Vitamin. D helps absorption of calcium. The main source of vitamin D is the exposure to sunlight. Exposure of legs and arms to sunlight for about 25 minutes between 9 AM and 4 PM is adequate. Physical activity at all ages, particularly weight bearing activity, is important for bone health. It also reduces the risk of falling by strengthening muscles and maintaining balance. Calcium is critical for sound bone health. Foods containing calcium like milk, leafy green vegetables, etc. should be a part of the normal daily diet. 110 3. During the educational programs, schools should emphasis the importance of calcium and vitamin D and thus the schools play a crucial role in creating awareness on such vital issues by sharing this message with the entire student community as well as the parents. With regards, Yours sincerely (C.GURUMURTHY) DIRECTOR(ACADEMICS) Copy to : 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18, Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791111. 7. The Director of Education, Govt. of A & N Islands, Port Blair-744101. 8. The Secretary, Central Tibetan School Administration, Sector 5, Rohini, Delhi-110085. 9. All the Regional Officers of CBSE. (C.GURUMURTHY) 111 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI - 110092 NO. CBSE/ACAD/HELATH/2007 20th June,2007 Circular No. 29 All the Heads of the institutions affiliated to CBSE Subject : Comprehensive School Health Programme : Dear Principals, The Central Board of Scondary Education in continuation of its Circular No. 09 dated 31.5.2006 regarding Comprehensive School Health Programme and creating Health Club in school would like to reiterate and create awareness about the following issues : 1. School must have by now intiated the creation the creation of Health Clubs to implement the Comprehensive School Health Programme. i) ii) iii) 2. Health and Wellnesss Clubs in schools need to focus on over all well being comprising mental and social health of the child. These would act as nodal centres for creating an enabling environment in the school to ensure an ambience of wellness and fostering reventive health care. The Constitution, responsibilities and objectives of a Health Club have already been stated in the previous circular. Activities for promoting health and wellness in schools have also been stated in the circular. Comprehensive School Health Manual The Comprehensive School Health Manual addressed a basic gap in schooling that has crept in over the years. The is largely to do with the aspect of school health which has somehow been relegated to sporadic health check ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health. The School Health Policy and now the Manual proposes to view health holistically, utilize all educational opportunities for health promotion including formal and informal aproaches in curriculum and pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behaviour, ensuring physical fitness activities and sports, providing nutritous snacks in the school canteen, ensuring access to primary health care services, providing emergency care for illness or injury, providing counselling services and integrated family and community activities and staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in the circular issued to all schools regarding setting up of Health Clubs. Comprehensive School Health Manual will be available to all schools by August 2007. 3. Health Websites : The Ministry of Health and Family Welfare (MOHFW), Government of India has commissioned a website on Health Living (www.healthy-india.org) to address the concerns in India on the lifestyle preventable diseases. 112 The a) b) c) d) e) f) objectives of the website are : to harmonize the burden of preventable chronic diseases in the country by creating awareness to bring in the need for a healthy lifestyle to create Agents of Change among school children with regard to health issues to encourage the setting up of a health fostering school to create awareness regarding canteens as social responsible outlets which inculate healthy eating behaviours to ensure that there is enough emphasis on physical activity in schools and on enjoyment of this physical activity. The website has been so designed that it is user - friendly and containg a number of dynamic sections for interative sessions. As India advances economically and gains greater control over traditional health threats, diseases related to distorted lifestyles and unhealthy living habits are rapidly growing as major public health problems. Imbalanced diet, physical inactivity, tobacco consumption and alcohol abuse are leading to many Indians suffering from diabetes, heart disease, cancer and lung disease. Many of these diseases are preventable. Such preventive efforts are best started in childhood and in schooling years. Armed with appropriate health information people can protect and promote their personal health and families can create healthy living conditions for individuals of all ages. Schools and colleges are important stakeholders in disseminating healthy lifestyle information to children and youth. Healthy India endeavours to advance consciousness of disease prevention opprtunities, encourage earlier detection and treatment of chronic diseases and foster healthy living through information and resources on healthy lifestyle viz. Healthy Diet; Physical Activity; Dealing with Tobacoo and Alcohol related health problems; Yoga Stress Management; Diabetes; Cancers; Heart Attacks and Strokes. We would request you to encourage students, teachers and staff to adopt healthy life style practices suggested in this useful site (www.healthy-india.org) and practice the provided advise therein. Yours Sincerely (VINEET JOSHI) SECRETARY 113 Copy to : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat Sector-9 Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Officers, KVS 10 All Education Officers and Asstt. Education Officers, CBSE 11 E.O. to Chairman CBSE 12 P.A. to Director (Academic) CBSE (VINEET JOSHI) SECRETARY 114 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/HEALTH MANUAL/2008 24th June,2008 Circular No. 27/08 All the Heads of the institutions affiliated to CBSE. Subject : Comprehensive School Health Programme and Release of School Health Manuals in four Volumes. Dear Principal, Children are the greatest asset of a country and those in school have a right to a happy and healthy life within the school environment as well as at home. Investment in the health of children is an investment in the future of the nation. It is essential to build on the components of knowledge relating to health and nutrition, develop healthy attitudes and enhance Life Skills to overcome the multiple health concerns affecting school going children both in the urban and remote areas of the country. This is further to our circulars (No. 09 dated 31.5.2006 and No. 29 dated 20.6.2007) on Comprehensive School Health Programme in which the Board has requested schools to set up `Health Clubs' in order to implement the Comprehensive School Health Programme. It is heartening to note that some of the schools affiliated with the board have responded positively in this regard. Comprehensive School Health Programme and Health Manuals : The objectives of the School Health Club as mentioned in the earlier circular are also being reiterated: • To create Health Cards for each student • To create a health newspaper at least twice a year / poster competition related to health issues • To conduct surveys on health related concerns • To organize ` health walks' as part of social campaigns • To organize health fairs and immunization projects • To tap the local resources in the community to arrange health talks • To render service in any area affected by a disaster or a calamity • To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding adolescent health • To teach the students techniques of yoga and meditation from an early age • To inculcate in the students healthy and positive ways of living • To teach health songs on various health topics ……………../- • Celebration of important days (World Health Day - April 7) • Creating awareness regarding `World No Tobacco Day' (May 31), `World AIDS Day (December 1) etc. 115 Health Manuals : The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. School Health has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It was imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and now the Manuals propose to view health holistically, utilize all educational opportunities for health promotion including formal and informal approaches in curriculum pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behavior, ensuring physical fitness activities and sports, providing nutrituous snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill. There are four Manuals in this package. The first Manual-Vol I is addressed to all stakeholders concerned with school health. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consist of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VI-VIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal and Environmental Hygiene, Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objectives of the modules and activities is to focus on the different aspects of growth and age appropriate development of the child. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will carry on the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help to empower them to construct knowledge for themselves in a classroom or out of the class setting. ……………../The graded activities provided in the manual follow outcome based approach to learning, teaching and assessment. They are positive in attitude and stress on developing health promoting habits from an early age which emphasizes the concept of learning throughout life. For the success of the school health programme it has to be developed and implemented by a strong indigenous group committed teachers under the guidance of the dynamic head of the organization as well as a committed management. A special feature of this development would be a cooperative, caring and concerned atmosphere which it is hoped will be the key note of the school learning environment while implementing the programme. The integration of school and community efforts should be related where the school is regarded as a social unit providing a focal point from which the school may reach out to the family, to the local community and to the community at large as a whole which in turn may support the efforts of the school. 116 It is hoped that the Health Manuals will foster the need to provide for a healthy environment for each child studying in a school and in that sense the CBSE Comprehensive School Health Program is dedicated to all children. The Health Clubs can be used to conduct the activities which are detailed in the School Health Manuals in four Volumes being released to all the schools. One set of the four volumes is being sent to all schools free of cost, however, for additional volumes the school will have to make a request as these will be priced documents. These will be available from the Stores, CBSE, 17 Institutional Area, Rouse Avenue, New Delhi as well as from the Regional Offices. (VINEET JOSHI) SECRETARY Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar-791111. ……………../- 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic) CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 117 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/EO(L)/ACAD/2008 1st Sept.,2008 Circular No. 33/08 All the Heads of the institutions affiliated to CBSE. Subject : Creating a Healthy School Environment Dear Principal, One of the lofty aims of education is to shape young individuals into caring, thinking sensitive and value enriched citizens of the country. These are achievable when the schools provide a nurturing environment and create a value based climate within the school. The schools affiliated to CBSE are seen as powerful resources of Human Resource Development. This is possible and can be ensured only if the schools themselves are convinced of the positive benefits of a value enriched environment. The conflicting role models thrown up by the social context as well as the explosion of media often result in giving out ambiguous signals to young minds. It thus becomes even more mandatory that the schools serve as agents of change and transformation by bringing out the best from within each child. The inspiration, motivation and upliftment of spirit should go hand in glove with transaction of academic knowledge. The Central Board of Secondary Education has received feedback about certain schools where the school authorities forcibly keep the children back in Classes IX & XI under various pretexts. This has been viewed very seriously. The Board requires all heads of institutions to reflect on the long term objectives of imparting holistic education in schools. It is impossible to create vibrance and a joyful and friendly learning ambience to ensure there is collaborative synergy between learners, teachers, heads of the institutions, parents and the management of the school. Unless the heads of schools realize their own responsibility towards all these stakeholders there will be a serious backlash from all these quarters. Cases of indiscipline, rowydism, bullying, smoking and other kinds of drug abuse in some institutions have also been reported to which a blind eye is turned by the school authorities. The Adolescence Education Programme and the Life Skills ……………./Programme as well as the Comprehensive School Health Programme advocated by the Board focuses on the growing concerns of adolescence which need to be addressed with an urgency and immediacy and unless stringent action is taken at the right point of time in collaboration with the parents of the adolescents it may become a matter of serious concern. Life Skills Education is an excellent tool for bringing about positive behavioural changes in individuals. It is essential that all stakeholders involved in imparting value based education within the school environment should come together to find an answer to some of these areas that ultimately concern all of us. This may be brought to the notice of all teachers, students and parents through staff meetings / assembly meetings, circulars and advisory issued and reinforced from time to time. Yours sincerely (VINEET JOSHI) SECRETARY 118 Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. ………………./- 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic), CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 119 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/CSHP/2008 6th Nov.,2008 Circular No. 49 All the Heads of the institutions affiliated to CBSE. Subject: Follow up on Comprehensive School Health Programme. Dear Principal, The Central Board of Secondary Education has recommended the setting up Health and Wellness Clubs and launched the four manuals in the package of Comprehensive School Health Manuals (vide circular no. 27 dated 24th June, 2008). We hope that you have received the following four volumes of the Comprehensive School Health Manuals : 1. Comprehensive School Health Teachers Activity Manual Volume I 2. Teacher's Manual for Classes I-V 3. Teachers' Activity Manual for Classes VI-VIII 4. Teachers' Activity Manual for Classes IX - XII In continuation of the above the Board would like to bring to you an advisory on some of the components related to health such as Physical Fitness, Substance Abuse and Emotional Concerns. 1. Physical Fitness : a. There should be at least 30 minutes of Physical Activities or games with maximum health benefits for Classes I-VIII everyday. a. For Classes IX - XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least 2 periods per week (90120 min / week). b. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation & breathing exercises / Yoga). c. Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can use. d. Too much of time being spent by children at house in watching TV or playing computer games needs to be carefully monitored by the parents. An advisory can be sent by schools to parents and reinforced in the beginning of every term. e. Parental Awareness Programmes regarding Adolescent concerns including the above may be held at regular intervals by the schools. 120 2. Eating Habits and Diet: School canteens should provide healthy snacks which can be monitored by the Health Clubs of the schools. Doctors / Nutritional Experts/ dieticians / Counsellors / Nurses/ Home Science Department may be involved in designing the recipes for the menu (healthy, nutritious, wholesome) and monitoring quality of the food items. Junk / fast food needs to be replaced completely with healthy snacks. Carbonated and aerated beverages may be replaced by juices and diary products (Lassi, Chach, Flavored milk etc.) 3. Substance Abuse : Passive smoking is as harmful as indulging in active tobacco use. Awareness regarding the hazardous effects of passive smoking need to be created among the students and this may also be a part of the Parental Awareness Programmes. Awareness on recent laws enacted on prohibition of Tobacco products in public places needs to be created among students. Heads of Institutes should ensure that no Tobacco products should be sold either by minor or by major children in the vicinity of the educational institutes. Regular vigilance against smoking at home and school needs to be emphasized. The matter can be discussed in PTA meetings with parents. Project work on Substance / Tobacco abuse may be assigned to students as part of school assignment across disciplines and `No Tobacco Week' may be celebrated in school. A substance abuse control committee at school level involving PTA member's local leaders and students may also be initiated. Value Education and Value Enhanced Life Skills should form a part of the larger curriculum plus activities in the schools. Schools should also be able to integrate unstructured programmes on Value Education through their Literary Clubs, Health Clubs and Eco Clubs. 4. Emotional Health: There is a need for Value Education aided Conceptual Framework of Life Skills related to values for sensitizing teachers and learners to the Universal Skills such as Thinking Skills (Creative and Critical Thinking, Self Awareness, Problem Solving, Decision Making), Social Skills (Interpersonal Relationships, Effective Communication, Empathy) and Emotional Skills (Managing feeling / Emotions, Coping with Stress). Yours sincerely (DR.SADHANA PARASHAR) EDUCATION OFFICER(L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 121 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair- 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD(AIEEE), CBSE 19. PRO, CBSE EDUCATION OFFICER(L) 122 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/CM/ 2008 Dated: 11.11.2008 Circular No. 51/08 All Heads of Institutions Affiliated to the Board Subject: Safety in School Science Laboratories Dear Principal, Science laboratories are essential and critical component in Science education. All students study Science as a compulsory subject upto grade X and a significant percentage of them continue studying Physics, Chemistry, Biology, BioTechnology, Home Science etc. at senior secondary level. This requires conduct of regular practical work and use of variety of equipment, instruments, gadgets, materials, chemicals, glassware etc. It is of utmost importance that in order to ensure safety of students working in Science laboratories, every essential precaution is taken well in advance. It is not uncommon to observe that in many cases, the essential safety measures are either not given much attention or are ignored altogether. Gas fittings in chemistry laboratory often do not fulfil the mandatory standards and requirements. Chemical are, in many cases, not stored in safe manner and kept under safe custody. It is also observed that exhaust fans are sometimes not provided in chemistry laboratory. Mandatory items such as laboratory coats, goggles and gloves are not used while doing experimental work. Electrical fittings are at times done with sub-standard materials and components. Laboratories are not located with easy and open exits. Fire extinguishers are not installed at desired locations. First aid facilities are inadequate or missing. Medical facilities are also found wanting on many occasions. All such negligent actions may result in dangerous and unfortunate incidents and need to be attended to urgently. In order to ensure safety of students in Science Laboratories, there is an urgent need to look into its different aspects and make the following provisions: • Designing of all science laboratories according to necessary norms and standards. • Two wide doors for unobstructed exits from the laboratory. • • Adequate number of fire extinguishers near science laboratories. Periodical checking of vulnerable points in the laboratories in relation to possibility of any mishappening. • • Ensuring gas fittings in Chemistry laboratory fulfilling desired norms and standards. Periodical checking of electrical fittings/ insulations for replacement and repairs. • Timely and repeated instructions to students for careful handling of chemicals and equipments in the laboratory. • • Display of do's and dont's in the laboratory at prominent places. Safe and secure storage of all chemicals. • Proper labelling and upkeep of chemicals. • Proper safety and protection provisions such as fume hood, goggles and gloves while doing practical work. • Careful supervision of students while doing practical work. • • Advance precautionary arrangements to meet any emergency situations. Conduct of any additional experimental work only under supervision and with due advance permission. 123 • • Availability of First Aid and basic medical facilities in the school. Proper location of the laboratories. The tragic fire incident in a school at Kumbakonam in 2004 is still afresh in which nearly 100 children lost their precious lives. The Board had issued a detailed Circular no. 28/2004 dated 26th July, 2004 asking schools to take all safety measures for meeting adverse situations and ensuring safe custody of children in the school. It is reiterated that all necessary safety measures may be taken and the above guidelines may be discussed in detail with the teachers as well as students for greater awareness and sensitization on safety matters. The Board may depute an expert team to visit your school to find out whether all safety provisions in Science laboratories have been made. With best regards Yours faithfully, (VINEET JOSHI) CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. 2. 3. 4. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160 017. 5. 6. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim - 737 101. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 9. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE CHAIRMAN 124 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/EO (L)/NUSSA/2009 Dated:24.6.2009 Circular No. 22 All the Heads of the Institutions Affiliated to CBSE. Subject : National Urban School Sanitation Awards 2009 in the context of setting up of `Health and Wellness Clubs and `Eco-Clubs' in schools. Dear Principal, The CBSE in collaboration with the Ministry of Urban Development and GTZ has introduced the `National Initiative on School Sanitation' and the aim is to inculcate good sanitation habits among the school children. The Annual National Urban School Sanitation Awards(NSSUA) has been instituted by Ministry of Urban Development along with German Technical Cooperation (GTZ) and Central Board of Secondary Education CBSE to inspire, acquaint and celebrate excellence in Urban School Sanitation. These Awards are instituted with the purpose of honouring urban schools who are taking significant steps towards effective sanitation and improvement in service delivery leading to behavioral change. The awards are open to all school affiliated to CBSE which include Kendriya Vidyalayas, Jawahar Navodaya Vidyalayas, Government Schools, Private Independent Schools, DAV Schools, CTSA Schools, Army Schools etc. Awards will be given in the following categories which schools can take up as part of Health and Wellness Clubs and Eco-Clubs N Awareness Generation leading to Behavioural Change through Students and Community Mobilization N Technical Innovation and Interventions N Improving Sanitation facilities for the Girl Child N Best performing Health and Wellness Clubs N Sustainability of the Effort N Waste Management and Disposal N Water conservation and Waste Water Recycling and its Utilization N Conservation of Green Spaces N Public Private Partnership Parameters for the Selection 1. Sustainability :Demonstrated success geared towards long term hygiene and safe sanitation. 2. Replicability: Potential for replication of practices and models that have resulted in better service delivery. 3. Safe Hygiene Practices 4. Waste Segregation and Waste Management 5. Awareness Generation Efforts and impact leading to Behavioral Change 6. Water and Sanitation:Tangible Improvements in Service Delivery 125 7. Efforts towards Water Management 8. Innovation: Demonstrated Innovation, Uniqueness and Originality in the use of Ideas, Technology and Resources 9. Dynamism: Activity points scored by participation in various activities as organized from time to time through website; www.schoolsanitation.com Mechanism and Procedures N N MoUD, CBSE and GTZ have constituted an Advisory Group for deciding on Awards. Initial scrutiny will be done by Committee and then the final hundred entries will be submitted for critical examination and final selection for the Awards by the Advisory Group. The Awards will be in the form of certificates of excellence, mementos, citations, participation in a school sanitation exchange programmes, joint development of pilot projects on zero waste producing concepts with the schools and also special certificates to Principals, teachers and students associated with excellent Health & Wellness Clubs and Eco Clubs. You are requested to disseminate the information to all and participate in this initiative of National importance. You are requested to send in CD-ROM addressed to the Nodal Officer, National Urban School Sanitation Awards 2009 by courier at CBSE, Shiksha Sadan, 4th Floor, Room No. 404. Under no circumstances either projects or models should be sent to the CBSE or GTZ Office. For more information about the National initiative on Urban School Sanitation visit: www.schoolsanitation.com and for further queries, the Academic Branch at CBSE may be contacted at telephone no. 011-23234324 (Dr. Sneha Singh / Syed Shaney Alam) Yours sincerely, (DR.SADHANA PARASHAR) EDUCATION OFFICER (L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdictions: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi 02 The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Offices, KVS 126 10. All Education Officers and Asstt. Education Officers, CBSE 11. Joint Secretary .IT. CBSE 12. E.O. to Chairman CBSE 13. P.A. to Secretary CBSE 14. P.A. to Director (Academic) CBSE 15. P.A. to Controller of Exams. CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD (AIEEE), CBSE Education Officer (L) 127 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 (An autonomous Organisation under the Union Ministry of Human Resource Development, Govt.of India). ‘Shiksha Sadan’, 17, Institutional Area, Rouse Avenue, New Delhi -110002 CBSE/ACAD/HEALTH/2010 July 28,2010 Circular No. 38 All the Heads of Independent Schools Affiliated to the CBSE Subject: Observation of International Day against Drug Abuse and Illicit Trafficking on 26th June, 2010. Dear Principals, As you are aware that each year 26th June is observed as the International Day against Drug Abuse and Illicit Trafficking. Kindly refer to our earlier circular no.18 dated June19, 2009 whereby all schools affiliated to CBSE had been asked to observe the day in a befitting manner by organizing activities like awareness campaigns, conducting seminars and workshops and holding exhibitions etc. You are hereby requested to send a report on the specific activities conducted in your school on this occassion such as debates, elocution, essay writing, poster making competition and other suitable extra curricular activities. Yours Sincerely ( C.Gurumurthy) Director (Academic) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim – 737 101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESS ESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 9. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the 128 affiliated schools of the Board in their respective regions. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE ( C.Gurumurthy) Director (Academic) 129 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/Sports/2010-2011 Dated: 27.10.2010 Circular No. 71 All the Heads of the Institutions Affiliated to CBSE Subject: Physical Education & Sports in Schools – reg.. Dear Principal, Schools are dynamic settings for promoting health and wellness through various correlated areas such as Physical Education and Sports as well as through Health and Wellness Clubs. There is a growing awareness that the health and psycho-social well-being of young children is of paramount importance and schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. The CBSE through its various advisories (Circular No. 09 dated 31.5.2006, Circular No. 29 dated 20th June, 2007, Circular No. 27/08 dated 24th June, 2008, Circular No. 49 dated 6th Nov., 2008 and Circular No. 57 dated 20.11.2009) has directed schools to set up Health and Wellness Clubs which can be used to conduct the activities which are detailed in the School Health Manuals in four volumes already released to all the schools. It is well established that participation in Physical Education & Sports activities is highly beneficial to one’s health and it leads to improved performance by students in schools, in addition to helping them in developing many life skills. Children lead happier lives as a result of being actively involved in sporting activities and it has long been established that fitness and improved academics performance go hand in hand. Physical Education and Sports activities during the school hours reduce boredom and help keep students attentive in the classrooms. Keeping in view the above, the Central Board of Secondary Education has time and again recommended for providing compulsory time schedule for Physical Education & Sports activities for the students of all classes. The Board is of the firm opinion that the Physical Education & Sports programs teach important conflict resolution skills including team work, fair play and communication leading to reduced violent behaviour among children. Further, children who participate in Physical Education & Sports develop a positive attitude towards their every day life activities. In the above background, it is advised that the following in respect of the Physical Education & Sports may be strictly adhered to: a. b. There should be at least 40-45 minutes of Physical Activities or Games period for Classes I-X everyday. For Classes XI – XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least two periods per week 130 (90-120 min / week). c. d. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation / Yoga & Asanas). Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can have. As part of Continuous and Comprehensive Evaluation the students will be assessed on participation and performance in by choosing any two activities from the 13 activities given for Classes VI-VIII and 08 activities given for Classes IX-X. It is earnestly hoped that all schools will follow these directives to ensure that all students draw maximum health benefit in terms of physical fitness and team building as well as collaborative skills. This may be brought to the notice of all teachers, students and parents. Yours sincerely VINEET JOSHI CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 04 05 06 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD (AIEEE), CBSE 19. PRO, CBSE CHAIRMAN 131 Appendix-2 BESIC EMERGENCY CARE Cardiac arrest occurs in 70% of individuals at home and 20% at workspace and only in 10% at hospital. It is therfore important that non-healthcare persons such as schoolchildren, teachers, police and drivers should learn how to o save life and transport the patient to the nearest health facilit. Cardiopulmonary resucitation (CPR) is a procedure to support and maintain breathing and cirulation for a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest.) Basic Emergency Care (BEC) is the emergency care which can be provided by schoolchildren, teachers, police and drivers in the absence of advanced medical care. If one school kid is trained in CPR, he or she can take care of his peers, family members and community at large. Beside CPR and foreign body reomoval, it also includes considerations of patient transport such as the protection of the cervical spine and avoiding additional injuries through splinting and immobilization. When witnessing sudden collapse in victims of all ages, the rescuer should first telephone the emergency medical services system and then return to continue CPR (phone first). But for unwitnessed arrest (eg drowning, drug overdose and injured), the rescuer should deliver five cycles of CPR before calling emergency number and then continue CPR (phone fast). THE CHAIN OF SURVIVAL The highest survival rate from cardiac arrest can be achieved only when the following sequence of events occurs as rapidly as possible : 1. Early recognition of warning signs 2. Activation of emergency medical services 3. Basic CPR 4. Defibrillation 5. Management of airway and ventilation 6. Intravenous administration of medications Figure 1 : The adult chain of survival. The 4 links of actions in the chain are (1) phone (2) CPR, (3) early defibrillation and (4) advanced care 132 These events have been likened to the links in a chain - The chain of Survival. It was introduced in 1991 as a model of efficiency and synergy in resuscitative efforts. If any link is weak or missing, the chances of survival are lessened. The links in the Adult chain or sruvival are : 1. Early access 2. Early CPR 3. Early defibrillation 4. Early advanced cardiac life support LEARNYouCPR Can Do It! Reference : Basic Emergency Care - by Dr. Sanjeev Boi, Dr. John. Bera, Dr. Chhavi Sawhney, Published by Paras Medical Publisher, Hyderabad. 2009 133 Revised SCHOOL HEALTH Manual (Teacher's Activity Manual for Classes IX - XII) VOL. IV CENTRAL BOARD OF SECONDARY EDUCATION School Health Manual Vol-IV for Classes - IX-XII PRICE : Rs. 140/- EDITION : December, 2010 © CBSE, India COPIES : 5000 No part of this publication may be reproduced , stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical photocopying, recording or otherwise without the prior permission of the publisher. PUBLISHED BY : The Secretary, Central Board of Secondary Education, Shiksha Kendra, 2, Community Centre, Preet Vihar, Delhi - 110092. DESIGN, LAYOUT & ILLUSTRATIONS BY : Multi Graphics, 5745/81, Reghar Pura, Karol Bagh, New Delhi - 110005 Phone : 25783846 PRINTED BY : Preface Childhood and the age of adolescence are perhaps the most momentous periods in an individual’s journey of life. They are characterized by creative bursts of energy, immense curiosity about the self and the world, sudden changes in the physical, emotional and social dimensions and expanded need for communication. They are also periods of grappling with an identity crisis, feelings of isolation, anxiety, alienation and confusion. Each individual is unique with inherent positive attributes and latent potential and it is the responsibility of the school to provide opportunities for young talent to blossom and flourish. The biggest killer in the world today is not war, disease or natural calamity. It is life style related diseases. Health is an important component of the concerns regarding adolescent issues. Obesity, lack of physical activity and exercise, mental and emotional stress are major concerns. The experiences gained as children often stay with us throughout life. Therefore there is a need to create health oriented school climate so that appropriate ambience is created which is sensitive to the health needs of school going children and helps to promote their well being. The new millennium schools must provide a setting where in education and health programmes come together to create a health promoting environment which in turn promotes learning. It must constantly strengthen its capacity as a healthy setting for learning and preparing for life. Such schools use its full organization potential to promote health among students, staff, families and community members. Schools need to provide a safe healthy environment which includes safe, clean water and sufficient sanitation facilities, freedom from abuse and violence, a climate of care, trust and respect, social support and mental health promotion. The school can work in the areas of Food and Nutrition, Knowing Your Body, Personal, Environmental Hygiene and Sanitation. Behaviour and Life Skills, Physical Fitness and Being Responsible and Safe. The Manual provides guidelines to all stakeholders including managers, principals, teachers and students. There are activities designed for different levels in the different volumes of the Manual. The first part of the Manual recommends setting up of a Health ans Wellness Club to further carry on these enrichment activities within the school. The ultimate objective of the Manual is to involve the school going child in making healthy life style choices. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. The Comprehensive School Health Manuals are an outcome of the collaborative effort of CBSE along with the guidance provided by WHO India. The Manuals would not have been possible but for the effort and support provided by the material production team. I would also like to thank Dr. Sadhana Parashar, Head (Innovation & Research) and Mr. Pramod Kumar T.K., Asst. Education Officer, CBSE for coordinating and editing the Manual. There are four volumes in the package. The First volume is Introductory and the other three consist of graded activities for each level : Primary, Upper Primary and Secondary as well as Senior Secondary. Any further suggestions for improving the Manuals are always welcome. Vineet Joshi CHAIRMAN Acknowledgements Acknowledgements Advisors: Sh. Vineet Joshi (IAS) Dr. Cherian Varghese Dr. Jitendra Nagpal Dr. Manoj K. Johar Material Production: Dr. Indu Khetrapal Ms. Usha Ram Mrs. Kalpana Kapoor Mrs. Neeta Rastogi Dr. Divya Prasad Chairman, CBSE, Delhi. WHO, India, New Delhi. Expressions India Vimhans, New Delhi. Academy for International Career & Education, New Delhi. Principal, Salwan Public School, Gurgaon, Haryana. Principal, Laxman Public School, Hauz Khas, New Delhi. Principal, Delhi Public School Ghaziabad Vasundhara, Ghaziabad. Principal, Sadhu Vaswani International School, Shanti Niketan, New Delhi. Psychologist, Vimhans, New Delhi. Contributors: Dr. Lalit Modak Head Mistress, Jr. School, DPSG Vasundhara, Ghaziabad. Ms. Mousmi Mahopatra PGT (Chemistry), DPSG Vasundhara, Ghaziabad. Mrs. Seema Banerjee Head of Social Work, Laxman Public School, Hauz Khas, New Delhi. Ms. Dimple Vij, Counsellor Laxman Public School, Hauz Khas, New Delhi. Ms. Neha Sharma Headmistress, Amity International School, Vasundhara. Dr. Manjari Tripathi Associate Professor, Dept. of Neurology, AIIMS, New Delhi. Dr. Sanjeev Bhoi Assistant Professor, Dept. of Emergency Medicine, AIIMS, New Delhi. Jago Teens (NGO) Stray Relief and Animal Welfare (STRAW) Cover Page-Courtesy : Dr. Indu Khetrapal Principal, Salwan Public School, Gurgaon. Art and Layout: Mr. Amitav Bose Photography Club, DPSG Vasundhara, Ghaziabad. Editing: Dr. Sadhana Parashar Mrs. Kalpana Kapoor Mr. Mukesh Kohli Co-ordination: Mr. Pramod Kumar T.K. Ms. Harjot Kaur Dr. Sneha Singh Head (Innovation & Research), CBSE, Delhi. Principal, Delhi Public School Ghaziabad, Vasundhara, Ghaziabad. Reader, Department of Physical Education, Ram Lal Anand College, University of Delhi. Asst.Education Officer, CBSE, Delhi. Consultant, AEP Consultant, AEP H k k j r d k l af o / k u m í sf ' k d k g e ] H k k j r d sy k sx ] H k k j r d k s, d ^ ¹ l E i w. k Zi zH k qR o & l ai U u l e k t o k n h i aF k f u j i s{ k y k sd r a= k k R e d x . k j k T ; º c u k u sd sf y , ] r F k k m l d s l e L r u k x f j d k sa d k s% l k e k f t d ] v k f F k Zd v k Sj j k t u Sf r d U ; k ; ] f o p k j ] v f H k O ; f D r ] f o ' o k l ] / e Z v k Sj m i k l u k d h L o r a= k r k ] i zf r " B k v k Sj v o l j d h l e r k i zk I r d j k u sd sf y , ] r F k k m u l c e sa] O ; f D r d h x f j e k v k Sj ¹ j k " V ªd h , d r k v k Sj v [ k . M r k º l qf u f ' p r d j u s o k y h c a/ qr k c < +k u sd sf y , n `< +l ad Y i g k sd j v i u h b l l af o / k u l H k k e sa v k t r k j h [ k 2 6 u o E c j ] 1 9 4 9 b Zñ d k s, r n ~} k j k b l l af o / k u d k s v ax h Ñ r ] v f / f u ; f e r v k Sj v k R e k f i Zr d j r sg SaA 2 1 - l af o / k u ( c ; k y h l o k al a' k k s/ u ) v f / f u ; e ] 1 9 7 6 d h / k j k 2 } k j k ( 3 1 1 9 7 7 ) l s¶ i zH k qR o & l ai U u y k sd r a= k k R e d x . k j k T ; ¸ d sL F k k u i j i zf r L F k k f i r A 2 - l af o / k u ( c ; k y h l o k al a' k k s/ u ) v f / f u ; e ] 1 9 7 6 d h / k j k 2 } k j k ( 3 1 1 9 7 7 l s) ] ¶ j k " V ªd h , d r k ¸ d sL F k k u i j i zf r L F k k f i r A H k k x 4 d e wy d Ù k ZO ; 5 1 d e wy d Ù k ZO ; & H k k j r d si zR ; sd u k x f j d d k ; g d Ù k ZO ; g k sx k f d o g & ( d ) l af o / k u d k i k y u d j sv k Sj m l d sv k n ' k k sZa] l aL F k k v k sa] j k " V ªè o t v k Sj j k " V ªx k u d k v k n j d j s_ ( [ k ) L o r a= k r k d sf y , g e k j sj k " V ªh ; v k an k sy u d k si zsf j r d j u so k y sm P p v k n ' k k sZa d k sâ n ; e sa l at k s, j [ k sv k Sj m u d k i k y u d j s_ ( x ) H k k j r d h i zH k qr k ] , d r k v k Sj v [ k aM r k d h j { k k d j sv k Sj m l sv { k q. . k j [ k s_ ( ? k ) n s' k d h j { k k d j sv k Sj v k g ~o k u f d , t k u si j j k " V ªd h l so k d j s_ ( Ä ) H k k j r d sl H k h y k sx k sa e sa l e j l r k v k Sj l e k u H k zk r `R o d h H k k o u k d k f u e k Z. k d j st k s/ e Z] H k k " k k v k Sj i zn s' k ; k o x Zi j v k / k f j r l H k h H k sn H k k o l si j sg k sa] , sl h i zF k k v k sa d k R ; k x d j st k sf L = k ; k sa d sl E e k u d sf o # ¼ g Sa_ ( p ) g e k j h l k e k f l d l aL Ñ f r d h x k Sj o ' k k y h i j ai j k d k e g Ù o l e > sv k Sj m l d k i j h { k . k d j s_ ( N ) i zk Ñ f r d i ; k Zo j . k d h f t l d sv ar x Zr o u ] > h y ] u n h ] v k Sj o U ; t h o g Sa] j { k k d j sv k Sj m l d k l ao / Zu d j sr F k k i zk f . k e k = k d s i zf r n ; k H k k o j [ k s_ ( t ) o SK k f u d n `f " V d k s. k ] e k u o o k n v k Sj K k u k t Zu r F k k l q/ k j d h H k k o u k d k f o d k l d j s_ ( > ) l k o Zt f u d l ai f Ù k d k sl qj f { k r j [ k sv k Sj f g al k l sn wj j g s_ ( × k ) O ; f D r x r v k Sj l k e wf g d x f r f o f / ; k sa d sl H k h { k s= k k sa e sa m R d " k Zd h v k sj c < +u sd k l r r i z; k l d j sf t l l sj k " V ªf u j ar j c < +r sg q, i z; R u v k Sj m i y f C / d h u b Zm ap k b ; k sa d k sN wy sA THE CONSTITUTION OF INDIA PREAMBLE WE, THE PEOPLE OF INDIA, having solemnly resolved to constitute India into a SOVEREIGN SOCIALIST SECULAR DEMOCRATIC REPUBLIC and to secure to all its citizens : 1 JUSTICE, social, economic and political; LIBERTY of thought, expression, belief, faith and worship; EQUALITY of status and of opportunity; and to promote among them all FRATERNITY assuring the dignity of the individual and the [unity and integrity of the Nation]; 2 IN OUR CONSTITUENT ASSEMBLY this twenty-sixth day of November, 1949, do HEREBY ADOPT, ENACT AND GIVE TO OURSELVES THIS CONSTITUTION. 1. 2. Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "Sovereign Democratic Republic (w.e.f. 3.1.1977) Subs, by the Constitution (Forty-Second Amendment) Act. 1976, sec. 2, for "unity of the Nation (w.e.f. 3.1.1977) THE CONSTITUTION OF INDIA Chapter IV A Fundamental Duties ARTICLE 51A Fundamental Duties - It shall be the duty of every citizen of India(a) to abide by the Constitution and respect its ideals and institutions, the National Flag and the National Anthem; (b) to cherish and follow the noble ideals which inspired our national struggle for freedom; (c) to uphold and protect the sovereignty, unity and integrity of India; (d) to defend the country and render national service when called upon to do so; (e) To promote harmony and the spirit of common brotherhood amongst all the people of India transcending religious, linguistic and regional or sectional diversities; to renounce practices derogatory to the dignity of women; (f) to value and preserve the rich heritage of our composite culture; (g) to protect and improve the natural environment including forests, lakes, rivers, wild life and to have compassion for living creatures; (h) to develop the scientific temper, humanism and the spirit of inquiry and reform; (i) to safeguard public property and to abjure violence; (j) to strive towards excellence in all spheres of individual and collective activity so that the nation constantly rises to higher levels of endeavour and achievement. Content Page Page No. About the Comprehensive School Health Mannuals i-iv Introduction v-vi 1. Knowing your Body 1-8 2. Food and Nutrition 9-20 3. Personal and Environmental Hygiene 21-36 4. Physical Fitness 37-52 5. Being Resoponsible And Safe 53-68 6. Behaviour And Life Skills 69-106 7. Frequently Asked Questions 107-117 8. Appendices 118-146 About The Comprehen sive School Hea lth Man ua ls The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. This is largely to do with the aspect of school health which has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and the Manual proposes to view health holistically, utilize all the educational opportunities for health promotion including formal and informal approaches in curricular pedagogy. Providing a safe school environment, an activity oriented health education curriculum to prevent health-related risk behavior, ensuring physical fitness activities and sports, providing nutritious snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in a circular issued to all the schools regarding the setting up of Health and Wellness Clubs. There are four Manuals in this package. The first Manual-Volume I is addressed to all stakeholders concerned with school health. A health promoting school strives to provide a healthy environment conducive to students' health, education and school health services along with school/community projects and outreach opportunities for physical education and recreation, social support and mental health promotion. School Health and Wellness Clubs can become the focal point of school health promotion which would encompass the entire school environment and become a school campus activity. A checklist for a Health Promoting School is included so that schools can monitor their own School Health Plan. The responsibilities of the Administrators, Principals, Teachers, Counsellors and Community leaders have also been enlisted. Monitoring, Evaluation and (i) Sustainability of the Health Plan in each school is extremely essential. Fact Sheets regarding a Health Promoting School, focusing resources on Effective School Health and Improving School Performance through health promotion are other areas of concern. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consists of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VIVIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal, Environmental Hygiene and Sanitation Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objective of the modules and activities is to focus on the different aspects of growth and appropriate development of the child. Kn owin g Your Bod y Activities will take the child from knowing body parts and their functions to appreciation of the importance of each body part. This will lead to heightened understanding of the need for correct information regarding growing up processes which will help in creating a well informed individual. Food An d Nutrition Activities focus on the effect of the right food and nutrition intake to generate positive energy and thus influence learning capacity. Variation in geographical location alter or modify nutritional intake. Food can effect energy levels, concentration and learning. Persona l, Activities En viron m en ta l Hygien e an d San ita tion emphasize on the need to ensure that children follow clean and regular habits regarding bath, bowel movement, sleep, oral hygiene, nails and hair. Once personal hygiene becomes a part of the regular system the child will look forward to having a cleaner environment. Sanitation activities have been added in the Revised Manual. (ii) Physica l Fitn ess Activities will help children to maintain fitness, strengthen cardiovascular and respiratory system, keep bones and muscles strong, ease depression, manage pain and stress and above all make one feel alive, vibrant and energetic. Bein g Sa fe An d Respon sible Activities help learners to understand the consequences of risk taking behavior and create a safe environment for themselves and others. This would lead to a better quality of personal life and would enhance positive behaviour towards self and environment. Security and an environment that is physically and emotionally safe is the need of the hour and equipping a child to handle situations that are age appropriate is the task of the school, family and community. Beha viour An d Life Skills Section focuses on bringing about an awareness and in-depth understanding of behavioural issues revolving around a child which will certainly influence his or her academic performance and social development. The module is an attempt to forge clarity for the teachers to facilitate the child's learning progress. The objective of the activities is to highlight self management and infuse skills within the child which will help him or her emerge as an individual who will be well equipped to handle related issues. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The CBSE had also undertaken a Global School Health Survey across different types of schools in various parts of the country. This was to collect data on health behaviours and protective factors that affect the immediate (iii) and long term health status of young children. The results from the survey will help in policy formulation at the local and national level. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will be implemented in the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help learners to empower themselves to acquire knowledge for themselves in a classroom or out of the class setting. The Board has strengthened the School Based Assessment and Continuous and Comprehensive Evaluation in 2009-2010. As part of Comprehensive assessment of co-scholastic aspects, the grades obtained in Health and Physical Education will be reflected in the Report Card as well as Certificate of School Based Assessment. Learners can choose any two activities from the options provided. These include Sports/Indigenous Sports, NCC/NSS, Scouting and Guiding, Swimming, Gymnastics, Yoga, First Aid, Gardening / Shramdaan. Teacher may record observations about the student’s participation over a period of time either in Anecdotal Records or a Portfolio. All students must take up at least two activities to ensure maximum health benefit in terms of physical fitness. The future of young India is being shaped in the schools and it is imperative that all of us take a proactive role in ensuring that healthy and balanced young minds leave school and forge ahead confidently. We wish teachers will find the Manuals useful and enrich them further with their wisdom and experience. It is an investment that each teacher, principal and parent must make to generate and augment creative and protective capacity of young people in school. This will go a long way in creating a sustainable, social, healthy and peaceful society. Dr. SADHANA PARASHAR HEAD (INNOVATION & RESEARCH) (iv) In troduction Adolescence is regarded as a period of rapid change both biologically and psychologically. Puberty marks the end of childhood and signifies the beginning of adolescence which is characterized by dramatic physical changes in both boys as well as girls. Your personal constitution, which is your individual metabolic make-up, helps determine how your mind and body will instinctively react when confronted with and how much effect any stimulus, as a specific taste or emotion, will have on you. This inborn metabolic pattern is called Prakriti. The personality traits most prized or the qualities disliked, all equally arise from these tendencies inherent in your prakriti. Knowing your own constitution thus allows you to understand the workings of your mind and body better, thereby allowing greater control over the traits through planned and adequate changes which can be incorporated into your lifestyle. The environment plays a very crucial role in nature and we as citizens of earth live up to maintain the strength of nature. For this purpose our personal health and hygiene also plays a key role and helps us to maintain good health. The role of a mother, a daughter, a father, a brother and their interaction is a vital process and key area which should stress on maintaining a psychological balance. The adolescence is also a time of rapid physical growth and development. Usually appetites match needs but some may be attracted to trying fad diets. Keeping one-self healthy and maintaining a strict but a rich and nutritious diet helps an adolescent to develop self esteem and respect for self. Myths and facts should be clarified from a proper dietician who can guide and set up a daily Recommended Dietary Allowance, which has now become a must for all. So is proper physical exercise. Physical education is an education through physical activities for the development of the total personality of the child to its perfection in body, mind and spirit. Today's society places a high priority on "responsibility" in children. Self defence techniques, prioritization of work, handling pressures ,working under varied conditions, taking care of siblings and being sensitive to all(including animals) is a very important desired skill to be possessed in today's youth. During the transition from childhood to adulthood, adolescents establish patterns of behavior and make lifestyle choices that affect both their current and future health. Adolescents and young adults are adversely affected by serious health and safety issues such as dangerous and risky behaviour, violence, substance use, and deviant behavior. They also struggle to adapt positive lifestyles that would decrease their risk of developing chronic diseases in adulthoodbehaviors such as eating nutritiously, engaging in physical activity and choosing not to use tobacco. (v) Responsibility can be thought of as respect for the rights of others and personal accountability for one's actions. Responsible children use their own resources, confidence and judgment to make decisions, act independently, consider the effect their actions have on others and meet their own needs without interfering with the rights of others. Responsible adolescent behaviour includes the following : Can evaluate and respond when extra help is needed around the house l Follow curfew rules, let parents know change in plans, etc l Developing sexual responsibility and respect personal rights of others l Developing increased awareness of long-term life planning, career exploration l Apart from all these concerns, we need to know that students especially in their preteens are being exposed to a lot of media as well as stress. This has resulted many a students falling prey to taking drugs/medicines, which may be addictive in nature. It is important to know that tobacco and alcohol are extremely popular even though they are relatively more dangerous than many illegal drugs and are subjectively less pleasurable. This is attributable to the large marketing campaigns of tobacco and alcohol companies. Substance abuse refers to the overindulgence in and dependence on a stimulant, depressant, chemical substance, herb (plant) or fungus leading to effects that are detrimental to the individual's physical health or mental health, or the welfare of others. Hence it is necessary to make the students aware about the drug usage, as it is unhealthy with possible effects ranging from lowered intelligence to insanity to death by overdose, or little or no health effects at all. Some illegal drugs are statistically more dangerous than other unhealthy things. Through this unit we would like to arm the students with all the knowledge possible in order to save them from falling prey to the Drug Monster. (vi) 1 Kn owin g You r Bod y Activity : Growin g Up ! BACKGROUND : With all the changes that take place in our body during adolescence one needs to be aware so as to keep in the best physical state. METHODOLOGY: The activity may be done separately for boys and girls. In the activity each participant is asked to identify one part of their body that they love and one part they dislike. Usually, responses remain focused on the face and external parts of their body. Therefore, the teacher encourages the participants to think of their external features and internal organs. OBSERVATION: Once all participants have responded they are told to imagine a situation where body parts they dislike stop functioning. CONCLUSION: Students will be able to overcome changes easily and take adversities in their stride. RECAPITULATION: A figure can be drawn by students on board. Each child can come to the board and label parts of body.Give examples. This encourages the participants to acknowledge the body parts that they may dislike as normal, important and n e c e s s a r y. A c t i v i t i e s concluded with a brief discussion on accepting and respecting one's body and appreciating its normalcy and beauty. CONCEPT “Everything seems to be changing in my life right now-my best friends, my relationships with my parents, my body, my feelings, my goals-everything” an adolescent voice. OBJECTIVE To understand pubertal changes that occur in our body. This activity is designed to help students to understand, accept and enjoy this period in their life to the fullest. MATERIALS REQUIRED: Figures of body parts, black-board. MODE Group/Individual separately for boys and girls TIME REQUIRED Two 30 min periods. 3 Knowing Your Body INFORMAL ASSESSMENT: “The teenager wants to be just like everyone else but feels different”. l Explain. How will you deal with the changes that are happening in your life? l KEY MESSAGE: Change is permanent and every change has to be taken up as a challenge. SUGGESTED ACTIVITIES: Daily diary entry can be maintained in school. l Strengths l and weakness of every child can be noted by the teacher and she can take the initiative to help the child. 4 Knowing Your Body 1 Activity : Bod y Mappin g BACKGROUND : Sensitize school going adolescents regarding growing up issues. METHODOLOGY: 1 The activity may be taken up separately for boys and girls. 2. The teacher divides participants in three groups. Ask one group to focus on changes in adolescents in boys. 3. Ask the second group to focus on changes in girls. 4. Ask the third group to list down changes in the thought process that have taken place since they were eight years old. OBSERVATION: During the activity the teacher moves amongst the groups and encourages them to list down physical and psychological changes that are more visible in girls and boys to get participants' thinking. CONCLUSION: The growing-up issue of children has to be addressed taking in view the global scenario and exposure to TV. CONCEPT “I am not growing up as my friends already have. Oh well, but liking girls is one thing I thought would never happen which is good change. Getting deeper voice is a good change too.” an adolescent voice OBJECTIVE To enable the students share information on growing up issues and inculcate respect for self and the opposite sex. MATERIALS REQUIRED: Black-board, paper strips, board pins. INFORMAL ASSESSMENT: Make presentation on group work. l Discuss on growing up highlighting pubertal changes. l MODE KEY MESSAGE: Body mapping technique will help students feel proud of their developing body parts. Group/ Individual. Separately for boys and girls SUGGESTED ACTIVITIES: Questionnaire worksheets probing strengths and weakness can be l given to students every weekend. "My tree" can be drawn to show strengths and weakness. l TIME REQUIRED Two 30 min periods. 5 Knowing Your Body 1 Activity : Differen t Roles - Differen t CONCEPT Concept of life Expecta tion s ! LIFE SKILLS FOCUSED Self-awarness, Consensus Building, interpersonal relationships, Critical Thinking. PREPARATORY WORK : Prepare l OBJECTIVE To enable participants to understand and analyse their own perceptions of gender and the influence of social norms, media etc. OHP slides to be displayed in the activity. PROCESS : 1. On the blackboard make columns headed : Female, Male, Both. MATERIALS REQUIRED: OHP, Marker, Blackboard 2. Ask participants to think about clothing. Which types of clothes do they think are suitable for females to wear, which for males and which can be worn by both? MODE 3. Next, brainstorm in other categories such as jobs/careers; education; sports; tasks around the house; emotions. Group Pair/ whole class 4. Note the responses of participants under the three headings and ask the group to reflect on what has influenced their categorisation. TIME REQUIRED (Expected responses can be family, 40 minutes media, etc.) 5. Initiate a discussion on the following questions : 6 Knowing Your Body SUGGESTED QUESTIONS How does our community view girls/women? l (Expected responses : Girls and women are expected to be caring, gentle, passive, respectful and obedient, be responsible for domestic chores and not express their desires). How does our community view boys/men? l (Expected responses : Boys and men make important family decisions, for example about household expenditure, role seen as provider for the family, are strong and do not show their emotions, take the lead in all relationships.) 6. Display slide. Gender is a sociological construct. l Gender describes whether someone is masculine or feminine according to behavioural l differences, for example, how they dress, their work and their designated role in society. These characteristics are defined by each culture so they can be different in different cultures and they can change. Gender roles are ideas about how men and women should behave. As gender roles are l created by society, it is possible to change them. 7. Use the following questions to generate a group discussion. QUESTIONS What are the expectations from males and females in our society? l Are these expectations realistic? l Are your views different from those of the community? l What ideas about males and females would you like to change? How? l 8. Generate a debate by randomly asking two participants, to give six points each (for and against) the topic "Women's place is at home". 9. Use the slide below to recapitulate and highlight the key message. KEY MESSAGES No one gender is inferior to the other. l Given l a chance, both can perform complementary roles. Different l people and cultures have different ideas and beliefs about gender roles and responsibilities. No single l viewpoint is the absolute truth; perceptions change with socio-cultural changes. Learning to tolerate and respect alternative viewpoints and building a consensus is an l important life skill. 7 Knowing Your Body Activity : Min d an d Bod y ! BACKGROUND : Making the students the ambassadors of change through this activity. METHODOLOGY: Divide the class into two groups and give each player un-labelled sheets of changes that take place in behaviour. The teacher ensures that all the participants open up and share with one another. OBSERVATION: Once all the participants have completed labelling, show them the basic breathing patterns, Yogasanas and Meditation techniques. CONCLUSION: Students will be able to develop a healthy attitude for their body and feel confident about their emotions. RECAPITULATION: Interactive bulletin board activity can be carried out. The teacher will draw figures on black board and students can pick out strips and paste them on the board. INFORMAL ASSESSMENT: Make l presentation on group work. CONCEPT “It is always easier for youth to reach out to other youth, as they use their own idioms, know their likes and dislikes, compulsions and motivations. Most importantly it is they who know what it is like to be a young person”. OBJECTIVE To impart in-depth information related to the functioning of mind and body and to inculcate a healthy attitude towards the mind & body connection. MATERIALS REQUIRED: Mats, Yoga charts. Discuss l on growing up highlighting emotional and behavioural changes. KEY MESSAGE: To know about the mind body connection and develop respect for indigenous system of Yoga and Meditation. SUGGESTED ACTIVITIES: Brainstorming l sessions can be had in class with topics that are related to present scenario. Specific topic debates can be held. l Students l 8 can be asked to make daily diary entries which can be checked by the class teachers. MODE Group TIME REQUIRED Two 30 min periods. 2 Food An d Nutrition Activity : Yummy ! Yummy ! BACKGROUND : 'Nutrition education' refers to a planned, sequential instructional program that provides knowledge and teaches skills to help students adopt and maintain lifelong healthy eating patterns. METHODOLOGY: The teacher will ask the students to conduct a survey and compare the nutritional value of a few food items available at fast food corners and healthy diet joints. OBSERVATION: The students will be able to identify and understand the benefits of diet food as compared to junk food. CONCLUSION: The students are able to categorize junk food and are able to compare it with healthy food. CONCEPT Healthy eating patterns are essential for students to achieve their full academic potential, physical and mental growth. OBJECTIVE 'To promote students' overall health MATERIALS REQUIRED: Note books, pencils/pens. MODE Group Work TIME REQUIRED 30 Minutes INFORMAL ASSESSMENT: Plan out a meal for an l athlete. Prepare a slogan highlighting the benefits of healthy eating. l Based l on above recapitulation students can be assessed for their presentation skills. 11 Food & Nutrition KEY MESSAGE: Healthy eating patterns are essential for students to achieve their full academic potential, physical and mental growth. This will also help them to boost their self esteem. SUGGESTED ACTIVITIES: As the key message states activities like data recording, pie charts formation can be taken up by the student individually. He/she can then take an overall report and can develop a dietary chart for himself or herself. 12 Food & Nutrition Activity : Is It Dan gerous? BACKGROUND : Aerated drinks have been in news recently for all the wrong reasons. The Center for Science and Environment conducted a test and found CONCEPT To make children aware about harmful uses of pesticides and their adverse effects on human health. that 10 brands of soft drinks contain pesticides and insecticides in excess of the prescribed limits. METHODOLOGY: Teacher will divide the class into groups and each group will be given newspaper cuttings related to articles on pesticides and insecticides. discussion After a among themselves the groups will present their views in front of the class and will also put forward possible solutions to the problem. OBSERVATION: Students will be monitored for their active participation in class OBJECTIVE To sensitize students to make the right food choices and to make them understand that they should not get easily influenced with misleading advertisements and should not compromise with health. MATERIALS REQUIRED: News papers, magazines, information on pesticides and insecticides. discussion. CONCLUSION: Pesticides and insecticides are harmful for the ecological system of nature and their being used in any MODE Group form is hazardous. INFORMAL ASSESSMENT: TIME REQUIRED Each group will take out a 1 hr newsletter on the above topic, which will be displayed in the school. Grading can be awarded to students on the presentation of the news letter. 13 Food & Nutrition Activity : Ana lysis of Advertisem en ts ! BACKGROUND : Healthy eating habits can help prevent childhood and adolescent health problems such as overweight, eating disorders and iron deficiency. CONCEPT Misleading information in advertisements can influence one's ability to take appropriate decisions. Healthy eating is demonstrably linked with reduced rate for mortality and development of chronic diseases as adults. METHODOLOGY: The teacher will ask students to look through magazines and newspapers for 10 samples of food advertisements. She will display those advertisements and carry out a discussion OBJECTIVE Creating awareness among students to not get carried away by misleading advertisements. on how advertisers have used images and words to get you to buy their products. Students will conduct a content analysis of the advertisements on the basis of the following criteria: Product Name l Price l MATERIALS REQUIRED: Magazines, newspaper, scissors, coloured pen, chayons Nutritional value l Total calories l Use innovation and imagination. l MODE OBSERVATION / DISCUSSION : This activity will encourage students to consume healthy and nutritious Group work food. CONCLUSION: TIME REQUIRED Teenagers need to understand that there are certain food items which can be labelled as 'good' and some as 'bad' for their health. SELF ASSESSMENT: Ask each student to create an advertisement for a food item that is nutritious. Students should use words and images that really 'sell' their product. 14 1 hr Food & Nutrition KEY MESSAGE: A well-presented advertisement does not necessarily mean selling of a good product. SUGGESTED ACTIVITIES: l List the various benefits of healthy eating. l Mention any three health problems that may occur later in life due to unhealthy eating habits. 15 Food & Nutrition Activity : Nutri - Plan n er ! BACKGROUND : The primary goal of nutrition education is to create a school environment that is conducive to healthy eating and being physically active. METHODOLOGY: The teacher will ask the students to prepare a food diary for a week: To record whatever you eat everyday for a week, along with their l amounts / servings and calories. To group those items into various food groups l Nutritional value l To modify one's diet so that it is more nutritious and healthier l OBSERVATION: Adolescence is a period of rapid growth in height and weight. Therefore a balanced diet is essential for their overall development. CONCLUSION: CONCEPT Helping teens make healthy food choices OBJECTIVE To help students identify the elements of a balanced diet. To help them recognize the importance of proper nutrition practices. MATERIALS REQUIRED: Diary, paper, pencil Eating a nutritious diet helps you grow, feel good and perform at your best. SELF ASSESSMENT: Students will prepare a 'recipe' book in which they will record recipes of their favourite dishes. KEY MESSAGE: MODE Individual Eat well, live well. SUGGESTED ACTIVITIES: Plan out a healthy meal for your friend. l Prepare l a slogan highlighting the benefits of healthy eating and harmful effects of unhealthy eating habits. 16 TIME REQUIRED 1 week Food & Nutrition DIET CHART STUDENT WORKSHEET Nutrients /Meals Carbohydrates Proteins Fats Mineral & water Calories intake Breakfast Lunch Snacks Dinner 17 Food & Nutrition Activity : Live to Ea t or Ea t to Live ! BACKGROUND : Nutrition education refers to a planned, sequential instructional program that provides knowledge and teaches skills to help students adopt and maintain lifelong healthy eating patterns. METHODOLOGY: The teacher will divide the class into small groups. She will ask each group to research information about diet related disease. They should study the disease and present their findings to the class. The teacher can make the students complete the worksheet on 'Common Dietary Problems' OBSERVATION: Most adolescents enjoy snacking on junk foods that do not provide them with needed vitamins, minerals and proteins for proper growth and development. CONCLUSION: CONCEPT Helping teens make healthy food choices OBJECTIVE To help students identify the elements of a balanced diet. To help them recognize the importance of proper nutrition practices. MATERIALS REQUIRED: Diary, paper, pencil This activity will enable students to understand health promotion and disease prevention. SELF ASSESSMENT: Students will be given a worksheet in which they will match the disease name with its description. KEY MESSAGE: It is imperative for the adolescents to engage in sound nutritional habits. SUGGESTED ACTIVITIES: 'Nukkad l natak' can be staged to show importance of healthy eating habits. Inter-class l display board competition can be held on topics related to nutritional diets. 18 MODE Individual TIME REQUIRED 1 week Food & Nutrition STUDENT WORKSHEET Common Dietary Problems Read the list of common dietary problems below. Circle the habits that you can identify with: a) Eating too fast b) Eating the wrong amount of food c) Eating a lot of junk food d) Drinking less than 8 glasses of water e) Skipping breakfast f) Skipping lunch g) Having soft drinks too often h) Eating while studying, watching TV or travelling i) Eating desserts too often j) Eating snacks after school that are not nutritious PERSONAL GOAL : l The food that I have to avoid: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The food that I must eat a lot more: l ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 19 Food & Nutrition STUDENT WORKSHEET I Dont't Feel Well Match the disease name with its description. Put your answer in the blank on the left. 1. Heart disease __________ 7 High Blood Pressure __________ 2. Obesity __________ 8 Diabetes __________ 3. Anorexia __________ Atherosclerosis __________ 4. Osteoporosis __________ 10. Dental caries / problems __________ 5. Anemia __________ 11. Constipation __________ 6. Bulimia __________ 12. Stroke __________ 9 a) The Binge Purge Syndrome b) Tooth decay c) The 'Brittle bone' disease d) Excess sugar in the blood e) Iron deficiency f) Fats build up in the arteries g) Bowel movements are difficult h) Hypertension i) High body weight from eating more calories than your body can burn j) Blood is unable to reach part of the heart k) Obsession with body weight to the point of self induced starving l) A clogged blood vessel in the brain 20 Personal, Environmental Hygiene and Sanitation 3 Persona l, En viron m en ta l Hygien e a n d Sa n ita tion Activity : Mother an d Dau ghter Bon d BACKGROUND : Working with young girls in various age groups to understand their needs in the area of health and hygiene and personality development. METHODOLOGY: 1. The teacher with the help of the Resource Person can organize this activity, which involves the mother so that they may be aware of better practice and support their daughters in adopting them. 2. Bonding games between mother and daughter 3 Making the mother aware of the changes associated with adolescence: a. Physical changes in girls CONCEPT Mother – Daughter Health and Hygiene programme. / Boy Hygiene class seprately OBJECTIVE To help young girls cope with the changes they go through at the adolescent age in a confident manner and to accept the right hygiene practices. MATERIALS REQUIRED: Worksheet b. General facts about body hygiene c. Specific care about Menstrual hygiene 4. Education session for the daughter should focus on a. Pubertal changes, growth spurt b. Menstrual cycle c. Learn to respect your body MODE Boys and Girls separately. d. Maintain hygiene and cleanliness e. Have control over your body TIME REQUIRED f. Needs of your body – it means physical need (fitness, nutrition) and emotional (thought, feeling) health One hour 5. Resource Person can discuss personal hygiene with boys separately. OBSERVATION: Issues concerning personal health and hygiene to be discussed in the 23 Personal, Environmental Hygiene and Sanitation groups separately for menstruation. Hygiene can be discussed in the whole class CONCLUSION: Personal health and hygiene are important components of growing up. INFORMAL ASSESSMENT: l From the yoga teacher find out the exercises that would help you to deal with cramps. l List out the nutritive food that is to be included in the diet. KEY MESSAGE: Learn to look after the needs of your body. SUGGESTED ACTIVITIES: Project-report writing for the interactive session. Role plays can be held during morning assemblies. Board display competitions can be held for topics of Mother- Daughter relationship and Parent Teen Bounding. 24 Personal, Environmental Hygiene and Sanitation STUDENT WORKSHEET Part of the body What to do? Likely problems if not done Hands Washing both hands, rubbing Dysentery with plenty of water and soap Diarrhoea before/after eating Worms (some) Cholera Some respiratory infections (colds) Head Washing l face with plenty of Eye disease (trachoma, conjunctivitis) water and soap Cleaning l teeth after meals Bathing l Body Tooth decay Lice Bathing l regularly Washing l clothes Lice, scabies, ring worm 25 Personal, Environmental Hygiene and Sanitation Activity : Wa s te Gen era tion a t Hom e BACKGROUND / PREVIOUS KNOWLEDGE : Waste management system plays a vital role in the development of a town or a village. Designing of the Waste management system entirely depends on the types of waste generated. METHODOLOGY : Put on a pair of rubber gloves. l Collect dustbins with waste from different rooms and the kitchen l CONCEPT Awareness about the waste generated at home OBJECTIVE To make students aware about the types of waste generated at home. in an open space (balcony or courtyard) of your house. Empty one dustbin at a time on a plastic sheet. l Segregate l all the components on the basis of their biodegradability. Biodegradable waste can further be separated into paper, natural l MATERIALS REQUIRED: Pair of rubber gloves, a plastic sheet, dustbins, paper and pencil fibres and kitchen waste. Non-biodegradable l components can further be separated into plastics, metals, glass ceramics and polyester cloth. MODE OBSERVATION: Make a list of the different types of waste generated at your home. Individual CONCLUSION: This exercise will provide the students an insight into different types of waste generated at home. This will further help them to think critically about the proper disposal of waste. SELF ASSESSMENT: 1. Find out the waste disposal system at your home. 2. Find out the waste disposal system of your colony. 3. Visit the place where the waste of the colony is dumped. Write your observations. 26 TIME REQUIRED 30 minutes (at home) Personal, Environmental Hygiene and Sanitation Activity : Newspaper in En viron m en ta l CONCEPT Educa tion Newspaper as a means to learn contemporary environmental problems BACKGROUND / PREVIOUS KNOWLEDGE : OBJECTIVE It is important that students gain awareness about environmental matters. Newspapers carry many news articles related to environment. In order to make them concerned members of the society it is important that they discuss news related to environment among themselves and try and find solutions. To familiarize student with current environmental problems METHODOLOGY : MATERIALS REQUIRED: Teacher l may ask students to cut one news clipping related to waste and paste it on an A-4 sheet. Read the news item and note down difficult words and queries on l Newspaper Sheets the same sheet below the news item. The students l should find out the meaning of the difficult words from the library or from the teacher. During l Environment Education or Life Skills period, the teacher may take up the topic for discussion and clarify the doubts of the students. OBSERVATION: The children can pin their sheet on a bulletin board and put it near the library for the school community to read. MODE Individual Work/ Group Work TIME REQUIRED One period CONCLUSION: The awareness will motivate students to think critically and develop an attitude to look for solutions for environment problems. SELF ASSESSMENT: 1. The monitor of the class can collect all the news clipping from the bulletin board and arrange a quiz for the class. 2. Discuss these environment related news items with your parents and other family members. 27 Personal, Environmental Hygiene and Sanitation Activity : Design A Wa s te Mana gem en t Sys tem CONCEPT Seregation of waste helps in optimum utilization through reusing and recycling BACKGROUND / PREVIOUS KNOWLEDGE : Solid waste contains various components, many of them can be reused or recycled and thus reduce quantity of waste to be dumped. METHODOLOGY : OBJECTIVE To help students to develop an attitude to collect waste separately Teacher can initiate a discussion through which students can successfully design a waste management system in the school. The following points may be discussed. Identify l different types of waste generated in the school and their sources. Find out what is the waste collection system in the school. l can be divided into three groups. The class may be divided into three groups. Each group may be assigned the following specific task and asked to submit a report in the next period. MATERIALS REQUIRED: Paper The class l Group -I : Collect information about the type of waste generated l in the classroom and the measures required to collect the waste separately. Make a list of things and changes required to achieve their goals. Group l -2 : Collect information about waste generated in the school office and the measures required to collect the waste separately. Make a list of things and changes required to achieve the goals. Group l -3 : Collect information about waste generated in the canteen and the measures required to collect the waste separately. Make a list of things and changes required to achieve the goals. Teacher can guide students in finalizing the plan and for arranging the required resources to achieve the goals. The following action plan may be suggested : Arrange l blue bins for non-biodegradable and green for biodegradable or simple dustbins with labels, so that children collect waste in separate bins. 28 MODE Individual Work TIME REQUIRED Four periods Personal, Environmental Hygiene and Sanitation Instruct l the children regularly in the assembly, in order to develop a habit of throwing waste in appropriate bins. The following may be suggested for the school administration : Instruct the safai karamchari to sort and collect the waste separately. l Paper from the waste can be sent to school paper recycling plant. If school does not have l a recycling plant, a local rag picker could be arranged and paper and plastic could be sold on daily basis. Food waste cab be dumped into a "compost pit" along with garden waste. l OBSERVATION : Individual groups may note down the observations/findings and report to the teacher in charge regularly. CONCLUSION: Average quantity of paper, plastic and food waste generated per student per day may be calculated once in a fortnight. Students with the help of safai karamcharies can get these waste materials collected in separate bags and weighed. SELF ASSESSMENT : 1. Why is management of waste necessary? 2. List any five ways by which you can reduce the use of non-biodegradable materials and promote the use of biodegradable materials in your daily life? 29 Personal, Environmental Hygiene and Sanitation Activity : Recyclin g Of Wa s te Paper CONCEPT Saving paper is saving trees BACKGROUND / PREVIOUS KNOWLEDGE : To help conserve forests and to reduce quantity of waste it is imperative to reuse and recycle paper as much as possible. The technique to make paper varies depending on the quality of paper. A simple technique is given here which students can practice at home. METHODOLOGY : Paper Recycling 1. Shred the waste paper into very small size pieces and soak in water for 6-7 hours. 2. Remove excess of water and churn in a mixer. (In absence of a mixer, mash the paper with hand into pulp) 3. Take a fine mesh and cut it according to the size of the paper required. 4. Put a muslin cloth on the mesh and hold it tightly. 5. Transfer pulp depending on the thickness of paper you want. 6. Add water to pulp depending on the thickness of paper you want. OBJECTIVE To make students aware of the importance of waste paper as raw material for making fresh paper MATERIALS REQUIRED: Waste paper, mixer, mesh, muslin cloth, tub, roller pin 7. Slide the mesh with the muslin cloth into the tub and move it around in the tub until pulp is evenly distributed on mesh. 8. Lift the mesh and place it in the other tub for few minutes to allow excess water to drain off. 9. Very carefully transfer the cloth with pulp on a previously cleaned cemented floor in the sun. After the paper is semi-dry remove it from the cloth. 10.When it is semi dry, roll a roller-pin over it to straighten it. 11.Allow it to dry completely. OBERSVATION : Paper made through this method could be used to make attractive greeting cards. EVALUATION : This experiment is a good demonstration to generate awareness about recycling of waste paper. This is a good example of transforming waste into a usable material. CONCLUSION : Recycling reduces the amount of waste and helps in improving the environment. SELF ASSESSMENT : 1. Why is it important to recycle paper? 30 MODE Individual Work TIME REQUIRED One practical session (one and a half hour) Personal, Environmental Hygiene and Sanitation Activity : Compos t Makin g ! BACKGROUND / PREVIOUS KNOWLEDGE : Dead plants, leaves and other plant parts as well as kitchen waste represent organic waste, which is generated every where almost on daily basis. Indiscriminate disposal or dunping of organic waste cause odour nuisance and unhygienic conditions. Moreover dumping or burning or organic waste represent a loss of the valuable material which can be converted into organic manure and used for enriching soil fertility. CONCEPT Waste from kitchen and garden can be converted into valuable manure OBJECTIVE To learn to convert waste into useable product. METHODOLOGY : A compost pile may be built by layering different kinds of organic l wastes in a bin. Between the layers either grass cuttings, saw dust, old papers or twigs may be placed in order to leave space for air to circulate. The pile may be turned up and down for better aeration for initial l two to four days. MATERIALS REQUIRED: Hardening tools, grass, newspaper raw dust Nitrogen is added to the pile in the form of bone meal, (grass from l mowed lawns, leaves etc.) or cow dung to promote decomposition by microbes. Water l MODE is sprinkled and the pile is kept moist and not allowed to dry. and steam build up, the waste decomposes over a period of 3-4 months into a nutrient-rich substance called compost. A demonstration activity or group work. As heat l The Compost is then applied to the soil as manure. l TIME REQUIRED 3-4 months activity may be carried out during EE period 31 Personal, Environmental Hygiene and Sanitation OBERSVATION : Waste material, if not reused may cause problems for the environment. EVALUATION : Soil microbes decompose complex organic waste molecules releasing the nutrients locked in the organic wastes, which may be easily absorbed by the plants. RECAPITULATION: It is not difficult to change the system if we change our attitude towards waste. This helps us to create a healthy environment. Waste can also be used as useful material. SELF ASSESSMENT : 1. Why should the compost pile be kept moist and not too wet? 2. How is organic manure different from its raw material in its chemical nature? 3. What is the role of decomposers in maintaing soil fertility? 32 Personal, Environmental Hygiene and Sanitation Activity : Bes t Out Of Wa s te CONCEPT Saving paper is saving trees BACKGROUND : Waste is becoming a serious environmental problem and can become a hazard if not treated suitably. In order to reduce generation of waste, it is essential that we find ways to reuse and recycle waste material to produce useful items. METHODOLOGY : It is possible to convert waste through imaginative ways into useful materials. We are often amazed to see people using locally available waste materials and create wonderful utility items out of them. If we recall, we find many such instances around us. Like granny knitting a new design sweater from an old one, making dolls from worn out clothes or socks, small flower baskets from used wooden ice-cream spoons, decorative pieces from empty egg shell, sea-shells etc. Some more ideas are given below: OBJECTIVE To make students aware of the importance of waste paper as raw material for making fresh paper MATERIALS REQUIRED: Pieces of cloth, pencils, sharpeners, waste paper Small l left over pieces of cloth (if you stitch at home) can be stitched to make bags and mats. Pencil shavings can be used to make decorative pictures. l paper may be rolled into fine cylindrical tube like structures and used for making either photo frames of pencil holders. MODE Waste l The upper l broken part of the Squash or Sauce glass bottle can be cut with the glasscutter, edges smoothened and then used as flower vases. Weaving l mats from left over pieces of wool or strips cut from unutilized poly-bags. Individual Work TIME REQUIRED One practical session (one and a half hours) You may think of other activities suitable to your needs. OBSERVATION : Creative ideas and skills convert waste into utility items. This not only helps to reduce waste but also help in generating revenue. VALUATION : Waste should not always be considered as a problem, as some of it can be converted into a useful product. 33 Personal, Environmental Hygiene and Sanitation RECAPITULATION : Natural resources are limited and hence people in different parts have evolved different ways to optimally utilize resources. This also includes meaningful utilization of the waste generated by them. This helps in reducing inecessary stress on nature by mounting waste generated by society. ASSESSMENT : 1. Collect information about various ways to use waste as raw material for making useful items. This information can be shared with other students in order to encourage them to reuse waste as far as possible and to change their attitude towards waste. 2. Students may be challenged to make useful items from the waste collected in the school. UTILITY ITEMS MADE FROM WASTE 34 Personal, Environmental Hygiene and Sanitation Activity : Ambassadors of A IDS Awa ren ess BACKGROUND : Education about AIDS is an important step one can take to make sure that our generation and our relationships stay healthy. METHODOLOGY: 1. The teacher will ask the students to express their opinion about HIV/AIDS related statement. 2. When the statement is read by the Facilitator the students must stand under the Agree or Disagree sign that matches their opinion. If he is uncertain, he should remain in the centre of the room. 3. Next the facilitator reads the following statement and asks the student to move to 'No risk', 'High risk' and 'Low risk' categories. For instance: CONCEPT Misconception and attitude towards persons with HIV/AIDS. OBJECTIVE To make the students learn that persons with AIDS should not be ostracized but supported through love and kindness. MATERIALS REQUIRED: Statements related to HIV/AIDS to be prepared by teacher l Sharing needles in intravenous drug use: High risk OBSERVATION: The teacher then discusses the cause of factors that will place someone MODE Group work at risk or not at risk of HIV. The statement where the student's response is uncertain, the teacher clarifies doubts. TIME REQUIRED CONCLUSION: One hour Interactive sessions would help the students to change their attitude, behaviour and the misconceptions prevailing among the learners. SELF ASSESSMENT: l When is Aids Day celebrated? l Assess your knowledge, and change the attitude and behaviour of students. Be a peer educator and influence the peer group. KEY MESSAGE: Awareness about AIDS and other sensitive issues is important to make sure the younger generations stay healthy. 35 Personal, Environmental Hygiene and Sanitation SUGGESTED ACTIVITIES: Slogan competition at the inter-class, inter-school state and national level can be held by the school authorities. Similarly poster design competitions can be held. 36 4 Ph ysica l Fitn ess Activity : Holis tic Developm en t BACKGROUND : Yoga is a part of India's rich heritage. It aims at developing self – discipline and control over one's emotions through meditation and breathing exercises. In today's world of stress and competition, it is an excellent means of stress- reliever. METHODOLOGY: Yoga will form an integral part of the PT class. Breathing exercises or pranayam will help the students to become more relaxed, calm and stress free. Students will be introduced to Yoga and the importance of Pranayam will be reinforced. Step 1- Sit down with legs folded. Free your hands and lay your palms on your thighs. Step 2- Close your eyes and try to calm yourself down. Step 3- Take a deep breath in and then exhale out. Repeat this process slowly at least ten times. Step 4- Now breathe through one nostril and release through the other. Repeat this process at teast ten times. Do this with the other nostril now. CONCEPT Yoga is an essential component of holistic education. OBJECTIVES To teach students of the short – term and longterm benefits of Yoga. MATERIAL REQUIRED: Mats(1mx1m) MODE Individual work TIME REQUIRED 7-12 min daily At no point of time should one be stressed to do it. Any discomfort should be informed immediately to the teacher. Very carefully with calmness and poise, meditation has to be done with constant soft speech and well-planned instructions on how to perform the breathing exercises. OBSERVATION: 39 Physical Fitness Students will feel fresh after the session. CONCLUSION: Yoga will help the students to face the challenges in the real world in a realistic manner. INFORMAL ASSESSMENT: 1. Worksheets depicting different asanas will be given to the students and they will have to recognize them. 2. Students will make a project file on 'Yoga – its origin, different asanas and its benefits and display pictures of a few asanas. 3. Drill presentations at the end of every month. NOTE: No yogic exercises are to be done without the presence of a registered practitioner. KEY MESSAGE: (i) Importance of exercise (ii) Getting up early (iii) Awareness of our culture and traditions SUGGESTED ACTIVITIES: (i) What is “Yoga”? How is Yoga related to our Indian culture? (ii) Mention any two forms of Yoga. (iii) Prepare a table for yourself indicating study hours, games/sports timings, Yoga practice sleeping hours, dinner timings and duration. Get it signed by parents first and then show it to the teacher. The teacher in the mentoring classes can take up the issue for the student. 40 Physical Fitness Activity : Am I Fit ? BACKGROUND : Planned, successfully conducted physical education programmes can provide many benefits for children and adolescents like improved levels of physical fitness, self-discipline and CONCEPT Health is defined as the state of being physically, mentally and spiritually fit. OBJECTIVE To make the students understand that one can achieve physical fitness in an enjoyable manner. enhanced self-confidence. METHODOLOGY: Aerobics can be made a part of the extra – curricular activities. A trained physical educator would teach aerobics twice in a week. It can also be made a part of the after – school programme. MATERIALS REQUIRED: Film or chart on Aerobics music system OBSERVATION: This activity will work for improvement of physical fitness of the children especially those who are obese and lead a sedentary life. MODE CONCLUSION: Aerobics is a very enjoyable yet fruitful way of exercise. It not only Individual/Group enhances the body gate posture but also develops flexibility in a child. TIME REQUIRED SELF ASSESSMENT: What are the physical fitness activities that I am involved in? l What l 20 minutes are the changes in my mood, energy levels, emotional states and fitness levels that I have experienced over a period of time? INFORMAL ASSESSMENT: l To record the changes in their weight over a period of one month. l To assess the increase in the stamina of children through simple physical exercises like climbing of stairs and taking rounds of the field. Write a daily diary recording positive benefits of Aerobics. l 41 Physical Fitness KEY MESSAGE : Importance of exercise l Body posture l Positive attitude l Flexibility l Self-monitoring l SUGGESTED ACTIVITIES: Prepare an activity calendar. Track it l Go with a plan l Go for a goal l Track it l Don't burn out before you even warm up l Mix it up with various activities l 42 Physical Fitness Activity : Well Bein g BACKGROUND : Sports is an essential part of physical fitness. It helps in developing qualities like leadership, sportsmanship, teamwork and discipline. These qualities help in making an individual a more responsible and confident person. METHODOLOGY: The school will organize for an outstation camp for the students. The teacher will encourage students to participate in the outstation adventurous camps involving activities like river crossing, trekking, rock climbing etc. OBSERVATION: This activity will enable the students to learn the traits of a good leader and to develop skills which would make them competent to achieve group goals. CONCLUSION: A healthy mind rests in a healthy body. Staying fit means developing inherent skills like responsibility and ability to deal with a range of situations. INFORMAL ASSESSMENT: l To take feedback from the participants in terms of the leadership CONCEPT Physical fitness forms the basis of the well being of all human beings. OBJECTIVE To identify and practice skills required to lead a group and to deal with different members of the group. MATERIALS REQUIRED: Adventure kit (having the necessary accessories, safety kit etc…) MODE Group work TIME REQUIRED 3 hours styles of the various members of the group. l Goal ranking: Let the student identify the sports or games that he/she presently plays or is good at. Help the child set a goal or personal target to be achieved every two months. Help him/her review the goal whenever required. The teacher has to provide the direction as well as give inputs every two months. Review it at the end of the year. [Suggestions, 43 Physical Fitness positive criticism, diet information, technique enhancement and areas of improvement should be communicated to the child every two months] KEY MESSAGE : (i) Self confidence (ii) Inter and Intra- relationships (iii) Decision making SUGGESTED ACTIVITIES: Administration of the Questionnaire to as many friends as you can and analyse the data. 44 Physical Fitness QUESTIONNAIRE Absolutely Maybe Not Really No Way The coolest physical activities are ones that I can do with my friends, or that give me a way to meet new people. I get pumped up for physical activity because it makes me feel better and helps me stay in shape. The kind of activities I like are risky and exciting. I like to move like lightning or change directions quickly. What a move! I like to do physical activities that look incredible when others do them. I appreciate their moves and want to do them too. For me, physical activities are major stress relievers. I can take a break from my problems not only by doing the activities. but also by watching others do them. No pain, no gain! I love to workout alone. I like activities that are physically tough. Give me a long hard practice any day-even if I have to give up other things for it. I love to workout alone. I love working in a group. 45 Physical Fitness Activity : Body Ima ge CONCEPT BACKGROUND : A student's diet and activity level play a crucial role in determining his /her weight METHODOLOGY: A student's diet and activity level play a crucial role in determining his / her weight The teacher will show the students pictures of three people - 2 thin / OBJECTIVE lean structured and one obese. The students will be able to: Students will give their initial reactions by responding quickly. Typically it is found that the thin-structured people will receive the most positive response while the obese person receives the most negative response. This will be followed by a discussion on student's perception and feelings about overweight and obesity. The discussion will address issues like: l What is the difference between being overweight and being obese? l What are the various factors that lead to obesity? identify factors that cause individuals to become overweight l l devise a plan to establish life long healthy habits MATERIALS REQUIRED: Activity sheets, paper, pencil l What type of health problems are related to obesity? l What can one do to reduce weight? l How can physical activity help in weight loss? MODE OBSERVATION: Group TIME REQUIRED OUTPUT: Calories used during physical activity INTAKE: Calories from food The Energy Balance The energy balance is like a scale. To remain in balance, the calories consumed (from foods) must be consumed by the calories used (physical activity) 46 One hour Physical Fitness CONCLUSION: In order to maintain a stable weight a person needs to burn the same amount of calories he / she consumes. SELF ASSESSMENT: The students will plan daily routine in a manner that they strike a balance between their physical activity and healthy diet. KEY MESSAGE : Physical activity along with a healthy diet plays an important role in the prevention of overweight and obesity. SUGGESTED ACTIVITIES: Teacher will divide the class into groups and will assign following topics1. Pros and Cons of joining spot reduction weight loss centers 2. Pros and cons of dieting 3. The disadvantage of being slim. 47 Physical Fitness Activity : Violence Is Not My Cup Of Tea BACKGROUND : What is violence ? l Where l and in what kind of situations does one tend to become violent ? The various ways in which adolescents express violence ? l METHODOLOGY: 1. Divide the class into groups of 5-6 students each. CONCEPT Resorting to violence in handling uncomfortable situations reflects uncontrolled behaviour. OBJECTIVE Understanding violence, the impact of violence on an individual as well as society and the ways to prevent violence l 2. Give each group a situation written on the card sheets. 3. Give them 10 minutes to discuss the situation among their groups and prepare a role play. MATERIALS REQUIRED: 4. The duration of the role play would be about 5-7mts. Flipchart l 5. Invite each group to present their role play. Card sheets l Markers GUIDELINES : l After each group presents their role play, initiate a discussion revolving around the following issues. MODE The causes that tend to spread increase in violence. l How can adolescents contribute to stopping violence? l Alternative l practices instead of violent reaction. OBSERVATION : Students were able to understand alternate ways of dealing with problems. CONCLUSION: It is important to learn to identify situations that are disturbing for an individual and realize the consequences of expressing violent reactions to disturbing situations. 48 Role play and discussion TIME REQUIRED 1 Hour Physical Fitness KEY MESSAGE : l Say no to violence l Violence can be there at home /school /playground /market /even on the road/anywhere l Both men women, children are affected by violence l Violence can be both mental or physical l Everybody needs to avoid violence SUGGESTED ACTIVITIES: Ask students to list sources of anger and frustrations. Then list appropriate and inappropriate ways of dealing with those situation. 49 Physical Fitness Activity : Key Tha t Open s The Lock BACKGROUND : Problem solving is a skill required by every individual. It involves implementing decisions in order to achieve a goal or goals. Problem solving includes developing goals, locating and processing information, CONCEPT Many adolescents experience aggressive and violent behavior on a daily basis in school, home and community settings. Violence and aggression are the newest and the most visible faces of this deeply rooted, multi-faceted societal problem. implementing decisions and evaluating results. METHODOLOGY: Divide the group into pairs. One member will share a problem which is to be clarified through reflective listening by the other member. Each pair will keep these questions in mind: 1. What is the problem ? OBJECTIVES Participants/students will be able to: l Explore reactions to anger in self and in others. l Identify healthy and unhealthy reactions to anger l Identify false beliefs about anger 2. Has the problem been solved through good listening skills ? 3. What is the next step ? l After 8 minutes, get the pairs to share some of the problems reflected and list them. Pick up the problem that requires the problem solving process. l Show the steps in problem solving written clearly on a board a. Identify the problem b. Brainstorm for solutions c. Make a plan of action MATERIALS REQUIRED: l Copies of 'HANDLING ANGER' worksheets for each member l Copy of "When you are angry you are most like….." for the trainer MODE l Activity and group discussion d. Set up time for evaluation Now select one of the problem and ask for a volunteer to role play the following problem solving sequence : TIME REQUIRED l 2 hours (120 minutes) l Identify the problem and reflect to clarify the problem. l Brainstorming for possible solution. l Let the group suggest all possible solutions. 50 Physical Fitness l Making a plan of action. Go over the proposed solutions and select the most favourable one to execute. Executing the solution. l Discuss l with the group about the process of cracking the problem and how well the solution worked OBSERVATIONS: Gain in decision making ability. Better perception to analyse at depth the problem was noticed in students. CONCLUSION: The step by step approach helps the students to develop a knack of solving the problems. INFORMAL ASSESSMENT: Give students some situations on which they can apply this process. KEY MESSAGE: 1. Identify the real problem 2. Explore the many ways to solve the problem 3. Select the final solution 4. Evaluate the effectiveness of the solution chosen 51 Physical Fitness SUGGESTED ACTIVITY: Ask the students to discuss three situations during the week when they applied the four steps of decision making process. 52 5 Bein g Respon sible An d Sa fe Activity - Sa fety Mea sures BACKGROUND : Disaster management can be defined as the range of activities designed to maintain control over disaster and emergency situations before they occur and to provide a framework for helping at- risk persons to avoid or recover from the impact of the disease . Disaster management deals with situations that occur prior to during, and after the disaster. METHODOLOGY: The teacher provides a presentation using a OHP/ppt/charts. The teacher discusses about the importance of presentation and also how to handle disasters. She divides the group in equal number and encourages them to have a brainstorming session related to the topic. CONCEPT Safety Measures are a must in today's emerging society. OBJECTIVE To recognize situations that may potentially result in unsafe environment and implementing appropriate intervention. MATERIALS REQUIRED: Presentation CONCLUSION: Children will understand that those who do not act responsibly should experience the effect of their actions. MODE Individual RECAPITULATION Discuss about the accident prone areas in the house and the need for safety measures to be followed. A little negligence can become the cause of a major accident TIME REQUIRED 30 minutes INFORMAL ASSESSMENT: (i) Demonstration of management of fire by calling the 55 Being Responsible And Safe local fire brigade. (ii) List down a few natural and man – made disasters. (iii) Work out a management strategy in groups for managing the same. KEY MESSAGE: (i) Self realization (ii) Presentation skills enhancement SUGGESTED ACTIVITIES: (i) How lightening affect the electronic devices at home? (ii) What iffing: A range of open ended questions can be thrown to the class. (a) What if the electric bulb bursts all of a sudden? (b) What if your younger brother or sister gets a cut and it starts bleeding? (c ) What if ……? (vi) Name three chemical substances to be kept at home for safety purposes and which can be used during accidents STUDENT AID GUIDE FIRST AID GUIDE It is important to know what to do and what not to do in case of mishap or an accident. Given below are some handy tips to remember as emergency measures in case of a fire accident. The first step is to rescue the victim from the source of fire. In the event of fire, remember delay is the biggest enemy and every second counts, so speed and clear thinking are required. 1. Move away from the source of fire. 2. Call for help. 3. Never stand up in the fire. Remember, clear air is at ground level. 4. Always crawl on the floor to pull out a person who is lying unconscious or disabled. 5. Keep your mouth covered. 6. Never go back into a burning building for any reason. 7. If there is fire in a room, which has doors and windows closed, do not open them to let in air. The rush of air will increase the intensity of fire. All of us should be geared up to handle fire and fire victims. The first few hours after burns are the most crucial for recovery. The first few hours after burns are the most crucial for recovery. The first aid provider should know how to deal with a person whose clothes 56 Being Responsible And Safe have caught fire. Fire Burns 1. Stop the burning process. 2. Remove the heat source. 3. Extinguish the fire by pouring cold water over burnt area. The fire gets extinguished by pouring cold water over burnt area. This incidentally cools the skin also and the heat penetration into the deeper layers of the skin is thereby reduced. (The process of cooling takes time, even up to several hours.) 4. In minor burns, involving hands, fingers or feet, cold compress can be continued. 5. If clothes are soaked with hot liquids, pour water and remove the heat-trapped clothing. 6. Remove finger rings. toe rings, chains bangles etc. immediately because burnt area swells and it becomes difficult to remove later. It can even lead to the use of cutters at times. 7. Rather than waiting for the doctor to arrive, immediately rush to the nearest doctor available since the first few hours are the most crucial. 8. Do not apply anything on burnt skin. People use various substances on burns, like ink, toothpaste, mud, cow-dung, ghee, vaseline, sindoor, etc., which should not be done in any case. 9. Do not try to clean the wound. 10. Do not pull adherent particles of charred clothing. 11. Do not pierce blisters. 12. If the hands are burnt, keep them above the level of the shoulders. 13. Elevate the burnt feet or legs. 14. If the face is burnt, prop up the victim and watch for any breathing difficulty. 15. Mouth may need cleaning by putting your finger or handkerchief inside the mouth to remove froth, loose teeth, foreign material, broken dentures, etc. Face may be turned to one side for easy breathing. 16. Sips of water or fresh lime water with a pinch of salt and soda bicarbonale could be 57 Being Responsible And Safe given to a conscious patient. Electric Burns Electric burns require immediate first aid measures. It is of paramount importance to exercise care and restraint in such situations. There are a few things that are never done in case of electrical burn injuries. Bear these in mind always. Severity of injury mainly depends on the voltage of current. 1. Do not touch the person who is in contact with electricity. 2. Switch off the main circuit. 3. Use a wooden stick to move the person away from electric source. 4. Never use water if there is electric fire and the electricity is not switched off. 5. If victim is not breathing give artificial respiration and shift to the hospital. Chemical Burns Chemical burns are also required to be dealt with caution and care. It is essential to use the environmental evidences to the benefit of the injured individual. Face and trunk are the most commonly affected. There are usually multiple patches due to splattering of the chemical like acids and alkalies. Other parts commonly involved are neck, arms, hands, lower limbs, eyes. Mouth cavity and food pipe can be burnt due to swallowing of chemicals by mistake. A chemical will continue to do damage for as long as it is in contact with the skin. 1. Remove clothing. 2. Wash away the chemical with running water as quickly as possible for several minutes (not less than 5-10 minutes). 3. If the container is lying nearby, read the name of the chemical and any first aid directions written on it, otherwise wash with '1% Soda bicarb solution' for acid burns and 'Citric acid solution' for alkali burns. 4. Rush to the doctor. These injuries are common amongst student working in chemistry labs. Eye Burns Every part of the body is important but great speed is needed to save eyes from permanent damage. Victim can himself splash water several times in the affected eye otherwise, lay the victim on his back and turn his head to one side so that chemical will not be washed into the other normal eye. Hold the eyelids apart with thumb and foreingers and gently pour water for 10 minutes at least. Do not pour water from a height. It could further damage the eye.Shift the victim to the hospital without delay. 58 Being Responsible And Safe Activity : School Sa fety CONCEPT School safety is vital for students. BACKGROUND : For youth to fulfill their potential in schools, schools should be safe and secure places. OBJECTIVE METHODOLOGY: To develop strategies to improve school safety. The teacher narrates a real life incident that led to accident due to neglect. A newspaper cutout or a page from a magazine can be read in the class. The topic of discussion should be available to the child two days earlier so that they come to school prepared. Interactive session is conducted on how the accident could have been avoided. This generates a feeling of responsibility for their actions. OBSERVATION: Interactive sessions between the student and teacher strengthen the view point that without safe learning environment students will have difficulty. Concern for improving school safety is very vital. MATERIALS REQUIRED: Manuals on safety MODE CONCLUSION: Allowing children to set goals, make choices and solve problems make children experience being responsible decision-makers. INFORMAL ASSESSMENT: l To go to neighborhood schools and list unsafe items found there and politely point it out to the student representative. Group/ Whole class TIME REQUIRED 30 minutes l To have talk related to safety measures with assembly. l To have an inter-house skill competition related to safety measures. KEY MESSAGE : (i) Planning ahead (ii) Self monitoring SUGGESTED ACTIVITIES: Pick and choose a few and add on as per your interest to be able to handle more responsibilities. Take an initiative and see the difference. 59 Being Responsible And Safe Managing an allowance. l Making plans with friends for a school excursion. l “Shramdaan” in school classroom, playground, l Picking up his/her siblings daily after school. l Create l a task force in school with the consent of teachers and school management and putting up articles related to safety issues in school on the notice board for everyone to read them. 60 Being Responsible And Safe Activity : Defendin g Ourselves BACKGROUND : It is very important to realize that to keep yourself safe you have to be bold enough to go out of your home. CONCEPT Self-defense isn't about hurting others it's about keeping oneself from being hurt. METHODOLOGY: OBJECTIVE The self-defense teacher will introduce students to a variety of attack moves. The enabling activity will allow students to work out scenarios that could happen to them or someone they know. e.g. The students will understand how to defend themselves from an attack. l It is late at night and you are walking back home. You decide to take a short cut - it is deserted land. Someone attacks and grabs you from behind. l While walking down the street, a man comes and asks you what is the time and suddenly grabs your wrist with both his hands. travelling in a bus. Somebody tries to snatch away your necklace. MATERIALS REQUIRED: Paper, pencil, self defense rubric MODE Small Group l You are l You are alone at home waiting for your pizza to be delivered. The delivery man forces his way into your house as soon as you turn to get the money. TIME REQUIRED 30 minutes Once the students have identified a few scenarios they will enact those situations and the defense moves that will enable them to get out of those situations. OBSERVATION: Students will gain confidence and will be able to save / protect themselves from approaching strangers. CONCLUSION: Self defense techniques are very important for students especially for girls. 61 Being Responsible And Safe INFORMAL ASSESSMENT: Students will look for real life success stories where defense moves have helped people to save themselves from attackers. KEY MESSAGE : Self defense is what you think and more importantly how you think. SUGGESTED ACTIVITIES: To collect l articles on self defense activities. To take group activity on giving them knowledge about good and bad touch. l 62 Being Responsible And Safe Activity – The Smoke Detectives BACKGROUND : While some hazards cannot be avoided but one can prevent the happening by being prepared. METHODOLOGY: The teacher will make three columns on the board: 'PREVENT', 'PREPARE' and 'PROTECT'. She will ask students to suggest ways to prevent fires from happening in their homes and will write their answers under 'PREVENT' column. e.g. l Don't play with candles, lighters, matches l Don't plug too many appliances into one outlet CONCEPT Teaching children about the dangers of fire and informing them about how to become active in preventing fires may actually prove life saving, should they ever be involved in a serious fire. OBJECTIVE To educate students about fire prevention and to provide them with the essential skills they will need if a fire actually occurs. l Don't place extension cords under rugs l Keep flammable items away from stoves and hot appliances Similarly she will ask students how they might prepare for a fire and write their answers under 'PREPARE' column. e.g. l Keep a fire extinguisher in the kitchen l Keep a list of important numbers near the phone l Install smoke alarms and test them regularly She will then ask students how they would protect themselves if there was a fire and write their answers under 'PROTECT' column. e.g. l Leave the house immediately MATERIALS REQUIRED: Fire safety checklist, balckboard, markers/chalk MODE l If your clothes catch fire, roll on the floor but do not run Students can work in small groups and prepare fire-safety posters for the school. Individual / Group OBSERVATION: TIME REQUIRED The students will get an opportunity to share this information with family members and friends. One hour CONCLUSION: This activity will enable students to prepare a 'fire safety checklist' for the school. 63 Being Responsible And Safe INFORMAL ASSESSMENT: The students will be provided with a fire safety checklist that includes fire hazards that can be around them in their houses. They should tick against the hazards that they can observe in their house. KEY MESSAGE : Statistics show that most of the fire that takes place could have been easily avoided provided one is more cautious. SUGGESTED ACTIVITIES: Ask students to prepare Information Survival Guide about any other kind of disaster. FIRE SAFETY CHECKLIST Are candles, l matchsticks and lighters kept away from small children? Do you l keep your basement closets, garage clear of combustibles like paper, cartons, old furniture etc? Are fuel-burning l Is paint l 64 heaters and appliances properly installed and used? kept in tightly closed metal containers? Is the l chimney cleaned and checked regularly? Keep l cooking areas clear of combustibles. Being Responsible And Safe Activity : Evacua tion Drill BACKGROUND : As the number of students is increasing in all the schools, it has become mandatory for all the students to be trained in a manner where they do not loose patience during crisis. METHODOLOGY: Students are told to assemble, given briefing, shown plan and then the situation is simulated. Time set maintained. Practical exercise, according to situation is done. OBSERVATION: Students understand the situation, analyze and react without panic and are mentally alert to face crisis. CONCEPT Drill is a routine that can be followed in an emergency situation. OBJECTIVE To train the students to evacuate a building in case of fire, flood or earthquake without panic, anxiety or stampede. Teach the students to respond to emergency alarm. ASSESSMENT: l Make a list of feelings and reactions l Time management MODE l Various drills according to the potential threats l Regular drills Whole school. TIME REQUIRED 1 hour/2 periods 65 Being Responsible And Safe Activity : Sa fety Rules BACKGROUND : Students should know about the safety rules that should be followed in various situations ranging from crossing the road to being aware of other potential dangers in the environment such as dealing with strangers. METHODOLOGY: The teacher starts the session by talking to the students about safety rules. Then we classify the rules into different categories such as: 1. Common Rules 2. Specific Rules (i) CONCEPT Safety rules help the students to take care of themselves. OBJECTIVE By participating in this activity the students will learn and understand the consequences of risktaking behaviour. It will facilitate safe living for themselves and others. Road (ii) Fire (iii) Strangers MODE (iv) Anything related to local dangers. OBSERVATION: Students understand the situation, analyze, and react without panic and are mentally alert to face crisis. Group work TIME REQUIRED ASSESSMENT: l Make a list of feelings and reactions l Time management l Various drills according to the potential threats. l Regular drills. 66 2 periods/ 1 hr as a part of Safety week or Health week Being Responsible And Safe Activity : First Aid BACKGROUND : As complexity in life is increasing and students are leading a very active life, it is necessary that they learn to deal with small emergencies themselves. METHODOLOGY: Activity starts with a pre-activity preparation, that is, School team comprising of Nurse, Doctor and counsellor take care that the venue is ready, material is ready etc. Parents belonging to similar profession are also involved. Activity starts with a formal introduction to First-Aid followed by a Multimedia presentation showing how to handle emergencies. CONCEPT First-Aid is simple and immediate emergency treatment that one can give/receive to an injured or ill person. OBJECTIVE To train students to attend to small injuries that may occur on playgrounds, in school buildings or in neighbourhood. OBSERVATION: Students will be able to handle minor injuries like cuts, sprains etc without panic and anxiety and would be able to distinguish between fracture and sprain. MODE Group work TIME REQUIRED 1-day workshop 67 Being Responsible And Safe ASSESSMENT: Make a list of articles that are needed in case of emergency. l Maintain a First-Aid box at home. l Make a list of important people and phone number in case emergency occurs. l 68 6 Beha viou r An d Life Sk ills Activity : Good Feelin gs ! CONCEPT Understanding feelings BACKGROUND : Emotion is a particular feeling, a quality of conscious awareness and a way of responding. METHODOLOGY: l The teacher divides the group into pairs. l Distribute a sheet of paper to each student and ask him / her to write five statements or draw five things that make him / her feel good about himself / herself. l The statements can be verbal compliments / actions; for instance someone tells you that you are good in sports. l Ask the student to write five statements / draw five things that they think would make their partners feel good about himself / herself. l Have the pairs get together in small groups of four to share their statements / drawings. OBJECTIVE To make the young people learn how negative feelings expressed by others / self can affect our self-esteem and behaviour. MATERIALS REQUIRED: Paper, pen, chart paper, markers OBSERVATION : The teacher initiates discussion by asking questions like l Was it difficult for you to think of five statements that make you happy? MODE Group work / class l Whether it was difficult to think of five things that would make your partner happy? Why or Why not? CONCLUSION: TIME REQUIRED It is important to learn positive and safe ways to understand and express feelings. 30 minutes SELF ASSESSMENT : l Do something nice to or for a friend. l What was the reaction of their friend? 71 Behavioural And Life Skills KEY MESSAGE : Understand degrees or intensities of feelings SUGGESTED ACTIVITY : Ask the adolescent to identify and write i) the emotions they experience, ii) the situations that cause these emotions, iii) the effect of these situations on their lives and iv) what they can and what they cannot change about these situations in a tabular form. 72 Behavioural And Life Skills STUDENT WORKSHEET Emotion Cause Effect What can be done? 73 Behavioural And Life Skills l Activity Anger Reading Technique - Get ' R….I….D' R - Recognize your anger signals and accept that You are angry. I - Identify a positive way to analyze the situation. D - Do something constructive to calm down. 74 Behavioural And Life Skills Activity : Positive Ima ge CONCEPT Identifying one's own strength BACKGROUND : Knowledge about one's strength helps in developing goals for attaining them. METHODOLOGY: 1. The teacher forms groups of six each. 2. Give Hand out of the list of personal qualities to each student. 3. The students are asked to feel free to add qualities to the suggested list of personal qualities - the more qualities the young people can relate to the better. l Happy l Easy going l Flexible l Dancer l Singer l Graceful l Honest l Encourages l Hard l Friendly worker l Generous l Intelligent l Punctual l Religious l Sensitive l Strong l Dedicated l Warm l Confident l Humorous l Considerate l Tolerant l Creative l Brave l Charming l Calm l Compassionate l Caring l Affectionate l Attractive l Thoughtful l Soft spoken OBJECTIVE Students will feel good about themselves, see their varied strengths and get an understanding and positive feedback on how their peers see them. MATERIALS REQUIRED: others List of qualities, sheet of paper, pens MODE Group work/ whole class TIME REQUIRED 45 minutes 4. Have learners check all qualities which describe them, the learners will list out the qualities which they see in themselves on a sheet of paper. 5. To discuss and share their individual qualities in their groups. The groups are asked to give feedback to each person at a time on additional qualities that were not checked by the person. 75 Behavioural And Life Skills 6. If the students are reserved, the teacher can initiate the discussion by showing their own personal qualities. 7. Once everyone in the small group has shared, open the discussion. OBSERVATION: 1. What did it feel like to share your personal qualities? 2. Is it hard to say positive things about yourself in a group? 3. Were you surprised at how many qualities you have? CONCLUSION: By focusing on the concept of liking ourselves, we feel good about other people and better at anything we are doing. We are more sure of ourselves and more able to accomplish things. KEY MESSAGE: Think positively about yourself. SUGGESTED ACTIVITIES: Ask them to bring photographs and write special qualities against them and paste photographs of all on the bulletin board of the class. 76 Behavioural And Life Skills Activity : Lea rn in g To Deal With An ger And A ggression BACKGROUND : Some people explode when they are angry while others keep things CONCEPT Many adolescents experience aggressive and violent behavior on a daily basis in school, home and community settings. Youth violence has assumed epidemic proportions. Violence and aggression are the newest and the most visible faces of this deeply rooted, multifaceted societal problem. inside and let their anger eat them. Some people get boiling hot and some people get ice cold. The connection between thoughts and actions is a two way. Feelings and actions affect each other. It is important to acknowledge, accept, manage and appropriately express feelings rather than being overwhelmed by their strength. It should be explained to the children that 'anger' is a natural feeling and managing our emotions is a big part of growing up. METHODOLOGY: l Divide the participants into groups. There should not be more than 10 members per group. l Distribute without discussion with other group members. group to choose a group representative. l The group representative discusses the questions given in Handling Anger and summarizes the group opinions. He summarizes the group opinions. l After Participants/Students will be able to: l Explore reactions to anger in self and in others. l Identify healthy and unhealthy reactions to anger l Identify false beliefs about anger the worksheet Handling Anger to each person. Give 15 to 20 minutes for the participants to fill their sheets l Ask the OBJECTIVE all the groups have finished each group representative is invited to come forward and present his group opinion. l The trainer MATERIALS REQUIRED: l Copies of 'HANDLING ANGER' worksheets for each member l Copy of "When you are angry you are most like….." for the trainer MODE writes every technique (both healthy and unhealthy) of handling anger, which emerges, from all the l Activity and group discussion groups, on the blackboard. TIME REQUIRED l 2 hours (120 minutes) 77 Behavioural And Life Skills OBSERVATIONS Common responses, which may come forth, would include the following: Get even ........................................ Throw things .................................. Hide in the room .............................. Run.............................................. Talk to a friend about it ...................... Do nothing..................................... Yell ............................................... Go and work out / exercise................. Ignore it ......................................... Scream ........................................ Take a walk ..................................... Hit someone (fight).......................... Hit something (usually the wall) ............................... CONCLUSION Conclude the activity with 'anger' as a natural feeling. Managing our emotions is a big part l of growing up. Help the children name the "big six" emotions: l 1. Mad 4. Scared 2. Glad 5. Guilty 3. Sad 6. Lonely INFORMAL ASSESSMENT: Note down their reactions next time they are in an angry situation. KEY MESSAGES: All emotions l just are; they are not good or bad. How one expresses them is very important. Temper l tantrums, violent outbursts and acting-out behavior fuelled by anger are the common precipitators to both inpatient and outpatient therapy for adolescents. Often, depression and suicidal tendencies result from anger directed inward. l SUGGESTED ACTIVITIES: Do role plays by giving them situations in which they will enact the way they are going to handle the emotion. 78 Behavioural And Life Skills Han dout Make Xerox copies and distribute to each participant for filling in 1. When I get angry, I usually (explain what you do) __________________________________________________________________________ __________________________________________________________________________ 2. Does this reaction work for me? Why or why not? __________________________________________________________________________ __________________________________________________________________________ 3. How is anger expressed in my family? Mother : __________________________________________________________________ Father : ___________________________________________________________________ Siblings : __________________________________________________________________ Important others : __________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 79 Behavioural And Life Skills Assertiven ess Tra in in g - Han dout Make Xerox copies and distribute to all participants at the end of the workshop. DELAY AND NEGOTIATION TECHNIQUES DELAY / TECHNIQUES Don't make any decisions until you have had time to think it over. Includes statements such as: Please, not now, I'm not ready. Sorry, my friend is waiting. We'll decide later. I'm busy right now. Let's find a better time to talk about this. Let's wait and make a decision in a week or two. I need to talk to someone else first. NEGOTIATION TECHNIQUES Try to find a decision you think is acceptable to both parties. Includes statements such as: Let's try this instead. Do you think we can find something to do that will make us both happy? How about we try to do this instead? 80 Behavioural And Life Skills Refusa l Techn iqu es Han dout 1. “NO THANKS” TECHNIQUE “Would you like a smoke?” “No thanks.” 2. GIVE A REASON OR EXCUSE “Do you want a drink?” “No thanks, I have basketball practice.” 3. BROKEN RECORD “Just try this joint.” “No way.” “Come on, just one puff!” “No way.” “Come on” “No way.” “Don't worry. You won't get caught, wimp.” “I said, No Way!” 4. WALK AWAY “Are you coming outside for a smoke?” Say “no” and w a l k away while saying it. 5. AVOID THE SITUATION If you know or see places where people often cause trouble, stay away from those places or go another way. 6. COLD SHOULDER “Hey, are you coming to the party on Saturday night? There will be lots of beer!” Just ignore the person. 7. CHANGE THE SUBJECT Start talking about something else “Do you want some beer?” “Hey! I'm not into this music at all. I'm going to go request something else.” 8. STRENGTH IN NUMBERS Hang around with people you trust, especially in p r o b l e m situations. 9. HUMOUR Make a joke of the situation. “Want a beer?” “No thanks, too much work at home" 10. STATE A HEALTH PROBLEM “Do you want to smoke?” “No thanks, I'm allergic to smoke.” 11. REVERSE THE PRESSURE “I saw beer in your fridge. You should get it.” “You get it if you want it so badly.” 81 Behavioural And Life Skills Refusa l Techn iqu es - Studen t Worksheet “No thanks” technique Give a reason or excuse Broken record Walk away Avoiding the situation Cold shoulder Change the subject Reverse the pressure Strength in numbers Humour State a health problem 1. Choose a couple of your favourite refusal skills and explain why. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 2. Choose two refusal skills that are most difficult for you and explain why. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 3. Choose two refusal skills that you would recommend to a younger sibling. Why would you recommend these? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 82 Behavioural And Life Skills Activity : Pain tin g Competition BACKGROUND : Growing up children are not able to express their conflicts verbally. Thus, it is a good idea to ask the students to draw and paint their view of CONCEPT Painting is also considered a good method of expressing the feelings. Colouring activity is equally expressive the relationship of their family. OBJECTIVE METHODOLOGY: Look through photographs or magazines for things you like or that describe you. Cut them out and arrange them on the poster board. Make any design you like. Put pictures on that make you feel good, that express what you like and This activity provides an insight into students perception and attitude towards other's in relation with oneself. who you are. Hang on your wall with pride. Do one in every six months and you will be amazed how much you will have changed. OBSERVATION: Students draw the family's painting, which provide an insight in their MATERIALS REQUIRED: Newspapers Magazines perception and self esteem. ASSESSMENT: MODE In this activity the teacher's observation should be taken into accounts. l The colours used by the student 100% practicipation l Content analysis l Injury from the seemingly disturbed student. TIME REQUIRED l Parental 2 periods/ 1 hr interview and counselling to both, the child and the parent. 83 Behavioural And Life Skills Activity : Role Pla y BACKGROUND : Through role-play participants can experience and explore the feeling and potential outcomes of a social situation without suffering the actual consequences of their decisions. METHODOLOGY: Divide the class into small groups. Assign the students their roles and give them time to practice. Allow them to display. Discuss and ask the students to comment. OBSERVATION: Student reflect their perception and relationships with others and their environment making the students more responsible. ASSESSMENT: l Think of a situation l Decide the roles CONCEPT Role-play techniques ideally suited for situations where identification is sought for the characters specially for contrasting or evolutionary behaviour OBJECTIVE This activity aims at generating innovative and reflective range of responses towards a particular situation. It will enhance the personal skills while providing safe environment to give vent to one's 'emotions', besides it helps the students to empathise l Write a script l Write down the feeling l Discuss and share l Expert advice MODE Group-work TIME REQUIRED 1 hr/ 2 pds 84 Behavioural And Life Skills Activity : Extempore BACKGROUND : Students in their pre-adolescent years are easily excited and while CONCEPT On the spot activity such as extempore provide an insight into student's thinking style. participating in such activities tend to voice their viewpoints on the issues of their concern. METHODOLOGY: This activity can be done in the classroom in the language students are comfortable with. Maximum 1 minute is given to each student. The teacher keeps on recording the talk on various dimensions. Deliberate effort is made to give emotionaly laden topics. OBJECTIVE To provide the opportunity to share their opinions. This may help the school to mould their policies according to present need. OBSERVATION: The pitch of the voice, the confidence in which the students speak provides an insight into students self-concept. ASSESSMENT: MODE Group Students are asked to make a list of emotions they experience in different situations, such as :l When they are angry TIME REQUIRED l When facing exams 1 hr/ 2 pds l To seek permission from parents l Peer group comparison SUGGESTED ACTIVITIES: l Further questionnaires can be administered l Referral services according to the need of the individual l Counselling to be provided at whatever level needed, be it l School level l Class level l Individual level l Peer group level 85 Behavioural And Life Skills Activity : Resea rch Project BACKGROUND : Students are being exposed to lot of stress and as a result medicine/ drugs, which may be addictive in nature. Peer pressure, exposure to media add to such problems in school. METHODOLOGY: CONCEPT Drugs are substances, sold illegally and are often addictive in nature. OBJECTIVE Group 4 : Make of plan of action. By performing this activity, the student will learn to abstain from drugs. They will know about the existing laws related and the management of stress, how to resist peer pressure and help the friends around. Once the students finish the work they come and share the information with other students. This is followed by panel discussion where experts may be involved. Data/information can be downloaded from the Internet. MODE Teachers debrief the children and then divide the whole class into four groups : Group 1 : Collect information about various drugs Group 2 : Collect information about the laws that guide this problem. Group 3 : Why does one fall prey to such habits. OBSERVATION: Students gain knowledge, discuss the problems openly and share their concerns with the experts. (Part of the health week) Group work ASSESSMENT: l Collect the name of the substances that can be addictive. l Discuss the reason that lead to addiction. l Make a list of the rules that guide addiction l Take a pledge to say no to drugs. l If some friend they know is in trouble, they must report to the responsible adult. 86 TIME REQUIRED 2 periods Behavioural And Life Skills Activity : Question s And An swer Session BACKGROUND : Role models play an important role in moulding young minds. Their CONCEPT Understanding the problem from an expert's viewpoint is more convincing than others viewpoints help the students to internalize good values. These kind of activities motivate the students to emulate their role model behaviour. METHODOLOGY: Minimum three experts from the fields can be invited. Principal, parent representive, school's doctor and counsellor also join the panel. Students are encouraged to ask any question that may be pertaining to the subject. At the end experts are given opportunity to express their OBJECTIVE To ensure that students have gained all the necessary information, which will help them to take up active and safe life. viewpoints and inform about the neglected aspects. MODE Panel discussion TIME REQUIRED 1 hr/2 periods 87 Behavioural And Life Skills Activity : Awa ren ess Kit BACKGROUND : Ignorance about this issue leads to curiosity which in turn may lead to CONCEPT The ill-effects of substance abuse will bring about awareness amongst students. experimentation at an early stage. METHODOLOGY: OBJECTIVE School has house activities, one of the activities can be centered around By witnessing this skit the students will come to understand the ill effects of any form of addiction. The students will also understand the value of counselling and social support. the theme. Each group presents the ill-effects of addiction in its various aspects. Students, teachers and other members of Healths Clubs participate in the event. OBSERVATION: l Increases awareness l Type of questions asked provide insight to policy makers regarding cause and effect relationship. MODE ASSESSMENT: l Talk to the expert if confused. Group l Approach a responsible adult, if in trouble. l Share views with friends, teachers and parents. TIME REQUIRED NO SMOKING 1 hour/assembly 88 Behavioural And Life Skills Activity : In troductory Discussion When examinations are around the corner, students come under great stress. For many it is due to the fear of failure or bad performance. For others, it is due to the anxiety to perform well and excel. Even toppers are not untouched by the sense of apprehension. Parental pressure provides an additional contributory factor to the general tension. INSTRUCTIONS : 1. Ask : Why are examinations so important in the life of students? With the help of the participants identify and write down on the blackboard the major reason why examinations are considered so crucial. Some reasons are :l Because they affect a student's career l Because performance in examinations determine a student's chances of admission to professional colleges and reputed institutions. (Consider this aspect in view of the fact that for most of the professional colleges and institutions good performance in the entrance test and not in the examinations is the major criterion for admission) 2. Ask : Are marks the major indicator of how well we will fare in future life ? 3. Can you give an example of person whom you know and who was an average scorer in the examination but is doing very well in life ? There are many high achievers in life, who maintain that good marks and success in life are unrelated. Such examples will certainly reassure those students who do not perform well in examinations. CONCEPT Concept of success and fear of failure OBJECTIVE to acquire Life Skills l to understand that marks are not the only means of achieving success. l MATERIALS REQUIRED: Anecdotes l Stories of success l MODE Whole class l Assembly l TIME REQUIRED 30 minutes State : However, the tension related to the examinations cannot be wished away. This section aims at helping students: To reduce the tension considerably, and l to effectively mange stress. l 89 Behavioural And Life Skills Activity : Time Mana gemen t And Study Skills INSTRUCTIONS : 1. Ask : Are you a 'Morning Person' or a 'Night Person'? CONCEPT Study skills and effective time management techniques help to acquire competence How many of you are 'Morning Person'? OBJECTIVE How many of you are 'Night Persons'? Pandit Jawaharlal Nehru, the first Indian Prime Minister who was a 'Night Person', used to work late in the night where as, Mahatma Gandhi who was a 'Morning Person' would go to be sleep exactly at 10 PM. Both were extremely busy and efficient. to develop study skills l to acquire time management strategies. l Time-table, therefore, will vary from person to person. 2. Ask : Can you identify your high concentration time? By way of example, a few participants may be asked to identify their 'time' during which they can concentrate well and study effectively. The time table may be divided into five major areas viz. Meal Time, Bed (sleep) Time, Study Time, Relaxation Time and Time for miscellaneous work. (e.g. bath etc.). The following suggestions may be taken into consideration while preparing the time table : Meal Time Bed (Sleep) Study Time Relaxation Time Time About 2 6-8 hours 2-3 hours at 15-20 minutes 2 hours hours a stretch (breakfast, (3-4 times a study session. lunch and day) dinner) Miscellaneous after each (relaxation techniques are given later this section) 3. The suggestions given above in point No. 2 may be written on the blackboard, and with help or the participants these may suitably be modified and adapted as per local/individual requirements. 4. State : Preparing a good time table alone will not serve the purpose. Students need to develop study skills. Ask : What points would you ask your students to remember for 90 MODE Whole Class/ l Assembly l TIME REQUIRED 30 minutes Behavioural And Life Skills developing study skills? A few points are given below in the box. With the help of the participants make a list on the blackboard. Tips for Study Skills (i) Have faith in hard work; (ii) Identify weak areas and focus on them well in advance; (iii) Make sufficient notes covering a wide area of content; (v) Focus on shaded areas given in some textbooks especially of NCERT; (vi) Revise and practice Sample Papers; While practicing Sample Papers, additional points to remember are : (a) Use simple language; (b) Ensure a quality presentation. (c) Answer serial-wise (e.g. a, b and c parts of a question) (d) Answer to the point; (e) Read the paper carefully, at least two times; (f) Plan your time for each question and efficiently manage the examination time period of 2-3 hours. (g) Practice application based and higher order thinking questions. 91 Behavioural And Life Skills Students may be asked to go through the following general guidelines : (i) Each Examination Paper is based on the syllabus and textbooks; (ii) there are different sets of question papers in a subject; (iii) These question papers have the same difficulty level and equal weightage; (iv) The Sample Paper generally specifies the number of questions to be included in each type- short, long and essay type. (v) The examination paper aims at testing students for (a) Knowledge (b) Understanding (c) Application and (d) Higher Order Thinkng Skills. The weightage for various questions varies from subject to subject. 92 Behavioural And Life Skills Activity : How To Relax On e's Mind And Body During the examination days students are exposed to various stress level situations. Stress is something difficult to avoid. Student stress is receiving wide-spread attention in the press and media. There are cases of suicides too. There is, therefore, concern to help students manage examination related stress. One method of counteracting harmful effects of stress is to use relaxation techniques which are simple to learn and practice and they are extremely helpful in reducing the stress level. Meditation The word is probably derived from the Latin word 'Mederi' which means 'to heal'. Meditation is a process/technique through which one can use one's mind for contemplaton, concentration and devotion. Someone has defined it as the right use of mind for positive thinking and lasting peace. Meditation is also meant to know oneself/inner-self from 'inside'. CONCEPT Relaxation and stress busters can reduce stress OBJECTIVE To help to alleviate stress l To cheate awareness about meditation. l MATERIALS REQUIRED: Mats l Class l INSTRUCTIONS : MODE Ask the participants to recognise that it is important to know how to stop the constant inner dialogue and quieten the mind. For this, practice the following exercises : Whole Class EXERCISE 1: Select any object that you have been using frequently or any object that you like very much. Let us for instance take the pen. Hold your pen in front of you and focus your attention on it as you breathe (inhale and exhale). Breathe slowly and deeply for about 2 minutes. While focusing your attention on your pen, ensure that no other thoughts or feelings enter your mind. If it happens, try to bring your attention back to the pen. At the end of the exercise you should feel more peaceful. The tension that you had before the exercise, gets diminished. TIME REQUIRED 30 minutes Source - (Adapted from Relaxation Techniques for relief of anxiety and stress by Susan M. Lark) 93 Behavioural And Life Skills EXERCISE 2: Sit in a comfortable position. Count your breathing. Be slow. Since your eyes are closed, focus your attention on your breathing. Stop all other thoughts and feelings. If your attention gets distracted, bring it back to your breathing. While exhaling say any meaningful word e.g. 'Om'/'Peace'. Then inhale with the same slow pace without uttering any sound. Now again while exhaling say another word slowly. It should end like the following :Exhaling: Peace P e-e-e-a-a-a-c-c-c-e-e-e Om O-o-o-o-m-m-m-m Inhaling : ---------------------- Exhaling : - - - - - - - - - - - - - - - - - - - - - Calm C-c-c-c-a-a-a-al-l-l-l-l-m-m-m-m Shantee Sh-sh-sh-sh-a-a-a-an-n-n-n-n-t-t-t-t-ee-ee-ee-ee Continue the exercise fo about 5-10 minutes until you feel relaxed. 94 Behavioural And Life Skills EXERCISE 3: If you feel disorganised, the following exercise will help you feel more focussed and organised. Sit in l a comfortable position and rest your arms at your sides or rest them on your front table. Close your eyes and breathe slowly. l Imagine l that your body is as strong as Banyan Tree (alternatively you can imagine any other big tree you are familiar with e.g. Peepal). Imagine that roots are growing from your legs and entering into the earth below, linking your body with the ground. You feel strong enough to handle stress. If any disturbing thought or situation comes to your mind, imagine your body as a strong l Banyan Tree. Try to feel the strength in your arms and legs. EXERCISE 4: The following exercise will help you relax any muscle tension. Muscle tension decreases blood circulation and energy flow in the body. As such it can be a cause for fatigue. Sit in l a comfortable position and rest your arms at your sides or rest them on your front table. Breathe at a very slow pace. l Close l your fingers and hands into fists. Keep them in this position for about 10-15 seconds. While you do this let the rest of your body relax. You will feel that your fists are becoming tighter and tighter. You may repeat this exercise with l the tight hold of your hands and relax. Hold each part tightly for 10-15 seconds and then relax the tensed part. Remember that l while repeating the exercise for different parts of the body every time there should be a gap of about 30 seconds. 95 Behavioural And Life Skills Some quick and simple exercise to help keep stress in check Experts tell us that taking relaxation exercise on a regular basis is vital in order to keep stress under control. If you feel you do not have much time for exercises, there are few relaxation techniques that can be used almost any time, any where, in a few seconds. Try some of the following simple exercises :(i) The neck and shoulders are the parts of the body which are vulnerable to muscle tension. Tighten the neck and shoulders, and hold the position for about 10 seconds before releasing. Repeat this exercise many times. (ii) Stress Walk Take a walk around any place that you find convenient. Walk around your desk at work around your house, or back and forth in your room. Such a walk can give you a much needed "time out". It can be very effective. (iii) Sigh that Relaxes l Sit in comfortable position. l Let out a deep sigh of relief, just let the air come out of your lungs. l Inhale in a natural way. l Repeat the procedure about 10 times and experience the feeling of relaxation. (iii) Short Nap During examination days take a short nap for about 10-15 minutes. It refreshes you immensely. 96 Behavioural And Life Skills Activity : Sa yin g goodbye to muscula r ten sion BACKGROUND : Mind and the body are not separate entities. Muscular knots can occur any where in the body due to blocked energy flow in a particular area and a subsequent accumulation of toxins in that particular area. A set of well chosen simple movements is most effective in eliminating these muscular knots - tackling them both at the physical as well as the mental level. METHODOLOGY : CONCEPT A set of well chosen simple movements is most effective in eliminating muscular knots. OBJECTIVE to release the muscular tension l to make the students feel relaxed l The teacher can make this practice an instruction based practice so that all the students do it together - at the same pace. The set of instructions are as follows : 1. Sit straight or stand straight - head, neck, spine in one straight line. 2. Keep your shoulders straight and move your head up and down. When you go down your chin touches the collar bone and when you go up your chin faces up to the ceiling or sky. This is Neck Movement I. Do 3-5 rounds. 3. Now for the second set of neck movement, rotate your neck clockwise three times and then anti-clockwise three times. MODE Whole Class/ Individual l TIME REQUIRED 4-5 minutes 4. Eye movement - without moving your face look up at the ceiling / sky. Then let both the eye focus the gaze at the nose tip. After this, let both the eyes look at the person sitting/standing or your left side, then to the right side. Repeat each of these practices three times at your own pace. Remember only the eyeballs move - the head and neck do not move during this practices. 97 Behavioural And Life Skills 5. Make your arms straight in front of your body - arms are parallel to the floor. Spread the fingers of both hands and feel as if some force is pulling them in opposite direction. Now make a tight fist. Alternate these movement three times at your own pace. 6. Now rub your palms vigorously and place them on your eyes. OBSERVATION : 1. During the neck movements, children have a tendency to move the shoulders too. The facilitator should ensure that the shoulder do not move during this practice. 2. During the eye movements, students many times tend to move the head up and down too. Full benefits ensure when only the eyeballs move. The facilitator should be particular about this aspect also. 3. Palming / rubbing of palms gives a lot of relaxation to the eyes and also to the facial muscles. Make sure that the tips of the fingers are together and the rubbing is vigorous the more the energy generated , the better it is. FOLLOW UP ACTIVITY : The students are advised to do these movements at home too during their study schedule whenever they feel that they are experiencing stiffness in the area of the neck/shoulders, or in the areas of the eyes or when there is pain by writing for longer duration of time. KEY MESSAGE: Simple movements of the body parts greatly relieve the muscular tension and make an individual feel fresh and relaxed. 98 Behavioural And Life Skills Activity : Drivin g a wa y your blues through the alterna te nostrils CONCEPT The nostrils are in connection with the two major energy channels of the body. BACKGROUND : It is said that the nostrils are in connection with the two major energy channels of the body. Any imbalance in the two energy channels is said to be corrected or minimised greatly by this practice. Hence, this particular practice had a great harmonising effect on the personality. Besides this, the brain centres are stimulated to work nearer to their optimal capacity lending to clarity of thought and better concentration level. METHODOLOGY : OBJECTIVE to help students manage their anger and feeling of restlessness l to enable them to have better concentration level l The teacher is to give the following instructions: 1. Sit straight, close your eyes and bring your awareness to your breath. 2. Take a deep breath in, breath out. This is one round of normal breathing. Count 7 such rounds of breath backward to 1. MODE Whole Class/ Individual l 3. Close the left nostril with the ring finger of right hand. Breathe out through the right nostril. 4. Similarly keep alternating your breath like this through both the nostrils till you are asked to stop. TIME REQUIRED 3-5 minutes 5. Keep your awareness on the incoming and outgoing breath. 99 Behavioural And Life Skills OBSERVATION : The students many times find this practice very boring and hence do it very casually without bothering about the inhalation and, exhalation. The job of the facilitator is to add a little creativity to the practice by saying feel golden energy particles vanishing into the air (the negative energy from the body) with every exhalation. FOLLOW UP ACTIVITY : This breathing practice brings about great results as far as anger management is concerned. Students should do it at home early morning for 5-7 minutes daily and 5-7 minutes in the evening and observe for themselves the personality change that they undergo. KEY MESSAGE: Breathing through alternate nostrils has a harmonising effect on the mind. 100 Behavioural And Life Skills Activity : Masterin g the a rt of perfect sleep BACKGROUND : This practice is often referred to as ‘dynamic sleep or sleeping with awareness”. In ordinary sleep, many times, our muscles ache and the mind revolves around the tensions and conflicts that we have gone through during the day with the result that even after waking up, we do not experience the relaxation that we are supposed to be experiencing. Here, in this particular practice, our sleep is organised in such a way that each and every muscle group of the body is gradually relaxed and the mind is not oblivious of everything. The mind is extremely relaxed, aware and alert to a set of instructions being given to the practitioner. CONCEPT In perfect sleep body and mind are extremely relaxed OBJECTIVE to enable the students to get rid of their stress l to help them experience one pointed concentration l METHODOLOGY : The instructions are to be given by the facilitator in a soft, gentle and soothing voice. The instructions are as follows : MODE 1. Lie down on a mat or sit straight on a chair. 2. Make sure your body is absolutely relaxed and there is no strain on your face. 3. Take your awareness around the place where you are sitting/lying down. Listen to the sounds around you. 4. Now take a deep breath in, breathe out. Count 11 such breaths backward to 1 at a slow and rhythmic pace. Whole Class/ Individual l TIME REQUIRED 7-10 minutes 101 Behavioural And Life Skills 5. Now bring your awareness to your right hand thumb-feel the muscular tension in th region of right hand thumb vanish into the surrounding air like water vapour vanishes into air. Do the same visualisation in the following sequence : Middle finger, ring finger, small finger, right lower arm, upper arm, right shoulder, right side of the chest, right side of your abdomen, right thigh, right lower leg, right foot, muscular tension of each part vanishing into the surrounding like water vapour vanishes into thin air. 6. Do the same visualisation (exactly same sequence) on the left side of the body. From left hand thumb ............... left foot. 7. Now same viusalisation from lower back to middle portion of the back, to upper back. 8. Lastly, same viusalisation is to be done from face down to chest, abdomen, legs and foot. 9. Now you are feeling absolutely relaxed - as relaxed as you can possibly be. 10. Now bring your awareness back to the place where you are sitting / lying down. 11. Count 7 deep breaths backward to 1 in a slow rhythmic fashion. 12. Rub your palms vigorously; put them on your closed eyes lids. Massage your face and open your eyes gently. OBSERVATION : As this practice takes about 7-10 minutes of time, the students are sometimes seen to open their eyes in the middle of the session. Sometimes they keep moving their fingers or keep shaking their legs. The facilitator should make sure that whatever adjustments have to be made for better comfort level, they should be made at the very beginning of the practice - once the participant is into the practice, opening of eyes or shaking of body parts are not allowed at all. FOLLOW UP ACTIVITY : Examinees should master this technique. Record their own instructions in their own voice in an audio cassette and do the practice at home during examination time whenever they feel stressed out. KEY MESSAGE: Sleeping with awareness is a wonderful practice as far as stress management of students is concerned. 102 Behavioural And Life Skills Activity : Body Rela xa tion Techn iques BACKGROUND : The visualisation of nature gives a lot of serenity and tranquility to the practitioner. The students are able to relate to these natural scenes in a wonderful way and hence experience great mental as well as physical relaxation. It is said that when our mind and body are deeply relaxed, the nature of our brain waves change from β - level to α - level and the α - level is much more healthier and desirable as far as learning is concerned. CONCEPT The visualisation of nature gives a lot of serenity and tranquility to the practitioner OBJECTIVE to make the learner experience complete relaxation l to improve the concentration of the learners l METHODOLOGY : The facilitator is to give the following instructions to improve the power of retention of the learners l 1. Sit still - eyes closed. Count 11 deep breaths backward to 1. Now imagine yourself in a park in the early morning ... The sun has not risen and the park is absolutely deserted - there is no one but you in the park. Listen to the sounds of birds around you. There are flowers all around - red, white, pink, yellow and purple. The grass is luscious green and you can feel the gentle touch of the green carpet of grass as you walk barefooted on it. Smell the fragrance of flowers around you. Observe the beauty of the crystalline dew drops on the grass blades. There is a fish pond nearby - golden fish swimming in and out of the aquatic plants inside the pond. There is a temple by the side of the fish pond. As you step inside, you see pictures of great saints on the wall. You look at the pictures one by one and are absolutely mesmerised by the state of trance that you are experiencing. In this state being, you feel inspired to sit down cross legged and let very fibre of your being be filled with positive energy that you are experiencing. MODE Whole Class/ Individual l TIME REQUIRED 4-5 minutes 2. Now gently bring your mind back to the place where you are seated. Take a deep breath in, breathe out. Count three such breaths at your own pace. Rub your palms vigorously and put them over your closed eye lids. Gently open your eyes. OBSERVATION : Students sometimes keep their eyes partially open during the practice. Sometimes they close their eyes but do so very tightly. The facilitator has to make sure that eye have to be closed fully and very gently - no strain should be visible in the areas of the eyes. There should be no 103 Behavioural And Life Skills tapping of feet, swinging of legs - even the eye ball within be eyelids should not move. FOLLOW UP ACTIVITY : It is not very difficult to learn the instructions or to create your own set of beautiful instructions that give a log of relaxation to you at the personal level. You can record the instructions in your own voice and practice this relaxation technique at home whenever you feel the need to. KEY MESSAGE: Connecting with nature has a great therapeutic effect on the mind as well as the body. 104 Behavioural And Life Skills Activity – Laugher Therapy (Module for teachers) BACKGROUND : Laughter is said to be therapeutic in nature. When we laugh, our body release hormones and chemicals that have positive effect on our system- one of these chemicals is endorphin which is known as the body’s natural pain killer. They are manufactured in the brain/spinal cord/many other parts of the body. Their function is to increase vitality and lower the level of stress and give a general sense of well-being. They are the feel good factor in our system. METHODOLOGY : 1. If you are doing it in a standing posture - legs apart”. Hang your hands down and try to touch the floor. If you can’t, try to come as close to the floor as possible bending down from the waist. Now breathing in slowly and deeply, raise your arms and body up till your head, neck and spine are in one straight line - arms straight up by the side of the ears. 2. Now swinging your body and arms down, exhale and have a hearty laugh (Ha-ha-ha). This is one round. Do 11 such rounds. 3. If space constraint is there, sit straight on a chair - eyes open, hands on knees. Breathe in deeply. Exhale and have a hearty laugh (Ha-ha-ha). Do 11 such rounds. OBSERVATION : It is observed that adults are shy of laughing aloud with a roaring sound. When asked to do so, many shy away from it. Others laugh but with a minimum sound production. The heartier the laughter, the greater the benefits. 105 Frequ en tl y Ask ed Q u es tion s Q1. What is the best method for me to know about myself? A1 If you are able to maintain a dairy of your own-self in which you list out your likes and dislikes you will be able to draw a personality picture of your self. Q2. I have heard of “Body mapping”. Can I know the details? A2 It is a procedure carried to map out the structural differences that are bestowed on us by nature. The technique can be carried out in the presence of supervisors who will help you to know the process better. Q3. Will an obese person always remain obese? My friends tease me and this has started to affect my self esteem. A3 No, a person can gain or lose weight if they go and refer themselves to a good dietician and observe the advise carefully. Definitely you will gain your confidence back. Q4. How will I be able to know my strengths and weaknesses? A4 As it is a positive approach to know ones weaknesses and strengths the right way to understand it is to write a personal diary listing the rights and the wrongs done each day. This will help you to analyze yourself correctly. Q5. People are overweight because of emotional problems.Is it true? A5 There is a widespread belief that overweight individuals have more psychological difficulties than average-weight persons. Not so, according to Weight Control Digest: "Most studies have found no significant differences between overweight and average-weight persons. These findings are even more surprising when we consider the frequency of discrimination and negative social interaction experienced by overweight individuals." Q6. Fat people have no willpower. Do you think this is true? A6 Most fat people have been on countless diets and have demonstrated considerable willpower. The problem is that no one can stay on these spartan regimens forever. Q7. If I just stick to my diet, can I lose weight. A7 Yes, you can. The trick is in keeping it off because most dieters regain their weight within three to five years. Majority of humans are very resistant to the maintenance of body weight below whatever is normal for them. Q8. Should I use my weight to assure my self-worth? A8 What does weight have to do with self-worth? Your self-worth is the sum of everything that makes you special and unique - not just your waist measurements! Add up your assets, talents, how you treat others, how you treat yourself, the contributions you make to your family, friends and community. Now you have self-worth. 107 Frequently Asked Questions Q9. I have people saying “Count your blessings”. How are they going to help me? A9 Count your blessings. You have a lot of things to be thankful for a home, a loving family, friends you enjoy, a sunny day, the knowledge you've acquired - even things like shoes, a coat. Many people don't have these things. A mind that counts blessings has no room for self-pity. Q11. How can I develop positive thinking always? A11 Don't use "all or nothing" thinking. No one is a total failure. Most things you do right. Just because you sometimes make a mistake or take a wrong path does not make you a total failure. It makes you human. Besides, the president of a well known company was recently asked for his secret to success. His answer: failures - because how else would we learn? Q12. How can I develop an optimistic view? A12 We can always make improvements, but consider the glass half full, not half-empty! Q13. What is meant by 'Strut your stuff'? A13 Strut your stuff! Shine! Show the world your talents. We all have them. Capitalize on what you do well. Q14. How can I build a love for my body? A14 Your body is a gift given to you, appreciate what it does for you. Appreciate its functional nature. It's a pretty remarkable machine. You can use it to take a walk along the beach, or go shopping! And it can do all of these things no matter what shape or size it is. Q16. My friends have started developing very well but I haven't. When will these start to happen to me? A16 It varies. Generally it starts early for girls than boys. Mostly after 14 years but in some cases as early as 10 years. Both are normal. The rate of development is also different. Sometimes it takes 2 years and in some it will take 4 years. So there is a wide variation in puberty and one should not waste time in worrying unnecessarily or comparing .It is normal. Q17 I am an academic oriented student. I don't want to disrupt my study schedule for exercises. If I want to maintain a fairly high level of 'all-round' physical fitness, what is an appropriate training program? A17 A training program that involves five or six days per week, with 20-30 minutes of vigorous activity on each day, and with one or two days of rest and recovery, is ideal for the non-specialist sportsperson. It is also worth emphasizing that to be of value, fitness training must be conducted on a regular basis. Fitness that takes weeks or months to acquire will be largely lost after just three weeks of inactivity. Fortunately however, fitness can be re-gained just as quickly as it is lost, if the break from exercise is not prolonged. Q18 What are the types and intensities of training that I should be doing for all-round fitness in this age? A18 For general fitness, the most important types of activities are aerobic training, and flexibility exercises. A good exercise program will improve all these aspects of fitness and it will also help you to improve (or maintain) balance and good posture. One factor that is common to each component is 'progression' - a program needs to be commenced at an appropriate level (usually quite low) and increased gradually as your fitness improves. The body will not respond to a program that stays the same for many weeks. 108 Frequently Asked Questions Q19 What is aerobics? How will it help me in maintaining my fitness? A19 Aerobic fitness' can be defined as the ability to continue to do fairly hard physical work (where the work may be any vigorous activity) over a prolonged period (eg, for 30 minutes or more). A good predictor of a person's aerobic fitness is their 'maximal oxygen uptake'. Aerobic exercise includes walking, jogging, cycling, swimming, rowing and machine-based stair climbing (among many other activities). To improve aerobic fitness it is appropriate to exercise vigorously for 20-30 minutes continuously, three to five times per week. Q20 How helpful is jogging? Should it be a planned activity? A20 20 minutes of walking, jogging or a combination of walking/jogging may be sufficient to leave you rather breathless and fairly tired at the start of your program, but as the weeks go by, you may need to increase the pace or introduce jogging up some shallow hills to achieve a further increase in fitness. Using a variety of exercise types, intensities and durations is important; that is, do not get 'bogged down' into doing the same exercise each time you train. Although a warm up is not necessary before gentle jogging, cycling or similar aerobic activity, the 'cool down' period following the activity is the most appropriate time for stretching to improve flexibility. Q21. What should I do to maintain my body flexibility? A21 Inactivity brings with it a tendency for our muscles to become less flexible, thus decreasing the 'range of motion' of our joints as we grow (i.e. the joints stiffen). Regular stretching exercises and full 'range of motion' activities (such as gently swinging the arms and 'high kicking') will reduce or delay this onset of inflexibility. Long, slow stretches are recommended (hold for 20-30 seconds), with each stretch being taken to the point where a slight discomfort is experienced. Each stretch should be followed by a short rest, and then repeated several times. All the major muscle/tendon groups (legs, abdomen, arms, shoulders, wrists and so on) should be stretched. Stretching should be conducted several times per week, preferably after conducting aerobic and/or resistance training. Q22. OK, so I should run, swim or ride a bike for 20-30 minutes three to five times a week, do up to three sets of 10-15 repetitions of about eight types of weight training two or three times a week, and stretch after most sessions of vigorous exercise. What is the best time of day for this training? A22 There is no universally agreed 'best time' to train. If you are simply training for general fitness, the time of day may be dictated by factors other than personal preference. If you have the luxury of being able to choose your training time, you can choose the time that most suits you. It is appropriate to train before eating a meal (rather than soon after), but otherwise there is no inherent advantage to training early morning over late afternoon or in the evening. Some athletes find that training hard late at night tends to keep them awake. There is a theoretical basis for this: hard training leads to production of adrenaline and other hormones that have a stimulating effect, making sleep difficult. Q24. What sort of diet should I be eating for peak fitness? A23 The 'fitness diet' is similar to that for good health generally, but with increased quantities of grain foods such as bread, rice, pasta and breakfast cereals (mainly for energy and B group vitamins). 109 Frequently Asked Questions Eating plenty of fruits and vegetables will give you many of the remaining additional vitamins and minerals your body needs while you are staying or becoming fit. Lean meat, eggs and/or fish are valuable for protein, B group vitamins and minerals such as iron and magnesium (while vegetarians should have plenty of 'meat alternatives' such as beans, soy products, lentils and nuts). Finally, low- or reduced-fat milk and milk products will give extra calcium and phosphorus. Q25. During exercising if my friend has a problem I should rush him/her to a doctor. immediate help can I give ? Can I check his heart beat? A25 What else Heart rate can be determined by using a commercially-available heart rate monitor that straps to your chest and sends a radio signal to a wrist-mounted monitor (that also doubles as a wrist watch). Alternatively, you can measure the heart rate by stopping for a few seconds, and conducting any of the following: i) Measure heart rate directly by placing the fingers of your right hand over the heart; (ii) Measure the carotid pulse by pressing fairly firmly with index and middle finger just to the side (either side) of the midline of the front of the neck - at the position of the 'Adam's Apple' in men; or (iii) Measure the wrist pulse by placing index and middle fingers of the opposite hand on the underside of (the wrist (either wrist) about 3-4 cm towards the elbow from the point where the thumb bone attaches to the wrist. Feel around this point until you detect the pulse. Wait until a heart or pulse beat coincides with the appearance of a second on your watch (any second will do, providing that it 'appears' at the same time as a beat occurs). Count this as 'zero', then count how many beats occur in the next six seconds. Include a beat if it occurs exactly at the six-second mark, but do not include beats that occur later. Add a zero to the number of beats that occurred in six seconds to determine approximate heart rate in beats per minute (eg, 14 beats in six seconds = ~140 beats per minute). With practice, you can estimate the heart rate accurately . Q26 What is the difference between 'Strength' and 'Muscular Endurance'? A26 Strength' of a muscle is defined as the maximum force that the muscle can develop during one maximal contraction. 'Muscular endurance' is defined as the number of times that a muscle can continue to contract sub maximally. A good test of muscular endurance is the maximum number of times that the subject can lift a fairly heavy weight. Q30 To lose weight we should eliminate all starchy foods from your diet. A30 It is usually what you put on top of your breads, cereals, and paranthas that will add all the extra calories. Make sure you eat a variety of foods including starches and watch your calories you take in vs. the calories you burn. Q31 Regular table sugar is just as nutritious as brown sugar. A31 Sugar is sugar! Brown sugar just has a little molasses added to change the color. The molasses doesn't add a significant amount of nutrients. 110 Frequently Asked Questions Q32 Eating a high fat diet or an excessive amount of chocolate causes acne. A32 This theory has never really been proven. Dermatologists think that acne has to do with your family history and your hormones. Q33 Potato and corn chips are part of the vegetable group in the food guide pyramid. A33 Even though potatoes and corn are found in the vegetable group, potato and corn chips are not found there. These two snacks can be very high in fat and should only be eaten once in a while. Q34 If I'm running late and have to skip breakfast, I can make it up by eating more at lunch time. A34 A good breakfast provides you with energy to start the day right. Without it, you'll have less get up and go--and more difficulty concentrating in school or at work. Q35. I don't have to pay attention to fat and cholesterol in my diet until I become an adult. A35. Recent information suggests that your diet during adolescence can influence your health as an adult. Today, health professionals recommend a total diet that's higher in complex carbohydrates and lower in fat, saturated fat, and cholesterol for all healthy people over the age of two. Q37 Our teacher comes to our room and says please open the windows immediately. Why is it so? A37. According to the experts young kids may sweat but they don't start having body odour (BO) until they reach puberty. That's when special sweat glands under the arms and around other areas roar into full production pouring out sweat which smells! Q38 Why do we need to change clothes everyday? A38 Even if you're not heavily into puberty style sweating, clothes can get stained, dirty and generally grubby, so you need to change them often. Underclothes are right next to your skin and collect dead skin cells, sweat and possibly other unmentionable stains. Overnight bacteria start to work on these stains so your clothes do not smell as nice on the second day of wearing. Change them everyday. If you have to wear a school uniform then take it off as soon as you get home and hang it up to air before you wear it the next day. Ask your family not to smoke in the house or the car. Besides being unhealthy for them and you, the smoke clings to your clothes and makes them smelly. Q39. My feet stink when I remove my shoes. I feel very ashamed. A39 You spend a lot of time on your feet and your shoes are very close to the place where the largest collection of sweat glands live - your feet! Sweat gets into your shoes and then bacteria arrive which love the moist leather or fabric so much that they tell all their friends to come round and party! If you have one pair of shoes for school then try to get them off as soon as you get home so that they can air and dry out overnight. (As you get older somewhere outside the house is a good place!) If you have more than one pair then use them on alternate days to give them a better chance of drying out. Keep your shoes clean by brushing, polishing or washing. They will look better, last longer and be less likely to smell. Q40. Is it correct to use Deo's or perfumes every time? Is there any specific age to start using them? A40. If you are a bigger kid you may want, or feel you need, to start using a deodorant or anti111 Frequently Asked Questions perspirants under your armpits. Be aware that some people have problems with perfumes, which can be a trigger for asthma or hay fever, so don't spray them around in the washroom or changeroom. Remember: nothing smells better than clean skin. Perfumes are not a good substitute for a shower or wash. . Q41. How can I take good care of my hair? A41 The hair follicles [which the hair grows from] produce oil which keeps the hair smooth. You also have sweat glands in your scalp, and dead skin cells come off the scalp. The oil, sweat and dead cells all add together and can make the hair greasy and look dirty unless you wash it regularly. To keep your hair clean: l Wash regularly with shampoo (cheap ones are often as good as very expensive ones). l Massage your scalp well this will remove dead skin cells, excess oil and dirt rinse well with clear water conditioner is helpful if you have longer hair as it makes the hair smoother and easier to comb, but hair doesn't need to have conditioner.Use a wide toothed comb for wet hair as it is easier to pull through. Q42. I feel very dejected because my teeth have lots of cavities and my mouth stinks always. What should I do? A42 Immediately consult a good dentist who will advice you to keep your teeth clean and also help in seeing to it that your cavities no longer trouble you. Q43 What are the numbers to be contacted during an emergency? A43- One should always have the phone numbers of parents-both father and mother, brothers/sisters, local guardian, neighbour or any other person close to the family. Plus police cell, lady protection helpline, family doctor's number, school principal/teachers numbers etc..will come in handy. Q45 My teacher tells “decision making” is a very important trait which every adolescent child should hone. How can I work at it? A45 Model appropriate, responsible behavior: Set an example of respect for self and others -- be on time for appointments, return extra change to a cashier, finish necessary chores before relaxing, speak respectfully to elders, handle anger appropriately. One needs to set goals, make choices, and solve problems. Start involving in setting household maintenance goals and chores. These can be displayed in a chart or contract. Your participation in family meetings by presenting them with acceptable choices in food and clothing selection, time management, television offerings, room decoration, free-time activities, and vacation choices will enhance your decision making abilities. Q46 I like to do a lot of internet surfing. Some of my friends have met some really cool people while in chatrooms. Why do I want to steer clear of talking to strangers online? A46 You would never strike up a conversation and share private details of your life with a complete stranger while out and about. Same goes while you are online! Even though you aren't face-to- 112 Frequently Asked Questions face, you're still talking to a total stranger. You don't know who they are, where they live, are dangerous or not. It's best to chat only with known perple. Q47 What if someone who looks nice approaches me and asks for assistance ? Mom and dad sometimes lend a hand to strangers. What is the big deal? A47 You should never offer to assist a complete stranger by yourself. You don't know what they want, no matter how cool they appear. If a stranger approaches you for help with groceries or for directions, tell them that you will find an adult to lend a hand. If a stranger doesn't leave you alone, walk quickly to the closest safe place like a school, library, neighbor's house, fire or police station, or hospital. Chances are if you feel like the situation is weird and uncomfortable,ring up parents/any friendly assistance(people whom you know) or scream HELP and run away. It's nice to lend a hand, but your safety comes first. Q48 There is this kid at school that keeps picking on me in the class, on the way to the bus, and before lunch. Can I give it right back to him? A48 You can and should stand up for yourself! Sometimes even a joke lightens the mood. But, you should never get into a fight (either physical or verbal) with a bully. Just walk calmly away. Bullies often times pick on people that are 'easy targets' so try not to let them get to you. If the situation becomes violent, be sure to get out of there and to report the situation to your mom, dad or teacher. Q49 I am impulsive by nature and don't like to be dictated. Sometimes I feel angry when rebuked by elders. How can I improve myself and my behaviour patterns. A49 It is normal if you get upset very soon. However one has to be careful not to make it a part of the behavior. You need to develop a bond with the parents and elders that you will never forget as they will help you steer through issues of self-esteem, anger management, impulse control and relationships. They are the people you can always count on in times of adversity. Q51. When do we get an electric shock? A51 Electricity is always trying to get to the ground. Like all good travelers, electricity takes shortcuts whenever it can. If something that conducts electricity gives electricity an easy path to the ground, electricity will take it. You can never tell when contact with electricity will be fatal, but you can be sure it will always hurt. Electric shock can cause muscle spasms, weakness, shallow breathing, rapid pulse, severe burns, unconsciousness, or death. Appliances have protective insulated cords and coverings to keep you from contacting the electricity inside. It's important to use appliances and cords the way they were designed to be used so you don't damage the insulation or contact live electrical parts. If a live wire inside an appliance, toy, or power tool touches the inside of the device and you touch the device, it would be like touching a bare live wire. You cannot tell from the outside if there is a problem inside, so you should always act as if there were danger of shock. In a shock incident, the path that electric current takes through the 113 Frequently Asked Questions body gets very hot. Burns occur all along that path, including the places on the skin where the current enters and leaves the body. Q52. Why do we have “mock drills” in our school? A52 One of the key objectives of these safety programmes is to create awareness on issues related to Road Safety amongst students and general masses. The students are told about safety rules and regulations through the use of audio-visual aids, interaction through quizzes and live demonstration were undertaken. Other events such as skits on road safety, and traffic drill also organised to educate on road safety. Mock drills expose a person to situations, which he/she has never encountered before. So the information helps in tackling them. Q53. How safe is it attending to discos/discotheques? A53 Before going check out whether the place you are going to is a legal one. Check out its reputation as many wrong doings (drugs, bullism, smoking, betting, etc) keep flourishing in such places. You want to have clean fun with music but with wrong information about the place you may land up in a big trouble thereby bringing bad name to yourself and your family. Q54. I have to work to lend a helping hand to my family and I am proud of it. However what areas should I look for my security in job? A54 There are many other restrictions regarding the type of work you can and cannot do. If you are under 14, there are even stricter laws to protect your health and safety. Check with your school counselor, job placement coordinator, or state Department of Labor to make sure the job you are doing is allowed. Q 55 Do I have to drink alcohol to be socially accepted? A55 No, you DO NOT HAVE to drink alcohol to be socially accepted. The need to feel accepted is strong during the teenage years. Teens want to belong to a group, and it is hard to belong if you are always going against what is considered “fashionable”.This is why teens are more likely than other groups to succumb to peer pressure. If a group norm includes alcohol use, the teen who joins the group may feel a great deal of pressure to start using alcohol. Why? Because the teen has found a place where he/she is accepted and does not want to lose the sense of security that acceptance in a group entails. Friends are a big part of the emerging selfidentity, and the thought of losing them during the early stages of identity development, is very hard to face. Here you have to learn to say no the first time and every time. Q 56. What is the harm in occasionally drinking alcohol socially? A56 Social consumption of alcohol is an accepted part of the culture of some communities. But it is hard to know when the thin line between social use and harmful use is crossed. If you have wondered about what is the right amount of alcohol to drink socially, looking at drinking patterns is important. What is called “social drinking” changes, depending on fads and fashions. Generally, social drinkers use alcohol to relax and feel good, but they must be able to limit the amount consumed. Many people say they are social drinkers, and yet cannot imagine dinner or a good evening without alcohol. This is beyond just social drinking and the person has crossed the line to alcohol dependency. It is best to stay away from alcohol and other forms of addiction forever. Q 57. I drink beer, not alcohol. Is beer ok? 114 Frequently Asked Questions A57 Beer is also an alcoholic beverage, although it contains a lesser amount of alcohol than any hard liquor like whisky or rum. Beer contains 4 to 8 per cent alcohol. One 12-ounce can of beer is equal to one peg of whisky. So, if somebody drinks six cans of beer in an evening, he/she has consumed the equivalent of six pegs of whisky. Thus, depending on quantity, the effects of beer will be similar to any other type of alcohol. Q 58 What are the immediate effects of alcohol on me? A58 l The first few drinks affect judgement and reaction time. l More alcohol causes reactions to become even more sluggish and delays physical coordination. l Far too much alcohol can suppress some body functions and, in extreme cases result in death. l Often alcohol consumption is associated with several high-risk behaviours such as rash driving, getting into fights, unsafe social behaviour, drowning, and other fatal accidents. Q59. If my father is an alcoholic will I also become one? A59 You may be at a higher risk, but not definitely destined to be one. Alcoholism tends to run in families and genetic factors partially explain this pattern. Research studies show that children of alcoholic parents are about 4 times more likely to develop alcohol related problems. However, a child of an alcoholic parent will not inevitably develop alcoholism, just as a person, with no family history of alcoholism, can become alcoholdependent. A person's environment, such as the influence of friends, stress levels, and the ease of obtaining alcohol, also may influence drinking and the development of alcoholism. Still other factors, such as social support, may help to protect even high-risk people from alcohol-related problems. Q 60. How can I know whether I or someone close to me has an alcohol problem? A60 Four simple questions, which comprise the CAGE test developed by Dr John Ewing is widely used for alcohol abuse screening. (To help remember these questions, note the first letter of a key word in eachquestion spells “CAGE”). l Do you feel that you should Cut down on your drinking? l Do you feel Annoyed when other people comment about your drinking habits? l Do you ever feel bad or Guilty about your drinking? l Do you ever need a drink (Eye opener) first thing in the morning to steady your nerves or to get rid of a hangover? A “yes” to any one of these question suggests possible alcohol-related problems. More than one “yes” answer means it is highly likely that the person is abusing alcohol. If you think that you or someone you know might have an alcohol-related problem, it is important to talk to the family of the person and persuade him/her to see right away. The doctor can determine whether a drinking problem exists and, if so, suggest the best course of action. Q 61. Is it true that once an alcoholic, always an alcoholic? Can alcoholism be cured? 115 Frequently Asked Questions A61 Many alcoholics have tried to stop drinking. Some develop withdrawal symptoms due to the physical and psychological dependence of the body on alcohol. This bad experience may force a person to continue drinking alcohol. However, most patients are able to withdraw from alcohol without medication, but patients with moderate-to-severe symptoms are best treated under supervision and need medication to suppress symptoms. This process is called detoxification. Still others are unable to stop drinking for any length of time. The longer one abstains from alcohol, the more likely it is for one to remain sober. It is important to remember that many people relapse once or several times before achieving long-term sobriety. Q 62. What can I do to prevent/safeguard myself from being pressurized to drink alcohol? A62 You can prevent /safeguard yourself from being pressurized to drink alcohol by giving the following justifications: l “I don't like the taste.” l “I don't like the way it makes me feel.” l “I want to stay in control.” l “I'll have more fun by being sober.” l “I know alcohol may cause problems later.” l “Drunk driving kills thousands of people every year.” l “Drinking goes against my beliefs.” l “I don't want to risk my health.” l “Hangovers are no fun.” l “I know that it's illegal for people under 18.” l “I just don't want to.” Being clear about your reasons will help you follow through on your decision. Steer clear of parties or places where you know people will be drinking. If you do go, think about how you will deal with alcohol. Drink soda, mineral water, or fruit juice instead of alcohol. Do not attend a party unprepared to resist alcohol. Q63 I get angry very soon. How do I control it? A-63 Anger is a completely normal human emotion but when it gets out of control it can be harmful and effect the overall quality of life. You get angry because something is bothering you, which you are not able to express clearly. Express the cause of the anger clearly to someone. Try breathing exercises. Try keeping your calm and be happy. Q64 How do I handle the situation when I get tense and scared? A64 One of the major cause of fear, nervousness, anxiety or shyness are phobias. You may deal with phobias by getting help and encouragement from others like friends and family. You must also mentally prepare yourself for such tough situations. Q66. What is the best way for me to handle intense emotions? 116 Frequently Asked Questions A66 Expressing and speaking of your emotions freely and calmly will help you feel better. Do not concentrate on your behavior too much. It will make you over conscious and act differently. Express your emotions when appropriate. Discuss emotionally-charged situations and the range of possible responses. Q67 How can I stay calm or cool, as I get depressed very fast just for small reasons? A67 There are several ways in which you can get out of these kind of situations: l Do things that will make you feel cheerful. l Exercise can help. l Count your blessings. Q68 I am unable to express clearly and freely because I am scared of my father, but I wait to remove this fear. A68 In this kind of situations where you find it difficult to talk to your parents, take advice from a counsellor. Sometimes it can have no effect persuading the one who is depressed to speak out their fear. Also try to understand why you fear him and try to adjust with him. Try to express your fear to him and just act normal with him. Q69 Is it bad to have fantasies and mood changes during adolescence. A69 No it is not true, mood changes and fantasies are absolutely normal and harmless emotional changes during adolescence. Q70 How can I enhance my self – confidence? A70 Confidence helps to perform better, take better decisions and improve skills. Your knowledge, awareness and positive thoughts increase self confidence. Control over oneself also helps in enhancing self confidence. Q71 I often feel distracted during exams. How can I improve my concertration? A 71 Concentration is the ability to complete a task with full attention, which helps learning and also saves time. To improve concentration, study at regular hours everyday instead of piling in the work. Do not sit and study for a long time, reduce efficiency and capacity to repair material. Read and set clear targets of time in which you plan to finish the given task. Meditation, yoga help improve concentration. Q72 How can I improve my memory? A72 Reading regularly, making points, writing notes, revising the subjects, reading texts and discussing with friends helps to remember things better, Anything read with understanding improves memory, Registration, Retention and Reflection (3R) are the key to good memory. 117 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI-110092. ACAD/EO/2006 Appendix-1 Dated : 31.5.2006 Circular No. 09 All the Heads of the institutions affiliated to CBSE. Subject: Comprehensive School Health Programme and Creating Health Club in the school. Dear Principal, Childhood and adolescence form the most joyful period of an individual’s life. They are times of immense creative energy, self-discovery and exploration of the world. They can also be fraught with feelings of isolation, loneliness and confusion. They can be due to various factors relating to the physical, social, emotional, mental and spiritual well being of the younger generation. Schools, families and communities need to play a positive and responsible role in bringing up young children in a healthy environment which would enable each one to maximize their potential. Schools can provide dynamic settings for promoting health, for enabling children to grow and mature into healthy adults. Yet the potential of the school to enhance health is often underutilized. ‘School Health’ has largely remained confined to medical check-ups of children or some hours of health instruction in the curriculum. There is a growing recognition that the health and psycho-social wellbeing of children and youth is of fundamental value and the schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Although schools have undertaken many initiatives in promoting school health, the comprehensiveness and sustainability in these initiatives is not clearly laid out. The need of the hour is a comprehensive school health policy integrated within the school system. The Central Board of Secondary Education suggests that schools plan out a Comprehensive School Health Programme which could be initiated through HEALTH CLUB in each school to begin with. Need For Creating Health Clubs in Schools Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. Health and Wellness Clubs in Schools would focus on the overall well being comprising emotional, social and mental health of the child. It would act as the enabling and organizational point for conducting activities related to various dimensions of health and wellness. A Health Card needs to be created for students which would form a continuous part of their growth and development. This could form an effective monitoring and feedback system for the overall health of a child during his schooling. …………………/-2- 118 Constitution of a Health Club • • • • • Principal as Convener Counselor / Psychologist / P. T Teacher / Nodal Teacher as Secretary Student representative (one boy and one girl from each level) Identified teachers from each level Parent for each level (preferably a doctor) Responsibilities of the Health Club • • As an organizer of all health relevant activities (at least 8-10 activities in the year at each level). As a Resource Centre for the overall well being of students Objectives of the Health Club • • • • • • • • • • • • • To create Health Cards for each student To create a health newspaper at least twice a year/poster competition related to health issues To conduct surveys on health related concerns To organize ‘health walks’ as part of social campaigns To organize health fairs and immunization projects To tap the local resources in the community to arrange health talks To render service in any area affected by a disaster or a calamity To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding sexual and reproductive health To teach the students techniques of yoga and meditation from an early age To inculcate in the students healthy and positive ways of living To teach health songs on various health topics Celebration of important days (World Health Day – April 7) Creating awareness regarding ‘World No Tobacco Day’ (May 31), ‘World AIDS Day’ (December 1) etc. The Board is suggesting a plethora of activities in Annexure A for various levels which can be conducted as part of co-curricular inputs during the calendar year. The activities mentioned here are recommended as pointers and many more can be added as per local needs and requirement. The Board is also in the process of preparing a Manual on a Comprehensive School Health Program which will be available shortly. Any further suggestions on this issue are always welcome. Yours sincerely (VINEET JOSHI) SECRETARY Encl : Annexure A 119 Annexure A COMPREHENSIVE SCHOOL HEALTH PROGRAM Suggested Activities for promoting Health in School I – IV Module 1 Know yourself • • • • • • • • • • • • • • • • • • • • • • • • Yoga and Meditation Drawing a Picture of oneself Pasting a Photograph Palm Printing / Foot Printing Rythmic Exercises Poem / Rhymes / Recitation Role Play on Body Parts Matching of Flash Cards Self awareness / Diary Sensitivity based Theater Check up by Doctors/ Dentists Health Card Counselling Ten Sentences on oneself Physical/ Social/Society Likes and dislikes My list of favourites Any other….. Yoga & Meditation Assembly themes Tapping resources from neighbour-hood / community for health, hygiene & personality Introspection diary Survey of eating joints for their nutritive content Health Card Any other V-VIII • • • • • • • Yoga and Meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. • Health Card • Any other Module 2 Food and Nutrition • Collection of Pictures of nutritive/junk food • Class Party and discussion on food items • Dietary charts for the week • Jigsaw Puzzle presentation • Four Corners • Power point Presentations • Mandatory to bring one nutritive item • Research on food items – balanced items • Mothers’ recipe book • Any other • Nutritive Recipe competition • Orientation program for Parents and Students on good food habits • A PMI (plus, minus and interesting) on generally observed health problems • Survey based on balanced diet of different regions / communities • Any other 120 IX-XII • • • • • • • Yoga and meditation Health Mela Health Newsletter Class Board’s Decoration House Board’s Decoration Creating recipes Effective use of Home Science lab. • Health Card • Any other • • • • • • • Extempore Debate Slogan writing Theatre Collage making Panel Discussion Any other I – IV Module 3 Hygiene • • • • V-VIII Board Displays Research Projects Skits Eco-clubs Celebrating Environment Friendly Days • Preparing Recycled Paper • Visiting a Heritage Site • Any other • Resource persons from NGO’s • Panel Discussion Planting • Eco-clubs • Planting Sapling and Trees • Rain Water Harvesting • No Polybag Zone • Adopting a National Heritage Spot • Warming up exercises before the beginning of each physical education period • Pranayam • Yoga • Physical education periods a must for all schools/all classes • Drills/aerobics followed by presentations at the end of every month • Skill based programmes-camps • March/run for health • Any other • • • • • • • Inter House Competitions based on Aerobics / Yoga / Gymnastics • Team building • Leadership Camps • Running for a Cause • Any other • Extempore dialogue delivery • Ground rules preparation in classes • Safety activities-sports field/ activity period (to be made by students) • Travelling independently (phone numbers/ residential numbers) • Learning to Communicate problems-Circle time) • Campaigns • Vigilance Committee • Evacuation Skills • • • • • • • • • Tick mark of self check-list Presentation Value based assemblies Shramdaan (cleaning up of your class at the end of the day) Picking up wrappers/ foils etc after the break Creating shramdaan clubs Green brigade clubs Posters Outdoor excursions (Speed, stamina, strength) • • • • • IX-XII Module 4 Physical fitness Module 5 Safety Measures -Fire Accidents, Emergencies Competitive Sports Team building adventure treks Leadership camps Health Walks for social issues Swimming Any other Transport drill Sports Day First Aid Showing Movies on fire safety drill • Bravery Award • Research based Projects • Sexual Health Education issues related to Gender Sensitivity 121 • • • • • • • • • Fire Brigade Demonstration Disaster Management Self – defence techniques Traffic rules Theatre-visit to Rehabilitation Centre Sensitization Programmes on Substance Abuse Interpersonal relationships Parental Sessions Laboratory Safety drill I – IV Module 3 Behavioural and Life Skills • • • • • Consequence games Learning to say “NO” Think pair share Handling peer pressure Identification of good touch and bad touch V-VIII • • • • • Learning to say no Mentoring Interactive Bulletin Board Quiz Contest Poster making / Painting Competition • Group Games on Adolescent issues 122 IX-XII • Handling Peer Pressure • Question Box Activity • Situation Analysis and Case Studies of sensitive issues • Peace March to mark a social event or issue • Panel Discussion with Eminent Psychologists] • Guest Speakers from the experts (Doctor) • Visit to a rehabilitation centre CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/CIRCULAR/2007 14th March,2007 Circular No. 17 All Heads of Institutions Affiliated to CBSE. Subject : Importance of Nutrition for Bone Health. Dear Principal, Bone Health is a neglected area and has resulted in various problems both for adults and young children. The major causes for the poor bone health in India are genetic predisposition, lower bone mineral density due to deficiency of calcium and vitamin D, inadequate exposure of body surface area to direct sunshine even though the country has plenty of sunshine throughout the year, clothing pattern, relatively pigmented skin, poor diet, lack of availability of foods fortified with essential vitamins and minerals and lack of physical activity. Childhood and adolescence is the time when bones are beginning to be modeled until around the age of 30 when peak bone mass is achieved. Diet in the modeling phase is extremely important. A critical element that helps absorb deposition of dietary calcium into bone mass is vitamin D. Deficiency of vitamin D is one of major contributory factor responsible for lower bone mineral density (BMD). A related bone problem is flurosis. It is prevalent in 17 States and has affected 66 million people including about 6 million children below the age of 14. It results from consuming ground water with excessive fluoride leading to bone disorders. Inadequate exposure of body surface area to direct sunshine, clothing pattern, relatively pigmented skin, environmental pollution, faulty housing architecture which does not allow enough sunshine, poor diet and lack of required food fortification, are among the major factors responsible for compromised bone health. It is important to pay attention to bone health right for childhood. It is in this regard, schools may be advised to take steps regarding the following aspects : 1. Schools should promote outdoor physical activity after 9.00 a.m. and before 4.00 p.m. for adequate exposure to sunshine. Sunshine is the most important source of vitamin D. N N N Vitamin. D helps absorption of calcium. The main source of vitamin D is the exposure to sunlight. Exposure of legs and arms to sunlight for about 25 minutes between 9 AM and 4 PM is adequate. Physical activity at all ages, particularly weight bearing activity, is important for bone health. It also reduces the risk of falling by strengthening muscles and maintaining balance. Calcium is critical for sound bone health. Foods containing calcium like milk, leafy green vegetables, etc. should be a part of the normal daily diet. 123 3. During the educational programs, schools should emphasis the importance of calcium and vitamin D and thus the schools play a crucial role in creating awareness on such vital issues by sharing this message with the entire student community as well as the parents. With regards, Yours sincerely (C.GURUMURTHY) DIRECTOR(ACADEMICS) Copy to : 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18, Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791111. 7. The Director of Education, Govt. of A & N Islands, Port Blair-744101. 8. The Secretary, Central Tibetan School Administration, Sector 5, Rohini, Delhi-110085. 9. All the Regional Officers of CBSE. (C.GURUMURTHY) 124 CENTRAL BOARD OF SECONDARY EDUCATION 2, COMMUNITY CENTRE, PREET VIHAR, DELHI - 110092 NO. CBSE/ACAD/HELATH/2007 20th June,2007 Circular No. 29 All the Heads of the institutions affiliated to CBSE Subject : Comprehensive School Health Programme : Dear Principals, The Central Board of Scondary Education in continuation of its Circular No. 09 dated 31.5.2006 regarding Comprehensive School Health Programme and creating Health Club in school would like to reiterate and create awareness about the following issues : 1. School must have by now intiated the creation the creation of Health Clubs to implement the Comprehensive School Health Programme. i) ii) iii) 2. Health and Wellnesss Clubs in schools need to focus on over all well being comprising mental and social health of the child. These would act as nodal centres for creating an enabling environment in the school to ensure an ambience of wellness and fostering reventive health care. The Constitution, responsibilities and objectives of a Health Club have already been stated in the previous circular. Activities for promoting health and wellness in schools have also been stated in the circular. Comprehensive School Health Manual The Comprehensive School Health Manual addressed a basic gap in schooling that has crept in over the years. The is largely to do with the aspect of school health which has somehow been relegated to sporadic health check ups or in some cases a few hours of health instruction in the curriculum. It is imperative that something is done urgently to take up the issue of holistic health. The School Health Policy and now the Manual proposes to view health holistically, utilize all educational opportunities for health promotion including formal and informal aproaches in curriculum and pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behaviour, ensuring physical fitness activities and sports, providing nutritous snacks in the school canteen, ensuring access to primary health care services, providing emergency care for illness or injury, providing counselling services and integrated family and community activities and staff health promotion policy are some of the expectations that a school should fulfill as was advised earlier in the circular issued to all schools regarding setting up of Health Clubs. Comprehensive School Health Manual will be available to all schools by August 2007. 3. Health Websites : The Ministry of Health and Family Welfare (MOHFW), Government of India has commissioned a website on Health Living (www.healthy-india.org) to address the concerns in India on the lifestyle preventable diseases. 125 The a) b) c) d) e) f) objectives of the website are : to harmonize the burden of preventable chronic diseases in the country by creating awareness to bring in the need for a healthy lifestyle to create Agents of Change among school children with regard to health issues to encourage the setting up of a health fostering school to create awareness regarding canteens as social responsible outlets which inculate healthy eating behaviours to ensure that there is enough emphasis on physical activity in schools and on enjoyment of this physical activity. The website has been so designed that it is user - friendly and containg a number of dynamic sections for interative sessions. As India advances economically and gains greater control over traditional health threats, diseases related to distorted lifestyles and unhealthy living habits are rapidly growing as major public health problems. Imbalanced diet, physical inactivity, tobacco consumption and alcohol abuse are leading to many Indians suffering from diabetes, heart disease, cancer and lung disease. Many of these diseases are preventable. Such preventive efforts are best started in childhood and in schooling years. Armed with appropriate health information people can protect and promote their personal health and families can create healthy living conditions for individuals of all ages. Schools and colleges are important stakeholders in disseminating healthy lifestyle information to children and youth. Healthy India endeavours to advance consciousness of disease prevention opprtunities, encourage earlier detection and treatment of chronic diseases and foster healthy living through information and resources on healthy lifestyle viz. Healthy Diet; Physical Activity; Dealing with Tobacoo and Alcohol related health problems; Yoga Stress Management; Diabetes; Cancers; Heart Attacks and Strokes. We would request you to encourage students, teachers and staff to adopt healthy life style practices suggested in this useful site (www.healthy-india.org) and practice the provided advise therein. Yours Sincerely (VINEET JOSHI) SECRETARY 126 Copy to : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat Sector-9 Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Officers, KVS 10 All Education Officers and Asstt. Education Officers, CBSE 11 E.O. to Chairman CBSE 12 P.A. to Director (Academic) CBSE (VINEET JOSHI) SECRETARY 127 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/HEALTH MANUAL/2008 24th June,2008 Circular No. 27/08 All the Heads of the institutions affiliated to CBSE. Subject : Comprehensive School Health Programme and Release of School Health Manuals in four Volumes. Dear Principal, Children are the greatest asset of a country and those in school have a right to a happy and healthy life within the school environment as well as at home. Investment in the health of children is an investment in the future of the nation. It is essential to build on the components of knowledge relating to health and nutrition, develop healthy attitudes and enhance Life Skills to overcome the multiple health concerns affecting school going children both in the urban and remote areas of the country. This is further to our circulars (No. 09 dated 31.5.2006 and No. 29 dated 20.6.2007) on Comprehensive School Health Programme in which the Board has requested schools to set up `Health Clubs' in order to implement the Comprehensive School Health Programme. It is heartening to note that some of the schools affiliated with the board have responded positively in this regard. Comprehensive School Health Programme and Health Manuals : The objectives of the School Health Club as mentioned in the earlier circular are also being reiterated: • To create Health Cards for each student • To create a health newspaper at least twice a year / poster competition related to health issues • To conduct surveys on health related concerns • To organize ` health walks' as part of social campaigns • To organize health fairs and immunization projects • To tap the local resources in the community to arrange health talks • To render service in any area affected by a disaster or a calamity • To create health help line within the school to distress, cope with emotional and social behaviour and to clarify misconceptions regarding adolescent health • To teach the students techniques of yoga and meditation from an early age • To inculcate in the students healthy and positive ways of living • To teach health songs on various health topics ……………../- • Celebration of important days (World Health Day - April 7) • Creating awareness regarding `World No Tobacco Day' (May 31), `World AIDS Day (December 1) etc. 128 Health Manuals : The Comprehensive School Health Manuals address a basic gap in schooling that has crept in over the years. School Health has somehow been relegated to sporadic health check-ups or in some cases a few hours of health instruction in the curriculum. It was imperative that something is done urgently to take up the issue of holistic health in school going children which includes physical, mental, emotional and psychological health. The School Health Policy and now the Manuals propose to view health holistically, utilize all educational opportunities for health promotion including formal and informal approaches in curriculum pedagogy. Providing a safe school environment, an activity oriented health education curriculum to avoid health-related risk behavior, ensuring physical fitness activities and sports, providing nutrituous snacks in the school canteen, ensuring access to primary health care services and integrated family and community activities and a staff health promotion policy are some of the expectations that a school should fulfill. There are four Manuals in this package. The first Manual-Vol I is addressed to all stakeholders concerned with school health. The other three Manuals are activity based manuals for teachers. Vol II is Teachers Activity Manual which consist of activities for Primary Level (Classes I-V), Vol III is Teacher's Manual for Upper Primary Level (Classes VI-VIII) and Vol IV is Teachers' Manual for Secondary and Senior Secondary Level (Classes IX-XII). The activities revolve around six different themes Knowing your Body, Food and Nutrition, Personal and Environmental Hygiene, Physical Fitness, Being Responsible and Safe and Behaviour and Life Skills. The objectives of the modules and activities is to focus on the different aspects of growth and age appropriate development of the child. The Manuals are holistic in their approach since they deal with not only physical health but also mental, social, emotional and spiritual well being. Their uniqueness lies in their participative and interactive approach. The activities mentioned can be easily incorporated in the classroom transaction, keeping in mind that hands on learning is internalized faster than conventional learning. It is also recommended that teachers may modify or customize the activities according to their social, cultural and demographic needs. The activities for teachers in each Section are suggestive and it is earnestly hoped that they will carry on the spirit of each section through curriculum plus intervention strategies within the school. The activities are learner centred and will help to empower them to construct knowledge for themselves in a classroom or out of the class setting. ……………../The graded activities provided in the manual follow outcome based approach to learning, teaching and assessment. They are positive in attitude and stress on developing health promoting habits from an early age which emphasizes the concept of learning throughout life. For the success of the school health programme it has to be developed and implemented by a strong indigenous group committed teachers under the guidance of the dynamic head of the organization as well as a committed management. A special feature of this development would be a cooperative, caring and concerned atmosphere which it is hoped will be the key note of the school learning environment while implementing the programme. The integration of school and community efforts should be related where the school is regarded as a social unit providing a focal point from which the school may reach out to the family, to the local community and to the community at large as a whole which in turn may support the efforts of the school. 129 It is hoped that the Health Manuals will foster the need to provide for a healthy environment for each child studying in a school and in that sense the CBSE Comprehensive School Health Program is dedicated to all children. The Health Clubs can be used to conduct the activities which are detailed in the School Health Manuals in four Volumes being released to all the schools. One set of the four volumes is being sent to all schools free of cost, however, for additional volumes the school will have to make a request as these will be priced documents. These will be available from the Stores, CBSE, 17 Institutional Area, Rouse Avenue, New Delhi as well as from the Regional Offices. (VINEET JOSHI) SECRETARY Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar-791111. ……………../- 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic) CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 130 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/EO(L)/ACAD/2008 1st Sept.,2008 Circular No. 33/08 All the Heads of the institutions affiliated to CBSE. Subject : Creating a Healthy School Environment Dear Principal, One of the lofty aims of education is to shape young individuals into caring, thinking sensitive and value enriched citizens of the country. These are achievable when the schools provide a nurturing environment and create a value based climate within the school. The schools affiliated to CBSE are seen as powerful resources of Human Resource Development. This is possible and can be ensured only if the schools themselves are convinced of the positive benefits of a value enriched environment. The conflicting role models thrown up by the social context as well as the explosion of media often result in giving out ambiguous signals to young minds. It thus becomes even more mandatory that the schools serve as agents of change and transformation by bringing out the best from within each child. The inspiration, motivation and upliftment of spirit should go hand in glove with transaction of academic knowledge. The Central Board of Secondary Education has received feedback about certain schools where the school authorities forcibly keep the children back in Classes IX & XI under various pretexts. This has been viewed very seriously. The Board requires all heads of institutions to reflect on the long term objectives of imparting holistic education in schools. It is impossible to create vibrance and a joyful and friendly learning ambience to ensure there is collaborative synergy between learners, teachers, heads of the institutions, parents and the management of the school. Unless the heads of schools realize their own responsibility towards all these stakeholders there will be a serious backlash from all these quarters. Cases of indiscipline, rowydism, bullying, smoking and other kinds of drug abuse in some institutions have also been reported to which a blind eye is turned by the school authorities. The Adolescence Education Programme and the Life Skills ……………./Programme as well as the Comprehensive School Health Programme advocated by the Board focuses on the growing concerns of adolescence which need to be addressed with an urgency and immediacy and unless stringent action is taken at the right point of time in collaboration with the parents of the adolescents it may become a matter of serious concern. Life Skills Education is an excellent tool for bringing about positive behavioural changes in individuals. It is essential that all stakeholders involved in imparting value based education within the school environment should come together to find an answer to some of these areas that ultimately concern all of us. This may be brought to the notice of all teachers, students and parents through staff meetings / assembly meetings, circulars and advisory issued and reinforced from time to time. Yours sincerely (VINEET JOSHI) SECRETARY 131 Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education, Govt of Arunachal Pradesh, Itanagar791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair-744101. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. ………………./- 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. P.A. to Director (Academic), CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD(AIEEE), CBSE 18. PRO, CBSE SECRETARY 132 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 NO. CBSE/ACAD/CSHP/2008 6th Nov.,2008 Circular No. 49 All the Heads of the institutions affiliated to CBSE. Subject: Follow up on Comprehensive School Health Programme. Dear Principal, The Central Board of Secondary Education has recommended the setting up Health and Wellness Clubs and launched the four manuals in the package of Comprehensive School Health Manuals (vide circular no. 27 dated 24th June, 2008). We hope that you have received the following four volumes of the Comprehensive School Health Manuals : 1. Comprehensive School Health Teachers Activity Manual Volume I 2. Teacher's Manual for Classes I-V 3. Teachers' Activity Manual for Classes VI-VIII 4. Teachers' Activity Manual for Classes IX - XII In continuation of the above the Board would like to bring to you an advisory on some of the components related to health such as Physical Fitness, Substance Abuse and Emotional Concerns. 1. Physical Fitness : a. There should be at least 30 minutes of Physical Activities or games with maximum health benefits for Classes I-VIII everyday. a. For Classes IX - XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least 2 periods per week (90120 min / week). b. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation & breathing exercises / Yoga). c. Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can use. d. Too much of time being spent by children at house in watching TV or playing computer games needs to be carefully monitored by the parents. An advisory can be sent by schools to parents and reinforced in the beginning of every term. e. Parental Awareness Programmes regarding Adolescent concerns including the above may be held at regular intervals by the schools. 133 2. Eating Habits and Diet: School canteens should provide healthy snacks which can be monitored by the Health Clubs of the schools. Doctors / Nutritional Experts/ dieticians / Counsellors / Nurses/ Home Science Department may be involved in designing the recipes for the menu (healthy, nutritious, wholesome) and monitoring quality of the food items. Junk / fast food needs to be replaced completely with healthy snacks. Carbonated and aerated beverages may be replaced by juices and diary products (Lassi, Chach, Flavored milk etc.) 3. Substance Abuse : Passive smoking is as harmful as indulging in active tobacco use. Awareness regarding the hazardous effects of passive smoking need to be created among the students and this may also be a part of the Parental Awareness Programmes. Awareness on recent laws enacted on prohibition of Tobacco products in public places needs to be created among students. Heads of Institutes should ensure that no Tobacco products should be sold either by minor or by major children in the vicinity of the educational institutes. Regular vigilance against smoking at home and school needs to be emphasized. The matter can be discussed in PTA meetings with parents. Project work on Substance / Tobacco abuse may be assigned to students as part of school assignment across disciplines and `No Tobacco Week' may be celebrated in school. A substance abuse control committee at school level involving PTA member's local leaders and students may also be initiated. Value Education and Value Enhanced Life Skills should form a part of the larger curriculum plus activities in the schools. Schools should also be able to integrate unstructured programmes on Value Education through their Literary Clubs, Health Clubs and Eco Clubs. 4. Emotional Health: There is a need for Value Education aided Conceptual Framework of Life Skills related to values for sensitizing teachers and learners to the Universal Skills such as Thinking Skills (Creative and Critical Thinking, Self Awareness, Problem Solving, Decision Making), Social Skills (Interpersonal Relationships, Effective Communication, Empathy) and Emotional Skills (Managing feeling / Emotions, Coping with Stress). Yours sincerely (DR.SADHANA PARASHAR) EDUCATION OFFICER(L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction : 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh160017. 134 05 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 06 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair- 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD(AIEEE), CBSE 19. PRO, CBSE EDUCATION OFFICER(L) 135 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/CM/ 2008 Dated: 11.11.2008 Circular No. 51/08 All Heads of Institutions Affiliated to the Board Subject: Safety in School Science Laboratories Dear Principal, Science laboratories are essential and critical component in Science education. All students study Science as a compulsory subject upto grade X and a significant percentage of them continue studying Physics, Chemistry, Biology, BioTechnology, Home Science etc. at senior secondary level. This requires conduct of regular practical work and use of variety of equipment, instruments, gadgets, materials, chemicals, glassware etc. It is of utmost importance that in order to ensure safety of students working in Science laboratories, every essential precaution is taken well in advance. It is not uncommon to observe that in many cases, the essential safety measures are either not given much attention or are ignored altogether. Gas fittings in chemistry laboratory often do not fulfil the mandatory standards and requirements. Chemical are, in many cases, not stored in safe manner and kept under safe custody. It is also observed that exhaust fans are sometimes not provided in chemistry laboratory. Mandatory items such as laboratory coats, goggles and gloves are not used while doing experimental work. Electrical fittings are at times done with sub-standard materials and components. Laboratories are not located with easy and open exits. Fire extinguishers are not installed at desired locations. First aid facilities are inadequate or missing. Medical facilities are also found wanting on many occasions. All such negligent actions may result in dangerous and unfortunate incidents and need to be attended to urgently. In order to ensure safety of students in Science Laboratories, there is an urgent need to look into its different aspects and make the following provisions: • Designing of all science laboratories according to necessary norms and standards. • Two wide doors for unobstructed exits from the laboratory. • • Adequate number of fire extinguishers near science laboratories. Periodical checking of vulnerable points in the laboratories in relation to possibility of any mishappening. • • Ensuring gas fittings in Chemistry laboratory fulfilling desired norms and standards. Periodical checking of electrical fittings/ insulations for replacement and repairs. • Timely and repeated instructions to students for careful handling of chemicals and equipments in the laboratory. • • Display of do's and dont's in the laboratory at prominent places. Safe and secure storage of all chemicals. • Proper labelling and upkeep of chemicals. • Proper safety and protection provisions such as fume hood, goggles and gloves while doing practical work. • Careful supervision of students while doing practical work. • • Advance precautionary arrangements to meet any emergency situations. Conduct of any additional experimental work only under supervision and with due advance permission. 136 • • Availability of First Aid and basic medical facilities in the school. Proper location of the laboratories. The tragic fire incident in a school at Kumbakonam in 2004 is still afresh in which nearly 100 children lost their precious lives. The Board had issued a detailed Circular no. 28/2004 dated 26th July, 2004 asking schools to take all safety measures for meeting adverse situations and ensuring safe custody of children in the school. It is reiterated that all necessary safety measures may be taken and the above guidelines may be discussed in detail with the teachers as well as students for greater awareness and sensitization on safety matters. The Board may depute an expert team to visit your school to find out whether all safety provisions in Science laboratories have been made. With best regards Yours faithfully, (VINEET JOSHI) CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. 2. 3. 4. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160 017. 5. 6. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim - 737 101. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 9. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE CHAIRMAN 137 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/ACAD/EO (L)/NUSSA/2009 Dated:24.6.2009 Circular No. 22 All the Heads of the Institutions Affiliated to CBSE. Subject : National Urban School Sanitation Awards 2009 in the context of setting up of `Health and Wellness Clubs and `Eco-Clubs' in schools. Dear Principal, The CBSE in collaboration with the Ministry of Urban Development and GTZ has introduced the `National Initiative on School Sanitation' and the aim is to inculcate good sanitation habits among the school children. The Annual National Urban School Sanitation Awards(NSSUA) has been instituted by Ministry of Urban Development along with German Technical Cooperation (GTZ) and Central Board of Secondary Education CBSE to inspire, acquaint and celebrate excellence in Urban School Sanitation. These Awards are instituted with the purpose of honouring urban schools who are taking significant steps towards effective sanitation and improvement in service delivery leading to behavioral change. The awards are open to all school affiliated to CBSE which include Kendriya Vidyalayas, Jawahar Navodaya Vidyalayas, Government Schools, Private Independent Schools, DAV Schools, CTSA Schools, Army Schools etc. Awards will be given in the following categories which schools can take up as part of Health and Wellness Clubs and Eco-Clubs N Awareness Generation leading to Behavioural Change through Students and Community Mobilization N Technical Innovation and Interventions N Improving Sanitation facilities for the Girl Child N Best performing Health and Wellness Clubs N Sustainability of the Effort N Waste Management and Disposal N Water conservation and Waste Water Recycling and its Utilization N Conservation of Green Spaces N Public Private Partnership Parameters for the Selection 1. Sustainability :Demonstrated success geared towards long term hygiene and safe sanitation. 2. Replicability: Potential for replication of practices and models that have resulted in better service delivery. 3. Safe Hygiene Practices 4. Waste Segregation and Waste Management 5. Awareness Generation Efforts and impact leading to Behavioral Change 6. Water and Sanitation:Tangible Improvements in Service Delivery 138 7. Efforts towards Water Management 8. Innovation: Demonstrated Innovation, Uniqueness and Originality in the use of Ideas, Technology and Resources 9. Dynamism: Activity points scored by participation in various activities as organized from time to time through website; www.schoolsanitation.com Mechanism and Procedures N N MoUD, CBSE and GTZ have constituted an Advisory Group for deciding on Awards. Initial scrutiny will be done by Committee and then the final hundred entries will be submitted for critical examination and final selection for the Awards by the Advisory Group. The Awards will be in the form of certificates of excellence, mementos, citations, participation in a school sanitation exchange programmes, joint development of pilot projects on zero waste producing concepts with the schools and also special certificates to Principals, teachers and students associated with excellent Health & Wellness Clubs and Eco Clubs. You are requested to disseminate the information to all and participate in this initiative of National importance. You are requested to send in CD-ROM addressed to the Nodal Officer, National Urban School Sanitation Awards 2009 by courier at CBSE, Shiksha Sadan, 4th Floor, Room No. 404. Under no circumstances either projects or models should be sent to the CBSE or GTZ Office. For more information about the National initiative on Urban School Sanitation visit: www.schoolsanitation.com and for further queries, the Academic Branch at CBSE may be contacted at telephone no. 011-23234324 (Dr. Sneha Singh / Syed Shaney Alam) Yours sincerely, (DR.SADHANA PARASHAR) EDUCATION OFFICER (L) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdictions: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi 02 The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. 04 The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh. 05 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair 06 The Director of School Education, Arunachal Pradesh, Itanagar-791111. 07 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 08 All Regional Officers, CBSE 09 All Assistant Commissioners, Regional Offices, KVS 139 10. All Education Officers and Asstt. Education Officers, CBSE 11. Joint Secretary .IT. CBSE 12. E.O. to Chairman CBSE 13. P.A. to Secretary CBSE 14. P.A. to Director (Academic) CBSE 15. P.A. to Controller of Exams. CBSE 16. P.A. to HOD (EDUSAT), CBSE 17. P.A. to HOD (AIEEE), CBSE Education Officer (L) 140 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 (An autonomous Organisation under the Union Ministry of Human Resource Development, Govt.of India). ‘Shiksha Sadan’, 17, Institutional Area, Rouse Avenue, New Delhi -110002 CBSE/ACAD/HEALTH/2010 July 28,2010 Circular No. 38 All the Heads of Independent Schools Affiliated to the CBSE Subject: Observation of International Day against Drug Abuse and Illicit Trafficking on 26th June, 2010. Dear Principals, As you are aware that each year 26th June is observed as the International Day against Drug Abuse and Illicit Trafficking. Kindly refer to our earlier circular no.18 dated June19, 2009 whereby all schools affiliated to CBSE had been asked to observe the day in a befitting manner by organizing activities like awareness campaigns, conducting seminars and workshops and holding exhibitions etc. You are hereby requested to send a report on the specific activities conducted in your school on this occassion such as debates, elocution, essay writing, poster making competition and other suitable extra curricular activities. Yours Sincerely ( C.Gurumurthy) Director (Academic) Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 1. The Commissioner, Kendriya Vidyalaya Sangathan, 18-Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 2. The Commissioner, Navodaya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 3. The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110 054. 4. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector 9, Chandigarh-160017. 5. The Director of Education, Govt. of Sikkim, Gangtok, Sikkim – 737 101. 6. The Director of School Education, Govt. of Arunachal Pradesh, Itanagar-791 111 7. The Director of Education, Govt. of A&N Islands, Port Blair-744 101. 8. The Secretary, Central Tibetan School Administration, ESS ESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 9. All the Regional Officers of CBSE with the request to send this circular to all the Heads of the 141 affiliated schools of the Board in their respective regions. 10. The Education Officers/AEOs of the Academic Branch, CBSE. 11. The Joint Secretary (IT) with the request to put this circular on the CBSE website. 12. The Library and Information Officer, CBSE 13. EO to Chairman, CBSE 14. PA to CE, CBSE 15. PA to Secretary, CBSE 16. PA to Director (Acad.) 17. PA to HOD (AIEEE) 18. PA to HOD (Edusat) 19. PRO, CBSE ( C.Gurumurthy) Director (Academic) 142 CENTRAL BOARD OF SECONDARY EDUCATION INSTITUTIONAL AREA, ROUSE AVENUE, NEW DELHI-110002 CBSE/Sports/2010-2011 Dated: 27.10.2010 Circular No. 71 All the Heads of the Institutions Affiliated to CBSE Subject: Physical Education & Sports in Schools – reg.. Dear Principal, Schools are dynamic settings for promoting health and wellness through various correlated areas such as Physical Education and Sports as well as through Health and Wellness Clubs. There is a growing awareness that the health and psycho-social well-being of young children is of paramount importance and schools can provide a strategic means of improving children’s health, self-esteem, life skills and behaviour. Healthy living incase of school children is the prime concern of all stakeholders including principals, parents, teachers and the community. To achieve this objective collective responsibility needs to be assumed. An important dimension is that of experience and development of health skills and physique through practical engagements with play, exercises, sports and practices of personal and community hygiene. The CBSE through its various advisories (Circular No. 09 dated 31.5.2006, Circular No. 29 dated 20th June, 2007, Circular No. 27/08 dated 24th June, 2008, Circular No. 49 dated 6th Nov., 2008 and Circular No. 57 dated 20.11.2009) has directed schools to set up Health and Wellness Clubs which can be used to conduct the activities which are detailed in the School Health Manuals in four volumes already released to all the schools. It is well established that participation in Physical Education & Sports activities is highly beneficial to one’s health and it leads to improved performance by students in schools, in addition to helping them in developing many life skills. Children lead happier lives as a result of being actively involved in sporting activities and it has long been established that fitness and improved academics performance go hand in hand. Physical Education and Sports activities during the school hours reduce boredom and help keep students attentive in the classrooms. Keeping in view the above, the Central Board of Secondary Education has time and again recommended for providing compulsory time schedule for Physical Education & Sports activities for the students of all classes. The Board is of the firm opinion that the Physical Education & Sports programs teach important conflict resolution skills including team work, fair play and communication leading to reduced violent behaviour among children. Further, children who participate in Physical Education & Sports develop a positive attitude towards their every day life activities. In the above background, it is advised that the following in respect of the Physical Education & Sports may be strictly adhered to: a. b. There should be at least 40-45 minutes of Physical Activities or Games period for Classes I-X everyday. For Classes XI – XII it should be ensured that all the students participate in Physical Activity / Games / Mass P.T / Yoga with maximum health benefits for at least two periods per week 143 (90-120 min / week). c. d. In case the school has constraints of space, climatic conditions, presence of enough PE Teachers, or coaches it may consider indoor activities which would provide maximum health benefits (Aerobics / Meditation / Yoga & Asanas). Mass P.T. in the morning keeping in view the climate conditions is another alternative the school can have. As part of Continuous and Comprehensive Evaluation the students will be assessed on participation and performance in by choosing any two activities from the 13 activities given for Classes VI-VIII and 08 activities given for Classes IX-X. It is earnestly hoped that all schools will follow these directives to ensure that all students draw maximum health benefit in terms of physical fitness and team building as well as collaborative skills. This may be brought to the notice of all teachers, students and parents. Yours sincerely VINEET JOSHI CHAIRMAN Copy with a request to respective Heads of Directorates/KVS/NVS/CTSA as indicated below to also disseminate the information to all concerned schools under their jurisdiction: 01 The Commissioner, Kendriya Vidyalaya Sangathan, 18 Institutional Area, Shaheed Jeet Singh Marg, New Delhi-110 016. 02 The Commissioner, Navodya Vidyalaya Samiti, A-28, Kailash Colony, New Delhi. 03 The Director of Education, Directorate of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi-110054. The Director of Public Instructions (Schools), Union Territory Secretariat, Sector-9, Chandigarh-160017. 04 05 06 The Director of Education, Govt. of Sikkim, Gangtok, Sikkim-737101 The Director of School Education,Govt of Arunachal Pradesh,Itanagar-791111. 07 The Director of Education, Govt. of Andaman and Nicobar Islands, Port Blair. 08. The Secretary, Central Tibetan School Administration, ESSESS Plaza, Community Centre, Sector 3, Rohini, Delhi-110 085. 09 All Regional Officers of CBSE with the request to send this circular to all the Heads of the affiliated schools of the Board in their respective regions. 10. All Education Officers of the Academic Branch, CBSE 11. All Asstt. Education Officers, CBSE 12. The Library and Information Officer, CBSE 13. E.O. to Chairman CBSE 14. P.A. to C.E., CBSE 15. D.O. to Secretary, CBSE 16. P.A. to Director (Academic), CBSE 17. P.A. to HOD (EDUSAT), CBSE 18. P.A. to HOD (AIEEE), CBSE 19. PRO, CBSE CHAIRMAN 144 Appendix-2 BESIC EMERGENCY CARE Cardiac arrest occurs in 70% of individuals at home and 20% at workspace and only in 10% at hospital. It is therfore important that non-healthcare persons such as schoolchildren, teachers, police and drivers should learn how to o save life and transport the patient to the nearest health facilit. Cardiopulmonary resucitation (CPR) is a procedure to support and maintain breathing and cirulation for a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest.) Basic Emergency Care (BEC) is the emergency care which can be provided by schoolchildren, teachers, police and drivers in the absence of advanced medical care. If one school kid is trained in CPR, he or she can take care of his peers, family members and community at large. Beside CPR and foreign body reomoval, it also includes considerations of patient transport such as the protection of the cervical spine and avoiding additional injuries through splinting and immobilization. When witnessing sudden collapse in victims of all ages, the rescuer should first telephone the emergency medical services system and then return to continue CPR (phone first). But for unwitnessed arrest (eg drowning, drug overdose and injured), the rescuer should deliver five cycles of CPR before calling emergency number and then continue CPR (phone fast). THE CHAIN OF SURVIVAL The highest survival rate from cardiac arrest can be achieved only when the following sequence of events occurs as rapidly as possible : 1. Early recognition of warning signs 2. Activation of emergency medical services 3. Basic CPR 4. Defibrillation 5. Management of airway and ventilation 6. Intravenous administration of medications Figure 1 : The adult chain of survival. The 4 links of actions in the chain are (1) phone (2) CPR, (3) early defibrillation and (4) advanced care 145 These events have been likened to the links in a chain - The chain of Survival. It was introduced in 1991 as a model of efficiency and synergy in resuscitative efforts. If any link is weak or missing, the chances of survival are lessened. The links in the Adult chain or sruvival are : 1. Early access 2. Early CPR 3. Early defibrillation 4. Early advanced cardiac life support LEARNYouCPR Can Do It! Reference : Basic Emergency Care - by Dr. Sanjeev Boi, Dr. John. Bera, Dr. Chhavi Sawhney, Published by Paras Medical Publisher, Hyderabad. 2009 146