Perception toward school health and nursing service program among the students of Nuwakot District, Nepal

Authors

  • Sangita Balami Yeti Health Science Academy, Purbanchal University, Nepal
  • Kabita Aryal Department of Health Services, Government of Nepal
  • Ramesh Bhatta Yeti Health Science Academy, Purbanchal University, Nepal

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20261395

Keywords:

School health and nursing service program, Perception, Students, Nepal

Abstract

Background: The school health and nursing service program is a public health initiative implemented by the government of Nepal to promote the physical, mental, and social well-being of school-aged children. Schools serve as an effective platform for delivering preventive, promotive, and basic primary health care services. Understanding students’ perceptions toward the program is essential for its effective implementation and sustainability.

Methods: A descriptive cross-sectional study was conducted among 201 students of grades nine and ten from three government schools in Nuwakot District. An enumerative sampling technique was used. Data were collected through a semi-structured, self-administered questionnaire based on a five-point Likert scale and analyzed using SPSS version 26. Descriptive statistics, including frequency and percentage, were used to summarize the findings.

Results: More than half of the respondents (57%) had a positive perception of the program. Preventive services were most appreciated (61%), followed by promotive services (38%), nutrition-related services (32%), and physical examinations (28%). About 80% of students reported increased awareness of communicable and non-communicable diseases and their prevention. Nearly all female students found the free distribution of menstrual pads helpful for maintaining menstrual hygiene. Students recommended adopting a need-based approach and improving the availability of health commodities at schools to strengthen the program.

Conclusions: The program is well accepted and has contributed to students’ well-being and academic performance. Strengthening preventive services and ensuring adequate resources could further enhance its effectiveness.

References

World Health Organization. Promoting health through schools: report of a WHO expert committee on comprehensive school health education and promotion. World Health Organization. 1997. Available at: https://iris.who.int/server/api/core/bitstreams/211ea92a-c151-4c21-9b72-1f60868e251e/content. Accessed on 20 December 2025.

Pulimeno M, Piscitelli P, Colazzo S, Colao A, Miani A. School as ideal setting to promote health and wellbeing among young people. Health Promot Perspect. 2020;10(4):316.

Kolbe LJ. School health as a strategy to improve both public health and education. Ann Rev Publ Heal. 2019;40(1):443-63.

Bundy DA. Rethinking school health: a key component of education for all. World Bank Publications. 2011.

Ministry of Health and Population and Ministry of Education and Sports. National School Health and Nutrition Strategy, Nepal. Government of Nepal. 2006. Available at: http://elibrary.moest.gov.np/bitstream/123456789/566/1/materials_n_01.pdf. Accessed on 22 March 2026.

Government of Bagmati Province, Ministry of Health. Annual Repor; Fiscal Year 2023/2024., Health Directorate, Hetauda Nepal. Available at: https://giwmscdnone.gov.np/media/pdf_upload/Bagmati%20Annual%20Report-Final%20Print%20Ready_9h0ppxb.pdf. Accessed on 22 March 2026.

Government of Nepal, Ministry of Health and Population. School Health and Nursing Service guideline, 2081. Available at: https://mohp.gov.np/content/108/school-health-services-n-nursing directive-2081. Accessed on 22 March 2026.

Department of Health Services. Annual Health Report 2080/81. Kathmandu (Nepal): Department of Health Services, Ministry of Health and Population. 2025

Poudyal JK, Sharma T, Parajuli S, Upadhyay HP. Student’s knowledge and practices on basic school health services in relation to school health nurse program. J Coll Med Sciences-Nepal. 2023;19(3):326-36.

Sharma S, Bhandary S. Factors influencing school nurse service utilization in selected schools of Kathmandu district: a mixed method study. J Gen Pract Emerg Med Nepal. 2022;9(14):36-41.

Panta U. Factors associated with utilization of Adolescent-Friendly health services. Sunsari district of Nepal: utilization of Adolescent-Friendly health services. Indonesian J Health Sci Res Develop (IJHSRD). 2022l;4(2):49-56.

Walker SC, Kerns SE, Lyon AR, Bruns EJ, Cosgrove TJ. Impact of school-based health center use on academic outcomes. J Adolescent Health. 2010;46(3):251-7.

Parasuraman SR, Shi L. Differences in access to care among students using School-Based health centers. J School Nurs. 2015;31(4):291-954.

Sharma AS, Mahotra A, Thapa TR, Thapa P, Bhandary S, Bhushal S, et al. Factors influencing utilization of school health nurse program among secondary students of Lalitpur, Nepal: a mixed-method study. BMC Public Health. 2025;25(1):771.

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Published

2026-04-30

How to Cite

Balami, S., Aryal, K., & Bhatta, R. (2026). Perception toward school health and nursing service program among the students of Nuwakot District, Nepal. International Journal Of Community Medicine And Public Health, 13(5), 2167–2171. https://doi.org/10.18203/2394-6040.ijcmph20261395

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Section

Original Research Articles