Factors influencing implementation of comprehensive school health program (cshp) in primary schools: a case of Pumwani ward, Nairobi county, Kenya
This study sought to find out the factors influencing implementation of comprehensive school health program (CSHP) in Pumwani ward, Nairobi County, Kenya. The study focused on primary schools within the target location. The government of Kenya has already developed and disseminated the National school health policy and the school health implementation strategy 2009. However, little is known about the implementation of the policy hence the need to conduct this study. The study was guided by three objectives which are capacity building, support supervision and school infrastructure in relation to how they influence implementation of Comprehensive School Health Program. The researcher used descriptive survey research design where factors influencing the implementation of Comprehensive School Health Program were described as they were. A sample size of 60 respondents was selected using stratified random sampling method from all the 10 primary schools within the location under study but only 50 respondents returned completely filled questionnaires. Qualitative and quantitative methods of data collection were used to generate the desired data through the use of a questionnaire comprising open and closed ended questions and an interview guide was used for triangulation. The findings were be analyzed using descriptive and inferential statistics and presented descriptively and through the use of tables and figures. The study established that majority of the respondents had not been trained on Comprehensive School health Program and majority of the schools represented in the sample did not have access to clean water hence predisposing students to disease outbreaks. Most schools did not have school health committees and some had inactive school health committee which indicated that the schools did not have structures in place to implement Comprehensive School Health Program. The study also established that capacity building, support supervision and school infrastructure are some of the factors that influence implementation of CSHP and also established that there was a relationship between independent variables which are capacity building, support supervision and school infrastructure; and the dependent variable which is implementation of Comprehensive School Health Program. The findings of the study are expected to contribute to effective and efficient implementation of CSHP and strengthen the capacity of school health committee in dealing with school health. The study recommends training of teachers and BOM on CSHP, gender norms and life skills, collaboration of schools and health facilities and developments of child friendly facilities in schools to assure the safety and health not only of students but also those working within the school. The researcher suggests that more studies be done on engagement of parents in school health programs.