SCHOOL NUTRITIONAL

PROGRAMME
DR SHAHRANIZA BAHARI
PUBLIC HEALTH PHYSICIAN
SENIOR PRINCIPAL ASSISTANT DIRECTOR
(FAMILY HEALTH)
JOHOR STATE HEALTH DEPARTMENT

OUTLINE
History of School Health Programmes in
Malaysia
School health programmes and activities
School nutritional programmes
Nutritional education
Nutritional rehabilitation
Information sharing: Japan School Health
Programmes

HISTORY
YEAR

ACTIVITIES

1920

Physical education taught in English Oriented School

1948

Establishment of School dental health services

1924
1932

Coordinator for Physical Education for negeri-negeri

Selat
Training for Physical Education in Peninsular Malaysia

1948

Establishment of Maternal and Child Health Service

1952

Teachers sent for Health education training in England

1961

Tuberculosis Prevention and Control activities BCG and

treatment
Establishment of Physical Activity and Health Education
Curriculum in Malaysia

1966

HISTORY(2)
1968

Joint MOH and MOE School Health Committee established

1968 1970

State Joint MOH and MOE School Health Committee

1971

1st Review of Health Curriculum

1972

School Health Teams established

1976

School Food Supplement Program

1990

School Health Program Policy and Implementation Guideline ( 3

component model)

1991

Detection of Visual Defect among Standard 1 Schoolchildren as

Quality Assurance Indicator

1996

Review of Education Act, Adolescent Health Program established

1998

Health Promoting School adopted from WHO

(Program Bersepadu Sekolah Sihat, PBSS)

HISTORY (3)
YEAR ACTIVITIES
2000 Young Doctor Club introduced as co curricular activity
2005 Introduction of Standard Operating Procedure for School
Health
2008 Rebranding of HPS to National 3K Committee ( Cleanliness,
Health, Safety)
2010 Introduction of National School Based HPV Immunisation
2012 MOE introduced BMI check in School
MOE introduced Guidelines on Healthy Nutrition in School

INTRODUCED IN 1997

KESELAMATAN
Safety
KESIHATAN
Health
KEBERSIHAN
Cleanliness

School Health Activities

Health education
Physical health
Communicable diseases
Tobacco/ Drugs
Food hygiene
Nutrition
etc
Health examination
Hygiene
Anthropometry
Visual screening
Hearing screening
Physical assessment

Immunization
Deworming
Treatment of minor ailment
Referral
School Health Inspection
Dengue Free School
School Canteen
School Environmental
School Dental Services
Peer to peer programs
Young Doctor
PROSTAR
8

Buku Rekod Kesihatan Murid

RKM1 (Pindaan 2011)

BMI for Age

Health education and examination

Visual acuity test and Immunization

Oral Health Care

SCOPE OF SCHOOL HEALTH PROGRAM

Ministry of Health
Health Education
Primary prevention
through vaccination
Health screening and
Physical examination
Curative and referral
Dental health
Environmental Health

Ministry of Education
Nutritional rehabilitation
School Milk Program
Food Supplementary Program

Health Education through

Curriculum
Physical and Health Education
Family Life Education
Health across curriculum

Co curricular
Young Doctor Club

Nutritional Education in
School
Incorporate into primary and
secondary school
Physical and Health Education
Science subjects

Nutritional Rehabilitation in School

Rancangan Makanan Tambahan (RMT)
1976
For primary schoolchildren from poor families
Aim to provide extra nourishment for
schoolchildren
Served during recess (10.30am or 3.30pm)

RMT

Nutritional Rehabilitation in School

Program Susu Sekolah (PSS)
1983
Cultivate milk drinking habit
Improve calcium intake
Free for the poor

Initiatives to prevent obesity among

schoolchildren
Introduction of guidelines for healthy nutrition
in schools
Garis Panduan Pengurusan Berat Badan Murid
Sekolah
Garis Panduan Penjualan Makanan dan
Minuman di Kantin Sekolah
Garis Panduan Larangan Penjualan Makanan
dan Minuman di Luar Pagar Sekolah

Healthy Nutrition in Schools

EPP JAPAN MALAYSIA

SCHOOL HEALTH PROGRAM
11 26 FEBRUARY 2013

Japan Education System

Under the Ministry of Education, Culture,
Sports, Science and Technology
Starting April to March
Compulsory education:
Primary schools (Elementary school)
Age 6 to 11
Lower Secondary Schools (Junior High School)
Age 12 to 15

School Calendar
Month
April
May
Jun

Term, Vacation

School events, etc

Spring vacation

March 25 to April 7
Entrance ceremony, Health Examination

First Trimester

July
August

November

Summer Vacation

Opening ceremony, Fire Drill

Second Trimester

Athletic Meeting
Presentations of Students Works at Open Day
School Visit by Parents, Fire Drill, End of Term

Winter vacation

January

March

Outdoor activities
July 20 to August 31

December

February

School Visit by Parents

General cleaning, End of term ceremony

September
October

Home visit by teachers, School trip, Fire Drill

December 25 to January 7

Opening ceremony
Third Trimester

Marathon-race, school visit

Graduation Ceremony

Spring vacation

Subjects and Standard Class Sessions

Japanese
Social studies
Arithmetic
Science
Life Environment Studies
Music
Drawing, Handicraft
Home Economics
Physical Education
Moral education
Special activities
Comprehensive learning

Time table in Elementary School

Time

Monday - Friday

8.20 8.35

Morning Activities

8.40 8.50

Opening

8.50 9.35

9.45 10.30

10.30 10.50

Recess

10.50 11.35

11.45 12.30

12.30 13.20

SCHOOL LUNCH

13.25 13.40

Cleaning

13.40 13.50

Recess

13.50 14.35

14.35 15.45

Closing/ Recess

15.45 16.30

-/ 6

1 class = 45 min

Fitness Training

Gargling with tea

Gargling with tea

Health education and examination

Role of Yogo (school health) teacher
Yogo teacher: special licensed educator who
supports childrens growth and development
through health education and health services
in all areas educational activities in school
School Health Office Hokenshitsu

Roles of the Yogo Teacher

School Health Office - Hokenshitsu

School Health Office - Hokenshitsu

Height and Weight Measurement

SCHOOL LUNCH
First school lunch began in 1889 by a priest in
Tsuruoka City, Yamagata Prefecture rice ball,
grilled fish and pickles
Extended gradually until 1923
Bread, milk and side dishes were gradually
introduced 1951
School Lunch Law - 1954

Toyohashi School Lunch Programme

School Lunch Preparation Center
Lunch preparation process
Staple food by bread or rice provider
Side dishes lunch preparation center
Milk - Milk provider
Transported to schools by their respective
providers
Lunch fees - 220

School Lunch Experiences

School Lunch Experiences

School Lunch Experiences

School Nutritional Program

MALAYSIA
Education Act 1996
School Health Team
Parent Teacher Association
Rancangan Makanan
Tambahan (RMT)
Program Susu Sekolah
Program Susu 1Malaysia
School based school meal
program
Nurse in school

JAPAN
School Health and Safety
Law 1958
YOGO teacher
School Health Committee
School Lunch Program
Centralized school meal
program

47

NURSE IN SCHOOL PILOT PROJECT

Current system
Yearly visit by school
health team
Screening for health
problems for targeted
students
Refer cases to nearest
health clinic
No continuity of care in
clinic

Nurse in school
Nurse available in school /
regularly visits school
Nurse to screen health
problem periodically to all
students
Long term intervention and
follow up in school
Communicate with parents
and teachers as part of
monitoring students
48

NURSE IN SCHOOL PILOT PROJECT

Adopt and adapted from YOGO teacher concept
Nurse with Public Health experience to be placed in
school for 1 year
Continuous Integrated management of behavior related
health problems in school
Feasibility of up scaling project for national roll out

Proposal discussed at MOH, with MOE

MOH Secretary General proposed for pilot project in
50 schools throughout Malaysia
Urban vs rural, static vs regular visit, primary and
secondary school, integration of various health
programs.
49

IMPEMENTATIONS OF SMP
PILOT PROJECT
Voluntary basis
Open to : Standard 1 students (morning session) and
Standard 2 students (afternoon session)
Types of food and time served :
morning tea (recess time for morning session) and
afternoon tea (recess time for afternoon session)
Menus served are based on the existing Healthy School Canteen
Guidelines, 300-400 kcal for each menu.
Canteen operators can operate as usual to cater those not involved
in the programme. The foods sold must abide to the guidelines.

50

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