A Study on the Morbidity Pattern of School Children in Doiwala Block, Dehradun

Background: Research indicates that nutritional deficiencies and poor health in primary school children are among the important causes of low school enrolment, high absenteeism, early dropouts and poor classroom and exam performance. So the present study was conducted.
Objective: To find out the morbidity pattern of the primary school children.
Methods: A cross sectional survey to find out the morbidity pattern was conducted on 596 school children (246 boys and 350 girls), aged 5-16 years studying in class I-VIII in six different schools of Doiwala Block, Dehradun. The morbidity survey was conducted by a health team and the children were approached in their respective schools after taking due permission of the school principal. Preliminary information was recorded on the survey register. A detailed history taking and clinical examination was done with special attention on those systems which were affected most. Data thus collected was entered and analyzed by using Epi Info Statistical Software Package.
Results: A total of 596 school children were included in the study, out of which 246 (41.27%) were boys and 350 (58.72%) were girls. The most common chewing habit was Supari chewing and was found in 22 (3.69%) children followed by Tobacco chewing in 7 (1.17%) children. Morbidity related to oral cavity was higher in boys, 131 (53.25%). Anemia was present in 162 (27.18%) children. Worm infestation was significantly higher in boys, 71 (28.86%). Watering of eyes (2.68%) was the commonest finding. Mean BMI in our study was found to be significantly lower as compared to ICMR and NCHS data.
Conclusions: The spectrum of morbidity reported in this study is largely dependent on hygiene and calorie intake. In spite of regular mid day meal program at schools, our children are still undernourished that means the calorie intake at home is not adequate. There is a strong need for a regular health check-up and follow up services at school level.