Thursday, 13 March 2014

The Ultimate Health Checklist for Kenyan Schools




Going for a health check is probably something we do on a daily basis. This being an assumption of course, as many if not all of us visit a hospital only in emergent cases, say an accident or a very life threatening health condition. Time and time again, the world of health and medicine has proved that living in oblivion can be costly in the end. That headache you keep ignoring can be a tumor screaming to be heard, that slowly forgetting things can be a sign of early onset Alzheimer's, that joint pain can be a pointer of a bone disease, a loss of appetite can imply serious health complications and so on. We love to ignore the tale tell signs of poor health, and it's no wonder this is spreading to education.
The state of education in the country is under tight scrutiny with regards to performance of secondary schools. It is unbelievable that it has taken the nation 7 long years to realize that academic titans like Starehe Boys Center are losing their cutting edge vigor in academic success. The recent released results of KCSE report 39 schools as "cheating schools" in light of exam irregularities. Something that has found its way as a parliamentary agenda with the Kenya National Examination Council being put on the hot seat. Paul Wasanga, the CEO of KNEC has been mandated to explain why the council listed certain schools as cheaters.
The 2013 KCSE results put Starehe at position 17 with an aggregate of a B+ and sending top officers at the school on compulsory leave. The demand for an audit report on Starehe regarding its pummeling performance is really a one sided affair. What of other schools in the country?
In health, most usually focus on the "serious diseases" and ignore other small conditions that later come to cause other complications. Putting Starehe on a pedestal has led to other schools being left out, that little known district school, that provincial school that has never achieve a "national school" status, that public school that has never gotten any media attention. The KNEC list for top schools is indeed vital in creating an environment to allow healthy competition but should not be the benchmark for academic success.
In the management of patient health care, the focus is never solely on the "best outcomes" per say but more so on a wholesome recovery. This means that a good hospital does not talk of the number of surgeries they churn out on a daily basis but how they are in the business of saving lives, even if it's just one. When we cross over to education, there is nothing wrong about being the best school but when the constant craze to top academic success charts takes precedence over actual learning and lifelong education of students then we have a problem.
The normal health checklist usually concerns itself with a comprehensive look at all the health factors that make up a patient with regards to identification, medical history, dietary habits, sexual preference, genetic information, psychological profiles, employment history, assessments of personality and mental state, authorization for treatment, availability of a health proxy, emotional health, varied state of body systems, disabilities, physical exams and so on. It is these factors that are considered in diagnosing a patient's condition and offering a dependable solution.
Education can borrow a lot from the health industry and apply a few of these checklist for a more holistic assessment of schools. I look forward to the day when the mere passing of exams will no longer be the only benchmark for success. When KNEC will rate the exam results taking into account how long a school has existed or the academic hoops jumped by different schools in different areas.
Picture this if you can: a hospital performing a standardized medical test for every disease, using the same treatment plan for every health condition, whether its cancer, diabetes, malaria or even HIV. We would never know which drug works for which disease, it would be a maze.
There is the need to "immunize" schools per say by putting in policies and frameworks to guide in management of schools and implementation of learning that works for the students. This is where the Ministry of Education can hugely assist in salvaging the tattered reputation of the education sector.
In looking at the problems of schools, it is unsaintly to vaguely say that all schools face similar problems. In one school the problem could be poor leadership, in another it could be unqualified teachers, students not motivated to learn, lack of a sound  "reading culture" yet another school may complain of being in hardship conditions that do not favour conducive learning, certain parts of Eastern Kenya as an example.
It is a combination of different elements that make up a patient's health status so that a health condition is linked to many causal factors. The nation needs to stop tearing schools in parts and start looking at how to work in improving academic success in a connective manner of sorts.
We all usually want to simply identify the problem and fix it hence we tend to treat symptoms instead of the disease.
Let's identify the root problem for poor academic performance and not simply say: ah, the principal is negligent, lets fire him and get a new one; students didn't get over 400 in KCPE, next year lets only admit A+ students; the students don’t like reading, let's make library attendance mandatory. This will not take us anywhere.
In medicine today, pharmacists are all about creating drugs that not only address the current issue of concern but also treat linking factors so that health conditions do not recur.
The place of a patient's medical history cannot be underplayed so that a doctor is meant to look at where the patient has been so that they take them to where their health standard ought to be. We need to take a moment and retrace our steps and identify where the rain started beating us so that we move the education status of the nation north.

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