Comprehensive study of health problems in school children of Hyderabad, India


  • Altaf Naseem Department of Pediatrics, Deccan College of Medical Sciences, Hyderabad, Telangana
  • Nayantara Rao G. Department of Pediatrics, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana



School age children, Morbidity, Undernourished


Background:It is estimated that over one-fifth of our population comprises of children aged 5-14 years and only 80% of these children are enrolled in schools. A child spends most of the time in school and it is considered an ideal place for learning and growing up of a child. In India due to poverty and prevailing socio-cultural milieu a substantial number of school children suffer from various diseases which can be prevented if diagnosed and treated early. We conducted this study to evaluate the health and the nutritional status of school children and comparison was drawn between the rural and urban school children.

Methods: This is a cross sectional prospective study where a total of 500 school children from rural and urban government schools were thoroughly assessed by a detailed clinical examination including anthropometry.

Results:It was observed that more than half of the children from both rural (56%) and urban (58%) schools were under nourished. The BCG vaccination coverage was better in urban school children (86.5%), with an overall coverage of 80%.Various other problems were more prevalent in rural school children except respiratory diseases which were observed to be more prevalent in urban school children (7.2%).

Conclusions:It was learnt that the morbidity of school age children from the community’s perspective is entirely different from morbidity from health care professional’s perspective. Therefore, educating the community will go a long way in improving the quality of life. 


School Health Programme-Jawahar Bala Arogya Raksha- 2010, Technical Report, Government of Andhra Pradesh.

Mann CK. Four Decades of School Health in Independence India in Journal of National Institute of Health and Family Welfare - Health and Population Perspectives and issues.

Prasad KR. School health. Ind J Comm Med. 2005:30(4);109-10.

Aspatwar AP, Bapat MM. Vitamin A status of socioeconomically backward children Indian J Pediatr. 1995;62:427-32.

Prasad PA, Lakshmi AV, Bamji MS. Riboflavin and hemoglobin status of urban school boys: Relationship with income, diet and anthropometry. Indian J Pediatr. 1987;54:529-33.

Gupta BS, Jain TP, Sharma R. Some primary schools of rural Rajasthan. Indian J Prev Soc Med. 1973;4:24-30.

Banik NDD, Nayar S, Krishna R, Bakshi S, Taskar AD. Growth pattern of Indian school children in relation to nutrition and adolescence. Indian J Pediatr. 1973;40:173-9.

Chaturvedi S, Kapil U, Gnanasekaran N, Nutrient intake among adolescent girls belonging to poor socio economic group of rural areas of Rajasthan. Indian Pediatr. 1996;33:197-201.

Gangadharan M. School health service programme in Kerala- a rural study. Indian Pediatr. 1977;14(8):603-13.

Desai NC, Lohiya S. Keshan S, Nag V. Xerophthalmia in school children. J Ind Med Assoc. 1989;87:209-11.

Kumar S. Abel R. Xerophthalmia in rural South Indian children. Indian Pediatr. 1993;30:246-8.

Bai KI, Malika DP. School health service programme a comprehensive study of school children of Tirupati, Andhra Pradesh, Indian Pediatr. 1976;13(10):751-8.

Dhingra DC, Anand NK, Gupta S. Health status of school children of various socio-economic groups. Indian J Pedia. 1977;14(3):243-6.

Dhar V, Jain A, Van Dyke TE, Kohli A. Prevalence of dental caries and treatment needs in the school going children of rural areas in Udaipur District. J Indian Soc Pedod Prev Dent. 2007;25:119-21.

Joseph MV. Health problems in rural school children - a new look at them. Indian Pediatr. 1977;14(4):243-6.

Rao N, Mustafa MA, Reddy H, Narayana AS, Reddy TR. A comprehensive study of School children in twin cities of Hyderabad and Secunderabad. Indian Pediatr. 1974;11(8):567-72.

Padhye AS, Khandekar R, Dharmachikari S, Dole K, Gogate P. Prevalence of uncorrected refractive error and other type problems among urban and rural school children. Middle East Afr J Ophthalmol. 2009;16:69-74.

Gupta N, Gupta BP, Chauhan A Bharadwaj A. Ocular morbidity prevalence among school children in Shimla, Himachal, North India. Indian J Ophthalmol. 2009;57:133-8.

Mukherjee R, Seal SC. An epidemiological study of refractive errors among school children in Calcutta. J Ind Med Asso. 1973;73:59-64.

Banik NDD, Nayar S, Krishna R, Bakshi S. Growth pattern in Indian school children in relation to nutrition and adolescence. Indian J Pedia. 1973;40(5):173-9.

Muller O, Krawinkel M. Malnutrition and health in developing countries. Canadian Med Asso J. 2005;173:279-86.

Manyanga T, El-Sayed M, Doku DT, Randall JR. The prevalence of underweight, overweight obesity and associated risk factors among school going adolescents in seven African Countries. Bio Med Central. 2014;14:887.






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