Allocation of school health staff and clinics in primary and secondary schools in Guangdong Province
Objective To understand the allocation of health staff and clinics in primary and secondary schools in Guangdong Province,so as to provide a reference for school health construction.Methods In December 2020,a total of 17 205 primary and secondary schools in 21 cities in Guangdong Province were investigated by combining document verification and on-site surveys.The allocation of health staff and clinics in different cities and types of schools was analyzed using SPSS 25.0 software.Results The proportion of schools in Guangdong Province that met the national standard for school health staff ratio was 37.7%.Among different types of schools,the lowest ratio was found in nine-year schools(33.1%),while the highest was in twelve-year schools(61.3%).Among the 17 205 schools in the province,12.6%had clinics with an area of>40 m2,and 6.9%with occupational licenses for medical institutions.The proportion of full-time health staff was 39.1%.Among all school health staffs,the proportions of permanent staff,temporary staff,and appointed staff were 47.5%,29.0%and 23.6%,respectively.The rate of school health staff with profes-sional qualifications was 44.9%,while 48.3%had graduated from medical-related majors,and 20.9%held a bachelor's degree or higher as their first degree.There were differences among various types of schools,with primary schools having the lowest health staff configuration and professional level(24.0%and 35.7%,respectively).Conclusions There are still issues of insufficient staff and low professional level in health staff and establishment of clinics in primary and secondary schools in Guangdong Province,and the allocation is uneven across different types of schools.The allocation of clinics in the province is still in urgent need of improve-ment.
Health personnelDelivery of health careOrganization and administrationSchool health serivces