Preparedness to Care for Children with Asthma: How Ready Are Schools in Ilorin, Nigeria?

Abstract

Asthma is a rife chronic condition among school-aged children, necessitating the need for schools to be well-prepared to provide appropriate care and support for affected students. This study assessed the readiness of schools in Ilorin, Nigeria, in caring for children with asthma. Sixty-five primary and secondary schools were surveyed in Ilorin, Nigeria, using a pre-tested questionnaire and inspection tour to evaluate healthcare personnel, facilities, and environmental conditions related to asthma care in schools. Forty-four (67.7%) of the schools were public-owned and 21 (32.3%) schools private-owned. Health personnel were present in 61.5% of schools, with 70% being health assistants/first aiders. Only 34.2% of schools with healthcare facilities had a sick bay. Seventeen schools (26.2%) had records to identify the current number of children with asthma. Salbutamol (tablets or inhalers) was the most common rescue equipment. Only 43 (66.1%) schools could state where the inhaler was kept. None of the schools had an asthma management plan on file for the children with asthma. Twenty (30.8%) schools were less than 200m from major traffic, and 45 (69.2%) were >200m. Health appraisal methods included routine inspections (47.7%) and hospital referrals  (29.2%). Overall, there were disparities in healthcare resources and asthma care practices among the schools studied. Addressing gaps in emergency care, equipment availability, and staff training can significantly improve the management of asthma in school settings in the study area