Republic of the Philippines

Department of Education
Region XII
Division of South Cotabato
STO.NIÑO NATIONAL HIGH SCHOOL
Sto. Niño, South Cotabato

SERVICE SATISFACTION OF STUDENTS ON SCHOOL

CLINIC: BASIS FOR IMPROVING THE NEED FOR ADEQUATE
HEALTHCARE

The Researchers
Amba-an, John Fredjie

Aperocho, Mary Rose

Cahong, Roland

Cubita, Lanz Aldrix

Falsario, Almar

Fermato, Rogen

Haguisan, Carissa Mae

Pesimo, Cogie

Poblacion, Keisha Pearl

Sharon Mae G. Elicano

Adviser
 CHAPTER 1

THE PROBLEM AND IT’S BACKGROUND

Introduction

A safe and healthy environment is provided in school through the help

of school-based clinics. It helps the school in aiding treatment to some

students experiencing health-problems while in school. The school clinics can

also implement school health programs that can provide information to

students. The best school-based clinics provide quality health care as a

comprehensive medical home to students in the location most accessible to

them. It promotes, develops, and maintains the health and general well-being

of the students.

Globally, school clinic services faced different problems in terms of its

employees and materials. One related problem is the school nursing shortage

in the U.S. that evolved from a scheduling problem to a serious health and

liability risk. In addition, the U.S. follows no national criteria for the number of

nurses per school or child. There is a wide disparity between the states in

terms of the number of students per school. Looking at the position paper of

National Association of State School Nurse Consultants’ (NASSNC) (2007) it

addresses there the rationale for clinical 10 supervision of school nurses

without the help of non-nurse provision by licensed, experienced registered

nurses.
 Here in the Philippines, the Department of Education (DepEd) is

mandated to ensure that students are fit for the school, but a report by the

Health Development Institute has found that the department has gravely failed

in fulfilling this task. Failed implementation due to misallocation and

underutilization of budget is the insufficient number of health and nutrition

personnel in different schools.

School-based clinics improve the health of children by providing an

easy and efficient way for students to access health care. The school clinics

keep the students healthy in school and able to achieve their full potential.

School-based clinics help students get medical care and avoid absences.

Clinics can also spot and treat mental health problem as well as chronic

health conditions. Health concerns can be addressed across broader

populations of students, especially those with limited access to health care.

The school clinics work hand-in-hand with the school staffs and members to

provide and ensure the health and safety of each child.

However, to provide better quality healthcare, the school clinics must

have the need to improve the facility including services and human force. With

the statement above, the researchers would like to know what improvements

the school clinic of SNNHS can do to provide adequate healthcare to students

and staffs. This will be used as a basis for improving the need of adequate

healthcare of the school clinic of SNNNHS.

Theoretical Framework

In order for schools to mitigate this educational and healthcare

challenges, they must have the resources and adequate founding, particularly

for schools and disadvantaged communities. The need for accessibility to

adequate healthcare and children’s readiness to learn brings in the questions

for the role of school-based healthcare centers or school-based health clinics.

(Rosado, 2022)

Statement of the Problem

This research will seek to know the service satisfaction of students on

school clinic as basis for improving the need for adequate healthcare.

Specifically it will answer the following questions:

1. What is the level of service satisfaction of Grade 11 students on school

clinic in terms of;

a) Personnel; and

b) Facilities/Equipments?

2. What is the level of service satisfaction of Grade 12 students on school

clinic? In terms of;

a) Personnel; and

b) Facilities/Equipments?

3. Is there a significant difference between the level of service satisfaction

of Grade 11 and Grade 12 students on school clinic?

Hypotheses

Null Hypothesis

There is no significant difference between the level of service

satisfaction of Grade 11 and Grade 12 students on school clinic.

Alternative Hypothesis

There is a significant difference between the level of service

satisfaction of Grade 11 and Grade 12 students on school clinic.

Significance of The Study

This study will be conducted to gather information on what

improvements of the school clinic of Sto. Niño National High School and this

will also be used as basis for improving the need for adequate healthcare.

To the school, they will be aware of the problem at the school clinic and

be able to address the problem in improving the need for adequate

healthcare.

To the parents, they will be aware of the healthcare services that the

school clinic can provide to the students.

To the teachers, they will be able to help their students gain the

adequate healthcare that the students may need.

To the students, they will be able to help out in carrying safety in the

school.
 To the future researchers, this study will guide them, and they will be

able to refine and expand studies related to the school clinic.

Scope and Limitations

The scope of our study is to know the service satisfaction of students

on school clinic that will be a basis for improving the need for adequate

healthcare. This study considers every aspect of students’ personal

information and any information should be kept confidential.

Definition of Terms

Adequate Healthcare – proper assistance needed for a student in order to

cater their healthcare needs.

Assistance – the provision of finances, resources, and information to help

students with regards to healthcare needs.

School Clinic – are centers in which they provide prevention and services to

students.

Students – are those who were enrolled for School Year 2023-2024.

Mental Health --Mental health includes our emotional, psychological, and

social well-being. It affects how we think, feel, and act. It also helps determine

how we handle stress, relate to others, and make healthy choices.

Physical Health -- Physical health can be defined as the normal functioning

of the body. Representing one dimension of total well-being, it's about how

your body grows, feels and moves, how you care for it, and what you put into

it.
 CHAPTER 2

REVIEW OF RELATED LITERATURES

This chapter presents the related literature and studies both from

foreign and local sources. This chapter also includes the ideas, finished

studies, and conclusions. Those that were included in here helps in

familiarizing the study.

School-based health clinics

School-based health clinics (SBCs) have been promoted as an

innovative approach to providing adolescent health care. The present study

examined the effect of a SBC on academic success. We studied the effect of

clinic registration and use on students' absence, suspension, withdrawal, and

graduation or promotion rates in an alternative high school for students who

were not able to succeed in traditional educational programs. On average,

these 322 high-risk students attended school only 56% of the time; 24% were

suspended; and only 26% graduated or were promoted. The 189 (59%)

students who were registered to use the clinic and the 159 (49%) who actually

used the clinic were as likely to be absent or to be suspended as non-

registered students. However, students who used the clinic were significantly

more likely to stay in school, and to graduate or be promoted than students

who were not registered for the clinic. This relationship was strongest for

black males; those who used the clinic were nearly three times [odds ratio =

0.35; 95% confidence interval (CI) = (0.16–0.78)] more likely to stay in school

than those who did not use the clinic. In multiple linear regression models

predicting school performance, only clinic use and percent of enrolled days
absent were significantly associated with graduation/promotion, and these two

variables predicted 23% of the variance in promotion status. ( McCord et. al.,

1993)

Clinic Use and Satisfaction

Reported data on school-based clinic utilization and reasons for use or

non-use. Nearly half the sample indicated clinic use and satisfaction. Almost

all used medical services; over one fourth received psychological counseling.

Factors influencing use were ease of access and perceptions that services

were helpful and confidential Frequent users scored highest on measures of

psychological distress. Most nonusers indicated they were healthy and didn't

need help, but over one fourth did acknowledge not wanting others to know

about their problems. Less than one fifth indicated parental objections as a

factor. In contrast to clinic nonusers, clients reported less availability and

satisfaction with help and support from family members. (Adelman, 2010)

Clinic Programs

In the last three years, comprehensive school-based clinics have

proliferated throughout the United States: There are currently 138 clinics in 30

states and the District of Columbia, and at least 65 more are in the planning

stage. Clinic programs differ widely in their organizational structure, operating

costs, range of services and funding sources. Although some clinics are

funded by private foundations, increasingly, programs are being initiated by

local public health departments supported by state funds. Only 10-25 percent

of all clinic visits are for family planning services. While all of the clinics
provide counseling on family planning, most of the state-funded clinics either

prohibit the use of funds for contraceptive supplies and abortion referral or

allow grantees to decide what to do about the issue of pregnancy prevention.

To date, no study has found that rates of sexual activity increase among

students who participate in clinic programs. There is some evidence indicating

that participation in school-based clinics may have a positive impact on

contraceptive practice. ( Dryfoos, 1988)

Utilization Rate

The purpose of this study is to compare frequent users of school-based

clinic services with students who have an average rate of utilization. Of the

1413 students enrolled in a Denver school-based clinic (DSBC) during the

1989–1990 school year, frequent clinic users (n = 73) were defined as those

who visited the clinic 15 times or more (range, 15–72 visits per year). Average

users (n = 82) were defined as students who visited the clinic three times

during the year (the mean and median number of visits per student enrolled).

Average users were compared. The average utilizers were found to be

representative of the entire student population based on age, race, gender,

and grade. The frequent users had more females (71%) and a lower grade

point average (GPA) (2.11) than the average users (52% female, 2.54 GPA; p

< 0.02). The frequent clinic users differed in their initial primary diagnoses as

well as in the types of subsequent visits, having a significantly higher

percentage of mental health-related visits than did the average users (61%

versus 10%; p < 0.01). The frequent clinic users also demonstrated more

high-risk behaviors such as alcohol use, sexual activity, and both family and
peer relationships (p < 0.001). These data suggest that frequent clinic users

have significant health needs that may require a higher rate of utilization.

(Wolk and Kaplan, 1993)

Reproductive Health

For two decades, school-based clinics have been providing basic

health care to medically underserved teenagers and addressing the

increasingly complex health and social problems facing young people,

particularly unintended pregnancy. Today there are 150 school-based clinics

operating in most major cities and many rural areas. In 1984, the Center for

Population Options launched a major project to evaluate a diverse group of

clinics located in different parts of the country. The project sought to asses

student use of clinic services and the clinics' effects on use of medical

services generally and on student absenteeism, illegal drug use, alcohol

consumption, cigarette smoking, and unprotected sexual intercourse. The

study also sought to examine clinics' potential to meet desired objectives and

identify helpful strategies. The clinics selected for evaluation were in the

following cities: Gary, Indiana; Muskegon, Michigan; Jackson, Mississippi;

Dallas, Texas; Quincy, Florida; and San Francisco, California. All six clinics

served low-income populations, provided primary health care, and were open

daily during school hours. Evaluation data were drawn from four sources: (1)

staff and student interviews; (2) clinic records; (3) a student health survey;

and (4) longitudinal birthrate data. Very large percentages of students used

clinics in five of the schools studied. Study results suggest that school-based

clinics can reduce students' consumption of alcohol and tobacco. The clinics
did not encourage students to be sexually active, even when dispensing or

prescribing contraceptives. According to survey data, the clinics had no effect

on pregnancy rates. Recommendations to improve clinics' effectiveness are

provided. Included are two appendices containing a reproductive health and

pregnancy prevention inventory and the student health survey. (Douglas et.

al., 1989)

Health-Insurance

To examine variations among students with different health insurance

coverage in their use of school-based clinics (SBCs), reasons for not

receiving health care when needed, and reasons for using or not using SBCs,

and 2) to determine if insurance status is a significant factor in predicting SBC

use, after controlling for demographic variables and health status. Confidential

questionnaires were administered to 2,860 adolescents attending 3 urban

high schools with on-site SBCs. Chi-square and multiple logistic regression

analyses were used to assess differences among insurance groups in

patterns of SBC use and reasons for clinic use/nonuse. Students with private

insurance or HMO coverage had the highest rates of SBC utilization (67% &

66%) and students without health insurance and with Medicaid had the lowest

(57% & 59%) (p < 0.01). While there was no difference among adolescents

according to insurance group membership in their use of SBC medical

services, a significantly higher proportion of students with Medicaid coverage

used SBC mental health services. Students without health insurance were

less likely to receive health care from any source when it was needed. After
controlling for demographic variables and health status, no insurance factors

remained significant. (Brindis et. al., 1995)

Accessible School Clinic

The organisation of health assessments by preventive health services

focusing on children’s health and educational performance needs to be

improved due to evolving health priorities such as mental health problems,

reduced budgets and shortages of physicians and nurses. We studied the

impact on the school professionals’ perception of access to school health

services (SHS) when a triage approach was used for population-based health

assessments in primary schools. The triage approach involves pre-

assessments by SHS assistants, with only those children in need of follow-up

being assessed by a physician or nurse. The triage approach was compared

with the usual approach in which all children are assessed by physicians and

nurses. ( Bezem et. al., 2017)

 Chapter 3

METHODOLOGY

This research presents the design of the study particularly the methods

and techniques that were used. It described who will be the respondents and

focus on the study. Methods of collecting data, types of research, research

design, the research locale where the study will be conducted and the

description of the product itself.

Research Design

The method to be used is descriptive-survey since the researchers will

survey about students satisfaction on school clinic. Hence, the data that will

be gathered will be described by the researchers.

Locale of the Study

The study will be conducted in a secondary school located at Purok

Lapu-Lapu Village, Brgy. Poblacion, Sto. Niño, South Cotabato. It is a school

composed of 3 buildings with 4000 populations of students.

Respondents of the Study

The respondents of the study are the Senior High School students.

Sampling Technique

The sampling technique to be in the study will be simple randome

sampling. A sampling technique in which researcher randomly selects a

participants from a population and each member of the population has an

equal chance of being selected.

Research Instrument

In this research, the researchers developed a self administered

questionnaire that contains questions on the satisfaction of students on school

clinic.

Data Gathering Procedures

 The researchers will ask permission from the principal to conduct the

survey entitled “SERVICE SATISFACTION OF STUDENTS ON SCHOOL

CLINIC: BASIS FOR IMPROVING THE NEED FOR ADEQUATE

HEALTHCARE”.

The researchers used simple random sampling method to determine

the respondents in every section of the Senior High School of the school.

Statistical Tool

The statistical tool to be used will be t-test.

CHAPTER 4

PRESENTATION, ANALYSIS, AND INTERPRETATION OF DATA

This chapter presents the presentation, analysis, and interpretation of

data to determine the Service Satisfaction of Students on School Clinic: Basis

for Improving the Need for Adequate Healthcare.

Table 1. LEVEL OF SERVICE SATISFACTION OF GRADE 11 STUDENTS

ON SCHOOL CLINIC IN TERMS OF;

1.1 PERSONNEL
Variables Mean Description
1. The school nurse and personnel 3.32 Neutral
are present during my admission.

2. The school nurse and personnel 3.66 Satisfied

are friendly and attentive.
3. My healthcare needs are addressed 3.38 Neutral
by the school nurse and personnel
present.

4. The school nurse and personnel 3.59 Satisfied

are competent in their duties.

5. The school nurse and personnel 3.70 Satisfied

shows sincere interest in my
healthcare needs.
General Mean 3.53 Satisfied

Table 1.A shows the Level of Service Satisfaction of Grade 11 students

on school clinic in terms on Personnel and Facilities/Equipments. In terms of

personnel, presence of school nurse and personnel got 3.32 interpreted as

Neutral, school nurse and personnel’s friendliness and attentiveness got 3.66

interpreted as Satisfied, healthcare needs are addressed by school nurse and

personnel got 3.38 interpreted as Neutral, competency of school nurse and

personnel got 3.59 interpreted as Satisfied, and school nurse and personnel’s

sincere interest in healthcare needs got 3.70 interpreted as Satisfied. With a

General Mean of 3.53 interpreted Satisfied.

This means that the Grade 11 students are satisfied with the service of

the school clinic in terms of personnel.

1.2 FACILITIES/EQUIPMENTS
Variables Mean Description
1. The room is clean and 3.63 Satisfied
and comfortable.

2. The room is quiet and 3.63 Satisfied

conducive to healing.

3. There are basic requirements 3.78 Satisfied

like water, fan, light, etc.

4. There are sufficient rooms for 3.48 Neutral

students who need healthcare
attention

5. Healthcare equipments such a 3.60 Satisfied

nebulizer, stethoscope, oxygen,
first-aid kit are all available and
functional according to the need of
the students.
General Mean 3.63 Satisfied

Table 1.B shows the level of satisfaction of students on school clinic in

terms of facilities, the room is clean and comfortable got 3.63 interpreted as

Satisfied, the room is quiet and conducive to healing got 3.63 interpreted as

Satisfied, basic requirements like water, fan, light, etc. got 3.78 interpreted as

Satisfied, sufficient rooms for students got 3.48 interpreted as Neutral, and

healthcare equipments available got 3.60 interpreted as Satisfied. With a

General Mean of 3.63 interpreted as Satisfied.

This means that the Grade 11 students are satisfied with the service of

the school clinic in terms of facilities/equipments.

Table 2. LEVEL OF SERVICE SATISFACTION OF GRADE 12 STUDENTS

ON SCHOOL CLINIC IN TERMS OF;

2.1. PERSONNEL
Variables Mean Description
1. The school nurse and personnel 3.41 Neutral
are present during my admission.

2. The school nurse and personnel 3.71 Satisfied

are friendly and attentive.

3. My healthcare needs are addressed 3.48 Neutral

by the school nurse and personnel
present.

4. The school nurse and personnel 3.77 Satisfied

are competent in their duties.

5. The school nurse and personnel 3.96 Satisfied

shows sincere interest in my
healthcare needs.
General Mean 3.66 Satisfied

Table 2.1 shows the Level of Service Satisfaction of Grade 12 students

on school clinic in terms on Personnel and Facilities/Equipments. In terms of

personnel, presence of school nurse and personnel got 3.41 interpreted as

Neutral, school nurse and personnel’s friendliness and attentiveness got 3.71

interpreted as Satisfied, healthcare needs are addressed by school nurse and

personnel got 3.48 interpreted as Neutral, competency of school nurse and

personnel got 3.77 interpreted as Satisfied, and school nurse and personnel’s

sincere interest in healthcare needs got 3.96 interpreted as Satisfied. With a

General Mean of 3.66 interpreted Satisfied.

This means that the Grade 12 students are satisfied with the service of

the school clinic in terms of personnel.

2.2 FACILITIES/EQUIPMENTS
Variables Mean Description
1. The room is clean and 3.79 Satisfied
and comfortable.

2. The room is quiet and 3.71 Satisfied

conducive to healing.

3. There are basic requirements 3.85 Satisfied

like water, fan, light, etc.

4. There are sufficient rooms for 3.55 Satisfied

students who need healthcare
attention

5. Healthcare equipments such a 3.69 Satisfied

nebulizer, stethoscope, oxygen,
first-aid kit are all available and
functional according to the need of
the students.
General Mean 3.72 Satisfied

Table 2.2 shows the level of service satisfaction of Grade 12 students

in terms of facilities, the room is clean and comfortable got 3.79 interpreted as

Satisfied, the room is quiet and conducive to healing got 3.71 interpreted as

Satisfied, basic requirements like water, fan, light, etc. got 3.85 interpreted as

Satisfied, sufficient rooms for students got 3.55 interpreted as Satisfied, and

healthcare equipments available got 3.69 interpreted as Satisfied. With a

General Mean of 3.72 interpreted as Satisfied.

This means that the Grade 12 students are satisfied with the service of the

school clinic in terms of facilities/equipments.

Therefore the Grade 11 students are satisfied with the overall service

of the school clinic in terms of personnel and facilities/equipments.

Table 3. SIGNIFICANT DIFFERENCE BETWEEN THE LEVEL OF SERVICE

SATISFACTION OF GRADE 11 AND GRADE 12 STUDENTS ON SCHOOL
CLINIC IN TERMS OF PERSONNEL;

Variables Mean t-tabular t-critical Description Interpretation

Grade 11 3.53

2.132 -1.08312 Reject Ha Not Significant

Grade 12 3.67
 Table 3 presents the significant difference between the level of service

satisfaction of students on school clinic in terms of personnel. Since the

computed value of -1.08312 is less than the tabular value which is 2.132 at

0.05 level of confidence, this leads to rejecting the hypothesis.

This implies that there is no significant difference between the level of

service satisfaction of students on school clinic in terms of personnel.

Table 4. SIGNIFICANT DIFFERENCE BETWEEN THE LEVEL OF SERVICE

SATISFACTION OF GRADE 11 AND GRADE 12 STUDENTS ON SCHOOL
CLINIC IN TERMS OF FACILITIES/EQUIPMENTS;

Variables Mean t-tabular t-critical Description Interpretation

Grade 11 3.62

2.132 -1.34699 Reject Ha Not Significant

Grade 12 3.72

Table 4 presents the significant difference between the level of service

satisfaction of students on school clinic in terms of personnel. Since the

computed value of is -1.34699 less than the tabular value which is 2.132 at

0.05 level of confidence, this leads to rejecting the hypothesis.

 This implies that there is no significant difference between the level of

service satisfaction of students on school clinic in terms of personnel.

Chapter 5

SUMMARY OF FINDINGS, CONCLUSION, AND RECOMMENDATION

This chapter presents the summary of findings, conclusion and

recommendation of the study about Service Satisfaction of Students on
School Clinic: Basis for Improving the Need for Adequate Healthcare.

Summary of Findings

The researchers found out that the Grade 11 students are satisfied with
the service of the school clinic in terms of personnel and facilities/equipments,
however variable 1 in personnel and variable 4 in facilities/equipments got a
lower rate of 3.32 and 3.48 respectfully, and is interpreted as Neutral.

The researchers also found out that the Grade 12 students are
satisfied with the service of the school clinic in terms of personnel and
facilities/equipments, how ever variable 1 in personnel got a lower rate of 3.41
interpreted as Neutral.
Conclusion

Based on the results of the study, the researchers therefore conclude

that the Grade 11 and Grade 12 students are satisfied with the service of the
school clinic in terms of the personnel and the facilities/equipments and some
service should be improved in order for the students to be satisfied with their
service.

Recommendation

Based on the result of the study and the conclusions drawn from them
the following recommendations were suggested. The proponents of this study
recommended the following:

1. The researchers recommend that the school can be a great help in

iproving the school clinic in terms of personnel and
facilities/equipments.

2. Increase the amount of manpower in the school clinic as based on the

result, the presence of the school nurse and personnel is interpreted as
neutral and the students are not satisfied with it.

3. Adding more rooms so that students can gain more service regarding
their healthcare needs.

4. The researches highly recommend that the future researches seek

further towards improving the service of school clinic and come up with
a great solution in improving their service in terms of their personnel
and facilities/equipments.
 REFERENCES

These are the references used by the researchers in this study.

Rosado, J. (2022, March 14). School-based health clinics and student outcomes in
New York City public schools. eRepository @ Seton Hall.
https://scholarship.shu.edu/dissertations/2976/

Institute of Medicine (US) Committee on Comprehensive School Health Programs in

Grades K-12. (1997, January 1). School Health Services. Schools & Health: Our
Nation’s Investment. https://www.ncbi.nlm.nih.gov/books/NBK232689/

Cabiles, B. (2023, August 1). Healthdev: “DepEd fails to keep students fit.”
RAPPLER. https://www.rappler.com/nation/26489-healthdev-deped-fails-keep-
students-fit/

McCord MT, Klein JD, Foy JM, Fothergill K. School-based clinic use and school
performance. J Adolesc Health. 1993 Mar;14(2):91-8. doi: 10.1016/1054-
139x(93)90091-3. PMID: 8476879. https://pubmed.ncbi.nlm.nih.gov/8476879/

Coyne-Beasley T;Ford CA;Waller MW;Adimora AA;Resnick MD; (2003a, July).

Sexually active students’ willingness to use school-based health centers for
Reproductive Health Care Services in North Carolina. Ambulatory pediatrics : the
official journal of the Ambulatory Pediatric Association.
https://pubmed.ncbi.nlm.nih.gov/12882597/

Dryfoos JG. School-based health clinics: three years of experience. Fam Plann
Perspect. 1988 Jul-Aug;20(4):193-200. PMID: 3072216.
https://pubmed.ncbi.nlm.nih.gov/3072216/

Wolk LI, Kaplan DW. Frequent school-based clinic utilization: a comparative profile of
problems and service needs. J Adolesc Health. 1993 Sep;14(6):458-63. doi:
10.1016/1054-139x(93)90118-9. PMID:
8241203.https://pubmed.ncbi.nlm.nih.gov/8241203/

Kirby, D., & Others, A. (1989, September 30). An assessment of six school-based
clinics: Services, impact and potential. ERIC. https://eric.ed.gov/?id=ED320207

Brindis C, Kapphahn C, McCarter V, Wolfe AL. The impact of health insurance status
on adolescents' utilization of school-based clinic services: implications for health care
reform. J Adolesc Health. 1995 Jan;16(1):18-25. doi: 10.1016/1054-139X(95)94069-
K. PMID: 7742332. https://pubmed.ncbi.nlm.nih.gov/7742332/

Bezem, J., Heinen, D., Reis, R., Buitendijk, S. E., Numans, M. E., & Kocken,
P. L. (2017, November 17). Improving access to school health services as
perceived by school professionals - BMC Health Services Research. BioMed
Central.
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-
2711-4