The idea about school health management in Bangladesh

The increase of the children who are fatty
Bangladesh has long been known as one of the countries with less than nutritionally deficient children under normal weight.
 While the number is gradually decreasing, obesity is becoming a problem as a new problem in recent years.
 In particular, the obesity of urban children is progressing, and in the survey of 2013, it is reported that about 10% of children in 5 to 19 years old in 7 cities in Bangladesh are overweight and 4% are obese.
 Among them, the proportion of obesity in Dhaka was very high, it was 22%. 
 It was also found that about half of the mothers of this 22% children were overweight or obese.

The change of food style and decrease of exercise
 
There are a lot of reason which is connected to this problem, intake of fast food and high-calorie drink, decrease in physical activity due to a shortage of school and playground in the urban area, a spread of epidemic use of electronic equipment such as a smartphone, It is n the lack of consciousness etc.
 In Dhaka, many foreign fast food restaurants are opened in last few years and fast food became the part of people’s food life.
 In Japan, an annual physical measurement at school is normal, but there is no such opportunity in Bangladesh so the school does not grasp the student’s detailed physical condition.
 In addition to above reason, Bangladeshi people have breakfast at around 9 to 10 o’clock, lunch time around 2 o’clock, snack time around 7 to 8 o’clock, dinner from 10 o’clock to 11 o’clock, the mealtime is so late.
Although it is a culture, it can not be called healthy.
 Basically, Bangladeshi food uses a lot of oil, so eating too much and lack of exercise will affect obesity.

Increased diabetes and risk of disease
 
Child obesity is also connected with diabetes, it is a serious problem.
In 2009, the number of children with diabetes was 400 but it reached over 5000 in 2017.
Children overweight and obesity progress to adulthood.
If we see it in the long term, it increases the risk of developing chronic diseases.

The children who are from hign-income family is more fatty
 
About 88% of the obese children belong to middle- and high-income households, and it is reported that the obesity rate of children who go to ENGLISH MEDIUM SCHOOL is particularly high.

Idea regarding this issue
 
In order to solve this, I propose a child health management package with a school as a customer.
 Main users of the service are mothers of children who are the target and also schools, an application will be provided for mothers and admin sites is on the school side.
 Application functions include body weight record, everyday meal management and recording including nutrition and calorie, exercise management and record, exercise information, a communication function with school, and coordination function with medical institutions. 
 Mothers of children are able to record their child’s diet and physical exercise, the school side can share that data, so the school side can grasp the health situation of the students.
 We can see similar applications in Bangladesh but there seems to be no versatile application that you can obtain information as well as health records for schools, as well as information on health. 
 The cooperative function with medical institutions is assumed to be such that it can smoothly collaborate with medical institutions for the purpose of introducing periodic physical measurement at the school and visual acuity test etc. 
 When a health examination is done, the data is sent to the school side, and the guardian can check with the application.

It is not easy to introduce these kind of system to schools but school can manage or monitor children’s health, the current situation will be better than now.