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DOI: 10.15507/1991-9468.102.025.202101.127-143
Problems of Health Protection of Students with Health Limitations in Educational Institutions of the Russian Federation
Svetlana B. Lazurenko
Head of the Laboratory of Technologies and Means of Psychological and Pedagogical Habilitation, Institute of Special Education of the Russian Academy of Education (8 bd 1 Pogodinskaya St., Moscow 119435, Russian Federation), Head of the Center for Psycho-Pedagogical Assistance in Pediatrics, National Medical Research Center for Children’s Health (2 bd. 1 Lomonosovskiy Prospect, Moscow 119296, Russian Federation), Dr.Sci. (Ped.), Corresponding Member of the Russian Academy of Education, Professor, ORCID: https://orcid.org/0000-0003-0642-8545, Researcher ID: D-1400-2018, This email address is being protected from spambots. You need JavaScript enabled to view it.
Tatiana A. Solovyova
Director, Institute of Special Education of the Russian Academy of Education (8 bd 1 Pogodinskaya St., Moscow 119435, Russian Federation), Dr.Sci. (Ped.), ORCID: https://orcid.org/0000-0002-7748-8951, This email address is being protected from spambots. You need JavaScript enabled to view it.
Rimma N. Terletskaya
Chief Researcher, National Medical Research Center for Children's Health (2 bd. 1 Lomonosovskiy Prospect, Moscow 119296, Russian Federation), Dr.Sci. (Med.), ORCID: https://orcid.org/0000-0001-6313-3810, This email address is being protected from spambots. You need JavaScript enabled to view it.
Svetlana R. Konova
Chief Researcher, National Medical Research Center for Children's Health (2 bd. 1 Lomonosovskiy Prospect, Moscow 119296, Russian Federation), Dr.Sci. (Med.), ORCID: https://orcid.org/0000-0002-2833-5721, This email address is being protected from spambots. You need JavaScript enabled to view it.
Introduction. The current legal framework for the education of children with health limitations was created after the conceptual provisions and international acts to ensure equal children’s opportunities and access to free educational services without any type of discrimination. Regulatory documents contain the general rules for organization of educational activities and medical support in an educational institution, without specific recommendations for health strengthening and preservation of children with health limitations, taking into account the nature and severity of the disorder, as well as the combination thereof, which is a separate urgent state problem. This study was initiated to analyze the current situation with health protection of special needs children in educational institutions. The detection of organizational difficulties and legal restraints will allow to determine the remedial measures and prepare the proposals for the improvement of the educational system.
Materials and Methods. The content analysis of the applicable regulatory legal documents of the Ministry of Health, the Ministry of Education and Science of the Russian Federation between 2012–2020 revealed urgent problems pertinent to the enforcement of legislative initiatives in the field of education and health protection of students with health limitations in various educational environments.
Results. The study confirmed the hypothesis of the variability of the current organizational problems regarding health strengthening and preservation of students in an educational organization, including the weak legal and regulatory framework. The health-preserving environment of an educational organization is proved to have a combination of factors: availability of special educational and technical equipment to meet special educational needs of students, taking into account the severity of the physical dysfunction; the compliance of the tightness of timetable, number of lessons and the educational load with children’s health state and individual psychological capabilities; availability of separate rest and restoration rooms; availability of up-to-date rehabilitation equipment for health strengthening of children with health limitations in the educational institution’s environment; staffing with teachers and medical specialists who are aware of modern technologies of handling children with health limitations.
Discussion and Conclusion. The study results can be facilitative of the development of the system of monitoring during the organization of the educational process and the variability of health protection conditions for students with health limitations in an educational organization as the method of prompt detection and elimination of adverse factors and, hence, mitigation of social risks and solving of one of the priority state tasks.
Keywords: children’s health protection, educational organization, disabled children, health limitations, special educational conditions, legal regulations for education, interdisciplinary approach, health preservation
Funding: The study was conducted under the state assignment of the Institute of Correctional Pedagogy of the Russian Academy of Sciences No. 073–00028–20–00.
Acknowledgements: The authors express their thanks to the colleagues who supported the idea of the study and to the reviewers who conducted a blind anonymous review of this paper.
The authors declare no conflict of interest.
For citation: Lazurenko S.B., Solovyova T.A., Terletskaya R.N., Konova S.R. Problems of Health Protection of Students with Health Limitations in Educational Institutions of the Russian Federation. Integratsiya obrazovaniya = Integration of Education. 2021; 25(1):127-143. DOI: https://doi.org/10.15507/1991-9468.102.025.202101.127-143
Contribution of the authors
S. B. Lazurenko – scientific guidance; theoretical analysis of literature on the problem of the study; data interpretation; preparation of the text of the article.
T. A. Solovyova – scientific study initiative; scientific management of the study; critical analysis.
R. N. Terletskaya – participation in the processing of study results; structuring and revision of the text of the article.
S. R. Konova – structuring of the methodological part of the study; study data interpretation.
All authors have read and approved the final manuscript.
Submitted 09.11.2020; approved after reviewing 11.01.2021;
accepted for publication 15.01.2021.
This work is licensed under a Creative Commons Attribution 4.0 License.
