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“What works best is when communities are proactive about building linking and referral networks–so, trained adults who know how to talk to young people about how to actually get the healthcare they need–so that information gets to young people whether they seek it out or not.” “rural citizens tend to be highly involved with their schools; the schools are often the social anchor of the community, and they provide services not available elsewhere, like sports, summer lunch programs, night classes, and food pantries.

They also tend to be major employers.” In Appalachian schools, a disruption to health resources of any kind can cause ripples far beyond the school itself.

According to writers of the North Carolina House budget, “School nurses do more than tend to lice, playground injuries, headaches, and medications; they are tasked with spotting and intervening in cases of abuse and bullying, providing support to students struggling in their home or personal lives, and keeping track of countless immunizations and allergies across grades and campuses. This one-on-one time makes a difference in the lives of vulnerable populations already isolated in Appalachia.

And when it comes to sexual education in North Carolina, the lack of school nurses could have detrimental effects on some students’ reproductive health and decision-making., requiring schools to provide accurate instruction of reproductive health and safety alongside the state’s abstinence-only curriculum.

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Guests can have a hearty breakfast in the sunny dining room, and brunch is available on Sundays.As such, school systems individually make local decisions about what combination of tactics and materials to use to cover the topics required by law.The school nurse’s role in students’ sexual health varies by district, but “every school district directs staff in a manner that is consistent with local needs and policy,” said Kelly Haight, press assistant for the North Carolina Department of Health and Human Services.School nurses have practical and legal limitations on how they can support sexual education and reproductive health, according to Elizabeth Finley of the nonprofit Sexual Health Initiatives For Teens ().North Carolina law prohibits the distribution of contraceptives on school property, so nurses and school-based health centers cannot provide condoms, though nurses can help to teach parts of health courses in schools.

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