School health service is defined as ‘a service concerned with the early detection of health and social problems in school children and their subsequent treatment and surveillance’1 or ‘coordinated system that ensures a continuum of care from school to home to community health care provider and back’.2 Historically, the concept of school health services evolved in colonial American era by Benjamin Franklin who advocated a ‘healthful situation’ and promoted the primary subject of physical education in schools. Later, this concept gained major attention as a mean to promote public health and prevent disease after the report of the ‘Sanitary commission of Massachusetts’, headed by Lemuel Shattuck in 1850.3 Soon after Shattuck report, the medica...