www.schoolhealthpromotion.org
An Online Workbook for
countries, states, agencies, practitioners and researchers
to support Continuous Improvement
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About
Introduction to this workbook and new SHP Paradigm
How to Use, Contribute to this Workbook
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Format of Better Practices Pages
SH Promotion in the 21st Century
List of Better Practices in this Workbook
List of Partners, Contributors & Sponsors
Be the Lead on a topic/Contact Us/Sign-Up for Updates
Brief History, Key Aspects of SHP
Key Definitions & Terms
Better Practices (A-F)
Before You Start: Shared Vision & Goals
A. Understand Your Context
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A-1 Defined Country, Community Contexts
A-2 Conduct a Situation Analysis
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A-2-1 Understand the Organization, Structures, Laws for Education Systems
A-3 Exchanges with similar countries
B. Better Data, Focus Your Resources
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B-1 Agree on Priority Issues
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B-1 (i) Issues documented, Agreed, Communicated
B-1 (ii) Local, School Priorities Enabled
B-2 Focus Your Resources on these Issues
B-3 Select/Develop/Use Surveys on Child Health & Behaviours
B-4 Select/develop/use a SH Policy/Program Survey
B-5 Select/develop/use a HPSD student learning survey
B-6 Establish Reporting Format, Frequency
C Whole Child, All Children, Esp. Disadvantaged
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C-1 Define, Describe, Publish Your Values
C-2 Describe Impact on Access, Achievement in school
C-3 Describe Impact on Disadvantaged Students
D Choose Interventions, Build Multi-Interventions (MIP's)
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D-1 Select Populations to be served by priority interventions
D-2 Select core sets of interventions
D-3 Build Multi-Intervention Progrtams (MIP's)
D-4 Control Proliferation of Projects, Issues
E. Select & Align Multi-Component Approaches
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E-1 Select, descrtibe your Multi-Component Approach (MCA)
E-2 Align MCA's Used in your country
F Build, Maintain Core Components
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F-1 Over-arching SH Policy
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F-1 (i) The Policy-Making Cycle
F-1 (ii) Encourage/require multiple components/interventions
F-1 (iii) Emphasize Equity within the policy
F-1 (iv) Support the Policy with an Action Plan
F-2 Develop, maintain a strategic action plan
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F-2 (i) Health, Education, Other Ministry Service Plans
F-2 (ii) Local Health, Education, Other Agency Service Plans
F-2 (iii) School, Clinic, Professional Service Plans, Guidelines
F-3 Maintain a core HPSD Education Program
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F-3 (i) Core HPSD Curriculum/Class Instruction
F-3 (ii) Consider core Home Ec/Financial Literacy Curriculum
F-3 (iii) Consider Core PE Curriculum
F-3 (iv) Vocational Prep for Health Careers
F-3 (v) Planned, sequenced cross-curricular instruction
F-3 (vi) Use of school routines, organization
F-3 (vii) Correlate with School Climate, Discipline Practices
F-3 (viii) Use of Co-Curricular Activities
F-3 (ix) Use of Extra-curricular Activities
F-3 (x) School-linked Web Learning
F-3 (xi) School-linked Family/Parent Education
F-3 (xii) School Participation in Community Education Programs
F-3 (xiii) Teacher Education & Development
F-3 (xiv) Teacher Wellness
F-4 Define Set of SH Services, Waiting Times
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F-4 (i) Defined set of school-based/linked services
F-4 (ii) School Health Services Quality, Delivery
F-4 (iii) School-based Clinics
F-4 (iv) School-based Vaccinations/Immuization
F-4 (v) School Management of Students with Chronic Diseases
F-4 (vi) School Management of Students with Disabilities
F-4 Role, Training of School Nurses
F-4 (viii) Role, Training of School Psychologists
F-4 (ix) Role, Training of School Physicians
F-4 (x) Role, Training of Donor Funded Aid Workers
F-4 Role, Training of SH Coordinators
F-5 Social Environmnet, Support, Engagement
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F-5 (i) Maintain positive school social climate
F-5 (ii) School discipline/codes of conduct
F-5 (iii) Consult, engage students
F-5 (iv) Inform, educate, involve, support parents
F-5 (v) Inform, involve community
F-5 (vi) Awareness, safety, use of social media
F-6 Physical Environment, Practical Resources
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F-6 (i) School Construction, Retro-fitting
F-6 (ii) Clean Water
F-6 (iii) Clean, safe bathrooms, latrines
F-6 (iv) School Meals, Food Services
F-6 (v) Safe Routtes to School
F-6 (vi) Disaster/Emergency Risk Reduction
F-6 (vi) Strategy to "Green" School Grounds, Facilities
F-7 Reciprocal, Strategic Partnerships
F-8 Country/Community Ownership
F-9 Youth/Student Engagement
Better Practices (G-J)
G Implementing, Scaling Up, Sustaining Programs
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G-1 Are you distributing, disseminating or institutionalizing?
G-2 Scaling Up, Succession Planning
G-3 Intervention Mapping
G-4 Interventiion Fit with your Situation
G-5 Use of Effective Planning Mechanisms
G-6 Use a Tested Implementation Model
G-7 Anticipate local Barriers, Drivers
G-8 Identify Threshold/Levers for Sustaining Programs
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Calculate & plan for scale up/ongoing costs
H Build System/Organizational Capacity
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H-1 Start=up & Baseline Funding, Staffing
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H-1 (i) Transition from Project to Ongoing Program/Budget
H-1 (ii) Adequate Time in Curriculum/School Day
H-1 (iii) Minimum Waiting Times for Services
H-2 System & Organizational Capacities
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H-2 (i) Coordinated Policy & Leadership
H-2 (ii) Assigned Staff as Coordinators at all Levels
H-2 (iii) Mechanisms for Cooperation, Coordination
H-2 (iv) Ongoing Knowledge Exchange & Development
H-2 (v) Pre-service education, In-service development of workforce
H-2 (vi) Regular monitoring, reporting, evaluation, improvement
H-2 (vii) Identify, jointly manage emerging issues
H-2 (viii) Explicit plan for sustainability
I Integrate Health & Social Programs in Core Business of Education System
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I-1 New Partnership Models to Better Integrate Within Education
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I-1-(i) Negotiated roles, resources in SH partnership
I-1 (ii) All initiiatives through one SH structure/team
I-1 (iii) First Consider Learning Needs
I-2 Align SH work within education structures, concerns, routines
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I-2 (i) Understand constraints on schools
I-2 (ii) Understand teacher beliefs, norms, work lives, concerns
I-2 (iii) Recognize, support teacher autonomy in lessons
I-2 (iv) Use updated pedagogical models
I-2 (v) Build teams in constrained conditions
I-2 (vi) Fit within stages, models of teacher education./development
I-2 (vii) Invest in education/development of non-educators in SH
I-3 Avoid silos on diseases/problems
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I-3 (i) Be guided by integrative paradigms
I-3 (ii) Deliver interventions within your multi-component approach (MCA)
I-3 (iii) Advocate for HPSD education in a broad core curriculum
I-4 Re-align Health, Other Sectors Within Education
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I-4 (i) Use "no-blame", shared responsibility, incremental change strategies
I-4 (ii) Address the characteristics of education systems
I-4 (iii) Use systems change models used by educators
I-4 (iv) Work within education consultative, decision-making & management structures
I-4 (v) Describe how core health/other sector structures, functions will relate to education counterparts
I-4 (vi) Maintain long-term perspective when building partnership with education sector
I-4 (vii) Develop, maintain a joint monitoring & reporting system
I-5 Health/Other Sectors should commit to providing on-going financial & human resources within schools
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I-5 (i) Health/other sectors should build capacity within their system that work with schools
I-5 (ii) Be specific about outputs from your partnership with the education sector
I-5 (iii) Health/other sectors should define minimum service levels related to schools
J Use concepts/tools from systems science/organizational development
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J-1 Policies, practice guidelines require Ecological Approach, Systems-focused Actions
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J-1 (i) Discourage use of settings as way to reach captive audience, encourage strategies to build capacity, modify conditions
J-1 (ii) Position linear logic models for programs within complex, ecological models
J-1 (iii) Select or adapt a model of continuous improvement/quality management
J-1 (iv) Review, select concepts/tools from systems science
J-2 Address implications of systems characteristics
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J-2 (i) Address implications of Open Systems
J-2 (ii) Addresss imlications of decision-making in loosely-coupled systems
J-2 (iii) Address implications of "professional bureaucracies"
J-3 Address complexities of working across & within several systems, agencies
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J-3 (i) Address inter-organizational cooperation & competition
J-3 (ii) Plan for different types of cooperation
J-3 (iii) Implement, maintain a "whole of government" strategy
J-3 (iv) Understand contradictions of "Health in All Policies" initiatives
Addendum: Developing a SHP Knowledge Development/Research Agenda
Approaches & Contexts
Different Approaches
Different Contexts
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Low Resource Countries
Conflict/Disaster Affected Countries
High Resource Countries
Indigenous Communities
Disadvantaged Communities
Small Island Developing States
Calendar School Health & Development
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Better Practices: Detailed Planning Pages