scholarly journals Integration of Oral Health Interventions in the Health Promoting Schools Program in Iran: A Multi-Stakeholder Feasibility Assessment

Author(s):  
Morteza Rostam Beigi ◽  
Mahdia Gholami ◽  
Ahmad Jafari

Objectives: Based on the recommendations of the World Health Organization, we investigated the feasibility of oral health interventions (OHIs) as part of Health Promoting Schools (HPS) program in Karaj city elementary schools. Materials and Methods: OHIs were accepted to be integrated into the components of HPS program by using the nominal group technique (NGT) and semi-structured interviews. Three NGT meetings were held with the faculty members of the School of Dentistry, Tehran University of Medical Sciences, and Karaj elementary school health care providers. Semi-structured interviews were held with school health executives of the Ministry of Health and Medical Education. The expert panel edited the OHIs and corrected the fragmentations, overlaps, and duplications. OHIs were sent to 24 individuals in six multi-stakeholder groups (faculty members of pediatric dentistry and community oral health departments, elementary school administrators, executive managers of Ministry of Health and Medical Education, elementary school dean and school healthcare providers). They were asked to score the feasibility of each intervention on a scale of 0 to 10. Results: Based on the mean score of feasibility (threshold: 8) the OHIs were divided into two groups of feasible and infeasible. Eighty-six interventions were feasible, with a total mean score of 8.83±0.59 out of 10. The highest feasibility score was related to “comprehensive school health education”. Conclusion: Integration of OHIs in HPS program is acceptable and feasible. The results can help policy-makers support the integration of OHIs in HPS program and encourage them to implement the program at the national level.

2018 ◽  
Vol 34 (6) ◽  
pp. 1167-1178 ◽  
Author(s):  
Sugavanesh Periyasamy ◽  
Pushpanjali Krishnappa ◽  
Piddennavar Renuka

Abstract Schools provide a crucial platform for health promotion as the school years are a vital stage in one’s life, where lifelong general and oral health-related behaviours are developed and established. The components of Health Promoting Schools (HPSs) suggested by World Health Organization provide guidance for facilitating health promotion within this setting. This study aimed to assess the adherence to the components of HPSs amongst schools in Bengaluru, India utilizing a comprehensive tool developed for the purpose. A cross-sectional survey was conducted among randomly selected 61 schools. Data were collected through structured interviews with the head of the schools, direct observation of school premises and verification of records. The significant findings of the study were that 80.3% of the schools had proper ventilation and separate washrooms for boys and girls, 83.6 and 88.5% of the schools had natural light and adequate water supply correspondingly. Only 39.3% of the schools had washrooms that were cleaned daily, and 55.7% of the schools were in proximity to business that sold tobacco products. Oral health education was not integrated into the curriculum in 39.3% of the schools, and 29.5% of the schools had no playgrounds. The study tool appeared to be sensitive in identifying the finer components of HPSs, indicating the lack of strict adherence to the components of HPSs in Bengaluru. This information can be utilized to design appropriate interventions at micro, meso and macro level to strengthen the capacity of schools for the attainment of health promotion.


2016 ◽  
Vol 44 (3) ◽  
pp. 463-475 ◽  
Author(s):  
Rebecca Langford ◽  
Christopher Bonell ◽  
Kelli Komro ◽  
Simon Murphy ◽  
Daniel Magnus ◽  
...  

The World Health Organization’s Health Promoting Schools (HPS) framework is a whole-school approach to promoting health that recognizes the intrinsic relationship between health and education. Our recent Cochrane systematic review found HPS interventions produced improvements in a number of student health outcomes. Here we reflect on what this review was not able to tell us: in other words, what evidence is missing with regard to the HPS approach. Few HPS interventions engage with schools’ “core business” by examining impacts on educational outcomes. Current evidence is dominated by obesity interventions, with most studies conducted with children rather than adolescents. Evidence is lacking for outcomes such as mental or sexual health, substance use, and violence. Activities to engage families and communities are currently weak and unlikely to prompt behavioral change. The HPS approach is largely absent in low-income settings, despite its potential in meeting children’s basic health needs. Intervention theories are insufficiently complex, often ignoring upstream determinants of health. Few studies provide evidence on intervention sustainability or cost-effectiveness, nor in-depth contextual or process data. We set out an agenda for future school health promotion research, considering implications for key stakeholders, namely, national governments, research funders, academics, and schools.


Cinergis ◽  
2016 ◽  
Vol 17 ◽  
Author(s):  
Analie Nunes Couto ◽  
William Vinicius Kleinpaul ◽  
Letícia Borfe ◽  
Sheila Cristina Vargas ◽  
Hildegard Hedwig Pohl ◽  
...  

Objetivo: descrever as ações de promoção da saúde (PS) no ambiente escolar e as dificuldades que permeiam estas ações. Método: trata-se de uma revisão bibliográfica de caráter descritivo em publicações disponíveis na literatura científica sobre o tema, sem restrição de data. Utilizou-se pesquisa em sistemas de busca na internet, como o a Biblioteca Virtual em Saúde, com fontes indexadas nas bases de dados SciELO, LILACS, PubMed. Adotou-se os descritores: Escolas Promotoras de Saúde, Saúde escolar, PS, em português e Health Promoting Schools, School health, Health promotion em inglês. Os artigos foram selecionados pelos títulos e resumos, após, lidos na íntegra e incluídos os com informações sobre o tema. Foram elaboradas categorias temáticas para a discussão dos dados encontrados, articulando-os com referenciais teóricos. Resultados: a PS busca fortalecer a ideia de autonomia dos sujeitos e dos grupos sociais, como um processo social e político, não limitado a abraçar ações direcionadas a fortalecer as habilidades e capacidades dos indivíduos. O ambiente escolar passou a ser reconhecido como apropriado para ações de PS, através de várias iniciativas de Escolas Promotoras da Saúde e do Programa Saúde na Escola, para ampliar os fatores protetores da saúde do escolar. No entanto, têm se destacado ações curativas e assistenciais e, as de PS têm sido confundidas com as de prevenção, influenciadas pelo antigo conceito. As ações apresentam como fragilidade a dificuldade na compreensão do conceito de PS pelos profissionais. Considerações finais: a efetividade da PS é um desafio metodológico e político que possibilita gerar conhecimento de programas adaptados à realidade de cada contexto, com vistas à aplicação de metodologia adequada. Para que as ações se concretizem de forma eficiente e permanente, é necessário o comprometimento de todos os envolvidos, propondo o empoderamento da comunidade escolar em atitudes do cotidiano.


2003 ◽  
Vol 18 (3) ◽  
pp. 209-218 ◽  
Author(s):  
Simone Tetu Moysés ◽  
Samuel Jorge Moysés ◽  
Richard G. Watt ◽  
Aubrey Sheiham

2005 ◽  
Vol 12 (3-4) ◽  
pp. 169-172 ◽  
Author(s):  
Vivian Bamekow Rasmussen

The European Network of Health Promoting Schools (ENHPS) is a practical example of a health promotion activity that has successfully incorporated the energies of three major European agencies in the joint pursuit of their goals in school health promotion. As explained in the editorial, the network had its conceptual origins in the 1980's. However, since 1991 the initiative has been a tripartite activity, launched by the European Commission (EC), the Council of Europe (CE) and the World Health Organization Regional Office for Europe (WHO/EURO) (Barnekow et al. 1999). Starting with only seven countries, the network has enlarged over the years and now has a membership of 43 countries. This article outlines the criteria and principles developed by the network to establish national HPS programmes in Europe. The coordinators of these programmes throughout Europe, taking the the diversity in culture and setting into consideration, have mapped the different models of HPS programmes in their countries and through the EVA project have developed a series of guidelines to monitor progress. All agree that a key element of success is to work together with the school community, parents and young people themselves as well as with health and education ministries, but their different experiences have also allowed them to identify a number of constraints and challenges.


Author(s):  
Mohamed Osman Elamin Bushara ◽  
Mohamed Ganbi ◽  
Mohamed Elqarni ◽  
Abdulaziz Terkstani ◽  
Rakan Lihyani ◽  
...  

Background: The study was conducted to evaluate schools that implemented the health promotion program in Makkah city, which were 68 schools, (60%) of them randomly selected for the study.Methods: The seven components of the health promoting schools evaluated through descriptive cross sectional study, concentrating on the implementation activities of each component, and whether this implementation conforming to requested standards.Results: The study clarified that the health education activities scored 80% from the targeted activities in this component, encouragement of healthy behavior achieve the highest requested level, while healthy environment activities were being well implemented as it attained 87%.Conclusions: The study concluded that there were weaknesses in the following components, food and nutritional service, school health and mental service provision, and school connectedness with the surrounding community. The study recommends establishment of health service system for psychological and mental health for students, medical checks for school staff in addition to strengthening the links between health promoting schools and surrounding communities, through organized programs. The study recommends for more researches in order to support implementation of the program. 


2013 ◽  
Vol 25 (3) ◽  
Author(s):  
Raiandri Fajri ◽  
Anne Agustina Suwargiani ◽  
Netty Suryanti

Introduction: Oral and dental health problems in elementary school-age children are problems that require treatment, both preventive and promotive. Government efforts in improving dental health knowledge of elementary school-age children are made through business Dental School Health (UKGS) by involving teachers. The teacher has the role of delivering knowledge of the causes and prevention of dental and oral health in children. Purpose of the research is to find out teacher’s knowledge about oral health. Methods: The method used is descriptive, using survey techniques. Research population include 28 teachers. The study sample was all members of the population in the Public Elemen-tary School (total sampling). Results: The results showed that the teacher’s knowledge about dental disease and the mouth and oral hygiene are categorized as good; knowledge about the anatomy of the oral cavity, various teeth and how to brush teeth properly are categorized as fairly good, and tooth growth knowledge and dental anatomy are cat-egorized as bad. Conclusion: The teacher does not understand oral health. Knowledge level of the teachers will influ-ence the implementation of the UKGS, namely in maintaining and improving dental and oral health of all students at school and to achieve optimal degree of the dental and oral health status of students.


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