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Review
. 2020 Oct;18(5):605-623.
doi: 10.1007/s40258-020-00575-8.

Health Promoting Schools: An Update

Albert Lee  1   2 , Amelia Lo  3 , Queenie Li  3 , Vera Keung  3 , Amy Kwong  3
Affiliations
Review

Health Promoting Schools: An Update

Albert Lee et al. Appl Health Econ Health Policy. 2020 Oct.

Abstract

The concept of a Health Promoting School has been found to be effective to improve health and well-being of students as well as a help with teaching and learning in school. Effective implementation of Health Promoting School is a complex intervention involving multi-factorial and innovative activity in many domains such as curriculum, school environment and community. Many studies evaluating Health Promoting School do not include outcomes reflecting the organisational or structural change as many of those studies are quantitative in nature and the statistical assumptions are not valid reflecting the organisational structure changes. Recent global meetings of experts have reviewed the impact on student health from the perspectives of school environment, school policies on health, action competencies on healthy living and community linkage. The English Wessex Healthy School Award Scheme and the Hong Kong Healthy School Awards Scheme have developed detailed systems to analyse whether each individual school has reached the standard of a model Health Promoting School reflecting a more holistic appreciation and understanding of all the effects of school-based health promotion with positive award-related changes. However, not many schools are able to implement Health Promoting School in its entirety, so cores indicators are needed as a starting point for wider implementation. Hong Kong Healthy School Awards Scheme is still ongoing with data for analysis of indicators with significant correlation with better health and well-being. We identified the core indicators and substantiated the requirements for successful outcomes by supplementing the established award-scheme framework with a review of recent literature and documents. Framework of Health Promoting School would go beyond improvement of health literacy to enable a more efficient system for education and health on children, hence a good investment in children.

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Conflict of interest statement

The authors want to express sincere thanks to Quality Education Fund of Hong Kong SAR Government for supporting the Hong Kong Healthy School Award and Thematic Network of Health Promoting School. There is no conflict of interests in preparing this manuscript.

Figures

Fig. 1
Fig. 1
PRISMA flowchart. PRISMA Preferred Reporting Items for Systematic Reviews and Meta-Analyses
See this image and copyright information in PMC

References

    1. Lee A. School health programs in the Pacific Region. In: McQueen D, editor. Oxford Bibliographies in Public Health. New York: Oxford University Press; 2018. 10.1093/obo/9780199756797-0173.
    1. Lee A, Cheng FF, Yuen H, Ho M. How would schools step up public health measures to control spread of SARS? J Epidemiol Community Health. 2003;57(12):945–949. - PMC - PubMed
    1. WHO. Coronavirus disease 2019 (COVID-19) Situation Report - 76. Geneva: WHO. 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/2.... Accessed 6 Apr 2020.
    1. United Nations General Assembly . Political declaration of the high-level meeting of the general assembly on the prevention and control of non-communicable diseases. New York: United Nations; 2011.
    1. Mant D, et al. Principle of Prevention. In: Jones R, Britten N, Culpeper L, et al., editors. Oxford textbook of primary medical care. Oxford: Oxford University Press; 2004.

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