Case Studies in Global School Health Promotion Cheryl Vince Whitman Carmen E. Aldinger l Editors Case Studies in Global School Health Promotion From Research to Practice Editors Ms.CherylVinceWhitman Dr.CarmenE.Aldinger EducationDevelopmentCenter,Inc EducationDevelopmentCenter,Inc HealthandHumanDevelopment HealthandHumanDevelopment Programs Programs 55ChapelSt. 55ChapelSt. NewtonMA02458 NewtonMA02458 USA USA [email protected] [email protected] ISBN978-0-387-92268-3 e-ISBN978-0-387-92269-0 DOI:10.1007/978-0-387-92269-0 LibraryofCongressControlNumber:2008944091 #SpringerScience+BusinessMedia,LLC2009 Allrightsreserved.Thisworkmaynotbetranslatedorcopiedinwholeorinpartwithoutthewritten permissionofthepublisher(SpringerScience+BusinessMedia,LLC,233SpringStreet,NewYork,NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connectionwithanyformofinformationstorageandretrieval,electronicadaptation,computersoftware, orbysimilarordissimilarmethodologynowknownorhereafterdevelopedisforbidden. Theuseinthispublicationoftradenames,trademarks,servicemarks,andsimilarterms,eveniftheyare notidentifiedassuch,isnottobetakenasanexpressionofopinionastowhetherornottheyaresubject toproprietaryrights. Printedonacid-freepaper SpringerispartofSpringerScience+BusinessMedia(www.springer.com) ThisbookisdedicatedtoMr.JackT.Jones–inspiringmentorandcolleague,and devoted public servant. Mr. Jones dedicated his professional efforts to advance health promotion through schools, to improve the lives of students, teachers, and familiesaroundtheworld. In1991,Mr.Jones,aPublicHealthAdviseratU.S.CentersforDiseaseControl andPrevention(CDC),wassecondedbyCDC’sDivisionofAdolescentandSchool Health to the World Health Organization, where he served to promote the imple- mentationandimprovementofschoolhealthprogramsuntilhisretirementin2005. Under his leadership, the Global School Health Initiative was launched in 1995. Prior to his secondment, he was responsible for designing and developing new nationwidepublichealthprogramsincollaborationwithnational,state,andlocal agencies.Today,Mr.Jonesandhiswifespendtheirdaysmeanderingthebywaysof FranceandtheUnitedStates,searchingforgoodnessandsharingitwithfriends. v Acknowledgments Throughoutthepastdecade,keypeopleattheWorldHealthOrganization(WHO) andotheragenciesprovidedtheleadershipandadvocacytopromotehealththrough schoolsettings.WethankDr.IlonaKickbusch,Dr.DesmondO’Byrne,Dr.Pekka Puska, and Mr. Jack Jones from WHO; Dr. Maria Teresa Cerqueira from the Pan-American Health Organization; Dr. Lloyd Kolbe, Mr. Charles Gollmar, and Dr.LauraKahnfromtheU.S.CentersforDiseaseControlandPrevention;andour FRESH partners Ms. Anna Maria Hoffmann, Dr. Amaya Gillespie, Dr. Donald Bundy,andDr.LesleyDrake. WeacknowledgeDr.Kwok-ChoTangfortakingtheinitiative,undertheleader- shipofDr.RobertBeaglehole,toorganizetheWHOTechnicalMeeting,“Building School Partnerships for Health, Education Achievements and Development,” in Vancouver,Canada,5–8June2007,forwhichwecollectedandanalyzedaninitial setofschoolhealthcasestudies,whichweexpandeduponinthisbook. We sincerely thank all of the case study authors for contributing their time to writeandrevisethecasesandsharewithustheirexperiencesandlessonslearned. Andwegenuinelythanktheleadershipofthethousandsofschoolsreportedabout inallofthecases,theirstudents,parents,andcommunities,fortakingactivepartin theschoolhealthprogramsaroundtheworld. Last,butnotleast,wewanttothankthosewhohelpedusanalyzingthecasesand editingthebookmanuscript:ElizabethMagner,IanMcManus,MatthewBiewener, andNanniFeurzeig. vii Contents Section1.IntroductionandOverviewofFindings 1 IntroductionandBackground ............................................. 3 CherylVinceWhitmanandCarmenAldinger 2 FramingTheoriesandImplementationResearch ...................... 19 CherylVinceWhitman 3 OverviewofFindingsfromCaseStudyAnalysis ....................... 35 CherylVinceWhitmanandCarmenAldinger Section2.CaseStudies Africa 4 Kenya:Action-OrientedandParticipatoryHealthEducationin PrimarySchools ........................................................... 85 W.Onyango-Ouma,D.Lang’o,andB.B.Jensen 5 Mauritius:HealthPromotionforYouth ................................. 97 OdeteMoisesCossa 6 Nigeria:Health-PromotingSchools .................................... 105 OlusolaOdujinrin 7 SouthAfrica:SapphireRoadPrimary ................................ 115 BruceDamonsandSeanAbrahams TheAmericas 8 Barbados:SchoolHealthCaseStudy .................................. 127 PatriciaWarner ix x Contents 9 Brazil:AddressingtheSocialDeterminantsofHealth: TheExperienceofaMunicipalSchoolinRiodeJaneiro ............ 133 SergioMeresman,AvamarPantoja,andCarlosdaSilva 10 Canada:TheEvolutionofHealthySchoolsinOntario,Canada: Top-DownandBottom-Up .............................................. 143 CarolMacDougallandYvetteLaforeˆt-Fliesser 11 Nicaragua:TheSocial‘‘Treasure’’ofParticipation .................. 159 SergioMeresmanandAnyoliSanabria 12 USA:TheMichiganJourneyTowardCoordinated SchoolHealth ............................................................ 171 LaurieBechhofer,BarbaraFlis,KyleGuerrant, andKimberlyKovalchick 13 Uruguay:MainstreamingHealthPromotion inEducationPolicies .................................................... 187 SergioMeresman Europe 14 Germany:Anschub.de–‘‘AllianceforSustainableSchoolHealth andEducation’’ .......................................................... 195 PeterPaulus 15 Kosovo:AHealth-PromotingSchoolsApproachtoReducethe RisksofLeadPoisoningandtoEstablishCross-Ethnic Collaboration ............................................................. 205 IanYoungandArditaTahirukaj 16 Poland:TheHealth-PromotingSchool NationalCertificate ...................................................... 213 BarbaraWoynarowskaandMariaSokolowska 17 Scotland:SustainingtheDevelopmentofHealth-Promoting Schools:TheExperienceofScotlandintheEuropeanContext ...... 225 IanYoungandAnneLee EasternMediterranean 18 Bahrain:NationalComprehensiveSchoolHealthProgram, Health-PromotingSchools .............................................. 239 MariamAlMullaAlHarmasAlHajeri,LulwaAbdAlAzizAl Thukair,andNayaraSarhan Contents xi 19 Oman:Health-PromotingSchools:Collaboration andInvestment ........................................................... 251 AliJafferMohamedandSaharAbdouHelmi 20 UnitedArabEmirates:Health-PromotingSchools:Strategies forPolicyChange ........................................................ 265 MariamAlMatroushi SouthandSoutheastAsia 21 China:ImplementingHealth-Promoting SchoolsinZhejiangProvince,China ................................... 283 CarmenAldinger 22 HongKong:Health-PromotingSchools ............................... 297 AlbertLee 23 India:ImplementingHealth-PromotingSchools: HOPEInitiative .......................................................... 315 GourdasChoudhuri,UdayChandGhoshal,andEltonD’Souza 24 LaoPDR:StrengtheningtheSchoolHealthInitiative ................ 327 LyFoung,S.Phoungkham,andP.Khatthanaphone 25 Philippines:SupportingHealthPromotioninSchoolsThrough theUrbaniSchoolHealthKit ........................................... 337 SheilaR.Bonito,LurendaS.Westergaard,andRamanVelayudhan 26 Singapore:Health-PromotingSchools:TheCHERISHAward ..... 349 RoseVaithinathan,Cheong-LimLeeYee,WongMunLoke,and KellyLeow 27 VietNam ................................................................. 365 BuiPhuongNga,LeThiKimDung,LeThiThuHien,Bernie Marshall,NguyenHungLon,NguyenHuyNga,andMargaretSheehan WesternPacific 28 Australia:TheNewSouthWalesSchool-LinkInitiative ............. 377 DanielleMaloney 29 CookIslands:The‘‘StrengtheningProject’’ .......................... 387 DebiFutter Index ........................................................................... 395 Contributors SeanB.A.Abrahams KleinskoolCommunitySchool,PortElizabeth,SouthAfrica CarmenAldinger Health and Human Development Programs, Education Development Center, Newton,MA,USA MariamAlMullaAlHarmasAlHajeri MinistryofHealth,Manama,Bahrain MariamAlMatroushi MinistryofHealth,AbuDhabi,UnitedArabEmirates LulwaAbdAlAzizAlThukair MinistryofHealth,Manama,Bahrain LaurieBechhofer Coordinated School Health and Safety Programs Unit, Grants Coordination and SchoolSupport,MichiganDepartmentofEducation,Lansing,MI,USA SheilaR.Bonito UniversityofthePhilippinesOpenUniversity,LosBan˜os,Laguna,Philippines GourdasChoudhuri SanjayGandhiPostgraduateInstituteofMedicalSciences,Lucknow,India OdeteMoisesCossa WorldHealthOrganization,AfricanRegion,Harare,Zimbabwe BruceP.Damons SapphireRoadPrimarySchool,PortElizabeth,SouthAfrica CarlosdaSilva RiodeJaneiroMunicipalHealthSecretariat,RiodeJaneiro,Brazil xiii