دورية أكاديمية
School Health Services in India: Status, Challenges and the Way Forward.
| العنوان: | School Health Services in India: Status, Challenges and the Way Forward. |
|---|---|
| المؤلفون: | Jakasania A; Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India., Lahariya C; Integrated Department of Health Policy, Epidemiology, Preventive Medicine and Pediatrics, Foundation for People-Centric Health Systems, New Delhi, 110029, India., Pandya C; Medicine Beyond Classroom, c/o Varun Complete Healthcare, Vadodara, 390006, Gujarat, India. drchitrapandya@gmail.com., Raut AV; Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India., Sharma R; Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India., K S; Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India., Mundra A; Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India., Kapoor JP; Senior Advisor, School Health Services, Foundation for People-centric Health Services, New Delhi, 110029, India., Khajuria S; Centre for Health Communications, Foundation for People-Centric Health Systems, New Delhi, 110029, India., Gupta SS; Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India. |
| المصدر: | Indian journal of pediatrics [Indian J Pediatr] 2023 Dec; Vol. 90 (Suppl 1), pp. 116-124. Date of Electronic Publication: 2023 Sep 26. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Dr. K. C. Chaudhuri Foundation, co-published by Springer India Country of Publication: India NLM ID: 0417442 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0973-7693 (Electronic) Linking ISSN: 00195456 NLM ISO Abbreviation: Indian J Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [Mumbai] : Dr. K. C. Chaudhuri Foundation, co-published by Springer India Original Publication: New Delhi : All India Institute Of Medical Sciences |
| مواضيع طبية MeSH: | School Health Services* , Schools*, Child ; Adolescent ; Humans ; Health Promotion ; India |
| مستخلص: | Schools provide a crucial platform for health and well-being interventions targeting children and adolescents. Early promotive and preventive initiatives are vital for enabling children and adolescents to reach their optimal potential, thereby adding to the country's social return-on-investment, creating a favourable demographic dividend. This review analyses the evolution of school health initiatives in India, including the current curriculum proposed under the Ayushman Bharat program. The manuscript highlights the challenges, and gaps in implementation of the current school health programs and proposes potential pathways for bridging these gaps for promotion of adolescent well-being. The review also discusses the concept of Health Promoting Schools and suggests adaptations and key recommendations to Indian context regarding 'how' to translate it into on-field reality based on the appraisal of successful case studies from other countries. Though India started school health services more than 100 y ago, the school health programmes in most Indian states are weak and fragmented, with piecemeal health screening with minimal focus on health promotion and well-being. The recently launched School Health and Wellness initiative under the Ayushman Bharat program has lots of promise. However, it needs to be translated into effective implementation to prevent it from meeting the fate of its forerunner programs. The school health program needs to move beyond the screening centric approach and be aspirational and holistic in nature focusing upon the overall well-being of the adolescents. Concerted efforts through intersectoral convergence are needed to optimally utilise the platforms of schools for promotion of adolescent well-being. (© 2023. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation.) |
| References: | Black MM, Behrman JR, Daelmans B, et al. The principles of nurturing care promote human capital and mitigate adversities from preconception through adolescence. BMJ Glob Health. 2021;6:e004436. (PMID: 10.1136/bmjgh-2020-004436338755198057542) Catalysing Transformational Change in School Education [Internet]. Available at: https://www.unicef.org/india/reports/catalysing-transformational-change-school-education . Accessed on 23 Jun 2023. Radinger T, Boeskens L. "More time at school: lessons from case studies and research on extended school days", OECD Education Working Papers, No. 252. Paris: OECD Publishing; 2021. Huang KY, Cheng S, Theise R. School contexts as social determinants of child health: current practices and implications for future public health practice. Public Health Rep. 2013;128:21–8. (PMID: 10.1177/00333549131286S304241792753945445) Vaivada T, Sharma N, Das JK, Salam RA, Lassi ZS, Bhutta ZA. Interventions for health and well-being in school-aged children and adolescents: a way forward. Pediatrics. 2022;149:e2021053852M. (PMID: 10.1542/peds.2021-053852M35503328) Carlsson M, Simovska V. Exploring learning outcomes of school-based health promotion—a multiple case study. Health Educ Res. 2012;27:437–47. (PMID: 10.1093/her/cys01122313620) Making Every School a Health-Promoting School: Global Standards and Indicators for Health-Promoting Schools and Systems. Geneva: World Health Organization and the United Nations Educational, Scientific and Cultural Organization; 2021. Available at: https://www.who.int/publications/i/item/9789240025059 . Accessed on 23 Jun 2023. Sharma A, Sood N. Approach and strategies of child development in India: A review. New Delhi, India: National Institute of Public Cooperation and Child Development; 1989. Rashtriya Bal Swasthya Karyakram (RBSK), Operational Guidelines [Internet]. Ministry of Health & Family Welfare, Government of India; 2013. Available at: https://nhm.gov.in/images/pdf/programmes/RBSK/Operational_Guidelines/Operational%20Guidelines_RBSK.pdf . Accessed on 23 Jun 2023. Rashtriya Kishor Swasthya Karyakram, Operational Framework [Internet]. Adolescent Health Division, Ministry of Health and Family Welfare, Government of India; 2014. Available at: https://nhm.gov.in/images/pdf/programmes/RKSK/RKSK_Operational_Framework.pdf . Accessed on 23 Jun 2023. Operational Guidelines on School Health Programme under Ayushman Bharat [Internet]. Ministry of Health & Family Welfare and Ministry of Human Resource & Development, Government of India; 2018. Available at: https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCHA/AH/guidelines/Operational_guidelines_on_School_Health_Programme_under_Ayushman_Bharat.pdf . Accessed on 23 Jun 2023. Jain N, Bahl D, Mehta R, Bassi S, Sharma K, Arora M. Progress and challenges in implementing adolescent and school health programmes in India: a rapid review. BMJ Open. 2022;12:e047435. (PMID: 10.1136/bmjopen-2020-047435355234899083421) Jain YK, Joshi NK, Bhardwaj P, Suthar P. Health-promoting school in India: approaches and challenges. J Fam Med Prim Care. 2019;8:3114–9. (PMID: 10.4103/jfmpc.jfmpc_673_19) Barua A, Watson K, Plesons M, Chandra-Mouli V, Sharma K. Adolescent health programming in India: a rapid review. Reprod Health. 2020;17:87. (PMID: 10.1186/s12978-020-00929-4324934717271491) Pathania D, Devgan S. Challenges in school health in India. J Posit Sch Psychol. 2022;6:3095–100. Call for Action. Making Every School a Health Promoting School: Scaling Up Implementation of Comprehensive School Health Programmes for Promoting Health and Well-Being of Students and Staff. New Delhi, India: World Health Organization, Regional Office for South-East Asia; Oct 12 2021. Available at https://cdn.who.int/media/docs/default-source/searo/hps_call-for-action-2021.pdf?sfvrsn=4cfa5e41_1 . Accessed on 11 Aug 2023. World Health Organization. Road Map for Implementation of Health Promoting Schools in the South-East Asia Region; 2022. Available at: https://apps.who.int/iris/handle/10665/361939 . Accessed on 11 Aug 2023. Jain P, Dhawan A, Ishwaran G, Jhingan A. Private sector’s contribution to K-12 education in India. New Delhi: Federation of Indian Chambers of Commerce and Industry & Ernst & Young; 2014. United Nations Fund for Population Activities. Rapid Assessment of HMIS Strengthening Project in Bihar; 2011. Available at: http://www.india.unfpa.org/publications/rapid-assessment-hmis-strengthening-project-bihar . Accessed on 23 Jun 2023. Rapid Assessment of Implementation of Adolescent Health and School Health Programmes: Assessment Tool [Internet]. World Health Organization; 2020. Available at: https://apps.who.int/iris/handle/10665/341483 . Accessed on 23 Jun 2023. Report of the First Virtual Meeting of the External Advisory Group (EAG) for the Development of Global Standards for Health Promoting Schools and Their Implementation Guidance. Geneva: World Health Organization and United Nations Educational, Scientific and Cultural Organization; 2020. Available at: https://apps.who.int/iris/handle/10665/339614 Accessed on 23 Jun 2023. Managing Programmes on Reproductive, Maternal, Newborn, Child and Adolescent Health. New Delhi: World Health Organization, Regional Office for South-East Asia; 2021. Available at: https://apps.who.int/iris/handle/10665/340775 . Accessed on 23 Jun 2023. Population Council. Adolescent Health Priorities and Opportunities for Rashtriya Kishor Swasthya Karyakram (RKSK) in Uttar Pradesh; 2017. Available at: https://www.popcouncil.org/uploads/pdfs/2017PGY_UDAYA-RKSKPolicyBriefUP.pdf . Accessed on 23 Jun 2023. Levinson J, Kohl K, Baltag V, Ross DA. Investigating the effectiveness of school health services delivered by a health provider: a systematic review of systematic reviews. PLoS ONE. 2019;14:e0212603. (PMID: 10.1371/journal.pone.0212603311888266561551) World Health Organization. Global School Health Initiatives: Achieving Health and Education Outcomes: Report of a Meeting, Bangkok, Thailand, 23–25 November 2015. World Health Organization; 2017. Available at: https://apps.who.int/iris/handle/10665/259813 . Accessed on 23 Jun 2023. Rapid Assessment of National School Health Programmes in Countries of the WHO SouthEast Asia Region: A Summary. New Delhi: World Health Organization, Regional Office for South-East Asia; 2021. McLoughlin GM, Allen P, Walsh-Bailey C, Brownson RC. A systematic review of school health policy measurement tools: implementation determinants and outcomes. Implement Sci Commun. 2021;2:67. (PMID: 10.1186/s43058-021-00169-y341749698235584) Lee A, Lo ASC, Keung MW, Kwong CMA, Wong KK. Effective health promoting school for better health of children and adolescents: indicators for success. BMC Public Health. 2019;19:1088. (PMID: 10.1186/s12889-019-7425-6314093126691553) Rajaraman D, Shinde S, Patel V. School Health Promotion: Case Studies from India. Delhi, India: Byword Books. 2015. p. 1–130. Chandra-Mouli V, Plesons M, Barua A, et al. What did it take to scale up and Sustain Udaan, a school-based adolescent education program in Jharkhand, India? Am J Sex Educ. 2018;13:147–69. Shinde, S. Effectiveness of SEHER: a school-based intervention to promote health in adolescents in Bihar, India: A clustered randomised trial. PhD thesis, London School of Hygiene & Tropical Medicine. 2018. Available at: https://researchonline.lshtm.ac.uk/id/eprint/4646637/ . Accessed on 10 Aug 2023. Balaji M, Andrews T, Andrew G, Patel V. The acceptability, feasibility and effectiveness of a population-based intervention to promote youth health: an exploratory study in Goa. India J Adolesc Health. 2011;48:453–60. (PMID: 10.1016/j.jadohealth.2010.07.02921501803) Annual Report 2005–2010, Drishti School Health Program, Ritinjali NGO. available at: https://ritinjali.org/coming_soon/index.html . Accessed on 23 Jun 2023. WHO, UNESCO, UNICEF, The World Bank. Focusing Resources on Effective School Health: a FRESH start to enhancing the quality and equity of education. World Education Forum; 2000. Available at: https://unesdoc.unesco.org/ark:/48223/pf0000124086 . Accessed on 10 Aug 2023. WHO. Global School Health Initiative. WHO [Internet]. Available at: http://www.who.int/school_youth_health/gshi/en/ . Accessed on 23 Jun 2023. WHO. WHO Information Series on School Health. WHO [Internet]. Available at: http://www.who.int/school_youth_health/resources/information_series/en/ . Accessed on 23 Jun 2023. Generations United: Intergenerational Programs Benefit Everyone [Internet]. 2021. Available at: https://www.gu.org/app/uploads/2021/03/2021-MakingTheCase-FactSheet-WEB.pdf . Accessed on 23 Jun 2023. Cohen-Mansfield J, Jensen B. Intergenerational programs in schools: prevalence and perceptions of impact. J Appl Gerontol. 2017;36:254–76. (PMID: 10.1177/073346481557066325698719) Chadha NK. Intergenerational Relationships: An Indian Perspective [Internet]. United Nations. Available at: https://www.un.org/esa/socdev/family/docs/egm12/CHADHA-PAPER.pdf . Accessed on 23 Jun 2023. Lahariya C. Revamp India’s School Health Services. Hindu, 2022. Available at: https://www.thehindu.com/opinion/lead/revamp-indias-school-health-services/article65663002.ece . Accessed on 23 Jun 2023. Kolbe LJ. School health as a strategy to improve both public health and education. Annu Rev Public Health. 2019;40:443–63. (PMID: 10.1146/annurev-publhealth-040218-04372730566386) Lahariya C. Health & wellness centers to strengthen primary health care in India: concept, progress and ways forward. Indian J Pediatr. 2020;87:916–29. (PMID: 10.1007/s12098-020-03359-z326383387340764) Lahariya C. “Ayushman Bharat” program and universal health coverage in India. Indian Pediatr. 2018;55:495–506. (PMID: 10.1007/s13312-018-1341-129978817) United District Information System for Education Plus (UDISE+), 2019–20. Available at: https://pib.gov.in/PressReleseDetailm.aspx?PRID=1731860 . Accessed on 23 Jun 2023. The 17 Goals | Sustainable development [Internet]. Available at: https://sdgs.un.org/goals . Accessed on 23 Jun 2023. |
| فهرسة مساهمة: | Keywords: Adolescent well-being; Ayushman Bharat; Health promoting schools; Health promotion; Nurturing care framework; School health program |
| تواريخ الأحداث: | Date Created: 20230926 Date Completed: 20231218 Latest Revision: 20231218 |
| رمز التحديث: | 20231218 |
| DOI: | 10.1007/s12098-023-04852-x |
| PMID: | 37751041 |
| قاعدة البيانات: | MEDLINE |
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