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96report on school_health_promotions(1)


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96report on school_health_promotions(1)

  1. 1. Current Development ofSchool Health Promotionin Thailand By Dr. Charuaypon TORRANIN Permanent Secretary, MOE, Thailand Intercountry Workshop on School Health Promotion Held by WHO SEARO 12 - 15 December 2006 Siam City Hotel, Bangkok, THAILAND 1
  2. 2. 10 Thai Health Indicators (Source: Thai Health 2006,Institute for Population and Social Research, Mahidol University)1. Dental Health-More than 6.6 millionrural children under 12 years of age experienced tooth decay, but most have not been treated.-Sugar in children milk and snacked are increasingly consumed. 2
  3. 3. 10 Thai Health Indicators 2. Unintended Pregnancy -Every year about 300,000 women have unintended pregnancies.-Abortion and child abandonment : neglected problems need attention.-AIDS prevalence is rising among Thai teenagers. 3
  4. 4. 10 Thai Health Indicators3.Nutrition-More than 100,000 children aged 6-14 in Bangkok eat western fast food every day.-An alarming sign is found on obesity and high blood pressure in students grades1-6 4
  5. 5. 10 Thai Health Indicators4.Alcohol and tobacco Alcoholism has increased, with 4.1% of Thais now addicted to alcohol. A Statistical Office survey on smoking habits found that 11.3 million Thais aged 15 and older smoke. 5
  6. 6. 10 Thai Health Indicators5.ExerciseIn 2004, only one in three Thais exercised 3-5 days per week. 6
  7. 7. 10 Thai Health Indicators6.Universal Health Insurance More Thai people are using health services. Health resources are used more effectively. Patients suing doctors: jeopardizing the doctor-patient relationship is increasing. 7
  8. 8. 10 Thai Health Indicators7. Mental Health of Thai Children Only 30% of children feel that their parents love and care for them, while more than 600,000 children have mental health disorders requiring treatment. 3,913 Thais attempted to kill themselves.(91,633 or 42% are aged 15-24.) 8
  9. 9. 10 Thai Health Indicators8.Traffic Accidents Traffic accidents claim the lives of at least 40 Thais a day.( Children aged 0-10years 12.8%,11-20 yrs 27.7%) Drink driving, not wearing seatbelts, and not wearing motorbikes helmets are still important causes of traffic injuries among teenagers. Groups of teenage males race their motorbikes at crazy speeds, competing for money or girls. 9
  10. 10. 10 Thai Health Indicators9.Children,Television and Education Children spend 4-6 hours per day watching television program with no educational content. A new way of rating television programs is proposed in 2007 The new Hope: ETV (Education TV run by Ministry of Education) 10
  11. 11. 10 Thai Health Indicators10. Family Life Seventeen% of married women, or about 2.9 million women, are in marriage where the partners did not choose each other freely. 2,093 teenage violence incidents were reported in the year 2005.- Instant credit services and their tricks draw children aged 15-18 yrs to be new easy buy customers. 11
  12. 12. School Violence Report : Jan-Sep2006(From Basic Education Commission Office) Juvenile Crimes 11 Accidents Injured 146, Death 58 Sexual Harassment 25 Attacks Injured 11, Death 17 Suicides 5 Bullying/conflicts Injured 15, Death 2 TOTAL 290 12
  13. 13. Thailand Healthy Schools AnalysisStrength Weakness1.Health Ed built in 1. Low priorityCurriculum 2.Limited qualified teachers2.Health issues are 3.Limited learning materialsnational agendaOpportunity Threats1.Strong Health related 1. Facing new Diseases agencies partnership 2. Social risky behaviors2.Health security providedFor Basic health service 13
  14. 14. ols3 Components are focused Health Program Students counseling Individual Health Record Special Projects under MOE Policyol Health Service Accident Insurance First aid clinic Vaccinationsth Education --> Focus on Life Skills 14
  15. 15. Key Success Strategies for Thai Healthy Schools Programs1. Setting Children Health Issue Priorities2. Set up Health Issues as National Agenda3. Find Networking/Partnership4. Law reinforcement5. Knowledge Management (KM) as pace maker/progress reporter/new innovator prime mover6. Use of ICT for student learning tool 15
  16. 16. 1. Setting Health Issues Priorities National Health Systems Reform Office - Health Status Monitoring - Health Organizations Reengineering Analysis - Legislations Analysis - Problem Issues Priorities Setting 16
  17. 17. 2. Set up as National Agenda:National Agenda: National Committee, National Plan, Allocated Budget, Assigned Cooperating Agency 1. Drug abuse and narcotics prevention 2. Alcohol and tobacco 3. AIDS/HIV 4. Safety ( Road safety, Disasters, etc.) 5. Health Promotion ( Healthy Thailand) 17
  18. 18. THAI MOE Policies and BudgetsTo achieve national agenda, MOE has to set up Ministry Health Policies, Committee, Plan, and Budget 1. Narcotics Prevention ( including Alcohol and Tobacco) 2. AIDS/HIV 3. Healthy Schools, Healthy Thailand 4. School Safety 5. Sports Promotion 18
  19. 19. 3. Find Networking/PartnershipHealth Related Networking Agencies- Ministry of Public Health -Thai Health Organization -National Health Security Office -National Health Systems Reform Office -Office of the Narcotics Control Board (Ministry of Justice) 19
  20. 20. 3. Find Networking/Partnership MOE–MOPH 1. Department of Health Service (Anamai) -A health promoting school as a healthy setting for living, learning and working - Oral Health Promotion & Prevention In School Children 20
  21. 21. 3. Find Networking/Partnership MOE–MOPH Health program Partnership2.Department of Mental Health -To Be No.1 : Youth leadership activities-Teachers Training on mental health- School Violence Coping-On line Youth Counseling 21
  22. 22. 3. Find Networking/Partnership MOE–MOPH Health program Partnership3.Dept of Food and Drug Administration - Training Children for Food Quality Control and Inspection - School lunch safety control 22
  23. 23. 3. Find Networking/Partnership MOE–MOPH Health program Partnership4. Department of Medical Services - Teacher training on drug addict treatment and prevention 23
  24. 24. 3. Find Networking/Partnership MOE–MOPH Health program Partnership5.Department of Disease Control -HIV/Aids program & Budget - Teachers’ seminar, training, and workshops on Disease Control 24
  25. 25. 3. Find Networking/Partnership MOE–MOPH Health program Partnership6. Department of Health Service Support- Monitoring & Follow up by on-line reporting on Drugs Control Records 25
  26. 26. 3. Find Networking/Partnership MOE–MOPH Health program Partnership7. Permanent Secretary Office, MOPH- Developing 10th National Health Development Plan (2007-2011)- Healthy Thailand, Healthy Schools 26
  27. 27. 4. Legislations and Law Reinforcement Smoking Act: No smoking in certain areas Alcohol Act: selling alcohol to children under18 is forbidden, No alcohol Billboards 500 meters from schools, No alcohol advertisements on TV during 5:00A.M. to 20:00P.M. Children Protection Act : Parents responsibilities to assist children free from smoking, alcohol, sex harassment, etc. 27
  28. 28. 5. Knowledge Management as pacemaker/progress reporter/newinnovatorThai Health Organization - Financial support for health promotion programs and projects - Knowledge Management for public access to health information 28
  29. 29. 6. ICT for Health Learning Makingthe Knowledge World Connection for Health and Student Achievement through ICT Management. 29
  30. 30. THINK Thailand Model | Modernized Educational Contents •Content Management •Technology driven •Content Distribution • Community-based (Sharing)•Regulations •Alive•Registration Learning • Animated•Local link Learning Environment • Dynamic•Evaluation Management • Interactive•Assessment•Global outreach Modernized Educational Learning Contents Process Contents• Brain-Based • Research-Based• Problem based • Self education/ • Learning Objects• Project-Based Learner centered • Self creation • Compatibility/• Blended learning • Learning-by-doing (Constructionism) open standards • 24 hr. learning • Customizable (Traditional + • Knowledge management E-learning) (Anytime/Anywhere/Anyone) • Curriculum/ Instruction• Professional • Industrial-school link • e-Library Development 30
  31. 31. School health program as part of External Q.A. by Office ofNational Educational Standards and Quality Assessment No Standards Poor Fair Good Student Performance 1 Desirable ethics and morale 1.48 29.28 69.24 4 7.83 65.12 27.05 Critical and creative thinking 5 Essential learning skills 16.44 51.44 32.12 6 Learning how to search for 4.06 56.16 39.78 Knowledge 9 Working skills for career 64.17 1.23 34.60 preparation 10 Physical and mental health 0.52 13.89 58.59 12 Sports, arts, and music 2.22 28.45 69.33 appreciation 31
  32. 32. Healthy THAILAND : Best Practice for Integrated Project for Health Promotion Strategic Roadmap Yr 2005 to 2017 (17 Goals)1. I.Q.and E.Q. 10. Mental Health2.Exercise 11. Less Crimes and Violence3.Life Skills 12. Adequate Earning for Living4.Happy Family 13. Safety Environment5.Long mortality 14. Free from Risky Behaviors6.Basic Health Security 15. Neighborhood7.Safety Food 16. Peace and Harmony8.Free from Cigarettes and Alcohol9.Accidents Safety 17.Religious and Culture 32
  33. 33. The Strength of the Nation to OvercomeDrug Program : Most Effective Strategy forSchools Health Promotion-National Agenda Approach (Strong leadership from the Government)-Public Campaign ( Public support)-Cross ministerial project ( Multi factors integrated Management)-Special financial Support (Adequate budget and bonus for the winner) 33
  34. 34. WHO Technical Meeting on School HealthVenue: CanadaTime: Early June 2007School Target Groups: Students 10-24 yrs add: 34
  35. 35. Proposed Titles for the Technical Meeting on School Health Encompass the following : -Health -Education-Partnerships-For all Proposed Titles : School Health Promotion: building partnerships for young peoples health, educational achievement and social development. Investment in Schools: Partnerships for Health, Achievement and Development 35
  36. 36. Timeline for the Technical Programme: 1. Identify topics for papers and track leaders nominate authors. 30th November 06 2. Comments from Steering Committee 8th December 06 3. Commissioning of Papers 20th December 06 4. Identification of Participants 31st January 07 5. Identification of Reviewers Submission of Papers 14th March 07 6. Review of Papers and Comments to Authors 30th April 07 7. Finalize Revisions 14th May 07 8. Papers to all Participants 22nd May 07 36
  37. 37. Technical Meeting Structure: Evening prior to day 1: Social event (to be confirmed) Day 1: Opening and up to 2 keynotes (am); Track 1 (pm). Day 2: Track 2 (am); Field Visits (pm) i.e. Participants visit local Canadian Educational Establishments and Track Leaders can discuss the issues that will be covering during closing. Day 3: Track 3 (am); Track 4 (pm). Day 4: Track 5 (am); Closing (pm) i.e. Joint statement, what is next. 37
  38. 38. Track Structure Plenary (e.g. State-of- the art of the individual tracks and overview of tracks). 5 topic areas in parallel sessions. The Technical Meeting Program participants will be sub-divided into 5 discussion groups in each of the half days, so papers will need to be grouped or discussions organized in a different way for each of the tracks. Total number of papers - 27 : 2 keynotes Estimated 5 papers on each of the 5 tracks. 38
  39. 39. Track 1- Consolidating evidence of impact ofHPS and other school-community programmes a-Strong data base of effectiveness on school health in high income countries in the topics of nutrition, sexuality, physical activity, drugs, mental health, and 4 of the 6 areas of the HPS/CSH, namely, school policies, the schools physical environment, skill and knowledge acquisition, and health services. b-There is promising emerging evidence on the schools social environment and some on community partnerships. c-The evidence is mostly from high-income countries, there is very little or no evidence from middle and low- income countries; d-The work being done by IUHPE and others collecting and analyzing the evidence of effectiveness of the former constitute a solid background and point of 39 reference.
  40. 40. Track 2: Understanding implementation ofHPS and other school-community programs At country level:  1. Situation analysis: needs and resource assessment  2. National mandate and Vision: the role of Ministry of Health and Ministry of Education  3. Leadership: dedicated time and resources, policy development  4. Advocacy: gaining buy-in of major stakeholders  5. Partnerships: roles and responsibilities of various sectors within countries  6. Administrative support  7. Data-driven planning and decision-making 40
  41. 41. Track 2: At country level: 8. Stages of readiness and fit of interventions 9. Macro-policy and economic environment 10. Curriculum development or selection: the intricacies of curriculum development for intra-and extra-curricular activities 11. Training: Pre-service and in-service teacher development, ongoing coaching 12. Fidelity: adaptation to local concerns, attention to external forces 13. Evaluation: process and outcomes; contribution of HPS to the global development framework and MDGs 14. Sustainability: long-term planning, ownership, partnerships, scaling up; how to achieve sustainability and scale of HPS 41
  42. 42. Track 2: At School level: 1. Participatory planning 2. Training 3. Implementing various components (and success criteria) 4. What components of a HPS framework were implemented, alone or in combination? a) School health policy b) Health education c) Health services d) School environment e) Community involvement f) Nutrition and food safety g) Physical education and recreation h) Mental health and social service supports 5. Monitoring and evaluation 42
  43. 43. Track 2: At School level: To determine the direction of school health for the next decade. A proposed outline of the end product (for the Technical Meeting) follows: • Introduction : Implementation research theory • Synthesis :Issues for discussion • Case studies : From ~2 countries per WHO Region (~ 12 stories, 6-10 pages each) 43
  44. 44. Track 3: How Schools Can Alleviate Social & Economic Disadvantage 1. Context Matters: the financial and human capacities of the communities, systems and countries in which they are situated. 4 sub-tracks: -Schools in low income countries -Schools in low income communities within high income or middle income countries -Schools serving aboriginal and indigenous communities-Schools serving communities and countries where wars/ civil conflicts have disrupted or destroyed their previous capacity 44
  45. 45. Track 3: How Schools can Alleviate Social & Economic Disadvantage 2. Hearing the Voices from the Margins: to ensure that experts who have practical experience working with disadvantaged schools and who are willing to acts as advocates are engaged in the tasks of the committee. 3. Schools can address disadvantage. Schools are not able to eliminate disadvantage in their societies but can work effectively with other agencies to alleviate the impact of such disadvantages to benefit students, parents and communities. 45
  46. 46. Track 3: How Schools can Alleviate Social & Economic Disadvantage 4. Different Forms of Knowledge: The social role of schools in low-income countries and communities . 5. Linkages with other International and National Processes on Determinants: The social and economic determinants of health, learning and social development are being considered by other commissions, centers and committees. 46
  47. 47. Track 4 : Effective Partnerships PromotingHealth and Education for All School - Age Children  To map out the network of existing and potential partners and the networking processes  Recognizing the comparative advantages of each partner and their specific role in the partnership.  Identifying the roles of different sectors, for example the public, private, civil and media sectors within countries that promote health and education for all school age children  Capitalizing on proven successes by identifying the mechanisms and processes that create effective networks and networking. 47
  48. 48. Track 5: Globalization & media The role of the private sector Civil and international conflicts Environmental concerns and their impacts on the social, educational and health promoting role of schools Social and economic disadvantage as determinants of health and learning The Media and mass communication on school children 48
  49. 49. What Have You Donefor Your Students’ Health ?