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Schools are an important social setting that can be used to improve community health in general and the health of schoolchildren in particular. The Health-Promoting Schools Initiative is one of the measures implemented through joint planning between different sectors to enhance the quality of life of the Omani population. This document outlines the initiative in Oman from 2004 to 2008. It describes the health status of school-age children and the initiative in terms of mechanisms, tools that were used in improving intersectoral action, monitoring and evaluation, and lessons learnt.