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UNESCO HIV and Health Education Clearinghouse

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  1. Guatemalan school food environment: impact on schoolchildren's risk of both undernutrition and overweight/obesity

    Guatemala suffers the double burden of malnutrition with high rates of stunting alongside increasing childhood overweight/obesity. This study examines the school food environment (SFE) at low-income Guatemalan elementary schools and discusses its potential impact on undernutrition and overweight/obesity. From July through October 2013, direct observations, in-depth interviews with school principals (n = 4) and food kiosk vendors (n = 4, 2 interviews each) and also focus groups (FGs) with children (n = 48, 8 FGs) were conducted. …

  2. School feeding and girls’ enrollment: the effects of alternative implementation modalities in low-income settings in sub-Saharan Africa

    BACKGROUND: School feeding interventions are implemented in nearly every country in the world, with the potential to support the education, health and nutrition of school children. In terms of impact on school participation, there is little evidence to show that different school feeding modalities have different effect sizes. OBJECTIVE: To examine the influence of different school feeding modalities on primary school enrollment, particularly for girls, in 32 countries across sub-Saharan Africa. …

  3. Costs, and cost-outcome of school feeding programmes and feeding programmes for young children. Evidence and recommendations

    Our objectives for this study were to provide updated, realistic data on the costs and cost-outcomes of school feeding in Low and Middle Income Countries. We also aimed to identify factors that may influence effectiveness and therefore, cost effectiveness of the interventions. To do this, we combined data on effect sizes for physical and psychosocial outcomes from two Cochrane systematic reviews with new data on the costs of school feeding. We simulated the costs of preschool feeding based on the school feeding costs. …

  4. The World Health Organization’s Health Promoting Schools framework: a Cochrane systematic review and meta-analysis

    Background: Healthy children achieve better educational outcomes which, in turn, are associated with improved health later in life. The World Health Organization’s Health Promoting Schools (HPS) framework is a holistic approach to promoting health and educational attainment in school. The effectiveness of this approach has not yet been rigorously reviewed. Methods: We searched 20 health, education and social science databases, and trials registries and relevant websites in 2011 and 2013. We included cluster randomised controlled trials. …

  5. Public health in action: effective school health needs renewed international attention

    School health programmes as a platform to deliver high-impact health interventions are currently underrated by decision makers and do not get adequate attention from the international public health community. We describe the award-winning Fit for School Approach from the Philippines as an example of a large-scale, integrated, cost-effective and evidence-based programme that bridges the gap between sectors, and between evidence and practice. …

  6. Re-imagining school health in education and health programmes: A study across selected municipal schools in Delhi

    The idea of school health is re-imagined with an emphasis on the need for children’s health programmes to be rooted in an understanding of the social context. Such programmes must address health, nutrition and education in a comprehensive manner. The article details findings and insights emerging from a qualitative study conducted in municipal schools in Delhi, located in contexts of poverty. The study identifies areas requiring changes in teacher education and health programmes. …

  7. Condom access in South African schools: law, policy, and practice

    South Africa’s recently adopted Children’s Act provides children the right to access reproductive health services as a way of addressing the HIV pandemic, but there remains confusion about how socially divisive rights provided for by the Act, such as condom access for youth, will be achieved. The Children’s Act, together with South African government policies, allows individual schools to decide whether to distribute condoms, but most school staff are unaware of South African policy and regulations governing condom provision in schools. …

  8. Child abuse by teachers in Zimbabwe

    This paper offers needed statistics on the extent of sexual abuse in schools. It analyses 246 reported cases of sexual abuse in schools in Zimbabwe into 3 categories: sexual abuse, physical abuse and emotional abuse. Key findings: 81.6% of sexual abuse was perpetrated by trained teachers and 65.5% of the perpetrators had had sexual abuse with their pupils

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