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Evaluating the health promoting schools in Iran: across-sectional study

Mehrangiz Sartipizadeh (Department of Family and Schools Health, Deputy of Health, Iran University of Medical Sciences, Tehran, Iran)
Vahid Yazdi-Feyzabadi (Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran)
Minoo Alipouri Sakha (Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran) (Department of Health Education and Promotion, Deputy of Health, Iran University of Medical Sciences, Tehran, Iran)
Aein Zarrin (School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada)
Mohammad Bazyar (Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran)
Telma Zahirian Moghadam (Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran)
Hamed Zandian (Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran) (Department of Community Medicine and Family, Ardabil University of Medical Sciences, Ardabil, Iran)

Health Education

ISSN: 0965-4283

Article publication date: 26 January 2021

Issue publication date: 1 February 2021

Abstract

Purpose

Health-promoting schools have been associated with improvements in the health status of students globally. This study is a secondary analysis study assessing Iranian HPSs.

Design/methodology/approach

This was a cross-sectional study on routinely collected data using an external audit 63-item checklist, which was utilized to evaluate 440 HPSs between 2014 and 2017. The mean score for each of the checklists' components was calculated. Nonparametric tests were conducted to investigate the association between the presence of a school caregiver, students' educational level and the school's score.

Findings

While the number of five- and four-star schools increased significantly, one- to three-star schools declined. Providing clinical and counseling services had negative growth. Despite the steady growth of the staff's health, this category still had the lowest score among; on the contrary, physical activity had the highest score in 2017. The presence of a full-time school caregiver and middle schools were both significantly correlated with achieving higher scores (p < 0.005).

Originality/value

It seems that in addition to developing school facilities to promote physical activities, measures should be taken to promote access to counseling services, considering health issues of students and staff and finally increasing the number of full-time school caregiver

Keywords

Citation

Sartipizadeh, M., Yazdi-Feyzabadi, V., Alipouri Sakha, M., Zarrin, A., Bazyar, M., Zahirian Moghadam, T. and Zandian, H. (2021), "Evaluating the health promoting schools in Iran: across-sectional study", Health Education, Vol. 121 No. 2, pp. 125-139. https://doi.org/10.1108/HE-04-2020-0022

Publisher

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Emerald Publishing Limited

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