Results of a Global Survey of Experts to Categorize the Suitability of Interventions for Inclusion in School Health Services

Health promotion 1. Promotion of safe and/or restricted use of mobile phones and the internet 2. Address bullying and peer harassment 3. Promotion of disability acceptance/support and integrationHealth education 4. Education on the safe use of technology/Internet, for example, social networks, video games, pornography, and addiction to mobile phones, selfies, and/or the Internet

Suggested by six or more respondents.

 5. Life skills education

Suggested both for school health services everywhere and for those in certain geographic areas only.

and/or a formal social and emotional learning curriculum 6. Sex education as “highly essential”

Suggested both for school health services everywhere and for those in certain geographic areas only.

 7. Education about road safety

Suggested both for school health services everywhere and for those in certain geographic areas only.

 8. Education about parenting skills and responsible parenthood 9. Education about gender equality

Suggested both for school health services everywhere and for those in certain geographic areas only.

 10. Education about climate change, population growth, the environment/ecology, and health, and what can be done at the individual level, for example, school gardenOther aspects of a health-promoting school 11. Collaboration with teachers and other school staff in multidisciplinary health services and classroom work (e.g., psychologist, social worker, special education, occupational therapy)

Suggested by six or more respondents.

 12. Support for an adequate supply of clean water for drinking, cleaning and flushing, and adequate, safe sanitation

Suggested by six or more respondents.

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Suggested both for school health services everywhere and for those in certain geographic areas only.

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Suggested for school health services in certain geographic areas only.

 13. Routine health inspection and regular walk-through in all areas of the school to assess risks and ensure a safe and healthful environment, conducive to learning and free from hazards, for example, electrical safety; installing sidewalks and pathway railings for injury prevention; sanitary canteen, classrooms, and residencies (boarding schools) 14. Universal and consistent provision of healthy and nutritionally adequate food and drink throughout education, especially for severely wasted students, including the importance of food production

Suggested both for school health services everywhere and for those in certain geographic areas only.

 15. Ensure an accessible environment for all in the classroom or in physical education, for example, visual aids, desks, chairs

Suggested both for school health services everywhere and for those in certain geographic areas only.

 16. Training of all school actors on school health care interventions, for example, training of teachers and other school staff (such as cooks) in first aid, basic health care (for schools without a health worker), general hygiene, dental hygiene, food hygiene, nutrition, and/or recognition and management of common mental health problems

Suggested both for school health services everywhere and for those in certain geographic areas only.

 17. Integration of children with special needs (e.g., epilepsy, neurodevelopmental disorders) in school, and specialized services to address their learning, behavioral, and other needs 18. Ensure students have healthy recreational and/or outdoor activities, for example, sports development programs for athletes; playgrounds; yoga or meditation activity 10–15 minutes/day; and assessment of the quality of physical education/sports provided by the school 19. On-going engagement with parents, families, and local community leaders, e.g., political, traditional, religious leadersAssessment 20. Phonoaudiological evaluation (e.g., hypotonic tongue, peribuccal muscles, atypical swallowing, mouth breathing, pronunciation problems, speech), for example, stutteringScreening 21. Early screening of physical, behavioral, developmental and learning needs, for example, readiness on school entry, to allow for early intervention such as expressive and receptive speech language assessment at 4–5 years, or services related to autism spectrum disorder

Suggested by six or more respondents.

Health counseling to prevent problems 22. Address stress related to school and grades for adolescents,

Suggested both for school health services everywhere and for those in certain geographic areas only.

especially in low- and middle-income countries, for example, yoga, music therapy, or group sessions for moderating psychological stress through gamesGeneral care 23. Provide a referral system, especially to respond to cases from remote/difficult-to-access school communities

Suggested both for school health services everywhere and for those in certain geographic areas only.

Noncommunicable conditions care 24. Occupational therapy at all levels of the support continuum, for example, modification of activities and adaptation of the school environment to make it accessible for students with disabilities

Suggested by six or more respondents.

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Suggested both for school health services everywhere and for those in certain geographic areas only.

 25. Specific nutrition interventions,

Suggested by six or more respondents.

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Suggested both for school health services everywhere and for those in certain geographic areas only.

for example, referral, support, and management for overweight and obesity; management and referral of moderate and severe acute malnutrition 26. Support and treatment services for children with chronic neurological conditions, for example, cerebral palsy, traumatic brain injury, epilepsy 27. Prevention, referral, and intervention for myopia

Suggested both for school health services everywhere and for those in certain geographic areas only.

 28. Primary oral health care, for example, prevention and control of dental caries by topical fluorination or pit and groove sealing; fillings using atraumatic restorative treatment; nonsurgical extraction

Suggested by six or more respondents.

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Suggested for school health services in certain geographic areas only.

Sexual and reproductive health care 29. Contraceptive counseling and provision, if legally allowed in a countryMental health care 30. Cognitive and environmental interventions for children with attention-deficit hyperactivity disorder, autism spectrum disorder, or developmental coordination disorder

Suggested both for school health services everywhere and for those in certain geographic areas only.

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