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Table 3 Comparison of schools after implementation of accreditation manual in 2011 and 2013

From: Developing and implementing an accreditation system for health promoting schools in Northern India: a cross-sectional study

S. No. Parameter/Indicator Best score (3)
2011 2013
No. of schools (N = 17) No. of schools (N = 17)
I. Healthy School Environment
1. Access to adequate lighting, clean drinking water and clean toilets 3 (17.7%) 10 (58.8%)
2. Sufficient dustbins for refuse disposal. 3 (17.7%) 15 (88.2%)
3. School Safety and presence of evacuation plan for which everyone is trained. (Record and Observation) 2 (11.8%) 7 (41.2%)
II. Presence and awareness about Health Promoting Schools in schools
1. Presence of school health committee 3 (17.7%) 9 (52.9%)
2. Presence of a notice board 2 (11.8%) 11 (64.7%)
3. Presence of posters and/or other means of publicizing and popularizing Health Promoting Schools in the school and local community. 3 (17.7%) 14 (82.4%)
4. Student awareness and understanding of Health Promoting Schools concept, objectives and strategies. 3 (17.7%) 11 (64.7%)
5. Training for Health Promoting Schools Programme. 3 (17.7%) 12 (70.6%)
6. Presence of a coordinator for the Health Promoting Schools Programme. 2 (11.8%) 11 (64.7%)
7. Curriculum which emphasizes on health subjects. 3 (17.7%) 13 (76.5%)
8. Presence of sources and/or lectures on priority health subjects for students and staff. 3 (17.7%) 13 (76.5%)
9. Staff is setting the role model. 1 (5.9%) 7 (41.2%)
III. School Health Services   
1. Presence of a health cards. 7 (41.2%) 15 (88.2%)
2. Presence of first-aid kit. 4 (23.5%) 15 (88.2%)
3. Training of students and staff on first aid. 4 (23.5%) 14 (82.4%)
IV. School Nutrition Services
1. Nutrition education in school. 4 (23.5%) 13 (76.5%)
2. Monitoring canteens/meals in the schools. 4 (23.5%) 13 (76.5%)
3. Option of healthy food and drinks. 2 (11.8%) 14 (82.4%)
V. Physical Education
1. A minimum number of hours of physical activity per week to all students in or outside the school curriculum. 4 (23.5%) 14 (82.4%)
VI. School counseling, psychological and social services
1. Presence of social programmes and controlling health risk behavior. 3 (17.7%) 12 (70.6%)
2. Adolescent Education Programme - life skill education. 2 (11.8%) 14 (82.4%)
VII. Community Partnership
1. Community partners in decision-making and planning in the Health Promoting activities of the school. 3 (17.7%) 8 (47.1%)
VIII. Involvement of schools in establishing more Health Promoting Schools and their accreditation
1. Mentor and support new Health Promoting Schools 1 (5.9%) 2 (11.8%)
2. Assist in the accreditation. 0 0
  1. The 17 schools have been accredited on eight specific domains pertaining to healthy school environment, Presence and awareness about Health Promoting Schools, school health services, school nutrition services, physical education, school counseling, psychological and social services, community participation, involvement of schools in establishing more health promoting schools and their accreditation. Intervention for Health Promoting Schools (HPS) was started in March 2011 after baseline assessment of 17 schools on eight domains. The post-intervention reassessment of the schools conducted in 2013.