Table 1 Expected outcomes at different levels of programme implementation, and potential mechanisms and factors involved [57, 63]
Expected outcome at district stakeholders / community level Implementation of the training in schools, and support to school staff | |
Potential factors involved | Potential mechanisms |
Institutional support a Involvement and support of the municipality Involvement, support and ownership of the community Engagement in community networks Stability in the team Stability in administrative structure and procedures | Importance given to HP Accession to the programme Perception of self-efficacyb to carry out training and support to school staff Competency development c Partnership work e Reflexivity and sharing of experiences |
Expected outcome at school level Development of a health promoting approach, improvement of the school climate, improvement of home / school relationships | |
Potential factors involved | Potential mechanisms |
Partnership work e Implication of families Institutional will Support from local stakeholders Training means and resources Involvement of the community | Shared perception of HP Integration of HP in the “School Project” (School yearly policy pland) Presence of a leader Development of collective work g |
Expected outcome at school staff level in local schools Development of health promotion practices, promotion of partnership work, empowerment | |
Potential factors involved | Potential mechanisms |
Size of the implementation area Inclusion of training and support Collective work g Institutional support a HP integrated in school project d Training means and resources Existence of HP approach within the school Perceived needs of children | Perception of HP h Capacity to integrate HP in their practice f Accession to the programme Development of personal skills Perceived self-efficacy b Capacity to use resources Motivation and interest Teachers’ empowerment Leadership 1 Mutualisation. |
Expected outcome at children’s / pupil level Enhancement of well-being, promotion of social / physical / emotional health | |
Potential factors involved | Potential mechanisms |
School characteristics Staff perception of HP h Capacity of staff to integrate HP in their practice f Duration and content of training (inclusion of support) Improvement of home / school relationship Collective work g Development of HP whole school approach Development of HP practice Development of a supportive environment (psycho-social and physical aspects) | Implementation of health education activities Development of personal life skills Knowledge, competency development c Critical thinking Involvement of children in health promotion projects |