Babazadeh Towhid, Fathi Behrouz, Shaghaghi Abdolreza, Allahverdipour Hamid
Student Research Committee, Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.
Health Promot Perspect. 2016 Dec 18;7(1):14-21. doi: 10.15171/hpp.2017.04. eCollection 2017.
Health promoting schools (HPS) project is currently being used in Iran but many challenges still lie ahead. The present study aimed, to test feasibility of implementing a comprehensive advocacy program (CAP) to overcome the obstacles and problems associated with the consummation of school health programs based on the HPS framework. This quasi-experimental study was performed through recruiting all schools that were enrolled in the national HPS program and located in Jolfa as the intervention group and all of the schools situated in the East Azerbaijan province as control. In order to collect data, Iranian Ministry of Health's checklists and external audit guidelines for HPS were utilized. In addition, to plan a CAP required data for coordinating fund raising activities including current rules and regulations regarding implementation of local health promotion interventions were collected. Findings of the study revealed that the implemented CAP had improved all HPS dimensions' mean score in the intervention group. The observed change in the pre- and post-test score in the intervention group was significant (P < 0.05). The intervention was also successful in encouraging signing of an agreement among the participated organizations to be committed to pursue the adopted policies in facilitation of progress towards full implementation of the local HPS project. Commencing changes in the recruited schools' structure through coordinated multi-level activities is feasible and this must be considered as a priority where contextual determinants exist to motivate progress towards providing healthier educational settings for school aged children in Iran.
促进健康学校（HPS）项目目前正在伊朗实施，但仍面临许多挑战。本研究旨在测试实施一项综合倡导计划（CAP）的可行性，以克服与基于HPS框架实施学校健康计划相关的障碍和问题。这项准实验研究通过招募所有参加国家HPS项目且位于焦勒法的学校作为干预组，以及东阿塞拜疆省的所有学校作为对照组来进行。为了收集数据，使用了伊朗卫生部的HPS检查表和外部审计指南。此外，为了制定一项CAP，收集了协调筹款活动所需的数据，包括当地健康促进干预措施实施的现行规章制度。研究结果显示，实施的CAP提高了干预组所有HPS维度的平均得分。干预组前后测得分的观察变化具有显著性（P<0.05）。该干预还成功地促使参与组织签署了一项协议，承诺致力于推行所采纳的政策，以推动当地HPS项目全面实施的进展。通过协调多层次活动开始改变所招募学校的结构是可行的，在存在背景因素以推动为伊朗学龄儿童提供更健康教育环境取得进展的情况下，这必须被视为优先事项。
