Katangolo-Nakashwa Ndasilohenda, Mfidi Faniswa Honest
University of Namibia (UNAM), Oshakati, Windhoek, Namibia.
University of South Africa (UNISA), Pretoria, South Africa.
BMC Health Serv Res. 2025 Jan 23;25(1):131. doi: 10.1186/s12913-024-12197-0.
This qualitative research study explores stakeholders' perspectives on the challenges of implementing Namibia's National School Health Policy (NSHP) in schools. The interview guide used for this study was specifically developed to address the research objectives and themes. A total of 20 stakeholders participated, including educators, nurses, principals, and health program administrators from three regions in Namibia. The study identifies significant barriers to effectively implementing the school health policy. These barriers include staffing shortages, inadequate resources, limited learner awareness of health rights, and insufficient teacher well-being. Additional challenges involve resource constraints, a lack of monitoring and evaluation, and limited coordination between the education and health sectors. The thematic analysis reveals recurring patterns and emphasizes the need for increased resource allocation, comprehensive training, collaborative policy development, and initiatives to improve teacher well-being. These findings provide valuable insights for refining future implementation strategies for school health programs in Namibia, highlighting the importance of strong leadership, stakeholder involvement, and adequate funding to support the goals of the NSHP.
这项定性研究探讨了利益相关者对纳米比亚学校实施《国家学校卫生政策》（NSHP）所面临挑战的看法。本研究使用的访谈指南是专门为实现研究目标和主题而制定的。共有20名利益相关者参与，包括纳米比亚三个地区的教育工作者、护士、校长和健康项目管理人员。该研究确定了有效实施学校卫生政策的重大障碍。这些障碍包括人员短缺、资源不足、学生对健康权利的认识有限以及教师福利不足。其他挑战涉及资源限制、缺乏监测和评估以及教育和卫生部门之间的协调有限。主题分析揭示了反复出现的模式，并强调需要增加资源分配、提供全面培训、开展协作性政策制定以及采取举措改善教师福利。这些发现为完善纳米比亚未来学校卫生项目的实施策略提供了宝贵见解，突出了强有力的领导、利益相关者参与以及充足资金对支持NSHP目标的重要性。
