Development of the school health education program from the perspective of comprehensive school health model: An example at a higher secondary school of Karachi, Pakistan

Document Type



Community Health Sciences; School of Nursing and Midwifery, Pakistan


Objectives: To assess need for school health program, common health issues, knowledge and attitude towards health, perceived needs of students, teachers and parents. Thereafter apply Comprehensive School Health Model in a higher secondary school of Karachi; and gather outcome of the program through anecdotal evidences from stakeholders.
Methods: Baseline assessment was conducted through focus group discussions and individual views from through interactive activities from 250 students; focus group discussions with 35 teachers and administered questionnaires to 16 parents. We thematically analyzed the data. Based on the thematic analysis, assigned school health nurse developed and implemented health education curriculum. We gathered anecdotal evidence from stakeholders to gauge success of the program.
Results: The responses of students were more inclined towards physical aspects of health, and those of parents on issues related to mental and social development. Teachers emphasized broad and important aspects of counseling on psychosocial problems of students. After implementation of the curriculum, there were developments like establishment of a cafeteria committee to ensure healthy food availability and extended counseling facilities to help students cope with daily life stressors.
Conclusions: The program was successful in terms of executing health promoting initiatives for school children. The framework can act as a reference for other schools in developing countries that share similar needs and want to administer and direct the concept of school health promotion for their students.

Publication (Name of Journal)

Taiwan Journal of Public Health