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Implementation support structure for the Dutch Health Promoting School program: a multiple case study.

Gerjanne Vennegoor1,2, Patricia van Assema1,2, Maria W J Jansen1,3

  • 1Academic Collaborative Center for Public Health Limburg, P.O. Box 33, Heerlen 6400 AA, The Netherlands.

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Summary
This summary is machine-generated.

Implementing Health Promoting School (HPS) programs requires robust support structures. This study reveals significant variation in HPS support levels across Dutch regions, highlighting areas for improvement in public health services and stakeholder collaboration.

Keywords:
Community of PracticeHealth Promoting Schoolcontextimplementation supportqualitativethe Netherlands

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Area of Science:

  • Public Health
  • Educational Policy
  • Health Promotion Programs

Background:

  • Health Promoting School (HPS) programs aim to improve school environments globally.
  • Understanding support structures is crucial for effective HPS implementation.

Purpose of the Study:

  • To map variations in HPS support levels across eight Dutch Public Health Service (PHS) regions.
  • To identify contextual factors associated with these support variations.

Main Methods:

  • A multiple case study design involving two rounds of semistructured group interviews.
  • Document analysis was conducted alongside interviews with school support staff.
  • Data collected on support indicators (intensity, reach) and 24 contextual factors.

Main Results:

  • Significant variation observed in HPS support intensity, PHS integration, and certified school reach.
  • Low scores noted for adviser context sensitivity across all regions.
  • Key factors influencing support included PHS policy, internal support, capacity, budget, and stakeholder collaboration.

Conclusions:

  • Substantial room for improvement exists in HPS implementation support quality and sufficiency in the Netherlands.
  • Strengthening PHS organizational commitment, stakeholder coordination, and national program positioning is vital.
  • Findings may offer insights for HPS support enhancement in other countries.