Health promotion in school. An approach to enhancing networking with the community and health services. Plenary 4: Better health care responses to community needs through a culture of cooperation Health and education are closely interrelated. Health is linked to the daily life of students, teachers and families. It is important to provide a global framework to schools to facilitate coherent learning that promotes personal dimension (learning to care for oneself), the relational dimension (know how living together) and the environment dimension (know how taking care of the surroundings). It is very important to promote the ethics of care, to learn how to care for oneself, others and the environment. It is a basic aspect to address the challenge of chronicity and aging. A health promoting school is one that promotes the health and welfare of the school community through healthy organization, an educational program aimed at promoting life skills, a performance in front of the main determinants of health (diet, physical activity, emotional health, living together, healthy environment,...), the participation of the school community and good relations with the surrounding environment. The relationship between schools and health services is presented in: 1) The school curriculum is the basis of health literacy, lifelong learning and empowerment. 2) School teaches personal and social determinants of health and promotes responsibility in the management of personal and collective health. 3) Collaboration between health services and schools improves student learning about the organization and operation of health services. In our experience to foster a culture of collaboration between schools and health services is important: 1) Connecting health and educational policies, creating a framework for global collaboration, defining common goals, languages and working models for facilitate health literacy of citizens of the future. 2) Networking in the territory looking for opportunities and synergies of working together. 3) Training teachers and health professionals to encourage dialogue and collaboration.

1. Plenary 4: Better health care responses to
community needs through a culture of cooperation
Health promotion in school. An approach to
enhancing networking with the community
and health services
Javier Gállego Diéguez, Department of Public Health.
Regional Government of Aragon. Spain
jgallego@aragon.es @gallegodieguez
April 23-25, 2014 Barcelona, Spain

2. Territory: 48.000 km2
Population: 1.350.000
Density: 28/ km2
Life expectancy: 81,6 years
Cooperation between health and
education started in 1.986
• 594 Primary and Secondary Schools:
111.546 students and 9.583 teachers
• 118 Primary care centres, 29
Hospitals, and 16.423 healthcare
professionals
ARAGÓN (SPAIN)
Painter: Goya Filmmaker: Buñuel

3. Health promotion in school. An approach to
enhancing networking with the community
and health services
• Interrelationship between health and
education
• Health Promoting Schools: Networks
• Cooperation between Schools and Health
Services
• Conclusions

4. Education policy
Consensual model
– Values
– Objetives
– Strategies
Health policy
Communication and negotiating process

5. Health
well being with
yourself,
with others
and with the
environment

6. Health promotion School
Empowerment
Lifeskills
Self
Esteem
Social
support

7. Life Skills and core competences
Personal and social development
Self-care
Social
adaptation
Environmental
challenges
Relational
dimension
Personal
dimension
Environmental
dimensión
Diet, Physical activity,
Self-esteem
Hygiene, Use of health
services;
Sexual identity
Interpersonal
relationships
Managing emotions
Living together
Tobacco, alcohol and
other drugs
Security
Sustainability
Audiovisual consumption
“healthy screens”
Entornos saludables
Globalization and health
HEALTH

8. Life Skills and core competences
Personal and social development
Self-care
Social
adaptation
Environmental
challenges
Relational
dimension
Personal
dimension
Environmental
dimensión
Diet, Physical activity,
Self-esteem
Hygiene, Use of health
services;
Sexual identity
Interpersonal
relationships
Managing emotions
Living together
Tobacco, alcohol and
other drugs
Security
Sustainability
Audiovisual consumption
“healthy screens”
Entornos saludables
Globalization and health
HEALTH
Learning to learn
Sense of initiative
and
entrepreneurship
linguistic
competence
Digital competence
Social and civic
competences
Mathematical
competence and basic
competences in
science/technology
Cultural awareness and
expression

9. Health Promotion
Health competence
The ability to solve problems or deal health situations
with the attitude to desire to do it
Hygiene and self-care
Food and Fitness
Addiction Prevention
Affective-Sexual Life
Mental and Emotional Health
Accident Prevention
Care Environment
http://bit.ly/1lBSx7M

10. Health Literacy Framework
Education
System
Health
System
Mass Media
Social Media
Culture and Society

11. Integrated model of health literacy
Sørensen et al. BMC Public Health 2012, 12:80
http://www.biomedcentral.com/1471-2458/12/80

12. School health promotion involvement levels
RAPPS
Innovation
Health
promoting
Schools
School health programs
Compulsory curriculum health
education100%
60%
20%
5%

13. Health education Programs
Health
Competences
Opportunity
Daily life
Self-steem
Peer network
Skills
Environments
www.cineysalud.com
www.pantallassanas.com
Emotions
Relationships

14. www.schools-for-health.eu
Aragón Network Health
Promoting Schools

15. Health promoting school
Is one that gives priority in its educational
project promotes the health and wellbeing of
the school community by a team that cares:
• School Organization
• Determinants of health: Nutrition, Physical
Activity, Emotional Health and
coexistence, drug consumption, use of
ICT, Environment
• curriculum
• Relations with the Community

16. Participation School quality
Evidence Community Global health
Pillars
Equity Sustainability Inclusión
Empowerment Democracy
Conference Vilnius (2009)
Gloria Fuertes School Andorra (Teruel)
Values

17. Objectives of the Aragon Network
health promoting schools
• Recognize schools working for health and
wellbeing of school community
• Provide a framework for health promotion in the
educational plan and curriculum
• Promote health education aimed at life skills and
empowerment
• Institutionalize and consolidate the actions of
good practice of teachers in schools
• Facilitate intersectoral collaboration and support
of institutions providing healthy environments

18. Requirements Aragon Network health
promoting school
1. Commitment by three years schools
2. Integration into the dynamics of the
school
3. Previous experience of health
promotion school
4. Work team with a coordinator
5. Relationship with their community
6. System of evaluation and quality

19. Accreditation questionnaire of the health promoting school
http://bit.ly/10V7GVy

20. Networking and Innovation

21. We write and paint
our feelings
Pablo Antonio Crespo School
Aliaga (Teruel)
http://bit.ly/1dwO5hb

22. El Carmen y San José School. Zaragoza
http://bit.ly/12DTXkj
In dance with emotions

23. School Mediation
and partner Helpers
Reyes Católicos High School Ejea de los Caballeros (Zaragoza)
http://bit.ly/14RdWOU

24. CEIP Ferrer
y Racaj
School
(Zaragoza)
Educating the look watching
the work of Joan Miró.
Expressing
feelings, experiences, emotio
ns http://bit.ly/1bzcOD7

25. Study III
Sigue la huella -Follow Footprint-: Physical activity in High School:
Tutorial Action Plan for the promotion of physical activity
http://efypaf.unizar.es/

26. Fun school playtime Maria Moliner School
http://deportediversionydisfrute.blogspot.com.es/

27. CyberVolunteering
Peer education using ICT
for health communication
in secondary education
Santiago Hernández High
School Zaragoza
http://www.iessantiagohernandez.com

28. Cinema
and Health
www.cineysalud.com

30. Participation of health services in
promoting schools

31. collaborative culture between
health services and schools

32. Conditions for cooperation
• Connecting health and educational policies,
creating a framework for global collaboration,
defining common goals, languages ​​and
working models for facilitate health literacy of
citizens of the future.
• Networking in the territory looking for
opportunities and synergies of working
together.
• Training teachers and health professionals to
encourage dialogue and collaboration.

33. Hummingbird
Delicacy and
respect

34. Dolphin
Communication
and shared
languages

35. Chameleon
Innovation

36. Conclusions
• Health promoting schools enhance health
assets in sustainable way
• The teacher leadership is important to create a
supportive environment
• Institutionalizing health promotion in schools
by consolidating work team and best practices
• Cooperation between health and education is
an investment that achieves a sustainable and
satisfactory alliance

37. Education policy Health policy

38. Pasarela del Bicentenario. José María Sorando Muzás http://bit.ly/Qvv1LZ

39. Thanks, Gràcies, Gracias, Merci, Grazie
, Danke,谢谢, 감사 ,感
謝, Tak, Esker, ευχαριστίες, Dank, Obri
gado, спасибо,
, teşekkürler, , Terima kasih
Blog: redescuelasaragon.blogspot.com Twitter: @epsaragon
Facebook: Red Aragonesa de Escuelas Promotoras de Salud
,
Javier Gállego Diéguez, Department of Public Health.
Regional Government of Aragon. Spain
jgallego@aragon.es @gallegodieguez