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Purpose – The purpose of this paper is to describe the rationale for and potential of World Health Organization (WHO) health promoting schools (HPS) in Africa. Design/methodology/approach – Overview of the related literature and presentations at the 2011 Stellenbosch international colloquium on HPS relating to sub-Saharan Africa. Findings – Schools provide the most efficient and effective way to reach large portions of the population; however, no literature reporting evaluations of HPS from Africa existed ten years ago. The WHO now supports HPS strategies in over 32 African countries, recognizing that the burden of disease, disability and premature death is disproportionately high in the region, and that many of the causes are preventable. Novel applications of the WHO model are increasing; those applicable to Africa include: measures to address the widespread problem of poor oral health, hygiene and nutrition among children; a range of “entry point” activities to initiate HPS with validated evaluation methodology; initiatives centered on gardening relevant for sub-Saharan Africa; opportunities for cross-disciplinary learning opportunities generated by inter-sectoral collaborative HPS programs; and the use of social media and cell phone messaging to deliver health promotion to at-risk teen populations on the continent. Challenges include the need for multi-sectoral collaboration and Ministry leadership, paucity of human resources and stable funding and limited research and evaluation of best practices. Practical implications – Africa faces significant challenges educating the next generation in the context of health. Strong political action, broad participation and sustained advocacy are required to capitalize on the proven potential of novel initiatives now available to disseminate “knowledge” and “healthy practices” through the WHO HPS model. Originality/value – Use of HPS offers a flexible and inexpensive avenue of relevance where guidelines and process exist, and evidence of efficacy in Africa is accumulating. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to summarize a consensus statement generated on the current challenges, strategies, and potential of health promoting schools (HPS) at a 2011 colloquium at the Stellenbosch Institute for Advanced Study where 40 people from five continents came together to share their global and regional experience surrounding the World Health Organization (WHO) HPS model. Design/methodology/approach – Using the consensus as its foundation, this review summarizes the underlying educational and social science concepts and factors that contribute to success or failure of HPS, and incorporates peer reviewed papers based on invited presentations at the colloquium and key related literature. Findings – HPS increase knowledge and develop behaviors that benefit the health of children, such schools are also an investment in the well-being of the larger community. Importantly for their long-term psychological health “resilience” is generated by effective HPS programs. Professional development initiatives within schools can catalyze greater absorption of the healthy school approach and focus on best practices. Promotion, support, and evaluation of programs are aided by award schemes and oversight by local or national agencies. And significant educational benefits are accrued for trainees from centers of higher learning involved in HPS program delivery. Practical implications – Educational initiatives that utilize the relative simplicity, low cost, and inherent flexibility of the HPS model can address many significant issues facing today's children. HPS offer an innovative and participatory way to increase the likelihood of the next generation becoming aware of practical ways to positively influence their lifestyle and future well-being. Successful programs are usually those that are relevant, resonate with students, and engage school communities so that they choose to “own” and sustain their program. Originality/value – The consensus statement provides a benchmark of the current status of HPS, and outlines future directions for this model of health promotion. [ABSTRACT FROM AUTHOR]