oa South African Health Review - The health of older children in a school setting : child health



This chapter reflects on the health of older children in the school setting as schools are a site that is frequented by about 11.5 million learners nationally per year. Several National Health Policies are outlined that guide the services provided to older children. The role of School Health Services in particular is outlined and the indicators related to its implementation strategy are described. The crucial need for the development of systematically planned and evaluated health promotion programmes that address the determinants of behaviours that place older children at risk is illustrated through the evaluation of the Department of Education's Life-skills programme focusing on HIV. While recommendations to improve this programme are made, the crucial conclusion regarding the health of older children in general is that there is an urgent need for the adoption of a planned and systematic approach to intervention development that aims at addressing the determinants of their health behaviours.


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