“Building School Partnership for Health, Education Achievements and Development - the Education Perspective” WHO Technical Meeting on Building School Partnership for Health, Education Achievements and Development By Dr. Charuaypon TORRANIN Permanent Secretary for Education, THAILAND 11.45-12.30 Tuesday, 5 June 2007, Vancouver, Canada Presentation Outline 1. Global Trends & Issues in Education 2. Education & Health Partnership 3. Global & Regional Partnership 4. National & Local Partnership 5. Thailand Showcase 6. Active Partnership 2 Global Trends in Education Focusing Issues: Schooling of the future Demand-driven education Major curriculum reviews Quality across the system Network/broader partnerships 3 Global Trends in Education Networks/Partnerships of Learning: demand for public accountability horizontal partnership democratic exchange mutual stimulation motivation 4 Global Trends in Education Types of Modern Education Networks Community of Practice Networked organization Virtual Community 5 Education and Health as the Basis of Partnerships in School Health Promotion : the Need for Action (Jack T. Jones, WHO, Geneva) -Education is a prerequisite for health. -Healthy children learn well. -Schools have a powerful influence on school and community health: • • • promotion intervention prevention -School health. attendance is affected by 6 Recently Agreed Principles on Partnership between Health and Education (Jack T. Jones, WHO, Geneva) 1. Broad actions at the international, national and local level: - expand investment in schooling - expand the educational participation of girls. 7 Recently Agreed Principles on Partnership between Health and Education (Jack T. Jones, WHO, Geneva) 2. All schools should: • • • provide a safe learning and working environment serve as an entry point for health promotion and a location for health intervention, & enable young people at all levels to learn about critical health issues & life skills. 8 Recently Agreed Principles on Partnership between Health and Education (Jack T. Jones, WHO, Geneva) 3. Develop policies, legislation and guidelines to ensure the identification, mobilization and coordination of resources at the local, national and international level. 4. Value teachers and school staff and provide them with the necessary support to enable them to promote health. 9 Recently Agreed Principles on Partnership between Health and Education (Jack T. Jones, WHO, Geneva) 5. Encourage communities and schools to work together 6. Design, monitor and evaluate school health programmes 7. Build international support for health promotion in schools. 10 Present Status on HPS in Most Countries Strengths 1. Health Education in Weaknesses 1. Low priority, low budget 2. Limited health personnel 3. Low support from families and community Opportunities 1. Strong partnership with health related agencies 2. Active participation internationally Threats 1. New diseases 2. Risky, social behaviors curriculum 2. Health issues on national agenda 11 School Health: the Present Education Perspective 1. Theory versus practice - Life- skills learning - New, innovative teaching resources 12 School Health: the Present Education Perspective 2. School health services and specially designed extracurricular activities for health practices and attitudes are needed for MOPH partnership support. 13 School Health: the Present Education Perspective 3. MOE health policies depend on political support from the Minister and the government. 14 School Health: the Present Education Perspective 4. Global, regional, and international health policies are a good idea but often set unattainable goals for low income countries, and particularly in the poorest parts of a country. 15 School Health: the Present Education Perspective 5. Building school partnerships: - Professional team - Clearly defined roles - Satisfying the needs of the partners 16 School Health: the Present Education Perspective 6. Community Partnership Good leadership & team work Capacity building Change management 17 Global Partnership: the FRESH Initiative 18 Making the Most of Global Organization Partnerships 1. Understand how each organization functions 2. Join all available programs and projects 19 Making the Most of Global Organization Partnerships 3. Keep up-to date 4. Identify potential resource persons 5. Assign a coordinator 20 Regional Partnership 1. Make direct contact with regional/local offices 2. Transform knowledge into concrete actions 3. Establish regional standards and benchmarks 4. Conduct research on common regional health issues 5. Develop personal relationships 21 Strengthening National Partnership 1. Engage key policy makers from relevant agencies 2. Appoint coordinators and link to counterparts 3. Establish a National Coordinating Committee. 22 Strengthening National Partnership 4. Set the political and professional agendas 5. Appoint Executive Board members 6. Develop shared agreements 23 Strengthening National Partnership 7. Identify key stakeholders • • • Ministry of Public Health Health related agencies Education related agencies : PTAs, academic associations, universities etc. 24 Strengthening National Partnership 8. Ensure the partnership adds value to both organizations: - achievable goals - formal partnerships - leadership by someone with skills 25 Local Partnership :3 Approaches 1. A Whole School Approach to Health Promotion (School -Based Management) 2 Schools as Core Social Centers (Community-Based Development Approach) 3. Academic Networks 26 Local Partnership : 1. A Whole School Approach to Health Promotion (1) Ensure students feel they have some sense of ownership in the life of the school (2) Encourage use of diverse teaching and learning strategies (3) Allow adequate time for class-based 27 and out of class activities Local Partnership : 1. A Whole School Approach to Health Promotion (4) Explore health issues within the context of the students lives and community (5) Develop teaching and learning strategies which adopt a whole school approach rather than primarily a classroom learning approach (6) Provide on-going capacity building opportunities for teachers and associated staff 28 Local Partnership : 1. A Whole School Approach to Health Promotion (7) Build an excellent social environment which fosters open and honest relationships within the school community (8) Ensure consistency of approach across the school and between the school, home and wider community 29 Local Partnership : 1. A Whole School Approach to Health Promotion (9) Give a sense of direction through the goals of the school and clear and unambiguous leadership and administrative support (10) Create a democratic and participatory school community 30 Local Partnership : 2. Schools as Core Social Centers (Community-Based Development Approach) (1) Look for all community partners (2) Partnerships with a range of specialist services partnership (3) Making schools more accountable to parents and the public (4) Schools as focused learning 31 organization Local Partnership: 3. Academic Networks : Typical stakeholders in Academic network Innovative teachers and principals; Universities, research institute, government agencies and charitable foundations; Consultants or trainers brought into a network to provides members with professional training and advise; Evaluators and researchers collecting data relevant to the process and the evidence of a network’ s impact; and Academic associations invited into a network to further the cause of school improvement. 32 Local Partnership: 3. Academic Networks A school network initiated and run by a university research institute A symbiotic relationship involving mutually beneficial activities Provides the schools with state-ofthe-art know-how and acts as consultants and evaluators University can serve as headquarters of educational network designed to improve schooling for children in atrisk-communities 33 Thailand Show Case 1. Key Success Strategies a) b) c) d) e) Prioritizing child health issues Putting health issues on the national agenda Strengthening networking/partnership Legislation & Law enforcement Knowledge Management 34 Thailand Partnership Model a) Prioritizing Child Health Issues (proposed by Thailand National Health Systems Reform Office) - health status monitoring - health organizations reengineering analysis - legislation analysis - problems, issues, priorities 35 Thailand Partnership Model b) Putting health issues on the national agenda (Thailand National Health Agenda for Cross Ministerial Cooperation) 1.Drug use /smoking/alcohol control 2.Road safety 3.HIV/Aids 4.Healthy Thailand campaign 36 Thailand Partnership Model c) Strengthening network/partnership MOE Initiatives Realize its own critical health situation Request technical assistance MOE partial/full financial support MOE Project Director as leader Drafting of MOU MOPH Initiatives Recommend health issues Offer assistance Allocate MOPH budget for health services Set health issue as national agenda Serve as project 37 coordinator Thailand Partnership Model d) Legislation and Law Enforcement Smoking Act Alcohol Act Child Protection Act 38 Thailand Partnership Model e) Knowledge Management - improve public access to health information - role of Thai Health Organization - websites and on-line services 39 School health program as part of External Q.A. by Office of National Educational Standards and Quality Assessment No 1 Standards Fair Good 1.48 29.28 69.24 7.83 65.12 27.05 16.44 51.44 32.12 Poor Student Performance Desirable ethics and morale 4 Critical and creative thinking 5 Essential learning skills 6 Learning how to search for Knowledge 4.06 56.16 39.78 9 Working skills for career preparation 1.23 34.60 64.17 10 Physical and mental health 0.52 13.89 58.59 12 Sports, arts, and music appreciation 2.22 28.45 69.33 40 Thailand Partnership Model Healthy THAILAND : Best Practice for National Integrated Project for Public Health Promotion Strategic Roadmap (2005-2017) 1. IQ & EQ 10. Mental health 2. Exercise 11. Crime & violence 3. Life skills 12. Adequate earnings 4. Happy families 13. Safe environments 5. Life expectancy 14. No risky behaviors 6. Basic health security 15. Safe neighborhoods 7. Safe food 16. Peace & harmony 8. Cigarette 17. Religion and culture & alcohol ban 9. Accident prevention 41 Thailand Partnership Model The National Drug Abuse Control Program - National Agenda Approach - Public Campaign - Cross ministerial project ( multi factors integrated management) - Special financial Support (adequate budget ) 42 Active Partnership Characteristics of Networks Links are established among producers to serve customer needs. Links are interactive. Networks enjoy a degree of self-management. The participants-nodes-networks share a common purpose. Networks come and go. Electronic means with agreed codes concerning respect. Large networks which create a sense of belonging, cohesion and reinforcement of values. 43 Active Partnerships Networks for Organizational & Professional Learning purposes Access to a variety of information sources Broader range of learning opportunities than hierarchical organizations; Flexible whole & a more stable base to co-ordinate learning than the anonymity of the market Create and access tacit knowledge. 44 Active Partnership Key Elements of Networking Systemic management “Nodes”: experts, teams, and institutions “Links”: communications, interactions and coordination between nodes Performance improvement 45 Active Partnership Risks and Pitfalls of Networking A network may inhibit change and become conservative force in itself. A network may slowly move away from the interest of the participating partners. A network may be formed without a common vision or purpose, or else have incompatible missions. Roles are often not clearly identified. Certain nodes in the network may come to dominate and disturb a collaborative culture. 46 Active Partnership Developing a Partnership Agreement/ Contract I. General information II. Partnership services III. Fiscal/ resources IV. Systems A. Planning and decision-making B. Communications C. Oversight D. Recordkeeping and documentation V. General administrative elements 47 Active Partnership Assessing Partnership Fulfillment : Q&A in Health Partnerships 1. What terms are used for partnership work : joint ventures , collaboration, alliances, intersectoral cooperation, or coalitions. Do both or all partners understand the same concept? 2 At what levels of partnerships are: networking, coordination ,cooperation or collaboration established? It reflects the magnitude of partnerships efforts. 48 Active Partnership Q&A Health Partnership 3. Have they shown commitment to or made some investment in the Partnership ? 4. Do they have a sense the Partnership process? of control over 5. How should responsibilities for identifying and acting upon inequalities in health status be shared by different agencies? 50 Active Partnership Q&A Health Partnership 6 . How should collaboration in the context of the National Health Agenda be strengthened to ensure that better health drives major policies? 7. How should Health Improvement Programmes be carried out? 53 Thank you for your attention 54