Abstract
The World Health Organization has identified the school community as a key setting for health promotion efforts, laying out its priorities in the Health-Promoting Schools (HPS) framework. This framework offers a comprehensive approach that has been adopted in countries around the globe, with defining characteristics focused around the school curriculum and environment. Nova Scotia (NS) adopted the HPS framework at a provincial level in 2005, but it has been variably implemented. We aimed to identify, categorize, and broadly describe the environment for HPS policies in NS. Four iterative steps were employed: (1) a scan of government and regional school websites to identify publicly available policies; (2) consultations with provincial departments with respect to policy relevance and scope; (3) cross-comparison of policies by two reviewers; (4) compilation of policies into an online database. Seventy policies at the provincial level and 509 policies across eight public school regions were identified. Policies focusing on a ‘safe school environment’ were most common; those addressing mental health and well-being, physical activity, nutrition and healthy eating, and substance use were among those least commonly identified. This scan provides a comprehensive overview of HPS-relevant policies in NS, along with relative proportions and growth over time. Our findings suggest areas of policy action and inaction that may help or hinder the implementation of HPS principles and values.
Highlights
Childhood and adolescence are known to be crucial periods that influence future health and well-being outcomes [1]
Provincial-level policies fall under the jurisdiction of various departments, including Nova Scotia Health (NSH), the Department of Health and Wellness (DHW), Education and Early Childhood Development (EECD), Communities, Culture and Heritage (CCH), the Department of Justice, and the Department of Transportation and Infrastructure Renewal
Numerous policies have been developed in NS over recent years that are either directly or indirectly related to the Health-Promoting Schools (HPS) framework: 70 such policies were identified at the provincial level and 509 were identified across the eight public school regions in this scan
Summary
Childhood and adolescence are known to be crucial periods that influence future health and well-being outcomes [1]. There are ample opportunities, for instance, to prevent noncommunicable diseases, promote good mental health, support academic outcomes and enhance resilience among populations through actions that focus on these early developmental periods [1]. This is important because children in Canada are not currently reaching their health potential. In a recent UNICEF report, Canada ranked 30th among 38 rich countries in terms of child and youth well-being [2].
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