Health Promoting University Research Articles

P.003: Actions for organ donation: Strategies of a health-promoting university.

P.003: Actions for organ donation: Strategies of a health-promoting university.

Application of artificial intelligence technology in monitoring students' health: Preliminary results of Syiah Kuala Integrated Medical Monitoring (SKIMM).

Health promoting university is a holistic approach to health that uses higher education settings to create a learning environment that improves the health and well-being of the campus community in a sustainable manner. The utilization of technology such as artificial intelligence (AI) could be one of the main success factors in the implementation of health-promoting universities to increase the effectiveness and efficiency of all stages of activities carried out in health promotion and prevention efforts. Integrated monitoring with the utilization of AI in this program is conducted to evaluate the health status of the students. The Syiah Kuala Integrated Medical Monitoring (SKIMM) has three components of continuous health status evaluation: vital signs, nutritional status, and burnout status. Health status monitoring was conducted continuously for three months among medical students at the Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Indonesia. This system uses the WhatsApp application as a platform to monitor health status. Student health monitoring in this program consists of two main activities: the health measurement phase and the health monitoring phase. The use of the SKIMM system to monitor students' vital signs, nutritional status and burnout status through the use of AI significantly raises students' awareness to conduct timely self-examination and enables sustainable healthy lifestyle behavior change. The adoption of AI technology allows for continuous health promotion to the entire academic community, including students in implementing the health promoting university.

Cultural adaptation of a self-review tool for health promoting universities in Bulgaria.

The Health Promoting University initiative is unknown in Bulgaria, and the health promotion potential of Bulgarian universities has not been studied. In order to examine it, a suitable instrument is needed. The UK Healthy Universities Network provides an accessible Self-Review-Tool (SRT). Aim: To present the process of cultural adaptation of the SRT in Bulgarian language. The standardized WHO methodology for cultural adaptation of instruments was followed in four stages: (1) Two language translations of the instrument into Bulgarian were made; (2) An expert Delphi discussion reached a consensus on specific health promoting (HP) terms, followed by a backward translation; (3) Pilot testing of the tool among university community representatives was conducted through a survey among a small sample, with independent responses to the SRT questionnaire followed by cognitive interviews; (4) Final revision of the instrument. Ten public health experts reached a consensus on the name of the initiative and various HP terms. Ten other respondents pre-tested the tool. Difficulties in responding the SRT concerned the meaning of some HP terms, complex words, the system of answers, limited applicability of some statements. Changes were made to 61 of the total 68 elements in the SRT. All stages of the cultural adaptation were important for the final result. The adapted Bulgarian version of the SRT would be useful to Bulgarian universities that want to make a clear commitment to improving the health of their university community and the wider society.

Students Perceptions of Cigarette, Graphic Health Warnings, Fast Food Consumption, and Gadget Use On Physical Activity (Evidence-Based For Health Promoting University Program Recommendations)

Based on BPS data, consumption of cigarettes and e-cigarettes by teenagers over 15 years old decreased by 2.62% from the previous year, but it still has the potential to be dangerous. Adolescent health is quite worrying considering that teenagers are the main figures who can carry forward the vision for the future. The aim of this research is to obtain empirical evidence and appropriate strategies for implementing the HPU program. The method used is quantitative, through a survey with Franken-wallen incidental sampling, respondents are students pursuing higher education in 3 districts/cities, namely Banjar Regency, Banjarmasin City and Banjarbaru City. The survey was conducted from September to October (2 weeks) online. The results of this study show that cigarette and e-cigarette consumption is quite low, but respondents' perceptions regarding are still comprehensive (71%), including regarding graphic health warnings on cigarette packaging (80.1%). Interest in consuming fast food tends to be high (64.2%), who regularly consume fruit and vegetables (37.5% and 33.5%). The use of gadgets among students is very high (58%) and complaints regarding CVS also appear (45.5%). To support HPU, a specific action plan is needed, especially to strengthen understanding of the impact of consumption of cigarettes and so on.

Health promotion at higher educational institutions a clarion call for action in India.

This article introduces the concept of a health-promoting university (HPU) in an Indian context. The importance of health promotion through a 'settings-based' approach that focuses on India's needs is outlined. We highlight the aims and objectives of a HPU and the mechanisms to evaluate its impact. We call for action by stakeholders to develop a HPU project consistent with public health issues, including health development and sustainability. Furthermore, this settings-based approach provides a template that can be replicated in other low- and middle-income countries.

Status of the Health Promoting University (HPU) globally and its relevance for emerging African HPUs: an integrative review and bibliometric analysis.

The Health Promoting Universities (HPU) concept is undertheorized, with no African university belonging to the International Network of Health Promoting Universities (IHPU). The study aimed to investigate the status of the HPU concept globally to inform emerging HPUs, more specifically in Africa, regarding its implementation. An integrative literature review of studies conducted between 1 January 2013 and 5 November 2023 was conducted from online databases (PubMed, Scopus, Web of Science, Lilacs, CINAHL and Medline). A VOS bibliometric analysis viewer was used to extract and analyze further relevant information that could have been missed in the review. From 1128 records, 22 (N = 22) articles including two reports met the inclusion criteria. The main findings were that: (1) the HPU network is growing as a global network though undertheorized and less reported on, (2) the implementation of the HPU depends on a plethora of underpinning philosophies such as salutogenic and whole systems approach, and diverse programs and initiatives, 3) the terms HPU and healthy universities are often used interchangeably but the whole systems approach appears to be consistent in many HPU interventions. However, five contextual challenges that emanated from this review were discussed, including the definition of the HPU concept, theories for the HPU concept, measurement of the HPU concept, coordination and methods for measuring the HPU concept status. These challenges present obstacles to measuring the status of the HPU concept beyond the number of affiliated universities and HPU initiatives. Despite the challenges, the HPU concept is gaining momentum globally, as evidenced by the growing list of universities (HPU network) involved and the proliferation of interventions/initiatives targeting university students.

Analyzing mechanisms of interdisciplinary cooperation in promoting students’ health at university

BackgroundInterdisciplinary cooperation among university actors and resulting intersectoral synergies are considered cornerstones in the process of incorporating health promotion practices in everyday university life in order to break down barriers and provide better access to health promotion services. To date, no network of a health-promoting university has been examined regarding the processes underlying tie formation, network emergence, and maintenance.Objectives and methodsThe goals of this study are to obtain insight into the mechanisms of cooperation between university actors in a health-promoting network and to identify the structural and attributive factors associated with establishing cooperation between actors in the observed network in order to better understand how to build and develop successful networks in the future. For this purpose, a social network analysis was carried out and exponential random graph models were estimated to test corresponding hypotheses.ResultsThe network at hand consists of 33 actors (e.g. University Sports Center, General Student Committee) and shows a flat, non-hierarchical structure. Data reveal that attributed competence predicts cooperation (0.32; p < 0.05). Significant homophily effects among student actors (1.31; p < 0.05) and among university actors (0.59; p < 0.05) were found. All structural predictors examined were significant (0.22–5.40; p < 0.05) and are therefore essential in determining the likelihood of cooperation between actors involved in the network.ConclusionThe results of this study provide for a better understanding of the mechanisms of cooperation and can be used to further develop the network at hand (e.g. selection of key actors for information dissemination or integration of peripheral actors). In addition, the findings offer starting points for sustained network development at other universities (e.g. significance of network governance form or goal consensus). Knowing the factors that influence the network structure, here the conditions of cooperation, results in opportunities to encourage empowerment among actors. However, the analysis of the network undertaken does not directly bear on the success of the network.

Assessment of patients’ satisfaction about the healthcare services provided by a health promoting university in India: A mixed-method study

BackgroundAn outreach department of a health-promoting university has been providing preventive, promotive, curative, and health education services to the identified villages, slums, and construction labor populations in the rural and peri-urban areas of the Pune district since 2012. This study aimed to assess the satisfaction levels of the beneficiaries, with these services. MethodsSix hundred and twenty-two exit interviews with the outpatients visiting two primary-level clinics and 36 in-depth interviews with the key community informants and public healthcare providers from 15 villages were undertaken from July 10, 2019 to March 4, 2020. We collected data about satisfaction with the clinical services and health promotional activities provided, overall opinions, and expectations about the program. We calculated the frequency of the categorical variables and analyzed the qualitative data thematically. ResultsMore than 75% of respondents mentioned high satisfaction levels with the services provided at both clinics. Availability of primary medical care nearby homes and at affordable costs were the features of the clinics. The participants broadly expressed that ‘Injectables’ and a wider variety of medicines should be provided free at the clinics. The participants also mentioned that they received valuable information about various topics through the health awareness drives conducted under the program. ConclusionThe community was overall satisfied with the services provided by the program. There is a scope for extending the services to needful communities near the current catchment areas.

Participation of university community members in Health Promoting University (HPU) initiatives.

Several universities around the world have adopted the settings approach to health to create a Health Promoting University (HPU) initiative. Health promoting initiatives are built on the values of health promotion, with participation being one of the most important. Despite the above, there is little information on how university community members participate in HPU initiatives. This study aims to describe the participation of university community members in HPU initiatives in universities around the world. An online questionnaire was sent to representatives of universities that have implemented a HPU initiative. The questionnaire inquired about the level and nature of participation of university community members (students, professors, and administrative/technical staff) at different levels. Three levels of participation ranged from lower to higher levels were considered: (a) information delivery strategies; (b) consultation strategies and (c) involvement in design, planning and decision-making processes. At least the 50% of the universities implemented strategies so that all the members of the community could participate at all levels. Information delivery strategies were the most often used, with students being the main target group. Consultation strategies were aimed mainly at students and professors, whilst professors participated most actively in the design, planning and decision-making. Different participation strategies are used in the HPU initiatives. Information delivery strategies, which represent the lowest level of participation, were the most often reported. Higher levels of participation were less used in the HPU initiatives. HPU initiatives should seek for strategies to provide more high-level participation to all university community members.

Technology-Based Intervention for Building Healthy Campus: Health Promoting Lifestyle in the Universities

In the last few decades, "Health Promoting Universities" have become attractive and have their place in various education sectors, especially universities. Therefore, higher education institutions must be concerned about promoting health for their academic community. A health promotion-based approach has the potential to enhance a university's contribution to improving health and to deliver meaningful values to populations by protecting the health and enhancing the well-being of students, staff, and the broader community through university policies; enhancing health promotion through teaching and research; developing health promotion by doing community service. This study aims to promote a healthy lifestyle by conducting a cross-sectional study to assess the relationship between the learner use of technology with health-related behavior and physical activity of the community at the University, which consists of students, lecturers, and education staff with technology-based interventions for building healthy campus: health-promoting lifestyle in the universities. The data analysis shows a significant correlation between the use of digital and information technology and health-related behavior (In addition, the data also shows a significant correlation between the use of digital and information technology and physical activity. This study concludes that using digital and information technology as a medium for interventions for building a healthy campus has a high correlation with health-related behavior and physical activity. Thus, technology-based intervention for building a healthy campus will improve university health-promoting lifestyles.

Canine Support Program: Student perceptions and preferences at a regional university and implications for health, well-being, and student support enhancements.

Canine Support Programs (CSPs) are a potential solution to growing university student support demands. While current studies focus on the impacts of CSPs, there is limited understanding of the views and expectations of tertiary students about CSPs. This study explored the perceptions and preferences of students in an Australian regional university about CSPs. A questionnaire with multiple choice and open-ended questions surveyed residential students' perspectives about CSP. Data were analysed using descriptive statistical tests and thematic analysis for open responses. Majority (98%) of participants (sample n = 48) would support a CSP on campus. Frequent, small-group interactions of ≥15 min involving physical contact were preferred. Dog disposition, welfare-trained handlers, and veterinary certification were important aspects of program safety. Participants strongly agreed a CSP would improve mental health and well-being, relieve stress, reduce feelings of homesickness, provide support, comfort, and enable social interactions. There is strong support among the study population for CSP to be established on campus. This study supports earlier research that CSP has benefit potential for new, stressed, and/or students who love dogs. The preferences of students should inform program design to enhance utility and impact. This aligns with Health Promoting Universities and College's Okanagan Charter principle of 'engaging student voices'. More institutional awareness and support for CSPs will be necessary for integration. SO WHAT?: This study reveals the need for tailored and creative student support beyond traditional offerings including those that focus on student well-being and social initiatives. CSPs can be utilised as an advocate, enabler, and medium for mental health promotion action and well-being support for tertiary students; thereby, contributing to the 'Health Promoting University' agenda in Australia. It also reinforces the need for a Health in All Policies approach to be incorporated into our tertiary education sector. Future actions should focus on improving institutional awareness, support, and sector implementation.

Islamic Health Promoting University (I-HELP U): Case Study of Nutrition Intervention Program Institutionalization at a University Level

The Islamic Health Promoting University (I-HELP U) is an initiative program by Universitas Muhammadiyah Prof. DR. HAMKA as a health promotion program with integration of both health and Islamic values. The pilot programs were implemented between September – November 2021. This study aims to evaluate the pilot programs of I-HELP U which consist of need assessment, health literacy, advocacy, and healthy behaviour practices. Need assessment was conducted to assess the baseline data of nutritional status and unhealthy lifestyle. Health literacy was performed to improve nutrition knowledge among participants. Advocacy was implemented to assist the production of regulation documents to support the program. Healthy behavior practices were implemented to improve the health promoting behavior among participants. The results show that there are improvements on targeted outcomes on the initiative (policy documents establishment), participation (1,904 respondents of need assessment, 300 participants of webinars, and 1,700 YouTube views), and knowledge level (p&lt;0.05). The university leaders show a strong commitment in the policy making to support I-HELP U since UHAMKA hold a vision to be a prophetic teaching university. This basic value supports the effort of I-HELP U to institutionalize the programs as it integrates Islamic value in the content. Future dissemination of the program and regulation should be provided massively to all university academic communities.

Creating Cultures of Health in the Academy: Bringing Together Top-Down and Ground-Up Approaches.

This article reports on a 3-year longitudinal study focused on the impact of cross-sector, collective impact approaches to creating cultures of campus health. The study sought to understand the integration of health and well-being concepts into university operations, including business practices and policies, as well as the contribution of public health initiatives focused on health-promoting universities to creating cultures of campus health for students, staff, and faculty. Research was carried out from spring 2018 to spring 2020 via focus group data collection and rapid qualitative analysis involving template and matrix analysis. A total of 18 focus groups were conducted across the 3-year study, six with students, eight with staff, and four with faculty. The initial cohort included 70 participants: 26 students, 31 staff, and 13 faculty. Qualitative analysis findings indicate a general pattern of change over time from a primary focus on well-being characterized by programs and services (e.g., fitness classes) to policy and structural-level interventions (e.g., stairwell beautification and hydration stations) promoting well-being for all. Grass-top and grassroots leadership and action were instrumental to changes in working and learning environments, policies, and campus environment/infrastructure. This work contributes to the growing literature on health-promoting universities and colleges and demonstrates the critical role of both top-down and ground-up approaches and leadership efforts to create more equitable and sustainable cultures of campus health and well-being.

The Correlation of Health Literacy Related to Health-Promoting University towards Healthy Behavior Among The Academic Community

Background: Health is a substantial factor in creating distinguished human resources. University, as a prominent institution in society, has a role in creating distinguished human resources that could be realized with the campus policy concerned with health issues. Universitas Jenderal Soedirman (UNSOED) has not made a specific health Promoting University (HPU) policy or a healthy campus program. The importance of health problem surveillance in the case of the academic community –and its determinant–and its result could be fundamental, either in the decision-making or policy planning related to the creation of a healthy campus at UNSOED. The study intends to analyze the correlation between health literacy and the attitude of HPU towards healthy behavior among the academic community at UNSOED.Method: The study uses a quantitative method with a cross-sectional. The data acquisition was carried out by online sampling from August until September 2021. A total of 238 respondents were involved: lecturers, academic staff, and students from 12 faculties at UNSOED. The data respondents were analyzed with chi-square. Results: The majority of respondents were not infected with a chronic disease, were immune from COVID-19 and had no allergies either. Most of the respondents have moderate health literacy, supporting the policy about HPU, but most still lack consciousness to apply healthy behavior on campus. The correlation between health literacy and healthy behavior in the impacted group could only be found in the UNSOED lecturer (p-value 0.034), instead of the other groups. There is no impacted relation between the attitude and the healthy behavior of all respondent group. It is necessary to develop a health promotion university program that follows the academic community's needs.

Community Collage Service (KKN) student assistance to improve women's health by detecting breast cancer and cervical cancer in Amansari Village, Karawang Regency

Non-communicable diseases are responsible for 71% of the premature deaths worldwide. Unfortunately, 77% of those deaths occurred in the developing countries including Indonesia. In response, universities can provide potentially empowering health promoting programs for tackling the risk factors of non-communicable diseases. This study was aimed to explain the process of how to empower universities for tackling these non-communicable diseases’ risk factors through the Health Promoting University (HPU) program. This study was a descriptive study. The population included Indonesian universities that were involved in the HPU development program in 2019-2021 in collaboration with Universitas Gadjah Mada and The Ministry of Health Republic Indonesia. Sample subjects were the total population of 40 universities. Data were collected through observations, unstructured interviews, and documents. Observations were performed in 25 universities. Meanwhile, unstructured interviews were conducted with 34 respondents. Data were analyzed descriptively. The process of the HPU development and the focus programs were varied. Many factors contributed to the process of the HPU development, such as the HPU development strategies, the university leaders’ commitment, networking, social capital, and participants’ capacity in the health promotion. According to the HPU development process from 2019-2021, the HPU development strategy performed in 2021 was the most structured and comprehensive. The capacity building, mentoring system, leader commitment, and networking strongly contributed to the success of the HPU development. This study emphasizes the importance of the university leaders’ awareness toward health and the potential resources of the university for tackling the risk factors of the non-communicable diseases.

Empowering universities through the Health Promoting University program for tackling non-communicable diseases

Non-communicable diseases are responsible for 71% of the premature deaths worldwide. Unfortunately, 77% of those deaths occurred in the developing countries including Indonesia. In response, universities can provide potentially empowering health promoting programs for tackling the risk factors of non-communicable diseases. This study was aimed to explain the process of how to empower universities for tackling these non-communicable diseases’ risk factors through the Health Promoting University (HPU) program. This study was a descriptive study. The population included Indonesian universities that were involved in the HPU development program in 2019-2021 in collaboration with Universitas Gadjah Mada and The Ministry of Health Republic Indonesia. Sample subjects were the total population of 40 universities. Data were collected through unstructured observations, short interviews, and documents. Observations were performed in 25 universities. Meanwhile, unstructured interviews were conducted with 34 respondents. Data were analyzed descriptively. The process of the HPU development and the focus programs were varied. Many factors contributed to the process of the HPU development, such as the HPU development strategies, the university leaders’ commitment, networking, social capital, and participants’ capacity in the health promotion. According to the HPU development process from 2019-2021, the HPU development strategy performed in 2021 was the most structured and comprehensive. The capacity building, mentoring system, leader commitment, and networking strongly contributed to the success of the HPU development. This study emphasizes the importance of the university leaders’ awareness toward health and the potential resources of the university for tackling the risk factors of the non-communicable diseases.

Physical activity and health promotion guidelines for Eswatini University students

ABSTRACT Eswatini university students reportedly live unhealthy lifestyles, increasing their risk of developing non-communicable diseases prompting researchers to create evidence-based physical activity (PA) and health promotion (HP) guidelines, which are currently non-existent. The study aimed to develop physical activity and health promotion reference guidelines for Eswatini University students. A mixed-method approach was used in this non-experimental, descriptive quantitative, qualitative, cross-sectional research study design. HP was measured using piloted health behavior questionnaires, and PA was measured using Omron walking style pro-2.0 pedometers. The study reviewed PA and HP intervention articles on guidelines globally to come up with themes for the guidelines. The University of Eswatini was purposively selected according to predetermined inclusion and exclusion criteria. From a population of 4020 students, two hundred and thirty-six (236) were randomly selected to participate in the study, with 166 students consenting. University students showed poor healthy habits including insufficient PA levels thus proposed guidelines for PA include at least 30 minutes of moderate-intensity aerobic activity daily and aiming to reach 10,000 steps per day. The proposed HP guidelines include smoking control, campus settings like a cafeteria and gyms, improved eating habits, health education, screening for chronic diseases and sexual health, improved sleeping habits, counselling, and mental health services. Evidence-based PA and HP guidelines were developed after unhealthy habits were identified among Eswatini University students. The PA and HP guidelines should be used in conjunction with the given sources and charters, including the Ottawa, Edmonton, Okanagan Charters, and the Health Promoting University (HPU) concept/healthy universities approach.

Health Promoting University Management Program in Realizing The Health Campus Society and Wellbeing in Andalas University 2022

A Health Promotion University is one of the public programs in an effort to create a healthy campus community in a comprehensive manner. Even though it is new, this program has a strategic and systematic role in the development of the community structure of the university environment. The purpose of this study is to find out how the management of a healthy campus program at Andalas University uses the system approach method by Azrul Azwar with input, process, output, impact indicators. The approach used is descriptive qualitative with data collection through document review, observation, interviews, and FGD with purposive sampling. Data were analyzed by codification/reduction, data display, and drawing conclusions. Data validity by source triangulation.                    The results of the study indicate that the management of the Andalas Health Promotion University has not been implemented properly based on; (1) program inputs are generally sufficient, both man, money, and material. Weaknesses are found in the method that has not been specifically formulated for program implementation guidelines at Unand, (2) The process has been carried out by Andalas University as a follow-up to the cooperation agreement with the Ministry of Health, but the work program planning has not been completed as a projection in achieving program goals and has not yet been included. in the Unand Strategic Plan. Organizing the Health Promotion University Management Team has been formed since 2019, but its position in the organizational structure at Andalas University is not yet clear, resulting in less effective coordination and communication in program implementation (3) The output of the Health Promotion University program has begun to be produced, but it is still very minimal because there are no program achievement indicators that should be contained in program planning. (4) The impact of this program can not be felt/measured because it is directly related to the output which cannot be obtained optimally.

How Is Health Promoting University Strategy to Handle the COVID-19 Pandemic?

The current COVID-19 pandemic has affected many countries, including Indonesia. Many parties, including educational institutions, have to deal with pandemic conditions. This paper aims to describe how the academic institution, Jenderal Soedirman University, is handling the pandemic situation. Various activities led by the COVID-19 Unsoed Task Force undertook several efforts to respond to the pandemic, such as conducting active supervision for all academics, mentoring teams, educating, conducting real work lecture programs, and forming COVID-19 joint volunteer teams. During data monitoring, several activities were completed such as handling patients in surveillance, tracking, and follow-up. Other efforts in the education field were also carried out to keep running the activity, but with a joint security procedure COVID-19 as well as several policies set such as changing the way of teaching to be online. Best possible efforts have been made by the university to respond to the pandemic quickly and effectively.

COVID-19 related disruption in higher education students' health and wellbeing: Implications for university action.

The COVID 19 pandemic has led to substantial disruptions in the lives of students in higher education. Partial or full closures of institutions for face-to-face teaching or consultations over a long-lasting period of time in many countries have had significant consequences on the psychosocial health and wellbeing of many students. This perspectives article summarizes the implications on mental, social, and behavioral aspects of students' wellbeing. Moreover, the need for health promoting und supportive services, programmes, structures, and policies is outlined with recommendations for institutional actions on the level of teaching practice, counseling services, and health monitoring, and with the call to re-affirm the wider policy-oriented approach of the Health Promoting University.