School Health Services

Research output: Chapter in Book/Report/Conference proceedingChapterAcademic


Models of Child Health Appraised (MOCHA) defines school health services
(SHSs) as those that exist due to a formal arrangement between educational
institutions and primary health care. SHSs are unique in that they
are designed exclusively to address the needs of children and adolescents in
this age group and setting.
We investigated SHSs have been provided to schools and how they contribute
to primary healthcare services for school children. We did this by mapping
the national school health systems against the standards of the World
Health Organization, and against a framework measuring the strength of
primary care, adapting this from an existing, adult-focused framework.
We found that all but two countries in the European Union and European
Economic Area have SHSs. There, however, remains a need for much
greater investment in the professional workforce to run the services, including
training to ensure appropriateness and acceptability to young people.
Greater collaboration between SHSs and primary care services would lead
to better coordination and the potential for better health (and educational)
outcomes. Involving young people and families in the design of SHSs and
as participants in its outputs would also improve school health.
Original languageEnglish
Title of host publicationIssues and Opportunities in Primary Health Care for Children in Europe
EditorsMitch Blair, Michael Rigby, Denise Alexander
PublisherEmerald Insight
Number of pages16
Publication statusPublished - May-2019


  • School health services; children; adolescents; primary care;

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