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Health Promoting Schools: Implementation Challenges, Barriers, and Lessons from a Case Study

  • Rosana Magalhães
  • Livia Cardoso Gomes
  • Carmelinda Afonso
  • Roberto Eduardo Albino Brandão
  • Patricia Camacho Dias
  • Marlon Mattos
Chapter

Abstract

The aim of this study was to evaluate the implementation process of the “Saúde na Escola” (“Health in School”) program in Manguinhos, a slum area in Rio de Janeiro, Brazil. Based on an analytical framework of theory-driven evaluation, an exploratory case study was developed involving normative document analysis, in-depth interviews, focus groups with teachers and students’ parents, and direct observation. The results reveal a poor articulation between health and education sectors, top-down decision making, and barriers to community participation. In addition, the focus strategy adopted weakened a more integrated approach, the evaluation process, and accountability.

Keywords

Theory-driven evaluation Implementation School health programs Intersectoral approach 

Notes

Acknowledgments

PDTSP-VPPLR/VDPT.

Ethical Considerations

The research presented here was guided by a respect for privacy and the right to interaction free of constraints. In addition to direct contact with participants, individual e-mails and phone calls were used. All participants in the study signed an informed consent form. The research was approved by the Ethics Committee of the National School of Public Health and ethics committee of the Municipal Secretariat of Education.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rosana Magalhães
    • 1
  • Livia Cardoso Gomes
    • 1
  • Carmelinda Afonso
    • 2
  • Roberto Eduardo Albino Brandão
    • 3
  • Patricia Camacho Dias
    • 4
  • Marlon Mattos
    • 5
  1. 1.Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (FIOCRUZ)Rio de JaneiroBrazil
  2. 2.Farmanguinhos, Oswaldo Cruz Foundation (FIOCRUZ)Rio de JaneiroBrazil
  3. 3.Joaquim Venâncio Polytechnic School of Health (EPSJV), Oswaldo Cruz Foundation (FIOCRUZ)Rio de JaneiroBrazil
  4. 4.Nutrition School, Fluminense Federal University (UFF)NiteroiBrazil
  5. 5.Oswaldo Cruz Foundation (FIOCRUZ)Rio de JaneiroBrazil

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