WHO Technical Meeting on

““Building School Partnership for Building School Partnership for Health,Health, Education Achievements and Education Achievements and

DevelopmentDevelopment - the Education Perspective- the Education Perspective””

WHO Technical Meeting on

Building School Partnership for Health, Education Achievements and Development

ByBy

Dr. Charuaypon TORRANINDr. Charuaypon TORRANIN

Permanent Secretary for Education, Permanent Secretary for Education, THAILANDTHAILAND

11.45-12.30 Tuesday, 5 June11.45-12.30 Tuesday, 5 June 2007, 2007,

Vancouver, CanadaVancouver, Canada

Presentation Presentation OutlineOutline

1. Global Trends & Issues in 1. Global Trends & Issues in EducationEducation

2. Education & Health 2. Education & Health PartnershipPartnership

3. Global & Regional Partnership3. Global & Regional Partnership 4. National & Local Partnership4. National & Local Partnership 5. Thailand Showcase5. Thailand Showcase 6. Active Partnership6. Active Partnership

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Global Trends in Global Trends in Education Education

Focusing Issues:Focusing Issues: Schooling of the futureSchooling of the future Demand-driven educationDemand-driven education Major curriculum reviewsMajor curriculum reviews Quality across the systemQuality across the system Network/broader partnershipsNetwork/broader partnerships

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Networks/Partnerships of Networks/Partnerships of Learning:Learning:

demand for public accountability

horizontal partnershiphorizontal partnership democratic exchangedemocratic exchange mutual stimulationmutual stimulation motivationmotivation

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Global Trends in Education

Global Trends in EducationGlobal Trends in Education

Types of Modern Education Types of Modern Education NetworksNetworks

Community of Practice Community of Practice Networked Networked organizationorganization

Virtual CommunityVirtual Community 5

Education and Health as the Basis Education and Health as the Basis of Partnerships in School Health of Partnerships in School Health Promotion : the Need for Action Promotion : the Need for Action

(Jack T. Jones, WHO, Geneva)(Jack T. Jones, WHO, Geneva)

--Education is a prerequisiteEducation is a prerequisite for for health.health.-Healthy children learn well. -Healthy children learn well. -Schools have a powerful -Schools have a powerful influence on school and influence on school and community health:community health:

• promotionpromotion• interventionintervention• preventionprevention

--School attendance is affected by School attendance is affected by health.health.

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Recently Agreed Principles on Recently Agreed Principles on Partnership between Health and Partnership between Health and Education Education (Jack T. Jones, WHO, Geneva(Jack T. Jones, WHO, Geneva))

1. Broad actions at the 1. Broad actions at the

international, national and international, national and local level:local level:

- expand investment in schooling - expand investment in schooling

- - expand the educational expand the educational participation of girls.participation of girls.

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Recently Agreed Principles on Recently Agreed Principles on Partnership between Health and Partnership between Health and

EducationEducation(Jack T. Jones, WHO, Geneva)(Jack T. Jones, WHO, Geneva)

2. All schools should:2. All schools should:• provide a safe learning and working provide a safe learning and working

environmentenvironment• serve as an entry point for health serve as an entry point for health

promotion and a location for health promotion and a location for health intervention, &intervention, &

• enable young people at all levels to enable young people at all levels to learn about critical health issues & learn about critical health issues & life skills.life skills.

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Education Education (Jack T. Jones, WHO, Geneva)(Jack T. Jones, WHO, Geneva)

3. Develop policies, legislation and 3. Develop policies, legislation and guidelines to ensure the guidelines to ensure the identification, mobilization and identification, mobilization and coordination of resources at the local, coordination of resources at the local, national and international level.national and international level.

4. Value teachers and school staff and 4. Value teachers and school staff and provide them with the necessary provide them with the necessary support to enable them to promotesupport to enable them to promote health.health. 9


Education Education (Jack T. Jones, WHO, Geneva)(Jack T. Jones, WHO, Geneva)

5. Encourage communities and 5. Encourage communities and schools to work togetherschools to work together

6. Design, monitor and evaluate 6. Design, monitor and evaluate school health programmes school health programmes

7. Build international support 7. Build international support for for

health promotion in schools.health promotion in schools.10

Present Status on HPS in Most CountriesStrengthsStrengths WeaknessesWeaknesses11. . Health Education inHealth Education in 1. Low priority, low 1. Low priority, low

budgetbudgetcurriculum curriculum 2. Limited health 2. Limited health personnelpersonnel

2. 2. Health issues on Health issues on 3. Low support from 3. Low support from nationalnational agendaagenda families and communityfamilies and community

OpportunitiesOpportunities ThreatsThreats1.1. Strong partnership withStrong partnership with 1. 1. New diseasesNew diseases

health related agencieshealth related agencies 2. 2. Risky, socialRisky, social behaviorsbehaviors

2. Active participation 2. Active participation internationallyinternationally

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School Health: the Present School Health: the Present Education PerspectiveEducation Perspective

1. Theory versus practice1. Theory versus practice

- Life- skills - Life- skills learninglearning

- New, innovative- New, innovative

teaching resourcesteaching resources

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2. School health services 2. School health services and specially designed and specially designed extracurricular activities extracurricular activities for health practices and for health practices and attitudes are needed for attitudes are needed for MOPH partnership MOPH partnership support. support.

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3. 3. MOE health policies MOE health policies depend on political depend on political support from the support from the Minister and the Minister and the governmentgovernment..

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44. Global, regional, and. Global, regional, and international health policies are a international health policies are a good idea but often set good idea but often set unattainable goals for low income unattainable goals for low income countries, and particularly in thecountries, and particularly in the poorest parts of a country. poorest parts of a country.

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5. 5. Building school partnershipsBuilding school partnerships::

- Professional team- Professional team

- Clearly defined roles- Clearly defined roles

- Satisfying the needs of - Satisfying the needs of

the partnersthe partners

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6. Community 6. Community PartnershipPartnership

Good leadership & team workGood leadership & team work Capacity buildingCapacity building Change managementChange management

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Global Partnership: the FRESH Global Partnership: the FRESH InitiativeInitiative

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Making the Most of Global Making the Most of Global Organization PartnershipsOrganization Partnerships

1. Understand how each 1. Understand how each organization functionsorganization functions

2. Join all available 2. Join all available programs and projectsprograms and projects

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Making the Most of Global Making the Most of Global Organization PartnershipsOrganization Partnerships

3. Keep up-to date 3. Keep up-to date

4. Identify potential resource4. Identify potential resource personspersons

5. Assign a coordinator5. Assign a coordinator

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RegionalRegional PartnershipPartnership

1. 1. Make direct contact with Make direct contact with regional/local officesregional/local offices

2. 2. Transform knowledge into Transform knowledge into concrete actionsconcrete actions

3. 3. Establish regional standards Establish regional standards and benchmarks and benchmarks

4. 4. Conduct research on common Conduct research on common regional health issuesregional health issues

5. 5. Develop personal Develop personal relationshipsrelationships 21

Strengthening National Strengthening National PartnershipPartnership

1. 1. Engage key policy makers Engage key policy makers from relevant agenciesfrom relevant agencies

2. Appoint coordinators and 2. Appoint coordinators and link to counterpartslink to counterparts

3. Establish a National 3. Establish a National Coordinating Committee.Coordinating Committee.

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4. 4. Set the political and Set the political and professional agendasprofessional agendas

5. 5. Appoint ExecutiveAppoint Executive Board Board membersmembers

6. 6. Develop shared Develop shared agreementsagreements

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Strengthening National Strengthening National Partnership Partnership

7. Identify key stakeholders

• Ministry of Public HealthMinistry of Public Health• Health related agencies Health related agencies • Education related agencies : Education related agencies :

PTAs, academic associations, PTAs, academic associations, universities etc.universities etc.

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8. 8. Ensure the partnership Ensure the partnership adds value to both adds value to both organizations:organizations:

- - achievable goals achievable goals

- formal partnerships - formal partnerships

- leadership by - leadership by

someone with skillssomeone with skills 25

Local Partnership :3 Approaches

1. 1. AA Whole School Approach Whole School Approach to Health Promotionto Health Promotion

(School -Based (School -Based ManagementManagement))

2 2 Schools as Core Social Schools as Core Social Centers Centers (Community-Based (Community-Based Development Approach)Development Approach)

3. 3. Academic NetworksAcademic Networks 26

Local Partnership : Local Partnership : 1. A1. A Whole School Approach Whole School Approach

to Health Promotionto Health Promotion(1)(1) Ensure Ensure studentsstudents feel they feel they

have some have some

sense of ownershipsense of ownership in the life in the life of the schoolof the school

(2) (2) Encourage use of diverse Encourage use of diverse teaching and learning teaching and learning strategiesstrategies

(3)(3) Allow Allow aadequate timedequate time for class- for class-based based

and out of class activities and out of class activities

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Local PartnershipLocal Partnership : : 1. A1. A Whole SchoolWhole School Approach to Approach to

Health PromotionHealth Promotion (4) (4) Explore health issuesExplore health issues within the within the

context of the students lives and context of the students lives and communitycommunity

(5) Develop teaching and learning (5) Develop teaching and learning strategies which adopt a strategies which adopt a whole whole schoolschool approachapproach rather than rather than primarily a classroom learning primarily a classroom learning approachapproach

(6) Provide on-going capacity building (6) Provide on-going capacity building opportunities for teachers and opportunities for teachers and associated staffassociated staff 28

Local Partnership : Local Partnership : 1. A1. A Whole SchoolWhole School Approach to Approach to

Health PromotionHealth Promotion (7) (7) Build an excellent Build an excellent social social

environmentenvironment which fosters open which fosters open

and honest relationships within and honest relationships within the school communitythe school community

(8) (8) Ensure Ensure consistency of consistency of approachapproach across the school and across the school and between the school, home and between the school, home and wider community wider community

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(9)(9) Give a sense of direction Give a sense of direction through the goals of the school through the goals of the school and clear and unambiguous and clear and unambiguous leadership and administrative leadership and administrative support support

(10)(10) Create aCreate a democratic and democratic and participatoryparticipatory school community school community

Local Partnership : Local Partnership : 1. A1. A Whole School Approach to Whole School Approach to

Health PromotionHealth Promotion

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Local Partnership :Local Partnership : 2.2. Schools as Core Social Schools as Core Social Centers Centers (Community-Based (Community-Based Development Approach)Development Approach)(1) (1) Look for all community partnersLook for all community partners

(2) (2) Partnerships with a range of Partnerships with a range of specialist services partnershipspecialist services partnership

(3) (3) Making schools more Making schools more accountable to parents and the accountable to parents and the publicpublic

(4) (4) Schools as focused Schools as focused learning learning organizationorganization

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Local Partnership:Local Partnership: 3. Academic Networks3. Academic Networks : :Typical stakeholders in Typical stakeholders in AcademicAcademic networknetwork Innovative teachersInnovative teachers and principals; and principals; Universities, research instituteUniversities, research institute, ,

government agencies and charitable government agencies and charitable foundations;foundations;

Consultants or trainersConsultants or trainers brought into a network brought into a network to provides members with professional training to provides members with professional training and advise;and advise;

EvaluatorsEvaluators and researchers and researchers collecting data collecting data relevant to the process and the evidence of a relevant to the process and the evidence of a network’ s impact; andnetwork’ s impact; and

Academic associationsAcademic associations invited into a network invited into a network to further the cause of school improvement.to further the cause of school improvement.

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Local Partnership:Local Partnership: 3. Academic Networks 3. Academic Networks

A school network initiated and run A school network initiated and run by a university research instituteby a university research institute

A symbiotic relationship involving A symbiotic relationship involving mutually beneficial activitiesmutually beneficial activities

Provides the schools with state-of-Provides the schools with state-of-the-art know-how and acts as the-art know-how and acts as consultants and evaluatorsconsultants and evaluators

University can serve as University can serve as headquarters of educational headquarters of educational network designed to improve network designed to improve schooling for children in at-risk-schooling for children in at-risk-communitiescommunities

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Thailand Show CaseThailand Show Case

1. Key Success Strategies

a)a) Prioritizing child health issuesPrioritizing child health issues

b)b) Putting health issues on the Putting health issues on the national agendanational agenda

c)c) Strengthening Strengthening networking/partnershipnetworking/partnership

d)d) Legislation & Law enforcementLegislation & Law enforcement

e)e) Knowledge Management Knowledge Management 34

Thailand Partnership Model

a) Prioritizing Child Health Issues (proposed by Thailand National (proposed by Thailand National Health Systems Reform Office)Health Systems Reform Office)

- - health status monitoringhealth status monitoring

- - health organizations health organizations reengineering analysisreengineering analysis

- - legislation analysislegislation analysis

- - problems, issues, prioritiesproblems, issues, priorities35

Thailand Partnership Model Thailand Partnership Model

b) b) Putting health issues on the Putting health issues on the national agendanational agenda ((Thailand Thailand National Health Agenda for Cross National Health Agenda for Cross Ministerial Cooperation)Ministerial Cooperation)

1.Drug1.Drug use /smoking/alcohol controluse /smoking/alcohol control

2.Road safety2.Road safety3.HIV/Aids3.HIV/Aids4.Healthy Thailand campaign4.Healthy Thailand campaign

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Thailand Partnership Model Thailand Partnership Model c)c) Strengthening Strengthening network/partnershipnetwork/partnershipMOE InitiativesMOE Initiatives Realize its own Realize its own

critical health critical health situationsituation

Request technical Request technical assistanceassistance

MOE partial/full MOE partial/full financial supportfinancial support

MOE Project MOE Project Director as leaderDirector as leader

Drafting of MOUDrafting of MOU

MOPH InitiativesMOPH Initiatives Recommend health Recommend health

issuesissues Offer assistanceOffer assistance Allocate MOPH Allocate MOPH

budget for health budget for health servicesservices

Set health issue as Set health issue as national agendanational agenda

Serve as project Serve as project coordinatorcoordinator 37

Thailand Partnership ModelThailand Partnership Model

d) Legislation and Law d) Legislation and Law EnforcementEnforcement

Smoking ActSmoking Act Alcohol ActAlcohol Act Child Protection ActChild Protection Act

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e) Knowledge Managemente) Knowledge Management

- - improve public access to improve public access to health health information information

- - role of Thai Healthrole of Thai Health Organization Organization

- - websiteswebsites and on-line services and on-line services 39

School health program as part of External Q.A. by Office of National Educational Standards and Quality Assessment

69.3369.3328.428.455

2.222.22Sports, arts, and music Sports, arts, and music appreciationappreciation

1212

58.5958.5913.8913.890.520.52Physical and mental healthPhysical and mental health1010

64.1764.1734.6034.601.231.23Working skills for career Working skills for career preparationpreparation

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39.7839.7856.1656.164.064.06Learning how to searchLearning how to search for Knowledgefor Knowledge

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32.1232.1251.4451.4416.4416.44Essential learning skillsEssential learning skills55

27.0527.0565.1265.127.7.8383Critical and creative Critical and creative thinkingthinking

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69.2469.2429.2829.28

1.481.48

Student PerformanceStudent PerformanceDesirable ethics and moraleDesirable ethics and morale11

GoodGoodFairFairPoorPoor

StandardsStandardsNoNo

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Healthy THAILANDHealthy THAILAND : Best Practice for : Best Practice for National Integrated Project for National Integrated Project for Public Health Public Health PromotionPromotion Strategic Roadmap (2005-2017)Strategic Roadmap (2005-2017)

1. IQ & 1. IQ & EEQQ 10. Mental health10. Mental health2. Exercise 2. Exercise 11. Crime & violence11. Crime & violence3.3. Life Life sskillkills s 12. Adequate earnings12. Adequate earnings4. Happy families 4. Happy families 13. Safe environments13. Safe environments5. Life expectancy 5. Life expectancy 14. No risky behaviors14. No risky behaviors6. Basic health security 6. Basic health security 15. Safe neighborhoods15. Safe neighborhoods7. Safe food 7. Safe food 16. Peace & harmony16. Peace & harmony8. Cigarette8. Cigarette 17. Religion and culture17. Religion and culture

& alcohol& alcohol banban9. Accident prevention9. Accident prevention

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The National Drug Abuse Control The National Drug Abuse Control ProgramProgram

- National Agenda Approach - National Agenda Approach

- Public Campaign- Public Campaign

- Cross ministerial project ( multi - Cross ministerial project ( multi factors integrated management)factors integrated management)

- Special financial Support (adequate - Special financial Support (adequate budget )budget )

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Active PartnershipActive Partnership Characteristics of Networks Links are established among Links are established among

producers to producers to serve customer needs. Links are Links are interactiveinteractive.. Networks enjoy a degree of Networks enjoy a degree of self-self-

management.management. The participants-nodes-networks The participants-nodes-networks share a share a

common purpose.common purpose. Networks Networks come and go.come and go. Electronic means with Electronic means with agreed codesagreed codes

concerning respect.concerning respect. Large networks which create Large networks which create a sense of a sense of

belonging,belonging, cohesion and cohesion and reinforcement of reinforcement of values.values.

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Active PartnershipsActive Partnerships

Networks for Organizational & Networks for Organizational & Professional Learning Professional Learning purposes

Access to a variety of information Access to a variety of information sourcessources

Broader range of learning Broader range of learning opportunities than hierarchical opportunities than hierarchical organizations;organizations;

Flexible whole & a more stable Flexible whole & a more stable base to co-ordinate learning than base to co-ordinate learning than the anonymity of the marketthe anonymity of the market

Create and access tacit knowledgeCreate and access tacit knowledge.. 44

Active Partnership Active Partnership

Key Elements of NetworkingKey Elements of Networking

Systemic managementSystemic management““Nodes”: experts, teams, Nodes”: experts, teams, and institutionsand institutions

““Links”: communications, Links”: communications, interactions and interactions and coordination between nodescoordination between nodes

Performance improvement45

Active Partnership

Risks and Pitfalls of Networking A network may A network may inhibit changeinhibit change and and

become conservative force in itself.become conservative force in itself. A network may slowly A network may slowly move away from

the interest interest of the participating partners. of the participating partners. A network may be formed A network may be formed without a without a

common visioncommon vision or purpose, or else have or purpose, or else have incompatible missions.incompatible missions.

RoleRoles are often not clearly identified.s are often not clearly identified. Certain nodes in the network may come to Certain nodes in the network may come to

dominate and disturbdominate and disturb a collaborative a collaborative culture.culture.

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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

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Active PartnershipActive Partnership

Assessing Partnership Fulfillment : Q&A in Health Partnerships1. What terms are used for What terms are used for

partnership work :partnership work : joint ventures , collaboration, alliances, inter-sectoral 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.

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Active PartnershipActive Partnership Q&A Health Partnership Q&A Health Partnership

3. Have they 3. Have they shown commitmentshown commitment to or made some investment in the to or made some investment in the Partnership ?Partnership ?

4. Do they have 4. Do they have a sense of a sense of controlcontrol over the Partnership over the Partnership process?process?

5.5. How should How should rresponsibilitieesponsibilitiess for for identifying and acting upon identifying and acting upon inequalities in health status be inequalities in health status be shared byshared by different agenciesdifferent agencies??

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Active PartnershipActive Partnership Q&A Health Partnership Q&A Health Partnership

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6 . How should collaboration in 6 . How should collaboration in the context of the the context of the National National Health AgendaHealth Agenda be strengthened be strengthened to ensure that better health to ensure that better health drives major policies?drives major policies? 7. How should 7. How should Health Health ImprovementImprovement ProgrammesProgrammes be be carried out?carried out?

Thank you for your Thank you for your attentionattention

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