Standard Criteria for Assessment of Health Promoting Schools

Item

Title
Standard Criteria for Assessment
of Health Promoting Schools
extracted text
Standard Criteria for Assessment

of Health Promoting Schools
SECONDARY SCHOOL LEVEL (EDUCATIONAL LEVEL 3-4)

Ministry of Public Health

Ministry of Education

Tha i Land

INTRODUCTION
Development of health of school children and the people
according to health promoting schools approach through promoting

the practice of self health care as well as enabling the control over
the determinants and environment that effect health under the

participation of local partners are important alternatives. Utilizing

educational setting as the starting point and center for promoting
health of the children, families, and community’s members is a
means to facilitate good health and happy living as well as good

quality of life.
The Department of Health, Ministry of Public Health, as

a focal organization responsible for Health Promoting Schools
Project, has developed the standard criteria for assessment of Health

Promoting Schools with an aim to serve as guidelines for schools
to implement the project. With this standard criteria, schools can

apply for an assessment by the district and provincial health pro­
moting school assessment committee, and to receive certification as
health promoting school.
The Department of health hopes that this standard criteria

for assessment of health promoting school not only facilitates the
assessment health promoting school status, but also serves as a tool

for schools in continuing self development regarding health.

Page
Introduction

The linkage of health promoting schools with educational

1

standard and basic education curriculum

Standard criteria for assessment of health promoting schools

3

The process towards health promoting schools certification

6

Assessment form of health promoting schools

Component

1

School Policies

11

Component

2

School Management Practices

13

Component

3

School/Community Projects

15

Component

4

Healthy School Environment

16

Component

5

School Health Services

17

Component

6

School Heath Education

18

Component

7

Nutrition and Safety Food

19

Component

8

Physical Exercise, Sports and Recreation

20

Component

9

Counseling and Social Support

21

Component

10 Health Promotion for Staff

22

Assessment form for Health Promoting Schools

23

Annex
Definition of terms

27

Assessment form for environmental sanitation in school

30

Assessment form for food sanitation in school

33

Lists of working group

36

The Linkage of health promoting schools with educational
standard and basic education curriculum
The National Education Act.B.E.2542 has placed an emphasis on internal quality

assurance in every educational institution as a part of educational management process to
be continuously implemented with an aim to develop the quality of the learners. There­

fore, educational standard in every institution needs to comply with that of its respective

organization and to respond to the quality assessment conducted by both the respective
and external organization.

The analysis of the linkage of health promoting school’s components with edu­

cational standard and basic education curriculum B.E.2544 pointed out the consistency in
that health promoting school has partly led educational institution to move towards various
levels of standard as shown in the followings.
Health promoting

Educational standard

school's components

Standard 13
1. School Policies
2. School Management
Practices

3.School/Community
Projects

Standard 14

Standard 27

4. Healthy School
Environment

Standard 3

Standard 15

Standard 26

Learning substance

Educational institutions have
systematic comprehensive
organizational management,
structure and administration
contributing to educational
achievement
Educational institutions promote Occupation and technology
relation and cooperation with the Substance 1 Living
arrangement
community in educational
and family
development
Community/parents have
potential in supporting
educational arrangement and
management

Science
Students have positive public
awareness, reserve and develop Substance 2 Life and
environment
Environment
Educational institutions provide Health education and
learning environment, promote physical education
health and safety among learners Substance 4 Health and
Educational institutions arrange
Capacity
buildings, places, and facilities
building,
as required criteria
Disease
Prevention
Substance 5 Life safety

Health promoting
school’s components
5. School Health
Services

Educational standard

Standard io
Standard 18

6. School Health
Education

Standard 10
Standard 11

7. Nutrition and Food
Standard 10
Safety
8. Physical Exercise,
Sports and Recreation
9. Counseling and
Social Support
10. Health Promotion
for Staff

Learning essences

Students have healthy behavior, Science
good physical and mental health Substance 1 Living things
and living
Educational institutions arrange
process
student-centered learning
Health education and
activities
physical education
Substance 4 Health and
capacity
building,
disease
prevention
Students have healthy behavior. Health education and
good physical and mental health physical education
Students are free from substances Substance 2 Life and family
and alcohol
Substance 4 Health and
capacity
building,
disease
prevention
Substance 5 Life safety
Students have healthy behavior, Science
good physical and mental health Substance 1 Living things
and living
process
Health education and
physical education
Substance 2 Life and family
Substance 3 Movement,
Physical exer­
cise, games,
Thai and
international
spots, capacity
building and
sickness
prevention
Substance 4 Building up
capacity,
health and
sickness
prevention
Substance 5 Life safety

Standard Criteria for Assessment of Health

Promoting Schools

The Department of Health, Ministry of Public Health has implemented health
promoting school policy since 1998. Later in 2000, the Department of Health had devel­
oped the standard criteria for assessment of health promoting schools to be used in every
province started in 2001. The standard criteria mainly emphasizes on process assessment
with an objective to measure the 5 core basic health promoting school development at the
initial phase. Its project monitoring suggested that most of the schools that meet the
standard criteria have various activities that effect the promotion of healthy behavior
among students. Thus, the Department of Health had decided to develop a broader cover­
age standard criteria as an indicator and a criterion for achieving health promoting
school.
The standard criteria for assessment of health promoting school was developed
to cover 10 components : school policy; school management Practices; school and com­
munity Project; healthy school environment; school health services; school health educa­
tion; nutrition and food safety; Physical exercise, sports and recreation; counseling and
social support; and health promotion for staff. The assessment criteria and indicators under
the 10 components of the standard criteria reflect the level of implementation of each
component and its progress towards higher level of implementation of health promoting
schools.
■a Objectives
To facilitate schools in conducting self-assessment that lead to the improvement
and development to become standard health promoting school.
2. To serve as a tool for the district and provincial assessment teams in granting
health promoting school.

1.

■D Instruction for using the assessment form
The contents of each component of the standard criteria of health promoting
school include indicators, level of assessment, and sources / proof that indicate the actual
situation of school and lead to higher level of assessment.
The philosophy of assessment is “being friendly”, a positive approach. In case
schools did not pass certain criteria, they should be well advised to make improvement.

Meaning

Criteria
Level of assessment

:
:

Obtained score
Sources / Proof

:
:

■"

the highest required standard for health promoting school
the output indicating actual situation of school monitored by
sources / proof
derived from the level of assessment
Guidelines for the assessors to search and examine certain
information that exists or need to be further collected

Use of assessment form
1.
2.
3.
4.
5.

Each component has different number of indicators.
Putting score in the obtained score box.
Totaling score when every indicators of each component is assessed.
Compare obtained score of each component to the criterion.
Summarizing the assessment of each component.

■° Criterion
Each component has 4 levels of pass criterion :
75 % and over of full score
= pass at excellent level
65 - 74 °/o of full score
= pass at good level
55 - 64 °/o of full score
= pass at basic level
below 55 °/o of full score
= not pass (to be improved)

g" Assessment team
1. Regional assessment team
Composition - representative from the Department of Health at regional
level
- representative from educational sector at regional level
1. Providing administrative and technical consultative
Roles
support to the provincial assessment team
2. Sampling those schools with gold certification
3. Monitoring and collecting the assessment result in
responsible area
4. Participating in the assessment team upon request by the

province or as appropriate

2. Provincial assessment team
to be considered in each province and
should include those from education and health sectors
Roles
1. Providing administrative and technical consultative
support to the district assessment team
2. Conducting assessment and granting the gold certification
3. Monitoring and collecting the assessment result of
schools in the province
3. District assessment team
to be considered in each district and should
include those from education and health sectors
Roles
1. Conducting assessment and granting the silver and bronze
certification
2. Collecting the assessment result of schools in the
district and inform the provincial assessment team
Supporting and consulting Team should comprise those from local
respective organizations
Roles
1. Providing consultative support to participating schools
2. Providing assistance and supporting schools to move
towards health promoting schools

r
5

h

The process towards health promoting schools certification

1. Participating in health promoting schools project

B Schools participating in health promoting schools project are those primary
and secondary schools under every respective organization of public and private sectors.
B To participate in the project, school administrators submit their intention to
their provincial respective organization.
2. Development towards health promoting schools

B The provincial health office coordinates with schools and conduct orientation
meeting among concerns
B Schools conduct self-assessment using the standard criteria developed by the
Department of Health, Ministry of Public Health
B Schools develop and move towards health promoting school on their own
support and with external support from related individual / local agencies, and receive
technical consultation from supporting and consulting team
B When schools implement and cover every component of health promoting
schools, and pass the standard criteria, they can apply for certification from the district
assessment team.
Announcement of health promoting school certification
Once schools pass the assessment, they would be granted a certification by the
Ministry of Public Health :
Bronze level
Silver level

Gold level

Pass at excellent level for at least 4 components
Pass at basic level for other 6 components
Pass at excellent level for at least 6 components
Pass at basic level for other 4 components
Pass at excellent level for at least 8 components
Pass at basic level for other 2 components

The process towards health promoting schools certification

Participating in the project

School health team

Resources support
from local agencies

- orientation meeting by
the province
- building capacity of the
leaders by province

Conducting self-assessment

consulting and
supporting team

Quality improvement

consulting and
supporting team

Assessment for granting
bronze and silver certification

district assessment
team

Assessment for granting
gold certification

provincial assessment
team

H Certification is valid for 2 years since the issue date
R Higher pass level can be made depending on school development situation

7

Assessment Form
for Health Promoting Schools

Component 1 School Policies
Standard 13 Educational institutions have systematic comprehensive organizational management,
structure and administration contributing to educational achievement

Indicators

Criteria

Identification of school health
promotion policy
1. Appointing, in a written form, At least 3 in 5 □ <3 in 5
of school health team or working committee’s □ <3 in 5
group responsible for school health members are
promotion, comprising teachers, from people
students, parents, health
and organiza­
personnel, and representatives
tions in the
community®
from community organizations

2. School has health promotion
policy to cover the followings:
1) promotion of healthy school
environment®
2) health surveillance and health
problem solving
3) health behavior development
according to the 10 national
health rules®
4) consumer protection in
school®
5) promotion of exercise for
students and community under
school- centered
6) mental health promotion and
surveillance of risk behavior
7) student-centered learning
development
8) health promotion for staff
9) encouragement of community
participation®^ development
of health of students, school
staff and the community

every issue
(9 issues)

C)btained
score Source/proof

Assessment level
(score)

□ cover every issue
Q cover 6-8 issues
Q cover 3-5 issues
Q cover 1-2 issues
Q no policy

[5]
[0]

Appointing
document

[9] ........... School health
[5|
promotion
[3]
document
[1]
[0]

Indicators

Assessment level
(score)

Criteria

)btaine<1
score Source/proof

Transfer policy into practice
3. Plan/projcct in response to
health promotion policy

every policy
(9 issues)

Q cover every issue
□ cover 6-8 issues
□ cover 3-5 issues
Q cover 1-2 issues
i_J none

[9]
[5]
[3]
[1]
[0]

- educational
development
plan
- annual
operation
plan
- plan/
project

4. School staffs know about
health promotion policy

every' staff

Q every staff
□ >80%
□ <80%

[2]
HI
[0]

Sampling 10
school staffs,
using
questionnaire

5. Parents know about health
promotion policy

>60%

—1 >60%
□ <60%
□ not know

[2]
[1]
[0]

Sampling 10
parents, using
questionnaire

6. Students grade 7 and over know >80%
about health promotion policy

Sampling 20
students
scattered in
every class
level, using
questionnaire

Total score

Remark

:

percentage for indicators 4,5,6 calculated from the total samples

Summary result of the assessment of component 1

Q pass at excellent level
□ pass at good level
CJ pass at basic level
□ require further improvement

(>22 scores)
(19-21 scores)
(16-18 scores)
(0-15 scores)

Component 2 School Management Practices
Standard 13 Educational institutions have systematic comprehensive organizational management,
structure and administration for educational achievement

Indicators

Criteria

1
( )btaine<
score Source/proof

Assessment level
(score)

Development of health
promotion plan/project
1. Development of systematic
>2 in 4 of all □ >2 in 3
plan/project :
plans/projects □ <2 in 3
Q <none
- compile, analyze the
problems and need using
group process
- responsive to school problem
- identify activities and
timeframe
- identify involvement of
all concerns
- identify the use and benefit
of resources and/or local
wisdom
- identify health promotion
activities related to teaching­
leaming activities

Organizational management
Q yes
2. Appoint consulting committee at least one
Q no
to support health promotion
committee
implementation
3. Identify responsible working
>2 in 3 of all □ >2 in 3
group in each plan/project
plans/projects □ <2 in 3
O none
comprising teachers, students
and parents/health personnel/
local organizations
4. Assign School’s health youth
leader to take roles and duties

[5]
[3]
[o]

- plan/project
- teaching
Man

[2]
[o]

Meeting
report/
appointing
order
plan/project

[2]
[1]
[o]

........ - SHOR.’
- Asking
school’s health
youth leader
- record of
performance of
school’s health
youth leader

* SHOR. = School Health Operating Record

13

Indicators

Criteria

Assessment level
(score)

Supervising and monitoring
>2 in 3 of all □ >2 in 3
5. Health promotion plan/project plans/projects □ <2 in 3
are continuously supervised and
LJ none
monitored by school system,®
and are concluded and utilized
for work development

Evaluation
6. Conducting evaluation of the
plan/project and report
evaluation result

>2 in 3 of all □ >2 in 3
plans/projects □ <2 in 3
Q none

)btaine< 1
score Source/proof

[5]
(3]
[0]

[5]
[3]
[0]

Total scores

Summary result of the assessment of component 2

[_j pass at excellent level
□ pass at good level
□ pass at basic level
Q require further improvement

(■>16 scores)
(14 -15 scores)
(12-13 scores)
(0-11 scores)

-Record of
school
supervising
and
monitoring
- The project
for solving
problem
found during
supervising

report

Component 3 School/Community Projects
Standard 14 Educational institutions promote relations and cooperation with the community in
educational development
Standard 27 Community/parents have potential in supporting educational provision and management
Indicators

1. Health related project
participated by school
and community

()btainec
score Source/proof

Assessment level
(score)

Criteria

>4 in 5 of all □ >4 in 5
plans/Projects □ 3 in 5
□ <4 in 5

[3]
[2]
[ij

- plan/project
- summary
result of work

2. Community has involved
every step
systematically (5 steps) in at
least one project :
1) involve in analysis of
problem situation and cause
2) involve in planning
3) involve in implementing
4) involve in inspecting
(internal audit)
5) involve in developing and
improving

□ 5 steps
Q 4 steps
Q 3 steps
□ 1-2 steps

[4]
[3]
[2]
[1]

- plan/project
- summary
result of work

3. Students are satisfied with the >80 %
school-community joint project

□ >80 Vo
□ >70 - 79 Vo
□ <70 Vo

[3]
[2]
[1]

4. People are satisfied with the
school-community joint project

□ >70 o/o
□ >60 - 69 Vo
□ <60 °/o

[3]
[2]
[1]

Sampling 20
students
scattered in
every class
level, using
questionnaires
Sampling 10
parents/
people, using
questionnaires

>80 %

Total scores
Remark : percentage for indicators 3 and 4 calculated from the total samples
Summary result of the assessment of component 3

Q pass at excellent level
□ pass at good level
Q pass at basic level
Q require further improvement

(>10 scores)
(8-9 scores)
(7 scores)
(4-6 scores)

15

Component 4 Healthy School Environment
Standard 3 Students have positive public awareness, reserve and develop environment
Standard 15 Educational institution provide learning environment, promote health and safety
among learners
Standard 26 Educational institutions arrange buildings, places, and facilities as required criteria

Indicators

Criteria

1. School environmental
sanitation standard

2. Environmental accident in
school causes school absence
(from the past academic year to
present)

Assessment level
(score)

( )btaine<
score Source/proof

Q excellent standard [58]
pass at
excellent level correctly practice of
all 58 items
Q good standard
[50]
practice 50 items, 20 items
more than the basic standard
indicated in O
basic standard
[30]
practice 30 items
indicated in
Q below basic standardfo]
practice less than 30 items
no
[15] ...........
None
yes
[o]

3. Percentage of Container with <10 °/o
mosquito larvae (C.I.)®in school

<10 V>
>10 Vo

[20]
[0]

4. Students are satisfied with
school atmosphere

>80 °/o
>70 - 79 %
<70 Vo

[15]
[10]
[5]

>80 %

Survey result
of school
environment
(see annex)
and observa­
tion of actual
situation by
assessor

Report of
accidents
among
students in
school during
the past one
year
Sampling 20
students
grade 4 and
over, using
questionnaires
Sampling 20
students
scattered in
every class
level, using
questionnaire

Total scores
Remark : percentage for indicator 4 calculated from the total samples
Summary result of the assessment of component 3
pass at excellent level
pass at basic level

(>81 scores)
(59 - 69 scores)

pass at good level
require further improvement

(70 - 80 scores)
(5-58 scores)

Component 5 School Health Services
Standard 10 Students have healthy behavior, good physical and mental health
Standard 18 Educational institutions arrange student-centered learning activities
Indicators

Criteria

Assessment level
(score)

Obtaine 1
score Source/proof

1. Students grade 7 and over have every student Q every student
□ >80 %
self-health monitoring using self­
□ <80 V‘
health monitoring record book,
once per semester

[3] '
[2]
[1]

2. Students have vesion check-up every student □ every student
□ >80 Vo
once a year
□ <80 V»

[3]
[2]
[1]

- SHOR.
- Student
health Record/
Individual
history book

[3]
[2]
[0]

observation

[3]
[0]
[3]

Sampling 20
students
scattered in
every class
level, using
quertionnaire

[3]
every student Q every student
Q not every student
[o]
Q no students and
[3]
staff with serious illness
beyond school
treatment capacity

Service record,
book

3. Essential drugs and medical More than 5
kinds of
supplies are available® for first
essential
aids
drugs and
medical
supplies are
available

□ >5
□ <5
□ none

4. Students with health problems every student Q every student
Q not every student
are taken care.
Q no students with
health problem

5. Students and staff with
serious illness beyond school
treatment capacity are referred
for proper treatment

- SHOR.
...........
- self-health
monitoring
record book

Total scores
Summary results of the assessment of component 5
□ pass at excellent level ( 11 scores)
Q pass at good level (io scores)
□ pass at basic level (8-9 score)
Q require further improvement (5-7 scores)

Component 6 School Heath Education
Standard to Students have healthy behavior, good physical and mental health
Standard 11 Students are free from substances and alcohol

Indicators

Criteria

Assessment level
(score)

3btaine(
score Source/proof

Students are trained about the
following skills
1. Choosing food

>80 °/o

□ >80 96
□ 60 - 79 °/o
□ <60 96

[3]
[2]
[1]

2. Avoiding having toxic food

>80 °/o

□ >80 96
□ 60 - 79 °/o
□ <60 96

[3]
[2]
[1]

3. Avoiding substances

>80 °/o

□ >80 96
□ 60 - 79 °/<>
□ <60 96

[3]
[2]
[1]

same as 1.

4. Preventing accidents and
disasters

>80

□ >80 96
□ 60 - 79 96
□ <60 96

[31
[2]
[11

same as

5. Avoiding gambling and
going out at night

>80 °/o

□ >80 96
□ 60 - 79 °/o
□ <60 96

[3]
[2]
[1]

same as

6. Coping with stress

>80 96

□ >80 96
□ 60 - 79 96
□ <60 96

[3]
[2]
[1]

same as

7. Avoiding premature sex

>80 °/o

□ >80 96
□ 60 - 79 96
□ <60 96

[3]
[2]
[11

same as

Sampling 20
students
scattered in
every class
level, using
questionnaire
Same as 1.

Total scores
Summary results of the assessment of component 6
□ pass at good level (14-15 scores)
□ pass at excellent level (> 16 scores)
Q require further improvement (7-11 scores)
Q pass at basic level (12-13 score)

Component 7 Nutrition and Food Safety
Standard to Students have healthy behavior, good physical and mental health
Indicators

Criteria

Assessment level
(score)

()btained
score Source/proof

1. Students are assessed growth® every student
at least once per semester

every student
>80 Vo
<80%

[3]
[2]
[1]

2. Students have standard
>90 %
weight/height following the
recommended growth chart of
the Department of Health (1999)

> 90%
70-89%
<70 %
no abnormal case

[3]
[2]
[1]
[3]

3. Students with abnormal
growth ® are treated.

every student

every student
> 80 Vo
< 80 %
no abnormal case

[3]
[21
[ 1)
[3]

project or
solution
undertaken
by school

4. Students have lunch everyday

every student

every student
>80 %
<80 %

[3]
[2]
[1]

5. Students know how to choose every student
eating nutritious and safe food

every student
>80 %
<80%

[3]
[2]
[1]

Sampling 20
students
scattered in
every class
level, using
questionnaire
Same as 4.

6. Food sanitation standard ol pass at
excellent
school canteen
level of
standard

excellent level of [30]
standard, correct practice of
all 30 items
good level of
[20]
standard, correct practice of
20 items of
and O
basic level of
[15]
standard, correct practice ol
15 items of
below basic standard, [o
not cover all 15 items

- SHOR.’
- report of
growth
surveillance
of student
same as 1

Survey result
of food
sanitation
(see annex),
observe actual
situatuon by
assessor

Total scores
Summary result of the assessment of component 7
pass at excellent level (> 34 scores)
pass at good level (29-33 scores)
pass at basic level (25-28 scores)
require further improvement (5-24 scores)

19

Component 8 Physical Exercise, Sports and Recreation

Standard 10 Students have healthy behavior, good physical and mental health

Indicators

1. Arranging exercise place
and equipment in school

Having
place and
equipment

2. Arrange exercise activities for at least 3
students and/or people.
times per
week

3. Establish club/group
arrange exercise, sports, and
recreation activities in school.
4. Students have physical ability
test once a year according to the
standard of Department of
Physical Education (DOPE).
5. Students have physical
ability of DOPE standard.

>1 club/
group

6. Providing counseling and
monitoring student progress
among those below standard.

every student

< )btaine<
score Source/proof

Assessment level
(score)

Criteria

having place
and equipment
having place
without equipment
having equipment
without place
Q no place and
equipment
Cl >3 days
1-2 days
none

[2]

>1 club
Cl none

[2]
[o]

Sampling 20
students
scattered in
every class
level, using
questionnaire
Record of
club/group

observation

[1]
[1]
[0]

[2]
[1]
[o]

every student

every’ student
>80 Vo
>80

[2]
[I)
[0]

Report of
studentis
ability test

>60 °/°

>60 V>
50 - 59 Vo
<50%
no data
every student
>80 Vo
<80 %

[3]
[2]
[1]
[o]
[2]
[1]
[0]

same as
indicator 4

- asking
physical edu­
cation teacher
- record of
physical edu­
cation teacher
- sampling/
asking student
with below
standard

- ------ —rr-

Total scores
ff Summary result of the assessment of component 8
'

.□ pass at excellent level
pass at basic level;

*

' * t

(>io scores)
(7 scores)

pass at good level
require further improvement

( 8-9 scores)
( 0-6 scores)

Component 9 Counseling and Social Support

Standard 10 Students have healthy behavior, good physical and mental health

Indicators

Criteria

< )btaine<
score Source/proof

Assessment level
(score)

Q every teacher
Q not every teacher
Q no such activity

[3]
[2]
[0]

every
2. Students have sexual and
student
substances risk behaviors are
watched and provided surveillance
and initial assistance ®

□ every student
□ not every student
Q no such activities

[3] ........ Record book
of students
[2]
[0]
behavior
- record book
of class
teacher

3. Students with serious problem every
beyond school treatment capacity student
are transferred.

Q every student
[3]
□ not every student
[0]
Q no student with
[3]
problem requiring transfer

same as
indicator 2

Q every student
Q not every student
Q no follow up

[3]
[2]
[0]

same as
indicator 2

Q every student
□ >80 %
□ <80 96
Q none

[3]
[2]
(1]
[0]

Sampling 20
students
scattered in
every' class
level, using
questionnaire

1. Teacher can screen and
identify students with problem

4. Students with risk behavior
and assisted or transferred are
followed up by teacher.

every class
teacher

every
student

5. Students have friends/parents/ every
relatives available for counseling student
every time when needed.

- Report of
survey of
individual
student
- individual
file
- report of
student
screening

Total scores
Remark : percentage of indicator 5 calculated from all samples

Summary result of the assessment of component 9
Q pass at good level
□ pass at excellent level
(>11 scores)
□ require further improvement
Q pass at basic level
(7- 8 scores)

Hp
\OO
08999

^lO^re^
fricores^

Component 10 Health Promotion for Staff

Indicators

()btaine 1
score Source/proof

Assessment level
(score)

Criteria

1. School staff®have health
>3 in 4 of
assessment ® at least once a year all school
staff

□ >3 in 4
□ half or above
Q less than half
□ none

2. School staff receive health
information al least once a week
(from all sources such as T.V.,
broadcasting, newspaper, etc.)

every
staff

□ every staff
□ >2 in 3
□ >1 in 3
□ none

- Sampling/
asking 10
school staff
- health
check-up
report
[3] ........ Sampling/
[2]
asking 10
[1]
school staff
[o]

3. Smoking in school area.

no

□ no
□ yes

[5]
[o]

4. Drinking alcohol in
school area.

no

□ no
□ yes

[5]
[0]

5. School staff participate in
health promotion activities
according to school plan.

>3 in 4 of all □ >3 in 4
Q half or above
school staff
□ less than half
tJ none

[3]
[2]
[1J
[o]

[3]
[2]
[1]
[0]

Sampling 20
students
scattered in
every class
level, using
questionnaire
Same as
indicator 3

- Plan/project
- sampling 20
students
scattered in
every class
level, using
questionnaire

Total scores
Summary result of the assessment of component to

Q pass at excellent level
□ pass at basic level

(>14 scores)
(10 - 11 scores)

□ pass at good level
□ require further improvement

(12 - 13 scores)
(o - 9 scores)

Form of Summary Result of Health Promoting

School Assessment
Components
of health promoting
school

Pass at
excellent
level

Pass at
good
level

Pass at
basic
level

require
further
improvement

1. School Policies

2. School Management
Practices
3. School/Community
Projects

4. Healthy School
Environment

5. School Health Services

6. School Health Education

7. Nutrition and Food Safety

8. Physical Exercise, Sports
and Recreation

9. Counseling and
Social Support
10. Health Promotion for
Staff
Total

___________

Health Promoting School Certification
Q Pass assessment
gold level
Q Non-pass assessment

silver level

bronze level

ANNEX

Definition of Terms

1. People and organization in the community means those who are not teacher
or other school staff, which include parents, health personnel, representative of local
organization, village headman, religious leader, etc.
2. Healthy school environment means physical, mental, and social environ­
ment effecting health promotion of students and school staff, i.e. various school environ­
ment, school safety measures, so as to keep school free from accident, toxic and sub­
stances, gambling, crime, and sexual harassment.
3. National health rules means rules of self-practice for good health, compris­
ing io elements:
1) Keeping one’s body and belongings clean
2) Having dental care and brushing teeth correctly everyday
3) Washing hands before meals and after defacation
4) Having cooked, clean, and non-toxic food, avoiding colored and
spicy food
5) Refrain from tobacco, alcohol, substances, gambling, and promiscuous
6) Building warm and tight family relation
7) Preventing accident by careful practice
8) Having regular exercise and annual physical check-up
9) Being happy and joyful
10) Sharing public concern and social activities
4. Consumer protection in school means implementation, controlling, watch­
ing, and correcting with respect to nutrition, toxic free food and substance, and food
sanitation in school.
5. Community participation means involvement of people and local organiza­
tion in awareness, analyzing problems, identifying need, planning, implementing, inspect­
ing, correcting, developing, taking responsibility in the work/project on health promotion
in school.
6. Supervising and monitoring by school system means internal supervising
and monitoring by school administrator as plan.
7. Percentage of container with mosquito larvae (C.I.) means container index
(C.I), container found with larvae per total 100 containers. The survey is conducted by
counting every container with water and every container with larvae at its every stage
including even 1 larvae is counted. The survey is carefully undertaken both inside and
outside the building, by inspecting funnel, tree’s hollow, vase’s plate, vase, can and bottle,
flower basin, drinking and washing water jar, water storage in the toilet, other plant basin,
old used tyre, any material containing water, ect.

8. Essential drugs and medical supplies means first aids essential medical sup­

plies provided to students under school capacity, at least include the followings:
1) Paracetamol tablets or syrup
2) Mist stomachica, Alumina-Magnesia, Sodamint
3) Oral rehydrated salt
4) Amonia mixture
5) Tincture Iodine, Tincture Timerrosol
6) rubbing alcohol
7) Burn Cream
8) Balm, ointment
9) Atihistamine
9. Growth Monitoring means interpretation of weight and height of students
comparing to the growth chart of the Department of Health, comprising 3 indices: weight
for age, height for age, and weight for height, each index presents different advantage and
disadvantage of assessment.
10. Abnormal growth means overweight (obesity) or underweight (thin), and
under height (short).
11. Surveillance and initial assistance means providing primary counseling to
the risk group of children, and coordinate with teacher and other concerns, e.g. physical
education teacher, parents/community, in order to arrange preventive activities and
provide assistance such as sports activities, camp activities, and others.
12. School staff means every type of personnel in school other than students
which include school administrator, teachers, employees, food handlers, food sellers, workers,
janitors, etc.
13. Health assessment means having annual health check-up from health ser­
vice facilities or conducting self-health assessment by using self-health assessment form.

Survey form of school environment sanitation
Instruction
1. Put “|Z” in the I I or O to match the most correct practice in the lists, and
put “X” in the box to match the incorrect practice
2. Leveling the assessment under the following criteria
2.1 basic standard = practice 30 items, match the number in
2.2 good standard = practice 50 items, i.e. 20 items added to basic standard,
match the number in O
2.3 excellent standard = correctly practice all 58 items
3. Some standard criteria for consideration in using the survey form
3.1 Relation between the height of desk and chair (survey item 16)

height of desk (cm.)
height of chair (cm.)
30
50
35
55
40
65
45
75
Arrangement of desk and chair
no less than 45 cm.
- providing aisle between rows of desks
no less than 60 cm.
- space between the last side-row
and the wall
no less than 2 m.
- space between the top front row
and the blackboard
no less than 9 m.
- the distance between the last back row
and the blackboard
3.2 The chalk-board (survey item 16)
- made of durable material, smooth, no scratch
- painted with the matte dark green or black color
- not installed near the door and window
- Installation of the chalk-board
primary school
at least 24 inches above the floor
junior secondary school
at least 28 inches above the floor
senior secondary school
at least 32 inches above the floor
- a sufficient wide chalk tray at the lower edge
3.3 Standard number of toilets, hand-sinks in school (survey item 41)

School
Primary school

Secondary school

Toilet
(Number/person)
Male 1/60 Female 1/30
Male 1/90 Female 1/50

Urinate basin
(Number/person)

Male 1/30
Male 1/30

Hand-sink
(Number/person)

Male-Female 1/50

29

Survey form of school environment sanitation

Item

1. playground and
surrounding

Criteria for consideration

□ 1. tidy and strong fence around the area
O 2. separate entry and exit traffic system, with parking lot
□ 3. clean school area, no water pit
□ 4. separated sport ground and playground
O 5. pleasant and tidy garden, recreation area

2. classroom buiding

□ 6. strong and clean floor in good condition
□ 7. strong wall and ceiling in good condition
□ 8. strong and firm balcony, stairs and lines, in good
condition and safe
0 9. standard level of lights (5 ft.-candle) around the
balcony and stairs area
O 10. the building is tidy and beautifully decorated.

3. classroom

□ 11- clean and tidy classroom
□ 12. good air ventilation
□ 13. sufficient reading light (30 fL-candle)
14. air ventilation equipment
□ 15. lighting equipment
□ 16. classroom utilities (desks, chairs, chalkboard etc.) are

in standard size, in good condition, and in sufficient numbe r
4. library

O 17. sufficient level of reading light
O 18. tidy lay out of classroom utilities such as desk, chairs,
books
□ 19. good air ventilation

5. nursing room

O 20. first aids room or separated space

□ 21. good air ventilation, sufficient reading light
22. separated space/beds for school boys and girls
O 23. medical supplies shelves are in good order with clear

label
□ 24. Floor, ceiling, wall, beds, table, hand-sink, and

equipment are clean and in good condition.

Remark
(for
assessor)

Remark
(for
assessor)

Criteria for consideration

Item

6. drinking waler

□ 25. clean drinking water such as rain water, pipe water,
sanitary well water, or processed water (boiled, distilled,
filtered)
□ 26. water container, storage are hygienic (with cover,
tap, water pipe drainage)
O 27. drinking water with personal glass or drinking
directly from spring.
□ 28. drinking enough water (2 Itrs/person/day)
O 29. sufficient number of drinking water points for
students (1 point/75 students), or in every classroom

7. consumed waler

□ 30. clean water such as rain water and pipe water
□ 31. sufficient amount of consumed water (5 -10 ltrs./
person/day)

8. toilet, hand-sink,
urinate basin

□ 32. separated toilets for male and female
O 33. toilet floor and water closet made from material easy




O
O

to be clean
34. good air ventilation and odor free
35. enough light (5 ft.-candle)
36. toilet floor, ceiling, and wall are clean.
37. urinate basin are clean and in good condition.
38. hand-sinks are clean, in good condition , and enough

water
O 39. soap is available on the hand-sink

□ 40. hygiene human waste disposal in good condition,
with air ventilation pipe
41. Sufficient standard number of toilet, urinate basin,
hand-sink.
□ 42. rubbish bin in good condition with lid, in female toilet
(1 bin/1 toilet)
O 43. the area around the toilet and urinate basin are clean,

9. solid waste disposal

44. sufficient number of garbage container as standard
(1 container/1 toilet, and at every 50 metre along the
walkside, or having efficient solid waste managemenjx^'^
and control)
T/C4- z

__ ___________ f/w
HpE ice)
(38999

(

(

k

Item

Criteria for consideration

□ 4 5. garbage containers are in good condition.
□ 46. garbage containers around the canteen, kitchen,
and toilet have proper lid, made from solid material,
and in good condition.
O 4 7. solid waste are disposed day-to-day, or garbage stove

is in good condition (burning rate at 1 m.! zday/200
students)
10. waste water
disposal

O 48. no contaminated water pit around school area

11. animal/insect
control

O 51. no rats, fly, cockroach trail, have insect control system

12. disaster prevention

□ 53. fire extinguisher is available, in good condition,
in convenient use,

49. suitable waste water management system such as
grease basin, absorbed pit, waste water well or percolate
drainage
O 50. the drainage is in good condition and flow

□ 52. no fly breeding site around school area

54. short circuit control equipment
O 55. clear traffic sign in suitable places

13. staff responsible
for environmental
sanitation in school

O 56. staff responsible for environmental sanitation include
school health teacher, volunteer student, janitor
57. campaign to promote clean environment

58. develop the project on environmental sanitation by
school

Remark
(for
assessor)

Survey Form of Food Sanitation in School

Instruction
1. Put “|Z” in the
or O to match the item of correct practice in the lists, and
put “X” in the box to match the item of incorrect practice. In case no such activity
identified in the lists and is not a food sanitation problem, that item is considered pass.
2. Leveling the assessment under the following criteria
2.1 basic standard = practice 15 items, match the number in I I
2.2 good standard = practice 20 items, i.e. 5 items added to basic standard,
match the numbering O

2.3 excellent standard = correctly practice all 30 items
3. Schools with more than 1 food shop, all have to follow and correctly practice
every item to pass the standard criteria.
3.1 Relation between the height of desk and chair (survey item 16)

Item

Details of standard

a) Canteen and general
areas

1. Clean and tidy
2. Tables and chairs are clean, strong, and in order.
3. Good air ventilation

b) Food preparation

0 4. Clean, tidy, made from durable, strong material, and

area

in good condition.
5. Good air, odor, and smoke ventilation, having smoke
tunnel or fans
6. Food is not prepared on the floor.
O 7. Table for food preparing and stove-side wall made from

Remark
(for
assessor)

easy-to-clean material such as stainless, tiles, in good
condition. The table surface is at least 60 cm. Above the
floor.
c) Food, water, ice,

drinks

8. Food and drinks in closed containers have FDA Label
shown official approval.

9- Fresh food like meat and vegetable, and dried food are
in good quality, separately kept, and placed at least 30 cm.

Above the floor. Fresh food must be washed thoroughly
before cooking.

33

Item

Details of standard

10. Food and drinks in closed containers are in good
quality and kept tidy, placed at least 30 cm. above the floor
□ 11- Ready cooked food is kept in clean closed container,
and placed at least 60 cm. above the floor.
O 12. Food is kept in appropriate cabinet with transparent
glass-front door.
□ 13. Drinking water, drinks, juice are clean and kept in
clean closed container with lid, having tap, funnel or using
separate scoop, and placed at least 60 cm. above the floor.
O 14. Eatable ice is clean, and kept clean in closed container

with lid, using separate scoop, and placed at least 60 cm.
above the floor. No other stuffs are mixed kept with it.

d) Containers

O 15. Food utilities like plates, spoons & forks are made fron

non-toxic material such as stainless, white porcelain, glass,
white or light colored melamine. Chopsticks are made from
uncolored wood or melamine.
□ 16. Fish sauce, vinegar, and dipping containers are made ol
glasses, white porcelain, with lid. Spoon is made of white
porcelain or stainless. Other food additives are kept clean
in the easy-to-clean containers with lid.
□ 17. Food utilities and containers are washed at least in
2 steps : 1) using dish washing detergent, and 2) using
clean water washing for 2 times or using running water.
Washing equipment is placed at least 60 cm. Above
the floor.
18. Using at least 2 washing sinks with drainage in good

use.
19. Plates, bowls, glasses, food tray etc. are upside down
stored in clean transparent container or racks placed at least
60 cm. Above the floor or kept in covered clean container.
□ 20. Spoons, forks, chopsticks are tidy kept up-stick in
ventilated, clean container, placed at least 60 cm. Above
the floor
21. Food cut-board is in good condition, no crack.
Using separate cut-board for raw and cooked food,
with lids (except the kitchen have fly protection.)

Remark
(for
assessor)

Item

Details of standard

e) Solid waste and
water waste
management

□ 22. Using unleak garbage bin with lid.
□ 23. The drainage system is in good condition. Waste water
is managed through the drainage or waste water
management system not directly to the public water.
24. Grease trap are in good use before the waste water
is drained.

f) Bathroom/toilets

□ 25. Washing room and toilet in the canteen are clean,
odor free, having enough water.
26. Toilet stands in separated area apart from the food
preparing, washing, food and utility storage spaces.
Hand-sinks are available and in good use, provided in the
toilet area.

g) Food handling and
food servers

□ 27. Wear clean and long-sleeves shirt.
28. Wear white apron or uniform. Food handler wears
hat or hair net.
29. Have good health, have no contacted disease, skin
disease. Food handler has health certificate for inspection.
O 30. Have good personal hygiene i.e. short nails, not

Remark
(for
assessor)

smoking while on duty, not directly contact cooked food
by hands.

35

Working Committee for Development of

Standard Criteria for Health Promoting Schools |

Advisory Committee
Prof.Pakdee

Pothisiri,

Director-General, Department of Health

Siripon

Kanshana, M.D.

Deputy Director-General, Department

of Health
Asst.Prof. Navarat Suwanphong, Ph.D.

Faculty of Public Health,

Mahidol University
Borwom

Ngamsiriudom, M.D. Director, Bureau of Health Promotion

Chetaphan

Kamkaew

Director, Bureau of Environmental Health

Working Committee
Office of National Primary Education Commission

Pimpimon

Thongthien, Ph.D.

Tiwat

Maneechote, Ph.D.

Department of General Education

Chantana

Nonthkom, Ph.D.

Sopa

Chanapai

Health Promotion Center, Department of Health

Tipawan

Suviranent

Chokchai

Suwannpho

Boontham

Techachindarat

Somkuan

Sitapa

Saroj

Simapaisam

Venus

chanma

Bureau of Health Promotion

Pensri

Kramomtong, M.D.

Nopparat

Plitakul

Jerabhan

Pobrurk

Supreeya

Komanee

Jongjit

Ruengdamrong

Unchaya

Thanaman

Nuansri

Vicham

Chailai

Leartvanangkul

Saowalak

Puapatanakul

Vipada

Taoprayoon

Srisuda

Surakiat

Tassanee

Thongom

Sasiwimol

Pujchakam

Kesom

Khorrat

Marina

Amatyakul

Alisa

Phirangapaura

Media
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