印度尼西亚龙目岛应对COVID-19大流行的全面学校卫生政策实施动态之旅。

IF 3.6 Q1 TROPICAL MEDICINE
Cut Warnaini, Abiyyu Didar Haq, Hamsu Kadriyan, Fumiko Shibuya, Jun Kobayashi
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引用次数: 0

摘要

背景:2020年3月2019冠状病毒病(COVID-19)大流行导致包括印度尼西亚在内的几个国家出台了新的限制性政策。综合学校卫生框架为在实现与健康、营养和教育有关的具体成果方面最有效的干预措施提供了总体指导,制定考虑到印度尼西亚社区和学校主要背景差异的综合学校卫生方案非常重要。本研究旨在阐明印度尼西亚龙目岛在COVID-19大流行前后制定的学校健康相关政策如何应对COVID-19控制措施。方法:定性观察分析研究。研究人员审查和分析了学校卫生政策,分别举行了确认讨论,并与利益攸关方和主要举报人进行了访谈,并观察了马塔兰公立和私立学校的政策执行情况。结果:分析发现了弱点和机会。缺点包括缺乏指导方针、全面的计划、角色和责任的不一致的等级制度以及社会和文化障碍。机会包括为一贯的CSH实施、监测和评估系统、公立和私立学校之间的实施以及权力下放提供资金的重要性。积极的发现包括将儿童健康健康政策纳入教学活动、定期开展健康的学校竞赛计划、教师作为榜样、相关利益攸关方之间现有的协调和责任分配,以及授权学校进行必要的调整。影响学校卫生工作的因素包括课程、学校组织、个人精神和医疗保健提供者的合作关系。为了有效地促进学校健康工作,学校必须评估学校环境和环境、组织结构和能力(包括知识和技能、承诺和领导方面)中存在的健康问题。结论:2019冠状病毒病大流行推动了CSH政策在龙目岛学校的实施,显示出灵活性和对学生福利的奉献精神。尽管法规变化造成了混乱,但与当地卫生组织和社区支持的合作已导致有效的政策实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A dynamic journey of comprehensive school health policy implementation in response to the COVID-19 pandemic in Lombok, Indonesia.

Background: Coronavirus disease 2019 (COVID-19) pandemic in March 2020 led to new restrictive policies in several countries, including Indonesia. The comprehensive school health (CSH) framework provides overall guidance for interventions most effective in achieving specific outcomes related to health, nutrition, and education, and creating CSH programmes that account for the main contextual variations in Indonesian communities and schools is important. This study aimed to clarify how school health-related policies made before and after the COVID-19 pandemic responded to COVID-19 control measures on Lombok Island, Indonesia.

Method: This was a qualitative observational analytic study. Researchers reviewed and analysed school health policy, held separate confirmation discussions and interviews with stakeholders and key informants, and observed policy implementation at public and private schools in Mataram.

Results: The analysis found weaknesses and opportunities. Weakness included lack of guidelines, comprehensive planning, inconsistent hierarchy of roles and responsibilities, and social and cultural barriers. Opportunities included the importance of funding for consistent CSH implementation, monitoring and evaluation system, implementation between public and private schools, and decentralisation. Positive findings included CSH policy integration into teaching and learning activities, regular healthy school competition program, teachers as role models, existing coordination and distribution of responsibilities between relevant stakeholders, and authorising schools to make needed adjustments. Factors influencing school health efforts included curriculum, school organisation, personal ethos, and healthcare provider partnerships. To effectively promote school health efforts, schools must assess existing health problems within the school environment and surroundings, organisational structure and capabilities including knowledge and skills, commitment, and leadership aspects.

Conclusion: The COVID-19 pandemic has prompted the implementation of CSH policies in schools of Lombok Island, demonstrating flexibility and dedication to student welfare. Despite confusion due to changing regulations, collaboration with local health organisations and community support has resulted in effective policy implementation.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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