Factors influencing the National School Health Policy implementation in Lao PDR
A multi-level case study
Bibliographic Data
| ID | 22944600 |
|---|---|
| Authors | Junko Saito (0000-0002-8908-1120, The University of Tokyo), Ngouay Keosada (National University of Laos), Sachi Tomokawa (0000-0002-9856-6306, Shinshu University), Takeshi Akiyama (0000-0003-3371-5830, Nagasaki University), Sethavudh Kaewviset (Mahidol University), Daisuke Nonaka (0000-0002-8017-4777, University of the Ryukyus), Jitra Waikugul (Mahidol University), Jun Kobayashi (0000-0002-7702-1024, University of the Ryukyus), M Souvanvixay, Masamine Jimba (0000-0001-5659-3237, The University of Tokyo, corresponding author) |
| Year | 2015 |
| Volume | 30 |
| Issue | 4 |
| Pages | 843-854 |
| Publication date | 2015-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/dau016 |
| PMID | 24694681 |
| OpenAlex | W2158097982 |
| Language | EN |
| Citations received | 11 |
| References cited | 17 |
In the last decade, a National School Health Policy (NSHP) has been formulated in several developing countries following the recommendations of the Global School Health Initiative. However, NSHP implementations across the country have not been fully shared. This study aimed to identify factors that have influenced implementation of the NSHP in Lao People's Democratic Republic (Lao PDR). We conducted key informant interviews with 20 NSHP implementers and document reviews. Data were collected at the national level and at three lower administrative levels (provincial, district and school) in three areas (north, central and south). Study areas were selected according to the history of NSHP interventions. We applied content analysis using 12 key components of successful policy implementation and a policy triangle framework. We found that scaling up to nationwide implementation was limited. Results showed the NSHP implementation in Lao PDR was influenced by nine interlinked factors, including extensive planning, resource management, monitoring cycle, the perception gap between national and lower administrative officers, national task-force ownership, ongoing coaching of district educational officers, management skills of school principals, priority of school health and decentralization. Furthermore, these nine factors could be integrated into the existing educational system. In conclusion, for sustainable and nationwide implementation of the NSHP in Lao PDR, the following three factors need to be embedded in the educational system: extensive planning with a clear long-term vision at national level, human resource management including well-organized training at each administrative level and a monitoring cycle to understand the real situation at school level.
Coaching · Decentralization · Implementation · Political science · Psychological intervention · Community Health and Development · Health, psychology, and well-being · Medicine · Nursing · Psychology · School Health and Nursing Education
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| Citations per year | 1.38 |
|---|---|
| Citation span | 2018 - 2025 (8) |
| Highly cited | No |