San Francisco Burden of Disease & Injury Study:
Determinants of Health
Steps to a Healthier San Francisco

School-Based Interventions

The Steps to a Healthier San Francisco initiative combines school-based and community-based programs to address several of the fastest-growning burdens of disease in San Francisco.

Some specific interventions, drawn from HHS's Steps to a HealthierUS initiative, are as follows (please send suggestions for interventions in SF):

HHS Recommendations, Steps to a HealthierUS San Francisco Interventions or Resources
Implement a planned, sequential, K-12 curriculum that addresses the physical, mental, emotional, and social dimensions of health. Such a curriculum should be designed to motivate and assist students to maintain and improve their health, prevent disease, and reduce health-related risk behaviors. The curriculum should also provide learning experiences through a variety of activity areas such as basic movement skills; physical fitness; rhythms and dance; games; team, dual, and individual sports; tumbling and gymnastics, and aquatics. Emphasize enjoyable participation in physical activities that are easily done throughout life. Give young people the skills and confidence they need to be physically active for a lifetime.
Provide nutrition services that provide access to a variety of nutritious and appealing meals that accommodate the health and nutrition needs of all students. Such nutrition services should reflect the U.S. Dietary Guidelines for Americans and other criteria to achieve nutrition integrity. Establish a school nutrition program that limits the availability of foods high in fat, sodium, and added sugars (such as soda, candy, and fried chips); discourages teachers from using food to discipline or reward students, and provides adequate time and space for students to eat meals in a pleasant, safe environment.
Provide health promotion opportunities for school staff to improve their health status through activities such as health assessments, health education and health-related fitness activities. These opportunities encourage school staff to pursue a healthy lifestyle that contributes to their improved health status and creates positive role modeling for students.
Provide a healthy school environment that includes both the physical and psychosocial climates and cultures of the school. Factors that influence the physical environment include the school building and the area surrounding it (e.g. tobacco-free policies to reduce environmental exposure to smoke, assessing indoor allergen agents, noise, and lighting). The psychosocial environment includes the physical, emotional, and social conditions that affect the well-being of students and staff.  
Encourage parent/community involvement that integrates a school, parent, and community approach for enhancing the health and well-being of students through the involvement of school health advisory councils, coalitions, and broadly based constituencies for school health.  
Expand and/or improve school health services and educational programs to address children with asthma. Improve the existing system of asthma care by school personnel (i.e. school nurses, teachers, coaches, etc.) through the introduction of standardized training curricula, treatment protocols, and streamlined communication mechanisms between school nurses, coaches/physical education teachers, parents, and medical providers.  
Adopt classroom-based asthma education activities (e.g. Open Airways, You Can Control Asthma, Power Breathing, etc.)  
Also see community-based interventions that might address physical inactivity, poor diet, tobacco, obesity, asthma, and diabetes.

 

 

Community-Based Interventions

physical inactivity

poor diet

tobacco

obesity

asthma

diabetes


School Health Resources

School Health Guidelines: Physical Activity

School Health Guidelines: Nutrition

School Health Guidelines: Tobacco

National Association of State Boards of Education School Health Policy Guide

 

Updated May 26, 2003 • Please send feedback: brian.s.katcher@sfdph.org

Determinants of Health in San Francisco