Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa
Background. The health-promoting school programme has been associated with numerous benefits for school communities where it is well implemented. In Tshwane, the implementation processes have not been evaluated. Objective. A qualitative research approach based on grounded theory was used to i...
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South African Medical Association
2024-06-01
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| Series: | South African Medical Journal |
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| Online Access: | https://samajournals.co.za/index.php/samj/article/view/1363 |
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| author | N Mbatha J Shirinde C McCrindle |
| author_facet | N Mbatha J Shirinde C McCrindle |
| author_sort | N Mbatha |
| collection | DOAJ |
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Background. The health-promoting school programme has been associated with numerous benefits for school communities where it is well implemented. In Tshwane, the implementation processes have not been evaluated.
Objective. A qualitative research approach based on grounded theory was used to investigate the experiences of 27 health-promoting school programme implementers across Tshwane.
Methods. Data were collected through a combination of methods, including semi-structured interviews with principals (n=6), educators (n=10) and school governing body members (n=4), one focus group discussion with health promoters (n=7), field notes from school observations and memos.
Results. Implementation fidelity was weak in the City of Tshwane, as a result of poor training of implementers, poor leadership and collaboration, weak accountability structures, and lack of resources and communication. A grounded theory was developed which showed that schools needed guidance and accountability to properly implement the programme. The theory offers a framework that could be used to improve implementation and evaluation outcomes.
Conclusion. Implementers were keen on improving the lives of learners – health-wise and academically. With proper guidance, support and accountability measures by government at district and provincial level, implementation of the programme is feasible in the City of Tshwane.
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| format | Article |
| id | doaj-art-964841b91a0e413bb9967f273f90292a |
| institution | Kabale University |
| issn | 0256-9574 2078-5135 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | South African Medical Association |
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| series | South African Medical Journal |
| spelling | doaj-art-964841b91a0e413bb9967f273f90292a2025-02-10T12:25:54ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-06-011146b10.7196/SAMJ.2024.v114i16b.1363Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South AfricaN Mbatha0J Shirinde1C McCrindle2Department of Health Promotion, School of Health Sciences and Public Health, University of Pretoria, South AfricaDepartment of Health Promotion, School of Health Sciences and Public Health, University of Pretoria, South AfricaDepartment of Health Promotion, School of Health Sciences and Public Health, University of Pretoria, South Africa Background. The health-promoting school programme has been associated with numerous benefits for school communities where it is well implemented. In Tshwane, the implementation processes have not been evaluated. Objective. A qualitative research approach based on grounded theory was used to investigate the experiences of 27 health-promoting school programme implementers across Tshwane. Methods. Data were collected through a combination of methods, including semi-structured interviews with principals (n=6), educators (n=10) and school governing body members (n=4), one focus group discussion with health promoters (n=7), field notes from school observations and memos. Results. Implementation fidelity was weak in the City of Tshwane, as a result of poor training of implementers, poor leadership and collaboration, weak accountability structures, and lack of resources and communication. A grounded theory was developed which showed that schools needed guidance and accountability to properly implement the programme. The theory offers a framework that could be used to improve implementation and evaluation outcomes. Conclusion. Implementers were keen on improving the lives of learners – health-wise and academically. With proper guidance, support and accountability measures by government at district and provincial level, implementation of the programme is feasible in the City of Tshwane. https://samajournals.co.za/index.php/samj/article/view/1363health promoting schoolsimplementationevaluationhealth promotiongrounded theorysouth africa |
| spellingShingle | N Mbatha J Shirinde C McCrindle Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa South African Medical Journal health promoting schools implementation evaluation health promotion grounded theory south africa |
| title | Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa |
| title_full | Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa |
| title_fullStr | Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa |
| title_full_unstemmed | Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa |
| title_short | Perceptions and views of key implementers on the implementation of the health-promoting school programme in the City of Tshwane, South Africa |
| title_sort | perceptions and views of key implementers on the implementation of the health promoting school programme in the city of tshwane south africa |
| topic | health promoting schools implementation evaluation health promotion grounded theory south africa |
| url | https://samajournals.co.za/index.php/samj/article/view/1363 |
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