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Alleviating Disadvantage with Schools & Communities
UN Agencies
Technical Committee
June 2007Douglas S McCall
Purposes
Introduce four sub-tracks Discuss why context matters, really matters Identify some differences in four contexts Suggest follow ups in four areas (networking,
communities of practice, practical uses of technology in knowledge exchange, research and development)
Some health tips
Don’t smoke Eat healthy Be active Drink water Stay out of the sun etc
Health tips based on social determinants
Don’t smoke Eat healthy Be active Drink water Stay out of the sun
Don’t be born poor. Don’t live in a poor
community. Get a high-paying,
interesting job. Marry well. Don’t lose your job.
Start with the end in mind
Communities of practice
Networking
Maximize practical uses of technology
Develop and exchange knowledge
International School Health Network (ISHN)
Network (loose, informal, messy) of other networks) Members from countries (3 per), regional networks & agency
offices, language, issue-based, research centres, international agencies, regrouping of countries (high, medium, low, mega) and schools reflecting communities of practice
Networking (side mtgs. at conferences), online collaboration (web sites, email, skype, wiki, blog, webinar, facebook) and knowledge dev (books, comparative studies, country portraits & case studies)
www.internationalschoolhealth.orghttp://internationalschoolhealth.blogspot.com
Four Sub-Tracks
Low income countries Low income communities Aboriginal communities Disrupted communities
Only a beginning, not the end of the process
Clarity and Stereotypes
Determinants or disadvantages
Comfortable Canada
Good enough is not good enough
HPS/CSHP/CSH/…..
School Health Promotion is a professional concept developed in several countries that must be redefined in every community and every school to be effective
Educators have their own settings-based concepts, so do crime/law, environment, development, human rights/racism)
How that concept is developed, implemented and sustained will depend on the historical, social and economic context (eg Europe, US, Canada, Australia, Latin America, low income countries, aboriginal communities etc)
Context Matters, Really Matters
Flay Stokol Fullan Hargreaves
Each School has its own ecology
Each context brings different issues, capacities, and approaches
In Canada In the world Basic policy/program dilemma at all levels:
setting the agenda and the priorities
Recall the actions we can take
Create and maintain networks Create communities of practice, seek
continuous improvement, build capacity over time
Make good use of technologies Conduct targeted research and knowledge
exchange
Ensure meaning to our work with the disadvantaged
Organize to hear the voices from the margins
Recognize limits of school’s influence on SES, war/peace/conflict while still demanding accountability
Use different forms of knowledge
Establish links with other initiatives such as Soc Determinants, aboriginal,
Low income Countries
Issues: many, different, see next slide Approach: Access to primary education, basic
literacy, delivery of cost-effective public health services
Capacities: the school as the centre of the community, respect for teachers
Actions to support:
Issues in low income countries
Access to and effective basic education
Schools construction, clean water, sanitation teacher training,
Basic literacy, completion of primary school
Role of faith communities, private sector
H & S Issues Basic hygiene School feeding Girls education Trades education Basic health literacy Parasites, malaria,
Low income communities
Issues:Approach: Completion of secondary education, basic health literacy and health careers, delivery of health, social services
Capacities: schools as safe havens Actions to support:
Issues in Low Income communities
Equity in Opportunity or Result
Literacy, numeracy, Completing secondary
school School renovation, clean
water, safe transportation
parasites
H & S Issues Gangs, violence, FASD family violence, neglect Substance abuse After school programs School meal programs Parent resource centres Head start programs
Aboriginal communities
Issues:Approach: Completion of secondary education, basic health literacy and health careers, cultural relevance and colonization, traditional knowledge and community as family
Capacities: schools as centres of renaissance, community elders are better organized
Actions to support:
Issues in aboriginal communities
Access to Ed Result Completion of high
school Vocation and trades Cultural relevance of
school practices, curriculum, materials
Governance issues
H & S Issues Suicide prevention Child abuse/neglect School meal programs Aftermath of colonization Chronic diseases,
genetic diseases,
Cultural relevance
Pacific Islands Generalized “we” Indirect and implied Diplomacy valued Seeks consensus “yes” means harmony Contextual, relational
Western world Assertive “I” Direct and frank Debate valued Seeks compromise “yes” means agreement Linear, analytical
Disrupted communities
Issues:Approach: Completion of secondary education,
Capacities: schools as centres of reconstruction (often only place to start)
Actions to support:
Issues in disrupted communities
Access Issues School reconstruction Clean water, safe
buildings Emergency response
and preparedness Role of development
org’s
H & S Issues Ethnic conflict Safety from looting Lawlessness Stress, trauma, anger Peace & global
education, human rights Environmental education
One last “c” word
Cooperation
www.internationalschoolhealth.org