Integration of School Health Program actions among health and education professionals: a case study in Belo Horizonte, Minas Gerais

ABSTRACT The School Health Program aims to build healthy schools. This qualitative case study aimed to identify and understand how professionals involved in the School Health Program behave in the integration based on their inclusion in the recommended activities. The consensus was reached with experts to develop a matrix of indicators after building the Program’s logical model, resulting in a semi-structured roadmap. Twenty-five interviews were held in the Basic Health Units, Elementary Schools, and the Regional Health and Education Administrations. The practices were multisectoral, with no combined efforts and effective co-participation, planned by a single sector or professional, the existing gaps are recognized as much as the importance of the program, and the practices are implemented with a low bond between teams. The fragmented perception of students’ problems hinders this integration.

摘要
本研究聚焦学校健康计划（School Health Program），该计划旨在打造健康校园。本质性案例研究旨在识别并理解参与学校健康计划的专业人员，在参与推荐活动的基础上，于整合工作中的行为表现。在构建该计划的逻辑模型后，研究团队与专家达成共识，开发出一套指标矩阵，最终形成一份半结构化路线图。研究在基层卫生所（Basic Health Units）、小学以及区域卫生与教育管理部门开展了25次访谈。当前实践虽具备多部门参与属性，但多由单一部门或专业人员主导，未形成协同合力与有效共同参与机制；研究团队既认识到该计划的重要性，也意识到现存的诸多不足，且实践开展过程中团队间联结薄弱。对学生问题的碎片化认知，阻碍了该项整合工作的推进。