MAR_2023_G-SHPPS_v01_M DDI_MAR_2023_GSHPPS_v01_M Melanie Cowan 2026-05-26 Nesstar Publisher Version 1.0 (May 2026). Global school health policies and practices survey 2023 Fez G-SHPPS 2023 MAR_2023_GSHPPS_v01 Ministry of Health and Social Protection Nesstar Publisher World Health Organization Global school health policies and practices survey This is the first G-SHPPS conducted by Morocco. Public-use dataset school health school health services health information management water, sanitation and hygiene injury prevention sun safety road safety food services nutrition health education physical education sports community partnerships school health council bullying violence prevention tobacco use prevention alcohol use prevention drug use prevention crisis preparedness eye health Global school health policies and practices survey (G-SHPPS) The G-SHPPS is a survey of schools to assess school health policies and practices. Morocco Fez Schools Secondary schools Sample survey data [ssd] All schools that participated in the GSHS were asked to participate in the G-SHPPS. self-administered All data processing was conducted by the World Health Organization. Response rate: 100% NCD Surveillance Team The data is being distributed without warranty of any kind. The responsibility for the use of the data lies with the user. In no event shall the World Health Organization be liable for damages arising from its use. MAR-Fez-2023.NSDstat Subnational dataset 38 353 Nesstar 200801 unique ID 38 0 1 38 19.5 11.113 school size category 38 0 300+ 38 PSU 38 0 1 38 19.5 11.113 Stratum 38 0 1 23 2 15 weight 38 0 1.159 6.991 2.785 1.377 fpc 38 0 0.143 0.863 0.434 0.18 genders taught at school 38 0 1 all genders 38 2 only males 0 3 only females 0 number of students enrolled 37 1 351 2500 1192.27 529.265 number of full-time teachers 38 0 1 979 70.974 152.692 school teaches primary grades 26 12 1 Yes 0 2 No 26 Sysmiss 12 school teaches lower secondary grades 32 6 1 Yes 21 2 No 11 Sysmiss 6 school teaches upper secondary grades 28 10 1 Yes 16 2 No 12 Sysmiss 10 boarding school 38 0 1 Yes 2 2 No 36 private or public school 38 0 1 government or public 38 2 non-government or private 0 3 none of the above 0 urban or rural location 38 0 1 mostly rural 1 2 mostly urban 37 reliable internet service 38 0 1 Yes 16 2 No 22 health services delivery model 38 0 1 Health services are provided both on school premises and at separate facilities (not on school premises) through a formal agreement with this school 5 2 Health services are provided only on school premises 7 3 Health services are provided only at separate facilities (not on school premises) through a formal agreement with this school to provide health services 6 4 Health services are only provided on an emergency basis 14 5 I do not know 6 policy includes health services plan 18 20 1 School policy provides a specific plan or guidelines for implementing health services for students 5 2 Health services are mentioned in a school policy, but there is no specific plan or guideline for implementing health services for students 10 3 Health services for students are not addressed in any school policy 3 4 I do not know 0 Sysmiss 20 health services coordinator exists 18 20 1 Yes 3 2 No 15 3 I do not know 0 Sysmiss 20 supplies for universal precautions for infection control available 18 20 1 Yes 3 2 No 15 3 I do not know 0 Sysmiss 20 nurses provide health services 18 20 1 Yes 8 2 No 9 3 I do not know 1 Sysmiss 20 physicians provide health services 17 21 1 Yes 8 2 No 8 3 I do not know 1 Sysmiss 21 psychologists, counsellors, social workers provide health services 18 20 1 Yes 1 2 No 15 3 I do not know 2 Sysmiss 20 dentists provide health services 18 20 1 Yes 2 2 No 15 3 I do not know 1 Sysmiss 20 nutritionists provide health services 18 20 1 Yes 0 2 No 16 3 I do not know 2 Sysmiss 20 days per week health worker available 17 21 1 Less than 1 day 7 2 1 day 0 3 2 days 1 4 3 days 0 5 4 days 0 6 5 or more days 2 7 I do not know 7 Sysmiss 21 professional development provided for health workers 18 20 1 Yes 0 2 No 15 3 I do not know 3 Sysmiss 20 routine preventive health checkups provided 18 20 1 Yes 6 2 No 11 3 I do not know 1 Sysmiss 20 recommended immunizations administered 17 21 1 Yes 4 2 No 11 3 I do not know 2 Sysmiss 21 micronutrient supplements provided 18 20 1 Yes 0 2 No 16 3 I do not know 2 Sysmiss 20 information on immunization importance provided 18 20 1 Yes 5 2 No 12 3 I do not know 1 Sysmiss 20 eye and vision screening provided 18 20 1 Yes 12 2 No 5 3 I do not know 1 Sysmiss 20 ear and hearing screening provided 18 20 1 Yes 6 2 No 10 3 I do not know 2 Sysmiss 20 oral health screening provided 18 20 1 Yes 5 2 No 11 3 I do not know 2 Sysmiss 20 nutrition screening provided 18 20 1 Yes 4 2 No 12 3 I do not know 2 Sysmiss 20 student notified if screening reveals problem 12 26 1 Yes 12 2 No 0 3 I do not know 0 Sysmiss 26 parents notified if screening reveals problem 12 26 1 Yes 12 2 No 0 3 I do not know 0 Sysmiss 26 teachers notified if screening reveals problem 12 26 1 Yes 11 2 No 1 3 I do not know 0 Sysmiss 26 referral provided if screening reveals problem 12 26 1 Yes 11 2 No 1 3 I do not know 0 Sysmiss 26 timely care-seeking provided 17 21 1 Yes 7 2 No 6 3 I do not know 4 Sysmiss 21 increase health literacy 17 21 1 Yes 9 2 No 6 3 I do not know 2 Sysmiss 21 handwashing hygiene promoted 17 21 1 Yes 10 2 No 5 3 I do not know 2 Sysmiss 21 oral health care promoted 16 22 1 Yes 4 2 No 9 3 I do not know 3 Sysmiss 22 reduce sugar beverage consumption 17 21 1 Yes 3 2 No 11 3 I do not know 3 Sysmiss 21 increase physical activity promoted 17 21 1 Yes 10 2 No 5 3 I do not know 2 Sysmiss 21 appropriate electronic device use 17 21 1 Yes 12 2 No 3 3 I do not know 2 Sysmiss 21 adequate sleep promoted 16 22 1 Yes 8 2 No 5 3 I do not know 3 Sysmiss 22 appropriate sun exposure promoted 17 21 1 Yes 7 2 No 6 3 I do not know 4 Sysmiss 21 menstrual hygiene management promoted 17 21 1 Yes 3 2 No 7 3 I do not know 7 Sysmiss 21 first aid provided 17 21 1 Yes 7 2 No 7 3 I do not know 3 Sysmiss 21 medications administered 17 21 1 Yes 0 2 No 15 3 I do not know 2 Sysmiss 21 pain management provided 17 21 1 Yes 0 2 No 14 3 I do not know 3 Sysmiss 21 manage nonspecific symptoms 17 21 1 Yes 2 2 No 13 3 I do not know 2 Sysmiss 21 identify developmental disabilities 17 21 1 Yes 2 2 No 11 3 I do not know 4 Sysmiss 21 development counselling provided 16 22 1 Yes 3 2 No 9 3 I do not know 4 Sysmiss 22 manage childhood injuries 17 21 1 Yes 6 2 No 9 3 I do not know 2 Sysmiss 21 manage burns 17 21 1 Yes 1 2 No 14 3 I do not know 2 Sysmiss 21 manage nonfatal drowning 17 21 1 Yes 0 2 No 12 3 I do not know 5 Sysmiss 21 violence prevention counselling 17 21 1 Yes 11 2 No 4 3 I do not know 2 Sysmiss 21 support victims of violence 15 23 1 Yes 8 2 No 3 3 I do not know 4 Sysmiss 23 contraceptive counselling provided 17 21 1 Yes 8 2 No 6 3 I do not know 3 Sysmiss 21 STI/HIV counselling provided 17 21 1 Yes 10 2 No 4 3 I do not know 3 Sysmiss 21 HIV prophylaxis services 17 21 1 Yes 6 2 No 6 3 I do not know 5 Sysmiss 21 HIV testing services 17 21 1 Yes 3 2 No 9 3 I do not know 5 Sysmiss 21 manage sexually transmitted infections 17 21 1 Yes 2 2 No 11 3 I do not know 4 Sysmiss 21 pregnancy support 17 21 1 Yes 1 2 No 12 3 I do not know 4 Sysmiss 21 management of common infections provided 17 21 1 Yes 4 2 No 12 3 I do not know 1 Sysmiss 21 management of other infections provided 17 21 1 Yes 4 2 No 12 3 I do not know 1 Sysmiss 21 support for chronic care of HIV-infected children provided 17 21 1 Yes 0 2 No 14 3 I do not know 3 Sysmiss 21 anaemia management provided 17 21 1 Yes 2 2 No 13 3 I do not know 2 Sysmiss 21 overweight/obesity management provided 17 21 1 Yes 1 2 No 13 3 I do not know 3 Sysmiss 21 asthma management provided 17 21 1 Yes 2 2 No 13 3 I do not know 2 Sysmiss 21 management of chronic conditions provided 17 21 1 Yes 3 2 No 12 3 I do not know 2 Sysmiss 21 rehab/assistive technology provided 17 21 1 Yes 3 2 No 10 3 I do not know 4 Sysmiss 21 risk factor assessment provided 16 22 1 Yes 8 2 No 4 3 I do not know 4 Sysmiss 22 tobacco/alcohol counselling provided 17 21 1 Yes 11 2 No 3 3 I do not know 3 Sysmiss 21 crisis intervention provided 17 21 1 Yes 9 2 No 4 3 I do not know 4 Sysmiss 21 behavioural disorder management provided 17 21 1 Yes 4 2 No 9 3 I do not know 4 Sysmiss 21 emotional anxiety management provided 17 21 1 Yes 3 2 No 10 3 I do not know 4 Sysmiss 21 eating disorder management provided 17 21 1 Yes 0 2 No 13 3 I do not know 4 Sysmiss 21 stress management provided 17 21 1 Yes 2 2 No 11 3 I do not know 4 Sysmiss 21 suicide risk management provided 17 21 1 Yes 1 2 No 11 3 I do not know 5 Sysmiss 21 somatoform disorder management provided 17 21 1 Yes 2 2 No 10 3 I do not know 5 Sysmiss 21 psychotic disorder management provided 17 21 1 Yes 1 2 No 11 3 I do not know 5 Sysmiss 21 substance dependence/withdrawal management provided 17 21 1 Yes 5 2 No 8 3 I do not know 4 Sysmiss 21 emergency contact information recorded 38 0 1 Yes 20 2 No 16 3 I do not know 2 physical health history recorded 37 1 1 Yes 18 2 No 17 3 I do not know 2 Sysmiss 1 mental health history recorded 37 1 1 Yes 10 2 No 24 3 I do not know 3 Sysmiss 1 screening results recorded 37 1 1 Yes 3 2 No 32 3 I do not know 2 Sysmiss 1 vaccination history recorded 37 1 1 Yes 8 2 No 26 3 I do not know 3 Sysmiss 1 allergy information recorded 37 1 1 Yes 2 2 No 32 3 I do not know 3 Sysmiss 1 disabilities or special learning needs recorded 38 0 1 Yes 22 2 No 14 3 I do not know 2 student health risk behaviours collected 37 1 1 Yes 9 2 No 25 3 I do not know 3 Sysmiss 1 student injuries or illness recorded 36 2 1 Yes 10 2 No 24 3 I do not know 2 Sysmiss 2 health service usage recorded 36 2 1 Yes 17 2 No 16 3 I do not know 3 Sysmiss 2 perception of service quality collected 36 2 1 Yes 6 2 No 26 3 I do not know 4 Sysmiss 2 reasons for absence recorded 37 1 1 Yes 23 2 No 11 3 I do not know 3 Sysmiss 1 health data reviewed to improve school policies 30 8 1 Yes 6 2 No 24 3 I do not know 0 Sysmiss 8 report notifiable diseases 38 0 1 Yes 31 2 No 6 3 I do not know 1 check vaccination history before enrollment 38 0 1 Yes 1 2 No 30 3 I do not know 4 4 3 require health check before enrollment 38 0 1 Yes 0 2 No 38 3 I do not know 0 handwashing facilities available 38 0 1 Soap and water are available at handwashing facilities for students 10 2 Only water, but no soap, is available at handwashing facilities for students 28 3 No water is available at handwashing facilities for students 0 4 No handwashing facilities for students are available 0 5 I do not know 0 drinking water available 38 0 1 Drinking water for students is available from an improved source 36 2 Drinking water for students comes from an improved source, but is not available 2 3 Drinking water for students is available from an unimproved source 0 4 No drinking water for students is available 0 5 I do not know 0 sanitation facilities available 38 0 1 Students have access to improved sanitation facilities that are single sex, functional, and private 34 2 Students have access to improved sanitation facilities, but they are not single sex, they are not functional, or they are not private 1 3 Students only have access to unimproved sanitation facilities 3 4 No sanitation facilities for students are available 0 5 I do not know 0 sanitation facilities accessible to those with disabilities 38 0 1 Yes 17 2 No 21 3 I do not know 0 sanitation facilities cleaned daily 38 0 1 Yes 37 2 No 1 3 I do not know 0 garbage removed daily 38 0 1 Yes 38 2 No 0 3 I do not know 0 menstrual supplies available 38 0 1 Yes, for free 2 2 Yes, for a fee 0 3 No 36 4 I do not know 0 inspect playground equipment 37 1 1 Yes 17 2 No 17 3 I do not know 0 4 Not applicable 3 Sysmiss 1 inspect sports facilities 38 0 1 Yes 26 2 No 12 3 I do not know 0 4 Not applicable 0 inspect fire equipment 38 0 1 Yes 31 2 No 7 3 I do not know 0 4 Not applicable 0 inspect school buildings 38 0 1 Yes 29 2 No 9 3 I do not know 0 4 Not applicable 0 inspect school grounds 38 0 1 Yes 30 2 No 8 3 I do not know 0 4 Not applicable 0 inspect water source 38 0 1 Yes 24 2 No 11 3 I do not know 2 4 Not applicable 1 handrails on stairs present 38 0 1 Yes 9 2 No 27 3 I do not know 2 ramps for accessibility present 38 0 1 Yes 8 2 No 28 3 I do not know 2 assistive devices available 38 0 1 Yes 4 2 No 33 3 I do not know 1 signage for vision impairments 38 0 1 Yes 3 2 No 34 3 I do not know 1 schedule avoid peak sun 38 0 1 Yes 15 2 No 21 3 I do not know 2 shade areas provided 36 2 1 Yes 20 2 No 15 3 I do not know 1 Sysmiss 2 encourage protective clothing 36 2 1 Yes 11 2 No 23 3 I do not know 2 Sysmiss 2 encourage sunscreen use 38 0 1 Yes 5 2 No 31 3 I do not know 2 school fenced against animals 38 0 1 Yes 36 2 No 0 3 Not applicable. Stray or roaming animals are not a problem on school grounds 2 4 I do not know 0 pest control procedures implemented 38 0 1 Yes 28 2 No 10 3 I do not know 0 school provides nutrition services 38 0 1 Yes 0 2 No 38 3 I do not know 0 policy addresses nutrition services 0 38 1 School policy provides a specific plan or guidelines for implementing food and nutrition services for students 0 2 Food and nutrition services are mentioned in a school policy, but there is no specific plan or guideline for implementing food and nutrition services for students 0 3 Food and nutrition services for students are not addressed in any school policy 0 4 I do not know 0 Sysmiss 38 nutrition services coordinator exists 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 breakfast provided 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 lunch provided 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 evening meal provided 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 snacks provided 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 take home rations provided 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 free or subsidized meals provided 0 38 1 All students receive free or deeply discounted food 0 2 Some students receive free or deeply discounted food as determined by some kind of social means testing or other quantitative criteria 0 3 No students receive free or deeply discounted food 0 4 I do not know 0 Sysmiss 38 collect nutrition suggestions 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 provide nutrition information 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 collaborate with local businesses to enhance food offerings 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 fruit available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 vegetables available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 milk products available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 high fiber foods available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 high sugar foods available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 salty foods available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 candy available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 fried foods available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 soft drinks available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 energy drinks available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 100% juice available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 non-100% juice drinks available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 sweetened milk available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 sweetened teas/coffees/water available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 water available 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 policy on nutritious food preparation 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 policy addresses saturated fat reduction 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 policy addresses salt reduction 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 policy addresses sugar reduction 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 policy addresses how to increase fruit/vegetable consumption 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 policy addresses how to increase micronutrients intake 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 foods fortified with micronutrients 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 food prepared onsite 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 food prepared centrally offsite 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 food prepared at private facility 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 safe food handling policy 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 students can purchase food onsite from vending mahine/school store 38 0 1 Yes 1 2 No 36 3 I do not know 1 healthy options priced lower 1 37 1 Yes 1 2 No 0 3 I do not know 0 Sysmiss 37 sugar sweetened beverage ban 1 37 1 Yes 1 2 No 0 3 I do not know 0 Sysmiss 37 fruit available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 vegetables available in vending machines/school store 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 milk products available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 high fiber foods available in vending machines/school store 1 37 1 Yes 1 2 No 0 3 I do not know 0 Sysmiss 37 high sugar foods available in vending machines/school store 1 37 1 Yes 1 2 No 0 3 I do not know 0 Sysmiss 37 salty foods available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 candy available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 fried foods available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 soft drinks available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 energy drinks available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 100 percent juice available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 non 100 percent juice drinks available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 sweetened milk available in vending machines/school store 1 37 1 Yes 0 2 No 1 3 I do not know 0 Sysmiss 37 sweetened beverages available in vending machines/school store 1 37 1 Yes 1 2 No 0 3 I do not know 0 Sysmiss 37 water available in vending machines/school store 1 37 1 Yes 1 2 No 0 3 I do not know 0 Sysmiss 37 students can bring food from home 38 0 1 Yes 3 2 No 35 3 I do not know 0 students can bring water from home 38 0 1 Yes 20 2 No 18 3 I do not know 0 where students eat meals 38 0 1 In their regular classroom 0 2 In a dedicated eating space, such as a school cafeteria, dining hall, or other special room besides their regular classroom 0 3 Outside on school grounds 8 4 Somewhere else 14 5 Students do not eat meals during the school day 11 6 I do not know 5 ban unhealthy food advertising/promotions 38 0 1 Yes 22 2 No 13 3 I do not know 3 health education taught 38 0 1 Yes 25 2 No 10 3 I do not know 3 health education delivery type 25 13 1 Health education instruction occurs only in a regular classroom setting 5 2 Health education instruction occurs only through extra-curricular activities (such as after school, during lunch, or via clubs or school assemblies) 7 3 Health education instruction occurs both in a regular classroom setting and through extra-curricular activities 13 4 I do not know 0 Sysmiss 13 students graded on health education 25 13 1 Yes 9 2 No 14 3 I do not know 2 Sysmiss 13 health education coordinator exists 25 13 1 Yes 14 2 No 11 3 I do not know 0 Sysmiss 13 who provides health education 25 13 1 A health education teacher or specialist 19 2 A nurse or some other kind of health worker 1 3 Someone else 4 4 I do not know 1 Sysmiss 13 health learning objectives provided 25 13 1 Yes 15 2 No 7 3 I do not know 3 Sysmiss 13 lesson plans progression provided 25 13 1 Yes 13 2 No 9 3 I do not know 3 Sysmiss 13 teaching resources provided 24 14 1 Yes 14 2 No 7 3 I do not know 3 Sysmiss 14 assessment tools provided 25 13 1 Yes 11 2 No 11 3 I do not know 3 Sysmiss 13 school policy addresses skills based education 25 13 1 School policy provides a specific plan or guidance on teaching skills-based participatory health education 4 2 School policy mentions health education, but not teaching skills-based participatory health education 14 3 School policy does not mention health education 3 4 I do not know 4 Sysmiss 13 professional development provided to teach health education 25 13 1 Yes 8 2 No 17 3 I do not know 0 Sysmiss 13 access health information skills taught 25 13 1 Yes 9 2 No 15 3 I do not know 1 Sysmiss 13 interpersonal communication skills taught 25 13 1 Yes 17 2 No 7 3 I do not know 1 Sysmiss 13 decision-making skills taught 25 13 1 Yes 15 2 No 7 3 I do not know 3 Sysmiss 13 problem-solving skills taught 25 13 1 Yes 15 2 No 7 3 I do not know 3 Sysmiss 13 goal-setting skills taught 24 14 1 Yes 16 2 No 6 3 I do not know 2 Sysmiss 14 refusal skills taught 25 13 1 Yes 10 2 No 9 3 I do not know 6 Sysmiss 13 coping/stress management skills taught 25 13 1 Yes 11 2 No 8 3 I do not know 6 Sysmiss 13 handwashing skills taught 25 13 1 Yes 23 2 No 2 3 I do not know 0 Sysmiss 13 tooth brushing skills taught 25 13 1 Yes 20 2 No 3 3 I do not know 2 Sysmiss 13 safe internet/social media use skills taught 25 13 1 Yes 24 2 No 1 3 I do not know 0 Sysmiss 13 health advocacy skills taught 25 13 1 Yes 22 2 No 2 3 I do not know 1 Sysmiss 13 physical activity/fitness taught 25 13 1 Yes 25 2 No 0 3 I do not know 0 Sysmiss 13 nutrition/dietary behaviour taught 25 13 1 Yes 20 2 No 5 3 I do not know 0 Sysmiss 13 sexual/reproductive health taught 24 14 1 Yes 21 2 No 3 3 I do not know 0 Sysmiss 14 HIV prevention/treatment taught 25 13 1 Yes 22 2 No 2 3 I do not know 1 Sysmiss 13 road safety taught 25 13 1 Yes 25 2 No 0 3 I do not know 0 Sysmiss 13 violence/bullying prevention taught 25 13 1 Yes 25 2 No 0 3 I do not know 0 Sysmiss 13 suicide prevention taught 23 15 1 Yes 9 2 No 12 3 I do not know 2 Sysmiss 15 emotional/mental health taught 24 14 1 Yes 12 2 No 9 3 I do not know 3 Sysmiss 14 tobacco/nicotine use prevention taught 25 13 1 Yes 22 2 No 3 3 I do not know 0 Sysmiss 13 alcohol use prevention taught 25 13 1 Yes 21 2 No 4 3 I do not know 0 Sysmiss 13 illicit drug use prevention taught 25 13 1 Yes 22 2 No 3 3 I do not know 0 Sysmiss 13 infectious disease prevention taught 25 13 1 Yes 21 2 No 2 3 I do not know 2 Sysmiss 13 noncommunicable disease prevention taught 25 13 1 Yes 17 2 No 6 3 I do not know 2 Sysmiss 13 oral health taught 25 13 1 Yes 18 2 No 6 3 I do not know 1 Sysmiss 13 healthy sleep taught 25 13 1 Yes 16 2 No 7 3 I do not know 2 Sysmiss 13 personal hygiene/handwashing taught 25 13 1 Yes 24 2 No 1 3 I do not know 0 Sysmiss 13 environmental health taught 25 13 1 Yes 25 2 No 0 3 I do not know 0 Sysmiss 13 sustainable development taught 25 13 1 Yes 11 2 No 10 3 I do not know 4 Sysmiss 13 disaster preparedness taught 25 13 1 Yes 13 2 No 10 3 I do not know 2 Sysmiss 13 first aid taught 25 13 1 Yes 9 2 No 15 3 I do not know 1 Sysmiss 13 immunization education taught 25 13 1 Yes 19 2 No 4 3 I do not know 2 Sysmiss 13 sun safety taught 25 13 1 Yes 9 2 No 13 3 I do not know 3 Sysmiss 13 equity/diversit/ human rights taught 25 13 1 Yes 22 2 No 3 3 I do not know 0 Sysmiss 13 gender inequality/social norms taught 25 13 1 Yes 15 2 No 7 3 I do not know 3 Sysmiss 13 physical education taught 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 who receives physical education 37 1 1 All genders 30 2 Only males 6 3 Only females 1 4 No one 0 5 I do not know 0 Sysmiss 1 adapted physical education provided for students with disabilities 38 0 1 Yes 6 2 No 31 3 I do not know 1 students graded for physical education 38 0 1 Yes 33 2 No 5 3 I do not know 0 can be excused for cultural reasons 38 0 1 Yes 2 2 No 35 3 I do not know 1 can be excused for gender reasons 38 0 1 Yes 0 2 No 37 3 I do not know 1 can be excused for academic achievement 38 0 1 Yes 0 2 No 37 3 I do not know 1 can be excused for academic struggles 38 0 1 Yes 0 2 No 37 3 I do not know 1 can be excused for other activities 38 0 1 Yes 8 2 No 30 3 I do not know 0 can be excused for poor health 38 0 1 Yes 33 2 No 5 3 I do not know 0 can be excused for menstruation 38 0 1 Yes 17 2 No 21 3 I do not know 0 who provides physical education 38 0 1 A physical education teacher or specialist 38 2 A nurse or some other kind of health worker 0 3 Someone else 0 4 I do not know 0 physical education learning objectives provided 38 0 1 Yes 26 2 No 9 3 I do not know 3 physical education lesson plans provided 38 0 1 Yes 24 2 No 10 3 I do not know 4 physical education teaching resources provided 38 0 1 Yes 24 2 No 10 3 I do not know 4 physical education assessment tools provided 38 0 1 Yes 27 2 No 8 3 I do not know 3 school policy addresses physical education 38 0 1 School policy provides a specific plan or guidelines for implementing physical education 30 2 Physical education is mentioned in a school policy, but there is no specific plan or guideline for implementing physical education 5 3 Physical education is not addressed in any school policy 2 4 I do not know 1 professional development provided to teach health education 38 0 1 Yes 25 2 No 13 3 I do not know 0 movement skills taught 38 0 1 Yes 33 2 No 5 3 I do not know 0 lifelong activity importance taught 38 0 1 Yes 33 2 No 4 3 I do not know 1 individual activity planning taught 38 0 1 Yes 27 2 No 9 3 I do not know 2 fair play importance taught 38 0 1 Yes 31 2 No 5 3 I do not know 2 injury prevention taught 38 0 1 Yes 35 2 No 3 3 I do not know 0 physical activity benefits taught 38 0 1 Yes 32 2 No 5 3 I do not know 1 strength training taught 38 0 1 Yes 26 2 No 11 3 I do not know 1 team sports taught 38 0 1 Yes 36 2 No 2 3 I do not know 0 individual sports taught 38 0 1 Yes 34 2 No 4 3 I do not know 0 endurance exercise importance taught 38 0 1 Yes 25 2 No 11 3 I do not know 2 flexibility training taught 38 0 1 Yes 29 2 No 8 3 I do not know 1 school has indoor space for physical education 38 0 1 Yes 28 2 No 9 3 I do not know 1 school has outdoor space for physical education 38 0 1 Yes 32 2 No 6 3 I do not know 0 community has access to school's outdoor space 32 6 1 Yes 8 2 No 24 3 I do not know 0 Sysmiss 6 separate changing facilities for males and females 32 6 1 Yes 29 2 No 3 3 I do not know 0 Sysmiss 6 physical education equipment available 32 6 1 Yes 30 2 No 1 3 I do not know 1 Sysmiss 6 physical activity breaks/recess provided 38 0 1 Yes 21 2 No 15 3 I do not know 2 school offers non-competitive recreation clubs 38 0 1 Yes 18 2 No 19 3 I do not know 1 school sponsors competitive sports teams that play against other schools 38 0 1 Yes, for males only 10 2 Yes, for females only 1 3 Yes, for all genders 24 4 No 3 5 I do not know 0 school sponsors competitive sports teams that play against other schools 0 38 1 Yes 0 2 No 0 3 I do not know 0 Sysmiss 38 school health committee exists 38 0 1 Yes 24 2 No 12 3 I do not know 2 committee meeting frequency 24 14 1 Weekly or more often 0 2 Monthly 0 3 Quarterly 12 4 Twice a year 7 5 Once a year or less often 5 6 I do not know 0 Sysmiss 14 administrators represented on committee 24 14 1 Yes 24 2 No 0 3 I do not know 0 Sysmiss 14 teachers represented on committee 23 15 1 Yes 22 2 No 1 3 I do not know 0 Sysmiss 15 staff represented on committee 24 14 1 Yes 14 2 No 10 3 I do not know 0 Sysmiss 14 students represented on committee 23 15 1 Yes 21 2 No 2 3 I do not know 0 Sysmiss 15 parents represented on committee 24 14 1 Yes 17 2 No 7 3 I do not know 0 Sysmiss 14 government represented on committee 23 15 1 Yes 6 2 No 16 3 I do not know 1 Sysmiss 15 business represented on committee 23 15 1 Yes 1 2 No 22 3 I do not know 0 Sysmiss 15 health workers represented on committee 23 15 1 Yes 2 2 No 21 3 I do not know 0 Sysmiss 15 religious leaders represented on committee 23 15 1 Yes 3 2 No 20 3 I do not know 0 Sysmiss 15 committee identifies student health needs 24 14 1 Yes 6 2 No 17 3 I do not know 1 Sysmiss 14 committee reviews policies/programs 24 14 1 Yes 16 2 No 8 3 I do not know 0 Sysmiss 14 committee seeks funding/resources 23 15 1 Yes 10 2 No 13 3 I do not know 0 Sysmiss 15 committee communicates importance of policies 24 14 1 Yes 14 2 No 10 3 I do not know 0 Sysmiss 14 committee reviews curriculum 24 14 1 Yes 9 2 No 14 3 I do not know 1 Sysmiss 14 administrators develop policy 38 0 1 Yes 24 2 No 13 3 I do not know 1 teachers develop policy 37 1 1 Yes 24 2 No 12 3 I do not know 1 Sysmiss 1 staff develop policy 38 0 1 Yes 14 2 No 23 3 I do not know 1 students develop policy 38 0 1 Yes 23 2 No 13 3 I do not know 2 parents develop policy 38 0 1 Yes 17 2 No 18 3 I do not know 3 government develop policy 38 0 1 Yes 10 2 No 24 3 I do not know 4 business develop policy 38 0 1 Yes 1 2 No 35 3 I do not know 2 health workers develop policy 38 0 1 Yes 13 2 No 23 3 I do not know 2 religious leaders develop policy 37 1 1 Yes 2 2 No 30 3 I do not know 5 Sysmiss 1 administrators receive policy info 38 0 1 Yes 22 2 No 14 3 I do not know 2 teachers receive policy info 37 1 1 Yes 22 2 No 14 3 I do not know 1 Sysmiss 1 staff receive policy info 38 0 1 Yes 11 2 No 23 3 I do not know 4 students receive policy info 38 0 1 Yes 16 2 No 21 3 I do not know 1 parents receive policy info 38 0 1 Yes 14 2 No 22 3 I do not know 2 government receive policy info 38 0 1 Yes 5 2 No 25 3 I do not know 8 business receive policy info 38 0 1 Yes 1 2 No 32 3 I do not know 5 health workers receive policy info 38 0 1 Yes 5 2 No 25 3 I do not know 8 religious leaders receive policy info 37 1 1 Yes 1 2 No 30 3 I do not know 6 Sysmiss 1 school policy promotes student health 37 1 1 School policy provides a specific plan or guidance for promoting overall student health 12 2 Overall student health is mentioned in school policy, but without a specific plan or guidance on how to promote it 20 3 Overall student health is not addressed in any school policy 5 4 I do not know 0 Sysmiss 1 resources in budget for student health 38 0 1 The school budget contains adequate resources to improve overall student health 2 2 The school budget contains some resources for improvement of overall student health, but not enough to do what is needed 16 3 The school budget does not contain any resources for improvement of overall student health 18 4 I do not know 2 policy promotes staff health 38 0 1 School policy provides a specific plan or guidance for promoting the health of teachers and other school staff 8 2 The health of teachers and other school staff is mentioned in school policy, but without a specific plan or guidance on how to promote it 15 3 The health of teachers and other school staff is not addressed in any school policy 14 4 I do not know 1 health policies/programs regularly monitored 38 0 1 Yes 10 2 No 26 3 I do not know 2 school has policy about being/becoming health promoting school 38 0 1 Yes 10 2 No 25 3 I do not know 3 supports participatory teaching 38 0 1 Yes 30 2 No 8 3 I do not know 0 curriculum adaptations allowed for students with disabilities 38 0 1 Yes 10 2 No 25 3 I do not know 3 health learning link training provided 38 0 1 Yes 19 2 No 16 3 I do not know 3 participatory teaching training provided 38 0 1 Yes 25 2 No 10 3 I do not know 3 positive classroom management training provided 37 1 1 Yes 21 2 No 13 3 I do not know 3 Sysmiss 1 health promoting school training provided 37 1 1 Yes 18 2 No 12 3 I do not know 7 Sysmiss 1 assess student wellbeing training provided 38 0 1 Yes 11 2 No 22 3 I do not know 5 deliver health content training provided 38 0 1 Yes 15 2 No 18 3 I do not know 5 safe environment standards training provided 38 0 1 Yes 23 2 No 13 3 I do not know 2 child development training provided 38 0 1 Yes 23 2 No 10 3 I do not know 5 school has policy prohibiting bullying 38 0 1 Yes 32 2 No 6 3 I do not know 0 school has policy prohibiting fighting 38 0 1 Yes 34 2 No 4 3 I do not know 0 school has policy prohibiting corporal punishment 38 0 1 Yes 27 2 No 11 3 I do not know 0 school has policy prohibiting abuse of students by staff 38 0 1 Yes 23 2 No 14 3 I do not know 1 reporting procedures for violence 38 0 1 Yes 28 2 No 8 3 I do not know 2 policy on response to violence 38 0 1 Yes 31 2 No 7 3 I do not know 0 collect data on violence 38 0 1 Yes 30 2 No 7 3 I do not know 1 student tobacco use prohibited 38 0 1 Yes 36 2 No 2 3 I do not know 0 staff tobacco use prohibited 38 0 1 Yes 25 2 No 12 3 I do not know 1 visitor tobacco use prohibited 38 0 1 Yes 23 2 No 13 3 I do not know 2 policies implemented when student caught using tobacco at school 37 1 1 Yes 35 2 No 2 3 I do not know 0 Sysmiss 1 tobacco-free signage 38 0 1 Yes 14 2 No 22 3 I do not know 2 ban tobacco advertising 37 1 1 Yes 30 2 No 6 3 I do not know 1 Sysmiss 1 student alcohol use prohibited 38 0 1 Yes 33 2 No 5 3 I do not know 0 staff alcohol use prohibited 38 0 1 Yes 30 2 No 8 3 I do not know 0 visitor alcohol use prohibited 38 0 1 Yes 27 2 No 11 3 I do not know 0 policies implemented when student caught drinking alcohol at school 37 1 1 Yes 32 2 No 4 3 I do not know 1 Sysmiss 1 alcohol-free signage 38 0 1 Yes 9 2 No 27 3 I do not know 2 ban alcohol advertising 37 1 1 Yes 30 2 No 7 3 I do not know 0 Sysmiss 1 student drug use prohibited 38 0 1 Yes 31 2 No 7 3 I do not know 0 staff drug use prohibited 38 0 1 Yes 29 2 No 9 3 I do not know 0 visitor drug use prohibited 38 0 1 Yes 27 2 No 11 3 I do not know 0 policies implemented when student caught using drugs at school 38 0 1 Yes 34 2 No 3 3 I do not know 1 drug-free signage 37 1 1 Yes 9 2 No 26 3 I do not know 2 Sysmiss 1 crisis preparedness policy 37 1 1 Yes 22 2 No 11 3 I do not know 4 Sysmiss 1 continuity school health services ensured by policy 23 15 1 Yes 11 2 No 9 3 I do not know 3 Sysmiss 15 continuity school food/nutrition services ensured by policy 22 16 1 Yes 1 2 No 20 3 I do not know 1 Sysmiss 16 continuity of health education ensured by policy 23 15 1 Yes 13 2 No 10 3 I do not know 0 Sysmiss 15 continuity of physical education ensured by policy 22 16 1 Yes 10 2 No 12 3 I do not know 0 Sysmiss 16 continuity of other subjects ensured by policy 23 15 1 Yes 16 2 No 5 3 I do not know 2 Sysmiss 15 conducts regularly emergency drills 38 0 1 Yes 5 2 No 33 3 I do not know 0 school serves as disaster shelter 38 0 1 Yes 0 2 No 33 3 I do not know 5 security measures in place in case of conflict 38 0 1 Yes 19 2 No 18 3 I do not know 1 policy for minimum outdoor activity for eye health 38 0 1 Yes 6 2 No 29 3 I do not know 3 policy allowing pregnant students to attend school 38 0 1 Yes 3 2 No 28 3 I do not know 7