Abstract：
Schools provide a crucial platform for health and well-being interventions targeting children and adolescents. Early promotive and preventive initiatives are vital for enabling children and adolescents to reach their optimal potential, thereby adding to the country\'s social return-on-investment, creating a favourable demographic dividend. This review analyses the evolution of school health initiatives in India, including the current curriculum proposed under the Ayushman Bharat program. The manuscript highlights the challenges, and gaps in implementation of the current school health programs and proposes potential pathways for bridging these gaps for promotion of adolescent well-being. The review also discusses the concept of Health Promoting Schools and suggests adaptations and key recommendations to Indian context regarding \'how\' to translate it into on-field reality based on the appraisal of successful case studies from other countries. Though India started school health services more than 100 y ago, the school health programmes in most Indian states are weak and fragmented, with piecemeal health screening with minimal focus on health promotion and well-being. The recently launched School Health and Wellness initiative under the Ayushman Bharat program has lots of promise. However, it needs to be translated into effective implementation to prevent it from meeting the fate of its forerunner programs. The school health program needs to move beyond the screening centric approach and be aspirational and holistic in nature focusing upon the overall well-being of the adolescents. Concerted efforts through intersectoral convergence are needed to optimally utilise the platforms of schools for promotion of adolescent well-being.
摘要：
学校为针对儿童和青少年的健康和福祉干预措施提供了至关重要的平台。早期促进和预防举措对于使儿童和青少年发挥最佳潜力至关重要，从而增加了国家的社会投资回报，创造有利的人口红利。这篇评论分析了印度学校健康计划的演变，包括根据AyushmanBharat计划提出的当前课程。手稿突出了挑战，以及当前学校卫生计划实施中的差距，并提出了弥合这些差距以促进青少年福祉的潜在途径。该评论还讨论了健康促进学校的概念，并根据对其他国家成功案例研究的评估，就如何将其转化为实地现实提出了对印度背景的调整和关键建议。尽管印度在100多年前就开始了学校卫生服务，印度大多数州的学校卫生计划薄弱且支离破碎，零敲碎打的健康筛查，很少关注健康促进和福祉。最近在AyushmanBharat计划下启动的学校健康与保健计划有很多希望。然而,需要将其转化为有效实施，以防止其满足其先行者计划的命运。学校健康计划需要超越以筛查为中心的方法，并具有理想和整体的性质，重点关注青少年的整体福祉。需要通过部门间的融合共同努力，以最佳地利用学校的平台来促进青少年的福祉。
