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Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
POLANGUI COMMUNITY COLLEGE
Polangui, Albay
MODULE 4
COMPONENTS OF CSHP
I. Learning Objectives
At the end of this module the students will be able to:
1. demonstrate understanding of the components of CSHP;
2. make a sample activity/activities included in each area or component; and
3. demonstrate understanding of nursing activities that may be included in each
component.
II. Vocabularies:
 Health Services
 Health Education
 Nutrition
 Physical Education
 Counseling
 Safe School Environment
 Health Promotion
III. Content
Introduction
Coordinated school health (CSH) is recommended by the CDC (Centers for
Disease Control and Prevention) as a strategy for improving students' health
and learning in our nation's schools.
Why Schools? The healthy development of children and adolescents is
influenced by many societal institutions. After the family, the school is
the primary institution responsible for the development of young people.
 Schools have direct contact with more than 95 percent of our
nation's young people aged 5 - 17 years, for about 6 hours a day,
and for up to 13 critical years of their social, psychological,
physical, and intellectual development.
 Schools play an important role in improving students' health and
social outcomes, as well as promoting academic success.
Why School Health? The health of young people is strongly linked to
their academic success, and the academic success of youth is strongly linked
with their health. Thus, helping students stay healthy is a fundamental
part of the mission of schools. After all, schools cannot achieve their
primary mission of education if students and staff are not healthy.
This module is a continuation of the components of CSHP where you will
further understand Coordinated School Health Program
Lesson 1 – Health Education
Health education provides students with opportunities to acquire the
knowledge, attitudes, and skills necessary for making health-promoting
decisions, achieving health literacy, adopting health-enhancing behaviors,
and promoting the health of others. Comprehensive school health education
includes courses of study (curricula) for students in pre-K through grade 12
that address a variety of topics such as alcohol and other drug use and
abuse, healthy eating/nutrition, mental and emotional health, personal
health and wellness, physical activity, safety and injury prevention, sexual
health, tobacco use, and violence prevention. Health education curricula
should address the National Health Education Standards (NHES). Health
education assists students in living healthier lives. Qualified, trained
teachers teach health education.
Importance of Health Education in School
Health education builds student’s knowledge, skills, and positive
attitudes about health. Health education teaches about physical, mental,
emotional and social health. It motivates students to improve and maintain
their health, prevent disease, and reduce risky behaviors.
Health education curricula and instruction help students to learn
skills so that they will use to make healthy choices throughout their
lifetime.
Health education is vital for students as it builds their knowledge
and attitudes about health. Health education does not only concentrate on
being healthy. It also focuses on emotional, mental and social health too.
Educating students on the importance of health builds their motivation. As a
result, they strive to maintain good health, prevent diseases and avoid
risky behavior. Instilling the importance of good health in schools, helps
students to make healthy life choices when they grow older and continue
doing so throughout their lives. It helps them understand the dangers of
using illicit drugs, smoking and drinking alcohol. It helps prevent various
injuries, diseases, such as, obesity and diabetes, and sexually transmitted
diseases.
Health education is important to teach children awareness about living
a healthy lifestyle. Health education encompasses social, mental, physical
and social health.
Health education teaches people of all ages about how diet and
exercise contribute to a healthy lifestyle. It also encourages positive
changes in behavior and lowers the risk of addiction to drugs, alcohol and
unsafe sexual practices. The majority of schools around the country have
courses aimed at teaching health education to students. These courses often
revolve around the body, healthy eating, sex and exercising. Some students
are taught basic health and physical fitness early on. More in-depth courses
are designed for middle and high school students.
There are a lot of good benefits if the person is well educated about
health. It enables a person to remain physically fit and in proper health.
And a healthy person can enjoy life fully.
Examples of health education activities include:
 Lectures
 Courses
 Seminars
 Webinars
 Workshops
 Classes
 Trainings
Characteristics of health education strategies include:
 Participation of the target population.
 Completion of a community needs assessment to identify community
capacity, resources, priorities, and needs.
 Planned learning activities that increase participants' knowledge
and skills.
 Implementation of programs with integrated, well-planned
curricula and materials that take place in a setting convenient
for participants.
 Presentation of information with audiovisual and computer based
supports such as slides and projectors, videos, books, CDs,
posters, pictures, websites, or software programs.
 Ensuring proficiency of program staff, through training, to
maintain fidelity to the program model.
Activity 1:
1. Give 5 examples of health promoting activities suitable for young
adults like you.
2. Using the examples given in number 1, how are you going to
deliver/share these health promoting activities to other young adults
like you?
Lesson 2: Nutrition Services
Parents, teachers and community members can all agree that we want
healthy and happy kids. Teachers have endless requirements and curriculum
standards to meet, one of which is teaching students some of the basics of
nutrition. But nutrition isn't always as straightforward as one might think,
especially with kids.
Schools should provide access to a variety of nutritious and appealing
meals that accommodate the health and nutrition needs of all students.
School nutrition programs reflect the U.S. Dietary Guidelines for Americans
and other criteria to achieve nutrition integrity. The school nutrition
services offer students a learning laboratory for classroom nutrition and
health education, and serve as a resource for linkages with nutrition-
related community services. (CDC, 2014).
Schools should provide a quality school meal program and ensure that
students have only appealing, healthy food and beverage choices offered
outside of the school meal program.
How can schools promote nutrition?
In order to encourage your students to participate in the school lunch
program, try these tips for modeling and promoting healthy eating habits.
(Hill & Apuzzo, 2019)
1. Eat school lunch yourself. When students see you eating school
lunch in the cafeteria, they may be inspired to follow suit.
Seeing their teacher eat school lunch will show them that this is
an easy, healthy option for mealtime.1
2. Focus on how different foods make them feel. Healthy foods tend
to make you feel better and ready to take on the world—encourage
students to realize this for themselves through activities that
promote healthy choices. (Boehm,et.al, 2012) For example, have
students talk about how they feel after they eat a banana versus
how they feel after eating greasy fries. Allow students to make
their own choices regarding snacks, but help guide them toward
the “right” answer. Use this as an opportunity to point out the
nutritious snack foods that your school offers and draw attention
to the fact that you are eating those yummy, healthy snacks.
3. Teach students about their body’s need for nutrients. If
students understand why their body cannot thrive on a constant
stream of junk food, they may be more likely to change their
eating habits by utilizing school lunches.( Perry,et.al)
4. Plan a “field trip” to your school’s kitchen. Showing students
how and where school lunches are made will personalize the food
process while acquainting them with the staff. Once students get
a firsthand look at the food program, they will see how clean and
well-thought out each meal is which will encourage them to eat
school lunches.
5. Show students where to find more information. If you find that
there isn’t enough time to talk about all of the benefits of the
school lunch program, help provide students with more information
in an age-appropriate way. For older students, provide pamphlets
or helpful websites like those of the CDC or USDA so that they
can find out more information on their own time. The more they
know, the more likely they are to make the right choices.
( Perry,et.al)
Nutrition For Young Adults
Adequate nutrition is important during the young adult years for
proper growth and development. Today's teenagers consume more than the
recommended amounts of fat, added sugars and simple carbohydrates and
inadequate amounts of whole grains, produce, zinc, iron and calcium.
Focusing on including the necessary nutrients in a young adult's diet can
help him have more energy and be healthier.
Calories
During puberty, it's important for children to consume enough
calories for proper development. Boys need about 2,800 calories per
day while girls need 2,200 calories per day. Young adults who are
active in sports or other physical activities may require more
calories. Ask your physician or registered dietitian for more specific
calorie requirements.
Carbohydrates
Carbohydrates are used for fuel which is important for young
adults. It's recommended to focus on complex carbohydrates such as
whole-grain breads, cereals, pastas and brown rice. Limit simple
carbohydrates such as juices, white breads and sugary cereals. Whole
grains provide energy that lasts longer than simple carbohydrates as
well as fiber and vitamins. Whole grains are also rich sources of
iron, which is important for teens. Males have an increased need for
iron due to muscle mass increase and females have an increased need
due to menstruation. Young adults should aim to consume 50 to 60
percent of their total calories from carbohydrates.
Protein
Protein is the nutrient of least concern when it comes to young
adults. The reason is because most teens actually consume double the
protein that their body needs each day. Smart choices for young adults
include lean beef, pork, chicken, turkey and fish. Other sources of
protein include milk, yogurt, cheese, eggs and beans. Dairy products
contain calcium, which is important for growing bones. Many teens do
not get enough calcium in their diets and should include two to three
servings of low-fat dairy products per day to meet their needs. Teens
should aim to consume two to three servings of protein-rich foods per
day. Meat is rich in iron and zinc which is important to focus on for
young adults as they are often deficient in these minerals.
Fat
Young adults should consume no more than 30 percent of their
daily calories from fat and most consume more than that amount. While
fat intake should be limited, fat plays an important role in supplying
energy and helping the body absorb fat-soluble vitamins including
vitamins A, D, E and K. Consuming too much fat can cause young adults
to gain weight and may even cause high cholesterol. Choose healthy
sources of fats such as nuts, seeds, plant-based oils and avocados.
Activity 2:
Knowing the right amount of calorie that young adults like you
needs. Make a diet plan for 1 day completing the needed calories that your
body needs.
Example:
Food Calorie
2 slice bread 95 cal
Milk with sugar 148 cal
1 bowl rice with veg curry 212 cal
Potato chips 536 cal
Coffee with sugar(Nonfat latte) 38 cal
1 bowl rice with veg curry 212 cal
Total: 1241 cal
IV. Assessment:
1. What is the role of Health Education? (10pts)
2. Give 5 examples of Health Education in School? (5pts)
3. Give the 3 important nutrients that our body needs and its importance.
(15pts)
4. Give 5 examples of school nutrition programs. (5pts)
V. References:
https://www.cdc.gov/healthyschools/npao/strategies.htm
http://www.schoolchalao.com/basic-education/show-results/introduction-of-
health-education/effect-of-health-education
https://www.ruralhealthinfo.org/toolkits/healthpromotion/2/strategies/health
-education
1
Food and Nutrition Service. Tips for educators on supporting healthy school
meals.
Boehm, J.K.; Williams, D.R.; Rimm, E.B.; Ryff, C.’ and Kubzansky, L.D.
(2012). Association between optimism and serum antioxidants in the midlife
in the United States study. Psychosomatic Medicine. 75:1; 2-10.
Perry, Cheryl; Mullis, Rebecca; and Maile, Marla. Modifying the Eating
Behavior of Young Children. Journal of School Health. 2009;55:399-402.

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Module 4

  • 1. Republic of the Philippines COMMISSION ON HIGHER EDUCATION Region V POLANGUI COMMUNITY COLLEGE Polangui, Albay MODULE 4 COMPONENTS OF CSHP I. Learning Objectives At the end of this module the students will be able to: 1. demonstrate understanding of the components of CSHP; 2. make a sample activity/activities included in each area or component; and 3. demonstrate understanding of nursing activities that may be included in each component. II. Vocabularies:  Health Services  Health Education  Nutrition  Physical Education  Counseling  Safe School Environment  Health Promotion III. Content Introduction Coordinated school health (CSH) is recommended by the CDC (Centers for Disease Control and Prevention) as a strategy for improving students' health and learning in our nation's schools. Why Schools? The healthy development of children and adolescents is influenced by many societal institutions. After the family, the school is the primary institution responsible for the development of young people.  Schools have direct contact with more than 95 percent of our nation's young people aged 5 - 17 years, for about 6 hours a day, and for up to 13 critical years of their social, psychological, physical, and intellectual development.
  • 2.  Schools play an important role in improving students' health and social outcomes, as well as promoting academic success. Why School Health? The health of young people is strongly linked to their academic success, and the academic success of youth is strongly linked with their health. Thus, helping students stay healthy is a fundamental part of the mission of schools. After all, schools cannot achieve their primary mission of education if students and staff are not healthy. This module is a continuation of the components of CSHP where you will further understand Coordinated School Health Program Lesson 1 – Health Education Health education provides students with opportunities to acquire the knowledge, attitudes, and skills necessary for making health-promoting decisions, achieving health literacy, adopting health-enhancing behaviors, and promoting the health of others. Comprehensive school health education includes courses of study (curricula) for students in pre-K through grade 12 that address a variety of topics such as alcohol and other drug use and abuse, healthy eating/nutrition, mental and emotional health, personal health and wellness, physical activity, safety and injury prevention, sexual health, tobacco use, and violence prevention. Health education curricula should address the National Health Education Standards (NHES). Health education assists students in living healthier lives. Qualified, trained teachers teach health education. Importance of Health Education in School Health education builds student’s knowledge, skills, and positive attitudes about health. Health education teaches about physical, mental, emotional and social health. It motivates students to improve and maintain their health, prevent disease, and reduce risky behaviors. Health education curricula and instruction help students to learn skills so that they will use to make healthy choices throughout their lifetime. Health education is vital for students as it builds their knowledge and attitudes about health. Health education does not only concentrate on being healthy. It also focuses on emotional, mental and social health too. Educating students on the importance of health builds their motivation. As a result, they strive to maintain good health, prevent diseases and avoid
  • 3. risky behavior. Instilling the importance of good health in schools, helps students to make healthy life choices when they grow older and continue doing so throughout their lives. It helps them understand the dangers of using illicit drugs, smoking and drinking alcohol. It helps prevent various injuries, diseases, such as, obesity and diabetes, and sexually transmitted diseases. Health education is important to teach children awareness about living a healthy lifestyle. Health education encompasses social, mental, physical and social health. Health education teaches people of all ages about how diet and exercise contribute to a healthy lifestyle. It also encourages positive changes in behavior and lowers the risk of addiction to drugs, alcohol and unsafe sexual practices. The majority of schools around the country have courses aimed at teaching health education to students. These courses often revolve around the body, healthy eating, sex and exercising. Some students are taught basic health and physical fitness early on. More in-depth courses are designed for middle and high school students. There are a lot of good benefits if the person is well educated about health. It enables a person to remain physically fit and in proper health. And a healthy person can enjoy life fully. Examples of health education activities include:  Lectures  Courses  Seminars  Webinars  Workshops  Classes  Trainings Characteristics of health education strategies include:  Participation of the target population.  Completion of a community needs assessment to identify community capacity, resources, priorities, and needs.  Planned learning activities that increase participants' knowledge and skills.  Implementation of programs with integrated, well-planned curricula and materials that take place in a setting convenient for participants.
  • 4.  Presentation of information with audiovisual and computer based supports such as slides and projectors, videos, books, CDs, posters, pictures, websites, or software programs.  Ensuring proficiency of program staff, through training, to maintain fidelity to the program model. Activity 1: 1. Give 5 examples of health promoting activities suitable for young adults like you. 2. Using the examples given in number 1, how are you going to deliver/share these health promoting activities to other young adults like you?
  • 5. Lesson 2: Nutrition Services Parents, teachers and community members can all agree that we want healthy and happy kids. Teachers have endless requirements and curriculum standards to meet, one of which is teaching students some of the basics of nutrition. But nutrition isn't always as straightforward as one might think, especially with kids. Schools should provide access to a variety of nutritious and appealing meals that accommodate the health and nutrition needs of all students. School nutrition programs reflect the U.S. Dietary Guidelines for Americans and other criteria to achieve nutrition integrity. The school nutrition services offer students a learning laboratory for classroom nutrition and health education, and serve as a resource for linkages with nutrition- related community services. (CDC, 2014). Schools should provide a quality school meal program and ensure that students have only appealing, healthy food and beverage choices offered outside of the school meal program. How can schools promote nutrition? In order to encourage your students to participate in the school lunch program, try these tips for modeling and promoting healthy eating habits. (Hill & Apuzzo, 2019) 1. Eat school lunch yourself. When students see you eating school lunch in the cafeteria, they may be inspired to follow suit. Seeing their teacher eat school lunch will show them that this is an easy, healthy option for mealtime.1 2. Focus on how different foods make them feel. Healthy foods tend to make you feel better and ready to take on the world—encourage students to realize this for themselves through activities that promote healthy choices. (Boehm,et.al, 2012) For example, have students talk about how they feel after they eat a banana versus how they feel after eating greasy fries. Allow students to make their own choices regarding snacks, but help guide them toward the “right” answer. Use this as an opportunity to point out the nutritious snack foods that your school offers and draw attention to the fact that you are eating those yummy, healthy snacks. 3. Teach students about their body’s need for nutrients. If students understand why their body cannot thrive on a constant stream of junk food, they may be more likely to change their eating habits by utilizing school lunches.( Perry,et.al)
  • 6. 4. Plan a “field trip” to your school’s kitchen. Showing students how and where school lunches are made will personalize the food process while acquainting them with the staff. Once students get a firsthand look at the food program, they will see how clean and well-thought out each meal is which will encourage them to eat school lunches. 5. Show students where to find more information. If you find that there isn’t enough time to talk about all of the benefits of the school lunch program, help provide students with more information in an age-appropriate way. For older students, provide pamphlets or helpful websites like those of the CDC or USDA so that they can find out more information on their own time. The more they know, the more likely they are to make the right choices. ( Perry,et.al) Nutrition For Young Adults Adequate nutrition is important during the young adult years for proper growth and development. Today's teenagers consume more than the recommended amounts of fat, added sugars and simple carbohydrates and inadequate amounts of whole grains, produce, zinc, iron and calcium. Focusing on including the necessary nutrients in a young adult's diet can help him have more energy and be healthier. Calories During puberty, it's important for children to consume enough calories for proper development. Boys need about 2,800 calories per day while girls need 2,200 calories per day. Young adults who are active in sports or other physical activities may require more calories. Ask your physician or registered dietitian for more specific calorie requirements. Carbohydrates Carbohydrates are used for fuel which is important for young adults. It's recommended to focus on complex carbohydrates such as whole-grain breads, cereals, pastas and brown rice. Limit simple carbohydrates such as juices, white breads and sugary cereals. Whole grains provide energy that lasts longer than simple carbohydrates as well as fiber and vitamins. Whole grains are also rich sources of iron, which is important for teens. Males have an increased need for iron due to muscle mass increase and females have an increased need due to menstruation. Young adults should aim to consume 50 to 60 percent of their total calories from carbohydrates.
  • 7. Protein Protein is the nutrient of least concern when it comes to young adults. The reason is because most teens actually consume double the protein that their body needs each day. Smart choices for young adults include lean beef, pork, chicken, turkey and fish. Other sources of protein include milk, yogurt, cheese, eggs and beans. Dairy products contain calcium, which is important for growing bones. Many teens do not get enough calcium in their diets and should include two to three servings of low-fat dairy products per day to meet their needs. Teens should aim to consume two to three servings of protein-rich foods per day. Meat is rich in iron and zinc which is important to focus on for young adults as they are often deficient in these minerals. Fat Young adults should consume no more than 30 percent of their daily calories from fat and most consume more than that amount. While fat intake should be limited, fat plays an important role in supplying energy and helping the body absorb fat-soluble vitamins including vitamins A, D, E and K. Consuming too much fat can cause young adults to gain weight and may even cause high cholesterol. Choose healthy sources of fats such as nuts, seeds, plant-based oils and avocados. Activity 2: Knowing the right amount of calorie that young adults like you needs. Make a diet plan for 1 day completing the needed calories that your body needs. Example: Food Calorie 2 slice bread 95 cal Milk with sugar 148 cal 1 bowl rice with veg curry 212 cal Potato chips 536 cal Coffee with sugar(Nonfat latte) 38 cal 1 bowl rice with veg curry 212 cal Total: 1241 cal
  • 8. IV. Assessment: 1. What is the role of Health Education? (10pts) 2. Give 5 examples of Health Education in School? (5pts) 3. Give the 3 important nutrients that our body needs and its importance. (15pts) 4. Give 5 examples of school nutrition programs. (5pts) V. References: https://www.cdc.gov/healthyschools/npao/strategies.htm http://www.schoolchalao.com/basic-education/show-results/introduction-of- health-education/effect-of-health-education https://www.ruralhealthinfo.org/toolkits/healthpromotion/2/strategies/health -education 1 Food and Nutrition Service. Tips for educators on supporting healthy school meals. Boehm, J.K.; Williams, D.R.; Rimm, E.B.; Ryff, C.’ and Kubzansky, L.D. (2012). Association between optimism and serum antioxidants in the midlife in the United States study. Psychosomatic Medicine. 75:1; 2-10. Perry, Cheryl; Mullis, Rebecca; and Maile, Marla. Modifying the Eating Behavior of Young Children. Journal of School Health. 2009;55:399-402.