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Table 5 Characteristics of factors involved in implementing school health policies in the three countries

From: Multi-country case study on school health policy and its implementation in relation to COVID-19 control in Micronesia Small Islands Developing States

“Produce changes in policy & practice” (Whitman, 2009)

Extracted factors

No.

Name of factor

FSM

RMI

ROP

1

Vision and concept/international guidelines

#1: Lack of school health policy (−)

#1: Lack of school health policy (−)

#1: Lack of school health policy (−)

  

#1: Memorandum of Understanding of School Health Program (+)

2

Dedicated time and resources

   

3

Stakeholder ownership and participation

   

4

Team training and ongoing coaching/learning community

#2: Effect of establishing a manual for COVID-19 controls at schools (+)

 

#2: Effect of establishing a manual for COVID-19 controls at schools (+)

5

Cross-sector collaboration

#2: Cooperation between the education and health sectors (+)

 

#1: Multi-sectoral approach in implementing youth policy (+)

  

#2: Cooperation between the education and health sectors (+)

6

Champions and leaders at all levels

   

7

Data-driven planning and decision-making

  

#3: Youth policy focusing on specific health issues (+)

8

Administrative and management support

#2: Administrative and management support for COVID-19 controls (+)

 

#2: Administrative and management support for COVID-19 controls (+)

9

Adapting to local concerns

   

10

Attention to external forces

   

11

Critical mass and supportive norms

   

12

Stage of readiness

   

Novel factors of the study

#1: Promotion of decentralized education (+)

#3: Implementation of COVID-19 controls in the school community (+)

#3: Disaster management for the protection of students including response to infectious disease (+)

  1. FSM: Federated States of Micronesia; RMI: Republic of the Marshall Islands; ROP: Republic of Palau; #1, #2, #3: Phase #1, Phase #2, Phase #3; +: enabler (positive factor); −: barrier (negative factor)