Health/Life Skills Education Slipping Off UN SDG Goals Agenda (Target 4.7)

8/11/2019

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The written submission from the committee responsible for monitoring the achievement of SD Goal #4 (Education) to the UN High Level Political Forum in July 2019 cause concern for those seeking to ensure that the educational objectives described in Target 4.7 of the Goal include attention to health and life skills education as per the 2015 Incheon Declaration which includes health and life skills as essential parts of a high quality education (See below). Most of the SDG committee's submission does a good job of calling for more investments in equity/access and in describing how Goal #4 (education) is connected to other goals such as #10 (inequalities), #5 (gender), #8 (employment), #16 (peace, good government), #13 (climate action) and the role of education sector in coordination (#17), Notably, Goal #3 (health), #6 (water, sanitation) and #2 (hunger) are missing from this discussion. The exclusion of these goals from the submission needs further explanation given that the theme of the HLPF was "Empowering people and ensuring inclusiveness and equality".

The submission from the SDG committee does not directly address the content/learning objectives that should be part of Target 4.7 but it does refer to the Brussels Declaration (see below) which was published subsequent to a series of UNESCO-led consultation in December 2018. It is disappointing to note that the work done by FRESH Partners in adding the concepts of health and life skills to the Incheon Declaration continues to be ignored or misunderstood. We are not opposed to adding new elements to the definition of quality student learning content but surely it is easy to understand that sexuality education is part of health education and at least equal in importance to physical education. And surely life skills, a key concept in most curricula around the world deserve more attention. 
     
These two documents underscore the importance of the work of the FRESH Working Group on Health Literacy, Life Skills and Social Inclusion which is building the case and demonstrating how Health, Personal & Social Development (HPSD) education is already a core subject in most countries and should be considered and monitored by the SDG committee monitoring progress in Goal #4 and Target 4.7.

The 2015 Incheon Declaration included this wording: "Quality education fosters creativity and knowledge, and ensures the acquisition of the foundational skills of literacy and numeracy as well as analytical, problem-solving and other high-level cognitive, interpersonal and social skills. It also develops the skills, values and attitudes that enable citizens to lead healthy and fulfilled lives, make informed decisions, and respond to local and global challenges through education for sustainable development (ESD) and global citizenship education (GCED)." as well as this reference tolife skills "We further commit to ensuring that all youth and adults, especially girls and women, achieve relevant and recognized functional literacy and numeracy proficiency levels and acquire life skills, and that they are provided with adult learning, education and training opportunities. We are also committed to strengthening science, technology and innovation.". These statements define the content for a holistic, high quality education that meets the needs of the whole child.    .

The 2018 Brussels Declaration defines the content of a high quality education. Health and Life Skills education are absent from the statement, ignoring the foundation provided by Incheon Declaration but adding pieces such as sexuality education and physical education.  "we commit to supporting lifelong learning opportunities for all to ensure necessary competencies for personal development, decent work and sustainable development, with attention to climate change, adaptation and mitigation. Additionally, education institutions must provide children, youth and adult learners with the competences to be active citizens in democratic and sustainable societies. This includes efforts to promote education for sustainable development and sustainable lifestyles, democracy and human rights, gender equality, age-appropriate comprehensive sexuality education, physical education and sports, education in native language, peace and non-violence, global citizenship and active participation, appreciation for cultural diversity, multilingualism, intercultural dialogue, solidarity and more peaceful, tolerant and inclusive societies. This requires attention to pedagogy, curricula, teaching and learning materials, assessments, initial teacher training and continuous professional development, inter alia.
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Promoting Student Autonomy in Health Ed & PE? Yes and No

8/30/2017

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An insightful article in Issue #7, 2017 of Journal of Physical Education, Recreation & Dance offers some insights into the dilemmas related to health education and physical education. It suggests that teaching to promote student autonomy is a better way to motivate students to be physically active over the life course. The argument for teaching methods that promote student autonomy in PE is a good one, offering both a underlying behavioural theory (Self-Determination) and several practical strategies for interactions with students. The paper also discusses the dilemmas often faced by teachers as they need to control their students to create an orderly learning environment while still encouraging student autonomy. My only hesitation about the article rests with the underlying assumption that HE and PE teachers should be accepting responsibility for the behaviours of their students over the rest of their lives. We do not hold language arts teachers responsible for their students life-long reading habits, only that they can read adequately when they graduate. yes, teaching strategies and methods must consider student motivations and attitudes/values/beliefs and these can be measured and monitored as realistic outputs for instructional programs. But, no, schools should not be held accountable for the many, many other factors in society and in our lives that cause us to establish our life-long habits and preferences. Read more...
(This item is among the 5-10 highlights posted for ISHN members each week from the ISHN Member information service. Click on the web link to join this service and to support ISHN)
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Health Literacy & School Health Services: A Unique Opportunity

6/22/2016

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An article in Supplementary Issue #1, 2016 of Journal of Health Communication on health literacy discusses the connection between health literacy and the use of health care services. Most studies on this connection have focused on health insurance and less on the other barriers to use of care services. Most studies in HL have also been focused on existing patients (i.e. those that are already "in the door" of the physician's office and whether they can follow medical advice. The article shifts our attention to the barriers for individuals to get "to the door". It discusses non-financial barriers such as lack of time, travel etc. The article prompts some thoughts about the unique opportunity to examine this "getting to the door" aspect of HL through the school setting. Most health education curricula include learning objectives related to know about and how to use local health services. Some studies ask about child/youth regular visits to their doctor as a behavioural output. Another dimension to this improved access discussion related to HL could include comparisons between schools that have clinics on the premises and those that do not. A variation of this could be whether students actually visit local clinics as part of their health education program. Parental involvement and education could also be added as a consideration or support for the classroom instruction about services. Studies could also look at the impact of instruction/support for instruction on the use of preventive care among young adults immediately after high school. As we develop a more specific and deeper understanding of how health education curricula and programs in schools can promote basic health literacy, we should consider how various supports to the classroom learning related to health care services use can be coordinated, studied and monitored. Read more>>
(This item is among the 5-10 highlights posted for ISHN members each week from the ISHN Member information service. Click on the web link to join this service and to support ISHN)
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Defining Health Literacy by Health Topic is a Losing Strategy for Curriculum Development

6/22/2016

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Supplementary Issue #2, 2015 of Journal of Health Communication provides a Special Issue examination of Current Perspectives in Health Literacy Research. This journal has been and will be publishing similar issues on HL in 2016. Most of the articles in this issue do not relate directly to school-aged children and youth. But the issue does illustrate a predominant trend in HL research and practice, a trend that also dominates health promotion generally. Most of the articles in this issue discuss the impact of basic health literacy (knowledge, skills, critical thinking etc.) in relation to one health topic. Associations are identified (or disproved) between the basic health literacy of the patients about that particular topic. Some of the articles identify correlations between that basic HL about an issue and health behaviours or health outcomes on that topic. The implications for developing a health education curriculum if one uses this topic-by-topic approach are clear....there will likely be far too much to cover in one mandatory curriculum. Unless we can select the topics that are critical to an age group and given context, then define the absolute minimum number of essential facts/knowledge/insights about these health topics while sequentially building the generic skills, attitudes and beliefs that critical to HL, the task of preparing a proper scope, sequence and content for a health education curriculum in a country will be almost impossible. Read more>>
(This item is among the 5-10 highlights posted for ISHN members each week from the ISHN Member information service. Click on the web link to join this service and to support ISHN)
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