






One of the 8 areas of intervention, health and nutrition is at the center of STS support in Guinea. Our approch revolves around the FRESH model, or Focusing Resources for Effective School Health. This model, developed by the World Bank, United Nations and other organizations, endorses the 4 "pillars" of a health-promoting school:
(1) a school health policy
(2) water and sanitation (latrines) at school
(3) health instruction delivered through a life-skills approach, and
(4) linkages to health services.
To date, STS has implemented the FRESH model in 16 schools, each of which has developed and implemented its own school health policy, and most of which have installed a well or set of latrines. Additionally, teachers in all schools have been trained in active methods (a "life-skills approach") of teaching health in which students practice new behaviors and develop new perspectives on staying healthy and their rights to make decisions for themselves. The photo at upper right shows a teacher showing her colleagues how to demonstrate hand washing in the school courtyard during an STS training. The middle photo shows students tressing their school mates' hair as a measure of good hygiene. Lower right: Students and community members clean classrooms and schoolyards in a "school clean-up day," organized with the Alcoa Foundation.
From April to June 2008, researcher Rebecca Harry conducted an impact assessment of our most recent health work in Guinea. Read a summary of her report.



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