​​​​​​​​As part of ongoing efforts to provide internationally-agreed guidance on how to monitor and evaluate school health programmes, Focusing Resources on Effective School Health (FRESH) partners have developed Monitoring and Evaluation (M&E) Guidance for School Health Programmes.

The guidance, based on country-level feedback, including pilot tes​​ting in El Salvador, Ethiopia, Nepal, and the Philippines consists of recommended indicators intended to help programmes in low- and middle- income countries ensure school health programme implementation is standardized and evidence-based.

It is also hoped to help lead to better coordination between programmes and the priorities they address and ultimately contribute to better health and education programmes.


M&E Guidance details

The guidance encompasses three documents:1. Monitoring and Evaluation Guidance for School Health Programmes: Eight Core Indicators to Support FRESH​ The eight Core Indicators focus on national and school-level efforts to implement comprehensive school heath programmes as defined in the international FRESH framework. Collecting the eight Core Indicators will allow countries to identify the strengths and weaknesses of their school health programming. Using this information, countries can strengthen policy and implementation and monitor progress over time.


2. Monitoring and Evaluation Guidance for School Health Programmes: Appendices​​ These appendices include data collection tools to support the collection and compilation of the eight Core Indicators.


3. Monitoring and Evaluation Guidance for School Health Programmes: Thematic Indicators​ The Thematic Indicators focus on programme-level M&E of school health and contain a menu of around 250 indicators, largely drawn from existing M&E guidance or developed by thematic expert groups, covering 15 school health topics for researchers and programme staff to choose from, including Water, Sanitation and Hygiene; Worms; Food and Nutrition; Physical Activity; Malaria; Oral Health; Eye Health; Ear and Hearing; Immunization; Injury Prevention; HIV and AIDS; Sexual and Reproductive Health; Substance Use; Violence in Schools; and Disaster Risk Reduction.


Built in partnership

​The guidance has been produced with the support, advice and insights of numerous individuals and organizations over the years, including American Institutes for Research (AIR) Child-to-Child Trust​, Education Development Center (EDC), Education International, International School Health Network (ISHN), London School of Hygiene and Tropical Medicine (LSHTM), Partnership for Child Development (PCD), Roll Back Malaria (RBM) Partnership​, Save the Children, Schools for Health in Europe (SHE) Network, UNESCO, UNICEF, UNODC, WFP, WHO and World Bank​.​