High prevalence of poverty diseases such as diarrhoea, respiratory tract infection, parasitic
infections and dental caries among children in the developing world calls for a return to
primary health care principles with a focus on prevention. The ‘Fit for School’ program in the
Philippines is based on international recommendations and offers a feasible, low-cost and
realistic strategy using the principles of health promotion outlined in the Ottawa Charter.
The cornerstone of the programme is the use of school structures for the implementation
of preventive health strategies. ‘Fit for School’ consists of simple, evidence-based
interventions like hand washing with soap, tooth brushing with fluoride toothpaste and
other high impact interventions such as bi-annual de-worming as a routine school activity
for all children visiting public elementary schools. The programme has been successfully
rolled-out in the Philippines covering 630,000 children in 22 provinces and it is planned to
reach 6 million children in the next three years. The programme is a partnership project
between the Philippine Department of Education and the Local Government Units with
support for capacity development activities from the German Development Cooperation
and GlaxoSmithKline.
