While the training of teachers would be necessary, it is also clear that the instructors would need increased support. This model views all teachers as involved the health education process, and it moves away from the current academic or service-oriented health program to a new participatory, problem solving, and life skills model. The author recommends a conceptual model that emphasizes: 1) developmental and habit formation aspects 2) small group and whole school activities involved in shared and cooperative learning and 3) teaching and learning new knowledge and skills. Unfortunately, NPSH's program suffered from conceptual and methodological limitations concerning the training of teachers for school health activities. The goal was to assist primary school teachers in implementing: regular medical check-ups for children, an immunization program, health and population education, safe and healthy school environments, and nutrition information. In 1984, the Ministry of Health and Family Welfare adopted the National Programme for School Health (NPSH). In India, however, health services and health education have been seen as separate issues. Health forms an important component of the Human Development Index, and some countries have successfully improved their own human development status through an integration of primary health care and primary education. India's school health program has suffered from lack of institutional commitment and compartmentalization at the school level.
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