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The health‐promoting school concept is a very promising framework which provides a comprehensive strategic approach to school health. Evidence suggests it is cost‐effective and will enhance the achievement of both educational and health goals. However, many barriers exist currently which are inhibiting its widespread adoption. Such barriers are related to resources; political issues; environmental contexts; administrative support; trained and skilled teachers; lack of understanding of the value of school health and the concept of the health‐promoting school. Teachers are fundamental to the success of developing a health‐promoting school. Evidence shows that there are priorities which need to be addressed in this area before schools can develop comprehensive and effective school health initiatives. Key among these are increased collegiality between teachers; ongoing and focused professional development; and embracing and implementing change within schools.

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