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Open Access Use of Resources for Health Promoting Schools in Rural Nova Scotia


In this paper, we provide a comprehensive description of the resources with a health promoting school (HPS) program involving a rural Canadian school board.


Accounting information was reviewed to identify HPS revenues and expenses (2013-2014 school year). Incremental HPS-related costs per student for HPS and non-HPS schools were determined from societal and governmental perspectives.


Total median costs were $31,597 for HPS schools ($197.50/student) and $21,067 per non-HPS schools ($152.46/student). Total incremental cost for HPS per student was $42 from societal and $26 from the governmental perspectives. In schools with HPS, the largest resource contributions came from school-based fundraising and volunteering.


The costs of HPS are modest and public funding is relatively low compared to community contributions.

Keywords: child health; cost analysis; health in Canada; health promoting schools; rural health; school health

Document Type: Research Article

Affiliations: 1: Faculty of Education and Department of Child and Youth Study, Mount Saint Vincent University, Halifax NS, Canada 2: Faculty of Health Professions, Healthy Populations Institute, Dalhousie University, Halifax, NS, Canada 3: School of Public Health, University of Alberta, Edmonton, AB, Canada 4: Tri-County Regional School Board, Yarmouth, NS, Canada 5: Departments of Pediatrics and Obstetrics & Gynaecology, Dalhousie University, Halifax, NS, Canada

Publication date: July 1, 2018

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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