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Barriers and Facilitators to Successful School-based Health Screenings

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In this study, we explore support for more effective and coordinated implementation of school-based screenings. We review barriers and facilitators to screening for 3 child health conditions known to impact learning.


We conducted a systematic review of peer-reviewed literature to identify barriers and facilitators to implementing successful vision, hearing, and oral health screenings in elementary schools across the United States.


Barriers included logistical hurdles (eg, scheduling, space), ideological challenges (eg, lack of clarity on benefits of early intervention), and ambiguity of screening standards. Facilitators included effective collaboration, trust, and network building.


In line with the Whole School, Whole Community, Whole Child (WSCC) approach, reducing known barriers and integrating best practices for implementing screenings are critical for connecting children successfully with follow-up care.
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Keywords: child health; hearing screening; oral health screening; school health screening; school health services; vision screening

Document Type: Research Article

Affiliations: Health Education, Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY, USA

Publication date: July 1, 2018

More about this publication?
  • 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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