Recent debates on the implementation of the current ISHP point to the need to reduce, rather than increase, mass screening.
It is here that the ISHP in partnership with schools can play a crucial role.
16] A well-functioning ISHP has a crucial health promotion and ongoing monitoring and support role.
Medical input into developing an ISHP at school occurred more frequently among pre-K students (48.
The higher frequency of school physician consultant assistance in developing an ISHP for students in preschool, middle school, and high school as compared to students in elementary school may be related to demands these children face as they enter a new environment.
24 an ISHP at school Educating school staff 22 (23.
However, the ISHP
is also in the early stages of introduction, and though it is a good plan, it may be limited by resources in the public sector.
The 2012 ISHP is fundamentally similar to its predecessor in its content, but differs in high-level support, the overall implementation context and in the strength of key relationships, in particular that between health and basic education.
The prioritisation of quintile one and two schools by the 2012 ISHP potentially will ameliorate the low coverage and narrow the inequity gap.
The significant expansion in the 2012 ISHP of both the numbers of children that should be screened and the conditions which they must be screened for, therefore require careful contemplation and planning, as referral services will take a long time to catch up with the demand from increased screening outputs.