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. 2018 Jan 31;10:1–8. doi: 10.1016/j.pmedr.2018.01.014

Table 3.

Measures used in school environment assessment tools to address major NCD risk factors.

School policies (written/unwritten) School built environment Inter-personal factors
Diet and nutrition
Nutrition education (NE) strategies, interventions & programmes
  • -

    NE for students, teachers/school staff, parents/community

  • -

    Grade specific NE curriculum

  • -

    Frequency and duration of NE classes

  • -

    NE qualifications and NE trainings of teacher/school staff

  • -

    Need assessment


Food/meals provided at schools
  • -

    Regulate sale of unhealthy food and beverages

  • -

    Timings to access

  • -

    Pricing, portion size, hygiene, food labelling and colour coding of food sold

  • -

    Monitoring canteen environment, menu review and compliance to school policies and food safety standards


Lunchbox policies:
  • -

    Guidelines for parents,

  • -

    Lunchbox monitoring by school staff

  • -

    Restricting type of food and portion size brought from home


Advocate healthy diet and nutrition
  • -

    Access to food stores/outlets/vendors outside the school, during school hours

  • -

    Programmes/provisions for events promoting healthy food advertising

  • -

    School support to promote access to healthy food

  • -

    Food as reward or punishment


Monitoring and evaluation of school food environment
  • -

    Ensuring healthy food served in school campus during class parties, school events, in canteens and school stores and fund raising

Availability and promotion of unhealthy food

Canteen/vending machines
  • -

    Availability and access

  • -

    Type and price of food and beverages served, food hygiene and safety


School meals
  • -

    Provision, quality and menu cycle of school meals


Food vendors outside school
  • -

    Availability and access to food vendors outside school

  • -

    Restricting or promoting healthy or unhealthy foods and beverages, portable drinking water, and healthy food advertising events


Signage in school campus
Stakeholder's knowledge, perception and self-efficacy

Awareness of school policies

Role model for healthy eating (teachers/school staff, family/community)

School staff's preparedness to respond food related emergencies

School staff's motivation and skill to lead NE programmes

Lunchbox monitoring by school staff and parents

Student food preference

Community/family support for healthy eating



Physical activity
Physical education (PE)
  • -

    PE for students, teachers/school staff, parents/community

  • -

    Grade specific PE curriculum

  • -

    Duration of PA and PE classes

  • -

    Qualification and professional development of PE teachers


Physical activity (PA) strategies, interventions and programmes, resources
  • -

    Ensures safe access to schools

  • -

    Promote walking & cycling around school

  • -

    Regulate traffic congestion around schools

  • -

    Use PA as reward/punishment

  • -

    Prohibiting/exemption for PE/PA classes

  • -

    PA safety standards

  • -

    School play areas (access, utilization and inspection)

  • -

    Provisions for enabling sport environment (sport equipments) and school support for active participation in inter and intra school sports events

  • -

    School plans or goals to promote PA and physical fitness among students, school staff, parents/community

School grounds and surroundings (around school)
  • -

    Availability of safe play areas in and around school

  • -

    Aesthetics, usage, quality and access to school grounds


PA resources in school/school sports environment
  • -

    Availability, access, quality and adequacy of sports equipment during and after


PE/PA classes and recess

Signage in school campus
Stakeholder's knowledge, perception and self-efficacy around physical activity

Awareness of school policies

Role model for active living (teachers/school staff, family/community)

Involvement of teachers, school staff and parents to promote PA



Tobacco use
  • -

    Provision of alcohol related education students/curriculum

  • -

    Availability of alcohol outlets (in and around school campus)

  • -

    Signage to prohibit alcohol use (in and around school campus)

  • -

    Teachers/school staff, parents/community as role models

  • -

    Stakeholder's knowledge and awareness of policies




Alcohol use
  • -

    Provision of alcohol related education students/curriculum

  • -

    Availability of alcohol outlets (in and around school campus)

  • -

    Signage to prohibit alcohol use (in and around school campus)

  • -

    Teachers/school staff, parents/community as role models

  • -

    Stakeholder's knowledge and awareness of policies