Keywords
students' experiences
school health services
primary education
secondary education
Attitudes, practices, Ebola, Democratic Republic of the Congo
How to Cite
Abstract
Introduction
School health services are recognized as an essential strategy for improving students’ health and educational outcomes; however, little is known about how educational stakeholders and students perceive their integration within primary and secondary schools in the Democratic Republic of the Congo (DRC).
Purpose
This study explored the perceptions of educational stakeholders and the experiences of students regarding the integration of school health services in Kinshasa.
Methods
A descriptive qualitative study was conducted across selected primary and secondary schools in Kinshasa to reflect diverse educational contexts. Ten teachers/educational staff members and 27 students participated in semi-structured individual interviews. Data were analyzed using Braun and Clarke’s inductive thematic analysis, guided by Bronfenbrenner’s social ecological framework.
Results
Teachers considered the integration of school health services essential for students’ well-being and academic success but identified major barriers, including inadequate funding, limited equipment, insufficient human resources, and the absence of a clear institutional framework. Students expressed generally positive perceptions while highlighting challenges related to service accessibility, shortages of health materials, and the need to modernize school infrastructure. Cultural beliefs influenced service utilization only in isolated situations. Both participant groups emphasized the critical role of government commitment, stronger school–family partnerships, and improved communication in ensuring effective implementation.
Conclusion
The findings underscore the need to strengthen teacher capacity, adapt school health interventions to the local sociocultural context, and establish structured collaboration among schools, families, and health professionals. An inclusive and context-sensitive approach could improve the acceptability, effectiveness, and sustainability of school health services, thereby contributing to better educational outcomes and greater health equity in the DRC.
References
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Bundy, D. A. P., de Silva, N., Horton, S., Jamison, D. T., & Patton, G. C. (2018). Child and adolescent health and development: Realizing neglected potential (3rd ed.). World Bank. https://doi.org/10.1596/978-1-4648-0423-6
Centers for Disease Control and Prevention. (2022). School health guidelines to promote healthy eating and physical activity. U.S. Department of Health and Human Services. https://www.cdc.gov/healthyschools/
Kiyombo, M., Ilunga, P., & Tumba, T. (2021). Family factors and access to healthcare in urban school settings in Kinshasa. Health and Society, 14(2), 57–70.
Malanda, P. (2021). Integrating traditional beliefs and biomedical practices in school health systems. Medicine & Community, 5(2), 29–41.
Mbadu, J. (2023). Access to healthcare and educational inequalities in Kinshasa. Congolese Journal of Public Health, 10(2), 101–112.
Ministry of National Education, Democratic Republic of the Congo. (2020). National education statistical yearbook. Government of the DRC.
Mundele, L. (2023). School health as a pillar of public health in the Democratic Republic of the Congo. African Health Bulletin, 19(1), 34–39.
National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont Report: Ethical principles and guidelines for the protection of human subjects of research. U.S. Department of Health, Education, and Welfare.
Nlandu, M. (2022). Continuing education and teachers’ competencies in school health promotion. Education and Health Journal, 8(1), 13–28.
UNESCO. (2023). Global education monitoring report: Technology in education – A tool on whose terms? UNESCO Publishing. https://www.unesco.org/gem-report/
UNICEF. (2023). Global framework on school health and nutrition. UNICEF. https://www.unicef.org
World Bank. (2020). Health, nutrition and population statistics. World Bank Group. https://data.worldbank.org
World Health Organization. (2021). Global standards for health-promoting schools. World Health Organization. https://www.who.int/publications/i/item/9789240025059
World Health Organization. (2022). School health services and health promotion: Evidence and implementation guidance. World Health Organization. https://www.who.int
World Health Organization, & UNESCO. (2021). Making every school a health-promoting school: Global standards and indicators. World Health Organization & UNESCO. https://unesdoc.unesco.org
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
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Copyright (c) 2026 Nsopa, E. K., Dowo, J.-P. D., Tshimbila, F. K., Tshiama, C. R., Tshimungu, D. M., Pambi, H. I., Mamba, S. K., Ndiene, S. L., Jiwe, J.-P. A., Makangu, A. T., Kandolo, F. T.