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An Overview of the AHI Health Promoting School model
The AHI Health-Promoting School (HPS) intervention directly addresses Julian Tudor Hart’s Inverse Care Law, which states that “those who most need medical care are least likely to receive it, while those with least need of health care tend to use services more and more effectively.” By embedding preventive and minimally invasive dental care within schools, the AHI HPS model ensures that no child in low-income populations is left behind. Schools act as universal entry points, guaranteeing equitable access and overcoming systemic barriers that have historically disadvantaged the poorest communities.
AHI’s overarching mission is to reduce health inequalities by promoting the psychosocial and structural determinants of health that advantage high-income communities—so that these benefits can be extended to less affluent populations, enabling them to develop and accumulate optimal Health Capital from childhood onwards. To this end, AHI designed a Health-Promoting School (HPS) intervention that operationalises the principles of the Ottawa Charter for Health Promotion [1]. Recently, AHI has adapted this model to address the global burden of untreated dental caries.
“Making every school a Health Promoting School”
“Eradicating Tooth Decay and Dental Pain in School Children”
Both school interventions are firmly grounded in international health and education agendas and are strategically aligned with the World Health Organization (WHO), UNESCO, and UNICEF frameworks for integrated child health promotion.
The first campaign directly supports the WHO–UNESCO Global Standards for Health-Promoting Schools (2021), operationalising the call to embed health promotion into school policies, environments, curricula, and WASH initiatives [3,4].
The second campaign responds to the World Health Assembly Resolution WHA74.5 on Oral Health (2021), which urges Member States to integrate oral health into Universal Health Coverage (UHC) and to prioritise preventive, population-based approaches. This latter initiative offers a cost-effective, “best buy” school intervention that operationalises the newly proposed WHO Oral Health Action Plan.
Together, these campaigns advance the Sustainable Development Goals (SDGs)—particularly Goal 3 (Good Health and Well-Being) and Goal 10 (Reduced Inequalities)—by promoting equitable access to essential health interventions.
References
1. World Health Organization. Ottawa Charter for Health Promotion. Geneva: WHO; 1986.
2. World Health Assembly. Resolution WHA74.5: Oral Health. Geneva: WHO; 2021.
3. WHO/UNESCO. Global Standards for Health-Promoting Schools. Geneva: WHO; 2021.
4. UNICEF. Strategy for Water, Sanitation and Hygiene (WASH) 2016–2030. New York: UNICEF; 2016.