Background: School-based health centers (SBHCs) provide opportunities for offering quality service to underserved populations. The objectives of this study were to: (1) document the SBHC process at different locations and evaluate their similarities and differences; (2) explore SBHC clinic staff satisfaction; and (3) identify facilitators and…

Background: Despite the federal initiatives on equitable provision of school nutrition programs, geographic disparity in childhood obesity persists. It may be partly because built-in school nutrition environments rely on each school's efficient use of existing operational funds or its ability to obtain expanded financial support. This study…

Background: Declines in physical activity (PA) in children and youth have contributed to increases in childhood overweight and obesity. The Safe Routes to School (SRTS) program was developed to promote school active transportation (AT) and reverse the trend. Methods: Adopting concepts of a realist approach, this article seeks to understand…

This paper describes a potential supplement to new or existing community health programs. Title I of Public Law 89 750, the Elementary and Secondary Education Act, provides innovative and remedial educational programs for children in poverty areas. It encourages the inculsion of health components which can readily be incorporated into community…

Child health services in the United States are inadequate. The United States can provide an integrated and coordinated program of school health within a comprehensive system of preventive services. (JN)