• Behrouz Fathi, Hamid Allahverdipour, Abdolreza Shaghaghi, Ahmad Kousha, and Ali Jannati.
• Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, 14711, Iran.
• Health Promot Perspect. 2014 Jan 1; 4 (1): 9-17.

BackgroundDespite the importance of student health and school hygiene as an aspect of the infrastructure of community health, few feasibility studies have been conducted on school health programs in developing countries. This study examined possible barriers to and challenges of such programs from the executive perspective in East Azerbaijan Province in Iran.MethodsThis qualitative study used the content analysis approach to recognize barriers to and challenges of health promoting school program from the executive perspective. Fourteen experts were selected in the areas of children and adolescents and school health, physical education and school headmasters. Data were collected using semi-structured interviews and analyzed using the content analysis method.ResultsFive themes were extracted as major barriers and challenges: 1. Intraand inter-sectorial collaboration; 2. Policy and rule formulation; 3. Infrastructure and capacity; 4. Human resources; 5. Community involvement.ConclusionThe localized version of the current health promoting school program had major faults. If this program is considered to be a healthcare system priority, it should be revised to set effective policies for implementation and to sustain school health programs based on the capacities and objectives of each country.

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