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Volume 13 | Issue 5 | Year 2026 | Article Id. IJMS-V13I5P102 | DOI : https://doi.org/10.14445/23939117/IJMS-V13I5P102A Student-Led School Wellness Intervention for Improving Human Health Behaviours and Antimicrobial Resistance Awareness
Tanvi Hari
| Received | Revised | Accepted | Published |
|---|---|---|---|
| 17 Aug 2026 | 21 Sep 2026 | 11 Oct 2026 | 30 Oct 2026 |
Citation :
Tanvi Hari, "A Student-Led School Wellness Intervention for Improving Human Health Behaviours and Antimicrobial Resistance Awareness," International Journal of Medical Science, vol. 13, no. 5, pp. 12-25, 2026. Crossref, https://doi.org/10.14445/23939117/IJMS-V13I5P102
Abstract
School health activities often address everyday habits and Antimicrobial Resistance (AMR) separately. This pilot documented a student-led programme that combined hydration, dietary variety, preventive-health discussions and peer communication. Nine Grade 10 volunteers at one urban Indian school took part over 12 weeks. The activities were Hydration Bar 2.0, a weekly Color-5 fruit-and-vegetable challenge, monthly physician-led educational sessions and a student-managed wellness blog. Questionnaires and programme records were examined descriptively. Six students (6/9; 66.7%) reported drinking 1–2 L of water during a typical school day, and five (5/9; 55.6%) identified forgetting to drink as a barrier. Eight students (8/9; 88.9%) felt the flavoured-water activity encouraged greater intake, while seven (7/9; 77.8%) reported becoming much more aware of hydration. Numerical paired results on dietary behaviour, AMR knowledge and other reported outcomes were not available. The programme was delivered within a single school and received favourable hydration-related feedback, but this uncontrolled, small-sample pilot cannot establish effects on behaviour or health. It identifies practical measures for a future, more rigorous evaluation.
Keywords
Adolescent Health Education, Antimicrobial Resistance, Dietary Diversity, Hydration, School Health.
References
- Steven Dodd et al., “School-based Peer Education Interventions to Improve Health: A Global Systematic Review of Effectiveness,” BMC Public Health, vol. 22, no. 1, pp. 1-13, 2022.
[CrossRef] [Google Scholar] [Publisher Link] - Evans Charlotte et al., “Systematic Review and Meta-Analysis of School-based Interventions to Improve Daily Fruit and Vegetable Intake in Children Aged 5 to 12 Y,” The American Journal of Clinical Nutrition, vol. 96, no. 4, pp. 889-901, 2012.
[CrossRef] [Google Scholar] [Publisher Link] - Ana Silvia Flores-Vázquez et al., “A Systematic Review of Educational Nutrition Interventions based on Behavioral Theories in School Adolescents,” Appetite, vol. 192, 2024.
[CrossRef] [Google Scholar] [Publisher Link] - Carmen B. Franse et al., “Interventions to Increase the Consumption of Water among Children: A Systematic Review and Meta-Analysis,” Obesity Reviews, vol. 21, no. 7, pp. 1-14, 2020.
[CrossRef] [Google Scholar] [Publisher Link] - K. Grailey et al., “Shaping the Future: Current Landscape and Potential Impact of Educating Children and Adolescents on Antimicrobial Resistance—A Systematic Review and Narrative Synthesis,” Public Health, vol. 253, pp. 1-11, 2026.
[CrossRef] [Google Scholar] [Publisher Link] - Eili Y. Klein et al., “Global Increase and Geographic Convergence in Antibiotic Consumption between 2000 and 2015,” Proceedings of the National Academy of Sciences, vol. 115, no. 15, pp. E3463-E3470, 2018.
[CrossRef] [Google Scholar] [Publisher Link] - Anita Kotwani et al., “Knowledge and Perceptions on Antibiotic use and Resistance among High School Students and Teachers in New Delhi, India: A Qualitative Study,” Indian Journal of Pharmacology, vol. 48, no. 4, pp. 365-371, 2016.
[CrossRef] [Google Scholar] [Publisher Link] - Rebecca Langford et al., “The WHO Health Promoting School Framework for Improving the Health and Well-Being of Students and their Academic Achievement,” Cochrane Database of Systematic Reviews, vol. 2014, no. 4, 2014.
[CrossRef] [Google Scholar] [Publisher Link] - Kate M. O’Brien et al., “School-based Nutrition Interventions in Children Aged 6 to 18 Years: An Umbrella Review of Systematic Reviews,” Nutrients, vol. 13, no. 11, pp. 1-31, 2021.
[CrossRef] [Google Scholar] [Publisher Link] - Barry M. Popkin, Kristen E. D'Anci, and Irwin H. Rosenberg, “Water, Hydration, and Health,” Nutrition Reviews, vol. 68, no. 8, pp. 439-458, 2010.
[CrossRef] [Google Scholar] [Publisher Link] - Nandeeta Samad et al., “School-based Healthy Eating Interventions for Adolescents Aged 10–19 Years: An Umbrella Review,” International Journal of Behavioral Nutrition and Physical Activity, vol. 21, no. 1, pp. 1-16, 2024.
[CrossRef] [Google Scholar] [Publisher Link] - Craig Smith et al., “Health Literacy in Schools? A Systematic Review of Health-Related Interventions Aimed at Disadvantaged Adolescents,” Children, vol. 8, no. 3, pp. 1-44, 2021.
[CrossRef] [Google Scholar] [Publisher Link] - World Health Organization & United Nations Educational, Scientific and Cultural Organization, Making Every School a Health-Promoting School: Global Standards and Indicators for Health-Promoting Schools and Systems, World Health Organization, 2021. [Online]. Available: https://www.who.int/publications/i/item/9789240025059
- World Health Organization, WHO Guideline on School Health Services, World Health Organization, 2021. [Online]. Available: https://www.who.int/publications/i/item/9789240029392
- Suladda Pongutta et al., “Impacts of School Nutrition Interventions on the Nutritional Status of School-Aged Children in Asia: A Systematic Review and Meta-Analysis,” Nutrients, vol. 14, no. 3, pp. 1-16, 2022.
[CrossRef] [Google Scholar] [Pu1blisher Link] - Megan Racey et al., “Systematic Review of School-Based Interventions to Modify Dietary Behavior: Does Intervention Intensity Impact Effectiveness?,” Journal of School Health, vol. 86, no. 6, pp. 452-463, 2016.
[CrossRef] [Google Scholar] [Publisher Link] - Angeliek Verdonschot et al., “Effectiveness of School-Based Nutrition Intervention Components on Fruit and Vegetable Intake and Nutrition Knowledge in Children Aged 4–12 Years Old: An Umbrella Review,” Nutrition Reviews, vol. 81, no. 3, pp. 304-321, 2023.
[CrossRef] [Google Scholar] [Publisher Link] - Marc Mendelson, and Malebona Precious Matsoso, “The World Health Organization Global Action Plan for Antimicrobial Resistance,” South African Medical Journal, vol. 105, no. 5, 2015.
[CrossRef] [Google Scholar] [Publisher Link]