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Schools are considered to be settings for both health education and health promotion. However the core business of schools is often more focussed on educational outcomes, rather than reducing health problems. In most countries, schools give low priority to health promotion and school staffs, (mainly teachers), have little awareness of their role in health promotion. Studies show that teachers who have received health promotion training tend to be involved more frequently in health promotion projects and have a more comprehensive approach to health education. Given the challenges posed by the limited priority given by schools to health education and promotion it is little wonder that pre-service and in-service staff education is a significant undertaking.