Co-Production by Internal and External Stakeholders in Health-Promoting Schools: A Cross-Sectional Survey Study on Partnerships in Polish Primary and Secondary Schools
DOI:
https://doi.org/10.12775/SPI.2025.1.002Keywords
co-production, internal and external stakeholders, educational partnership, health-promoting school (HPS)Abstract
A whole-school approach to health relies on internal and external stakeholders as key pillars of health-promoting school (HPS) interventions. Their involvement is considered essential for improving pupils’ health and well-being. Stakeholder participation in school health initiatives can be analyzed through the lens of the co-production concept, which provides a framework for understanding the engagement of both internal and external stakeholders. This study examines co-production in HPSs based on quantitative research conducted in Polish primary and secondary schools implementing HPS programs.
An online survey was carried out among 500 school health promotion coordinators between March and June 2023 using the HPS implementation questionnaire. The findings indicate that the more frequently school-community members and external stakeholders were involved in the planning and implementation of HPS programs, the more frequently schools took action to facilitate pupils’ healthy choices. These results confirm that health-promotion professionals should include internal and external stakeholders into strategic partnerships, as they are among the most crucial co-producers of school health services.
References
Alford J. (2009). Engaging public sector clients: from service-delivery to co-production, New York: Palgrave Macmillan.
Anderson J. (2021). Climate control, Cambridge (MA): Harvard Graduate School of Education, https://www.gse.harvard.edu/news/uk/16/12/climate-control [access: 27.10.2024].
Azwar A., Memon M., Alhashmi S. (2024). “The Role of Stakeholder Engagement in Islamic Schools,” Journal of Islamic Education, vol. 12, no. 1, pp. 45–60, https://doi.org/10.20414/sangkep.v7i2.11166
Berkes F. (2009). “Evolution of Co-management: Role of Knowledge Generation, Bridging Organizations and Social Learning,” Journal of Environmental Management, vol. 90, no. 5, pp. 1692–1702, https://doi.org/10.1016/j.jenvman.2008.12.001
Bouillion L.M., Gomez L.M. (2001). “Connecting School and Community With Science Learning: Real World Problems and School–Community Partnerships as Contextual Scaffolds,” Journal of Research in Science Teaching: The Official Journal of the National Association for Research in Science Teaching, vol. 38, no. 8, pp. 878–898, https://doi.org/10.1002/tea.1037
Bourne L. (2016). “Targeted Communication: The Key to Effective Stakeholder Engagement,” Procelia – Social and Behavioral Sciences, vol. 226, pp. 431–438, https://doi.org/10.1016/j.sbspro.2016.06.208
Bovaird T. (2007). “Beyond Engagement and Participation: User and Community Coproduction of Public Services,” Public Administration Review, vol. 67, no. 5, pp. 846–860, https://doi.org/10.1111/j.1540-6210.2007.00773.x
Boyle D., Harris M. (2009). The Challenge of Co-production: How Equal Partnership Between Professionals and the Public Are Crucial to Improving Public Services (discussion paper). NESTA, http://s.bsd.net/nefoundation/default/page/file/312ac8ce93a00d5973_3im6i6t0e.pdf [access: 27.12.2023].
Brundrett M. (ed.). (2012). Principles of School Leadership, New York: Sage.
Bruyere E.B. (2010). “Child Participation and Positive Youth Development,” Child Welfare, vol. 89, no. 5, pp. 205–220, https://www.jstor.org/stable/48623236
Bryson J.M. (2004). “What to Do When Stakeholders Matter,” Public Management Review, vol. 6, no. 1, pp. 21–53, https://doi.org/10.1080/14719030410001675722
Buijs G. (2009). “Better Schools Through Health: Networking for Health Promoting Schools in Europe,” European Journal of Education, vol. 44, no. 4, pp. 507–520, https://doi.org/10.1111/j.1465-3435.2009.01410.x
Cahyadi A.T., Sulistyaningtyas N., Hairunis M.N. (2024). “The Relationship Between School Social Environment and Mental Health of Adolescents,” Jurnal Ilmu Sosial dan Pendidikan, vol. 8, no. 3, https://doi.org/10.58258/jisip.v7i1.7218
Chang E.C., Chang O.D., Li M., Xi Z., Liu Y., Zhang X., Chen X. (2019). “Positive Emotions, Hope, and Life Satisfaction in Chinese Adults: A test of the Broaden-and-build Model in Accounting for Subjective Well-being in Chinese College Students,” The Journal of Positive Psychology, vol. 14, no. 6, pp. 829–835, https://doi.org/10.1080/17439760.2019.1579358
Chotimah Ch., Wulandari M.P., Nasution Z. (2024). “Enhancing School Reputation Through Effective Stakeholder Engagement: A Qualitative Analysis at an Integrated Islamic Junior High School in Mojokerto,” Sangkép: Jurnal Kajian Sosial Keagamaan, vol. 7, no. 2, pp. 290–308, https://doi.org/10.20414/sangkep.v7i2.11166
Clarke D., Jones F., Harris R., Robert G. (2017). “What Outcomes Are Associated With Developing and Implementing Co-produced Interventions in Acute Healthcare Settings? A Rapid Evidence Synthesis,” BMJ Open, vol. 7, no. 7, e014650, https://doi.org/10.1136/bmjop en-2016-014650
Cushman P., Clelland T., Hornby G. (2011). “Health-promoting Schools and Mental Health Issues: A Survey of New Zealand Schools,” Pastoral Care in Education, vol. 29, no. 4, pp. 247–260, https://doi.org/10.1080/02643944.2011.626066
Del-Castillo-Feito C., López-Valeiras E., Gomez-Conde J. (2019). “The Influence of Corporate Social Responsibility on Reputation,” Corporate Social Responsibility and Environmental Management, vol. 26, no. 2, pp. 453–464, https://doi.org/10.1002/csr.2221
European Commission, Directorate-General for Research and Innovation. (2015). Science Education for Responsible Citizenship: Report to the European Commission of the Expert Group on Science Education, Luxembourg: Publications Office of the European Union, https://data.europa.eu/doi/10.2777/12626 [access: 27.10.2024].
Filipe A., Renedo A., Marston C. (2017). “The Co-production of What? Knowledge, Values, and Social Relations in Health Care,” PLoS Biology, vol. 15, no. 5, e2001403, https://doi.org/10.1371/journal.pbio.2001403
Freeman R.E., McVea J. (2005). “A Stakeholder Approach to Strategic Management,” [in:] M. Hitt, E. Freeman, J. Harrison (eds.), The Blackwell Handbook of Strategic Management Oxford: Blackwell, pp. 189–207, https://doi.org/10.1111/b.9780631218616.2006.00007.x
Fullan M. (2014). Teacher Development and Educational Change, London: Routledge.
Galli F., Brunori G., Di Iacovo F., Innocenti S. (2014). “Co-producing Sustainability: Involving Parents and Civil Society in the Governance of School Meal Services. A Case Study from Pisa, Italy,” Sustainability, vol. 6, no. 4, pp. 1643–1666, https://doi.org/10.3390/su6041643
Gawron G. (2022a). “The Relationship of the Public Sector and Citizens – Co-production in Polish Local Government Units. Empirical Study on Forty-one Units Forming Metropolis GZM,” Przegląd Prawno-Ekonomiczny, no. 4, pp. 9–36, https://doi.org/10.31743/ppe.13465
Gawron G. (2022b). “Social Services Co-production as a Source of the Personal and Social Productivity Among the Older People – A Conceptual Model Proposal,” Studia Socjologiczne, vol. 4, no. 247, pp. 129–152, https://doi.org/10.24425/sts.2022.143585
Gawron G. (2023). “Co-production Practices in Public Social Services During the COVID-19 Lockdown Period: An Example from Centers for Older Adults Organized Under the Polish Government’s Multiannual Program ‘Senior+’,” Polish Sociological Review, vol. 221, no. 1, pp. 85–105, https://doi.org/10.26412/psr221.05
Giamellaro M. (2014). “Primary Contextualization of Science Learning Through Immersion in Content-rich Settings,” International Journal of Science Education, vol. 36, no 17, pp. 2848–2871, https://doi.org/10.1080/09500693.2014.937787
Hawkins J., Madden K., Fletcher A., Midgley L., Grant A., Cox G., Moore L., Campbell R., Murphy S., Bonnell C., White J. (2017). “Development of a Framework for the Co-production and Prototyping of Public Health Interventions,” BMC Public Health, vol. 17, no. 1, art no. 689, https://doi.org/10.1186/s12889-017-4695-8
International Union for Health Promotion and Education (IUHPE). (2009). Achieving Health Promoting Schools: Guidelines for Promoting Health in Schools, http://www.iuhpe.org/uploaded/Publications/Books_Reports/HPS_GuidelinesII_2009_English.pdf [access: 27.10.2024].
Joshi A., Moore M. (2004). “Institutionalised Coproduction: Unorthodox Public Service Delivery in Challenging Environments,” Journal of Development Studies, vol. 40, no 4, pp. 31–49, https://doi.org/10.1080/00220380410001673184
Kern L., Mathur S.R., Albrecht S.F., Poland S., Rozalski M., Skiba R.J. (2017). “The Need for School-based Mental Health Services and Recommendations for Implementation,” School Mental Health, vol. 9, no. 3, pp. 205–217, https://link.springer.com/article/10.1007/s12310-017-9216-5
Leksy K. (2020). “The Significance of the Participatory Approach in Health Promotion and Cancer Prevention,” Studia Edukacyjne, no. 56, pp. 309–321, https://doi.org/10.14746/se.2020.56.17
Leksy K., Gawron G., Rosario R., Sormunen M., Velasco V., Sandmeier A., Simovska V., Wojtasik T., Dadaczynski K. (2024). “The Importance of School Leaders in School Health Promotion: A European Call for Systematic Integration of Health in Professional Development,” Frontiers in Public Health, vol. 11, 1297970, https://doi.org/10.3389/fpubh.2023.1297970
Lúcio J., I’Anson J. (2015). “Children as Members of a Community: Citizenship, Participation and Educational Development – An Introduction to the Special Issue,” European Educational Research Journal, vol. 14, no. 2, pp. 129–137, https://doi.org/10.1177/1474904115571794
McConnell T., Best P., Davidson G., McEneaney T., Cantrell C., Tully M. (2018). “Coproduction for Feasibility and Pilot Randomised Controlled Trials: Learning Outcomes for Community Partners, Service Users and the Research Team,” Research Involvement and Engagement, vol. 4, no. 1, art. 32, https://doi.org/10.1186/s40900-018-0116-0
Montero C.S., Leite L.O. (2022). “Towards Local Community Involvement in Students’ Science Learning: Perspectives of Students and Teachers,” Journal of Teaching and Learning, vol. 16, no. 3, pp. 21–43, https://doi.org/10.22329/jtl.v16i3.6961
Morrow E., Ross F., Grocott P., Bennett J. (2010). “A Model and Measure for Quality Service User Involvement in Health Research,” International Journal of Consumer Studies, vol. 34, no. 5, pp. 532–539, https://doi.org/10.1111/j.1470-6431.2010.00901.x
Ostrom E. (1996). “Crossing the Great Divide: Coproduction, Synergy and Development,” World Development, vol. 24, no. 6, pp.1073–1087, https://doi.org/10.1016/0305-750X(96)00023-X
Ostrom V., Ostrom E. (1977). “Public Goods and Public Choices,” [in:] E. Savas (ed.), Alternatives for Delivering Public Services: Toward Improved Performance, Boulder (CO): Westview Press, pp. 7–49.
Pestoff V. (2006). “Citizens and Co-production of Welfare Services: Childcare in Eight European Countries,” Public Management Review, vol. 8, no. 4, pp. 503–519, https://doi.org/10.1080/14719030601022882
Pestoff V. (2012). “New Public Governance, Co-Production and Third Sector Social Services in Europe: Crowding In and Crowding Out,” [in:] V. Pestoff, T. Brandsen, B. Verschuere (eds.), New Public Governance, the Third Sector and Co-production, London: Routledge, pp. 361–380.
Porterfield K., Carnes M. (2012). Why Social Media Matters: School Communication in the Digital Ege, Bloomington (IN): Solution Tree Press.
Rosentraub M. Sharp E.B. (1981). “Consumers as Producers of Social Services: Coproduction and the Level of Social Services,” Southern Review of Public Administration, vol. 4, no. 4, pp. 502–539, https://www.jstor.org/stable/40860006
Salamondra M. (2021). “Communication Challenges in Schools: An Analysis of Parent-school Relationships,” Journal of School Public Relations, vol. 42, no. 2, pp. 102–123, https://doi.org/10.20414/sangkep.v7i2.11166
Soares G.F., Farias J.S. (2019). “Who Can the School Count On? The Coproduction of Public Education by Students’ Families,” Revista de Administração Pública, vol. 53, no. 2, pp. 310–330, https://doi.org/10.1590/0034-761220170301
St. Leger L., Kolbe L., Lee A., McCall D., Young I. (2007). “School Health Promotion: Achievements, Challenges and Priorities,” [in:] D. McQueen, C. Jones (eds.), Global Perspectives on Health Promotion Effectiveness, New York: Springer Science & Business Media, pp. 107–124.
Tikerperi M.-L. (2023). “From Distant Target Groups to Involved Stakeholders: Developing Dialogic School Communication,” Human, Technologies and Quality of Education, vol. 15, pp. 210–219, https://doi.org/10.22364/htqe.2023
Tjaden C.D., Mulder C.L., van Weeghel J. (2019). “The Resource Group Method in Severe Mental Illness: Study Protocol for a Randomized Controlled Trial and a Qualitative Multiple Case Study,” International Journal of Mental Health Systems, vol. 13, art. no. 15, https://doi.org/10.1186/s13033-019-0270-2
Vennegoor G., Van Assema P., Eekhout I., Lezwijn J., Molleman G., Jansen M. (2022). “Measuring Implementation of Health Promoting School (HPS) Programs: Development and Psychometric Evaluation of the HPS Implementation Questionnaire,” Journal of School Health, vol. 93, no. 6, pp. 450–463, https://doi.org/10.1111/josh.13277
Vogler P. (2020). “Stakeholder Engagement in Schools: A Case Study,” Journal of Educational Administration, vol. 58, no. 2, pp. 158–175.
Weare K. (2017). “Promoting Social and Emotional Wellbeing and Responding to Mental Health Problems in Schools,” [in:] S. Bährer-Kohler, F.J. Carod-Artal (eds.), Global Mental Health, New York: Springer International Publishing, pp. 113–125.
Whitaker G.P. (1980). “Coproduction: Citizen Participation in Service Delivery,” Public Administration Review, vol. 40, no. 2, pp. 240–246.
White J., Hawkins J., Madden K., Grant A., Er V., Angel L., PicklesT., Kelson, M., Fletcher A., Murphy S., Midgley L. (2017). “Adapting the ASSIST Model of Informal Peer-led Intervention Delivery to the Talk to FRANK Drug Prevention Programme in UK Secondary Schools: Intervention Development, Refinement and a Pilot Cluster Randomised Controlled Trial,” Public Health Research, vol. 5, no. 7, pp. 1–126, https://doi.org/10.3310/phr05070
Wilcox D., Cameron G. (2012). Public Relations Strategies and Tactics, Glenview (IL): Pearson Education.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Grzegorz Gawron, Karina Leksy

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
By submitting an article, the author declares that:
they are the author of the article (hereinafter referred to as the Work) and:
- is entitled to exclusive and unlimited copyright to the Work,
- is entitled to dispose of the copyrights to the Work.
The Author grants the Jesuit University Ignatianum in Cracow a free, non-exclusive, territorially unlimited license to use the Work in the following fields of exploitation:
- publishing the Work in paper, digital or magnetic form;
- multiplying the work by any method, without limiting the number of editions or copies;
- distribution of the work and its copies in any form, including marketing, sales, lending, and lease;
- placing the work in a computer memory;
- distribution of the work in information networks, including the Internet;
- public performance, exhibition, display, reproduction, broadcasting and re-broadcasting, as well as making the Work available to the public in such a manner that everyone could have access to it at a time and place chosen by themselves;
- within the scope of dependent rights to the Work, covering, in particular, the right to make necessary changes to the Work, resulting from editorial and methodical preparation, as well as to make translations of the Work into other languages.
The license right shall be transferred the moment of transfer of the Work to the Jesuit University Ignatianum in Cracow. The Jesuit University Ignatianum in Cracow is entitled to grant sub-licenses to the Work in terms of the right granted. The license shall be limited in time for a period of 15 years from the date it is granted.
Stats
Number of views and downloads: 173
Number of citations: 0