Table 1 Themes emerged from deductive analysis

1

Lack of detailed guidelines or manual regarding the implementation of school health policy

Lack of realistic comprehensive planning

Inconsistent hierarchy of roles and responsibilities

Decentralisation

2

Integration of CSH policy into the teaching and learning activities

Teachers as role model

3

Regular healthy school competition program

Existing coordination with relevant stakeholders, school committee participation, and community Engagements

4

Importance of resources such as funding for consistent CSH implementation

Schools are authorised in making needed-adjustments