One of the distinct features that the SHI has is that the program can be tailored to the specific needs and priorities of a school or community. While the SHI includes the core elements which are applicable to all schools, it provides a range of customizable modules that allow schools to concentrate on particular health topics that are of specific concern or relevance to their community.

As an example, a college situated in a neighborhood where asthma is prevalent may want to incorporate the optional Asthma Module in the SHI evaluation. The Asthma Module consists of a string of questions regarding schools’ policies and practices in relation to asthma like the accessibility of inhalers and the presence of triggers, such as dust or smoke. By including this module, schools can gain a more detailed understanding of its asthma-related policies and practices and determine areas in need of improvements.

As well as the available modules, schools can also utilize the SHI to evaluate the health-related practices and policies of non-school entities that support students such as after-school programmes or home health services. Schools can collaborate in conjunction with non-school entities to develop the SHI in order to ensure that students are able to access health facilities and services both within and outside school.


The SHI will also focus on the issue of cultural competence and equity. An array of questions is found in the SHI that help schools assess their ability to foster equity and meet the needs of students of any race or socioeconomic status. The SHI is a tool that can be utilized by schools’ private offices to evaluate these issues.

In this case, for instance, the SHI asks about the accessibility of interpreter and translator services for students who speak languages other than English and the presence of materials and sources in languages other than English. Response