In August 2016, AUN-Health Promotion Network (AUN-HPN) organized an international meeting in Thailand, gathering experts from AUN university members to develop a framework for healthy university with an aim to identify the essential areas that would require for promoting health in higher education institutions. Subsequently, AUN-HPN developed a document entitled “Healthy University Framework – HUF” which recommends 22 areas of activities for university health promotion. The document was published by AUN Secretariat and was adopted at the 9th AUN Rectors’ Meeting on 18th July 2017. Since then, AUN-HPN has disseminated this framework to many universities, institutions, and organizations, and continuously advocated the implementation of healthy university concept recommended by the Healthy University Framework – HUF.
In order to assess the progress of healthy university policy, AUN-HPN has developed a tool aiming to monitor the implementation of the university’s process. The tool, which is called “the Healthy University Rating Scale”, or “HURS”, contains 46 assessment items based on 22 areas of the Healthy University Framework (HUF). HURS is an accessible online tool that a university can score their own progress based on the level of implementation in all 22 areas, with a total score of 1,000. The overall composite score can be used to calibrate or compare with the preset rating criteria classified into 1 – 5 stars, similar to the hotel star-rating system. Participating universities can use the scores to evaluate health promotion progress as well as to compare the healthy university status among different faculties within the institution or with other universities.
On July 9th, 2021, the Healthy University Rating System (HURS) was presented and approved at the 12th AUN Rectors’ Meeting; and was endorsed for official launch starting August 2021. Accordingly, university members were invited to participate in the implementation of HURS and provide constructive feedback to improve the tool. The launch of HURS marked a start of the new self-assessment tool used to track health promotion status among universities, with the participation of 8 universities in the network. After careful consideration and review of the first version of HURS, the HURS updated version in 2024 has now been improved based on the gaps and issues identified in the previous version.
Broader participation among all AUN member universities, as well as other universities within and outside the ASEAN region may well be the next context in which we want to encourage to advocate the use of this tool.
AUN-HPN Secretariat Office
Website: https://aihd.mahidol.ac.th/aun-hpn/
Email: aunhpn@mahidol.ac.th
It is my great honor and privilege to present the updated version of the Healthy University Rating System for 2024.
It is my great honor and privilege to present the updated version of the Healthy University Rating System for 2024.
I want to congratulate all ASEAN University Network university members who contributed to the successful development of our innovative rating tool. From the initial idea of a Healthy University Framework back in 2016 to our present day – this achievement would not have been possible without your continued dedication and efforts over the years.
We recognize the significance of representing multiple members from across the universities and institutes, so we encouraged stakeholders to actively engage in this rating system tool. This is an important time for all universities in the ASEAN region to come together to improve the health and well-being of our communities.
Mahidol University is dedicated to building and sustaining a healthy learning environment and being an exemplary leader in effective regional collaborations. We look forward to working with all university members to ensure that we strive to have the very best educational environment.
Prof. Piyamitr Sritara, MD, FRCP, FACP
Acting President of Mahidol University
Acting Chair of the AUN-HPN International Advisory Committee
I would like to take this opportunity for us to reflect upon the fact that for 10 years since its establishment in 2014, the AUN-HPN has been leading the charge in promoting health initiatives throughout ASEAN. I am truly astonished at the work that they have put forth ever since, and in my time serving as the AUN Executive Director, I have seen firsthand the positive impact the AUN-HPN has given to the higher education community. Through their endeavours in the past decade, it has resulted in one of the greatest contributors to the growth of health promotion in the ASEAN region, the Healthy University Rating System (HURS).
First of all, I would like to give my greatest appreciation to the AUN-HPN for creating the HURS, a self-assessment tool which has been instrumental in providing an effective guideline for universities that are striving to improve the quality of life for its communities. HURS utilises methodologies from AUN-HPN’s own Health University Framework (HUF), ensuring that the self-assessment process involves monitoring all crucial aspects of a university’s policies, infrastructure and practices in order to pinpoint areas of improvement. By employing a rating system rather than a ranking system, it fosters a cooperative environment instead of a competitive one among universities, where institutions are encouraged to share their best practices to promote health and wellness.
My greatest thanks also goes out to the universities that have collaborated with AUN-HPN and participated in the annual HURS procedure. Without the active contributions of our partner universities and its communities, the efforts in health promotion would have been an extremely arduous task. Therefore, I think it is safe to say that to improve the quality of life for our communities, it is a mission that we must achieve together. Promoting health across ASEAN and further beyond can not be done alone, we must move forward as a network, as a community.
Taking it all into account, on behalf of the AUN Secretariat, I would like to express my gratitude to AUN-HPN once more for their decade long commitment in health promotion. The HURS Version 2024 contains the latest improvements to their self-assessment tool and process with contributions from AUN-HPN Core and Associate members. The yearly updates to HURS, its workshops, and AUN-HPN’s own conferences for health promotion is a testament to the dedication in their vision and mission in providing communities good health and wellbeing. It is delightful to see after 10 years, AUN-HPN continues rock steady in their commitment.
Choltis Dhirathiti, Ph.D.
Executive Director of ASEAN University Network
It has been 3 years since the first launch of Healthy University Rating System (HURS). Since then, HURs has become an important tool for universities to monitor and evaluate the progress and success of the implementation of AUN Healthy University Framework (HUF) and holistic and comprehensive health promotion policies and program in universities.
In order for HURs to be more updated and efficient, Mahidol University as the AUN-HPN Secretariat Office, and network members provide users the revised version of HURs guideline book every year. I believe that the 2024 version will be very helpful for universities to become healthy universities as we expected.
Universities play critical roles in our working model or Tri-Power Strategy by contributing evidence-based knowledge to drive policies and to empower the society leading to the effective health promotion actions in Thailand and our region. Therefore, on behalf of ThaiHealth, I am delighted that we have been a part of AUN-HPN’s journey for nearly a decade and worked hand in hand since 2016.
ThaiHealth is pleased and honored to continually support AUN-HPN not only for the benefit of faculty, students and university staff but also the surrounding communities as well. We realize that the leadership role of universities can influence national policy development in various areas and health promotion is a critical area that will help countries be successful in attaining long-term health for all.
Dr Pongthep Wongwatcharapaiboon
Chief Executive Officer
Thai Health Promotion Foundation Thailand
at the 6th AUN HPN International Advisory Committee Meeting
Report of the 6th AUN HPN International Advisory Committee Meeting 5th November 2020 ASEAN Institute for Health Development, Mahidol University
Agenda 6.3: Development of Healthy University Rating System (HURS)
Prof. Dr. Chatchalerm Isarankura-Na-Ayudhya, Chairman of Committee on HURS Development presented the Development of Healthy University Rating System (HURS) using the conceptual framework of HURS system criteria of evaluation set by consensus of the members in the capacity building workshop in 2019. It has combined ideas from QS star rating system and scoring system. Proposed score and point calculation were based on five-point Likert rating scale system and the total score is 1000 points for all 22 areas. The rationale of how to assess universities on different backgrounds and not only to compete, similar to the rating of quality of hotels, the QS star rating system combined with Universitus Indonesia’s Green Metric was proposed to create a methodology of HURS. He reported that in the initial trial, the members would participate in online submission of data during January – February 2021. Proposal for submission of evidence of activity and verification would be conducted from March to April 2021.
The Meeting agreed that the HURS invitation letters will be drafted and sent to AUN-HPN member universities in order to invite them to participate in the HURS trial. Members are requested to participate in the process. Eventually, the final version of HURS will be proposed for endorsement in a Rector’s meeting in the near future; and will be followed by promotion activities for all universities in ASEAN and beyond.
The meeting adopted the development of the Healthy University Rating System (HURS).
Hosted online (Zoom) by
the ASEAN University Network Secretariat and Universitas Gadjah Mada (UGM)
Agenda Item 5.2: Healthy University Rating System (HURS) developed by AUN-Health Promotion Network (AUN-HPN)
Prof. Dr. Chatchalerm Isarankura-Na-Ayudhya, Dean of the Faculty of Medical Technology, Mahidol University and Chairman of the working group for HURS Development and Assoc. Prof. Dr. Phudit Tejativaddhana, Director of ASEAN Institute for Health Development, Mahidol University and Executive Director of AUN-HPN presented the progress of development of Healthy University Rating System (HURS) using the AUN Healthy University Framework which was adopted by the AUN during the 9th AUN Rector’s Meeting in July 2017. He requested the rectors’ meeting to consider the following:
The Meeting acknowledged the official launch of the Healthy University Rating System (HURS) to be conducted in August 2021 and encouraged all AUN members to support it on a voluntary basis.
The Meeting adopted the Healthy University Rating System (HURS).
Healthy University Rating System (HURS) is a tool used to track the progress and success of a health promotion university. The HURS is developed based on the Healthy University Framework (HUF) of ASEAN University Network – Health Promotion Network (AUN-HPN). The HUF document is available and can be downloaded from the Internet through the link shown below. HURS contains 46 self-assessment questions based on the 22 areas listed in the Healthy University Framework.
https://info.aun-hpn.or.th/document/file/Healthy%20University%20Framework%202023.pdf
At the initial phase, 30 AUN-HPN membered universities and associated universities can participate in the annual Healthy University Rating System. Following this, all universities worldwide with strong intention to be healthy universities will be invited to join the HURS platform.
Universities that participate in the HURS will have the possibility to increase their international visibilities and networking. It is expected that universities that enroll in the HURS network can share their best practices on the healthy university aspects with others through international or local workshops held by the AUN-HPN or local host universities.
Each university can study the requirement and detailed contents of the tool in this guideline book. Subsequently, each university is requested to assign a relevant person to be responsible for the completion of the online survey, and provide his/her name together with the email address to our email address aunhpn@mahidol.ac.th. This step is necessary to generate username and password to access the HURS website. The AUN-HPN Secretariat Office will send the link and password for signing into the online HURS questionnaire to key respondents and data approver of each participating university. The key respondent or a group of respondents will be responsible for filling out the online questionnaire and sending the completed questionnaire to the data approver, being authorized by the rector or president of the university, to recheck the completed questionnaire before submitting it to the AUN-HPN secretariat office.
Please be informed that the system has been officially opened on August 16, 2024 and the data entry period will end on November 15, 2024
The questionnaire is categorized into 3 main groups: system and infrastructure (SI), zero tolerance areas (ZT), and health promotion areas (HP), as shown in Table 1. The indicators of three categories and their corresponding points are demonstrated in Table 2.
Table 1 Categories of self-assessment questions used in the HURS
Category | No. of question | Total points | Percentage of total points |
---|---|---|---|
System and infrastructure (SI) | 22 | 470 | 47% |
Zero tolerance areas (ZT) | 10 | 270 | 27% |
Health promotion areas (HP) | 14 | 260 | 26% |
Total | 46 | 1,000 | 100% |
Table 2 Categories and indicators suggested for use in the 2024 rating
No. | Categories and indicators | Point | Weighting |
---|---|---|---|
SI | System and infrastructure | 470 | 47% |
SI 1 | Healthy university policies | 150 | |
SI 2 | Safe buildings and safe, clean, green environments | 50 | |
SI 3 | Health promotion services, counseling and advisory support | 60 | |
SI 4 | Equal opportunities including accessibility and disability friendly | 20 | |
SI 5 | Health promotion curriculum and co-curriculum | 40 | |
SI 6 | Capacity building on health promotion | 40 | |
SI 7 | Health promotion research | 60 | |
SI 8 | University volunteerism | 20 | |
SI 9 | Budgetary support for healthy university programs | 30 | |
ZT | Zero tolerance areas | 270 | 27% |
ZT 1 | Smoking | 60 | |
ZT 2 | Alcohol consumption | 60 | |
ZT 3 | Illicit drug use | 30 | |
ZT 4 | Gambling | 30 | |
ZT 5 | Violence, bullying and sexual harassment | 30 | |
ZT 6 | Road safety violations including helmet use | 60 | |
HP | Health promotion areas | 260 | 26% |
HP 1 | Health literacy | 40 | |
HP 2 | Mental well-being | 40 | |
HP 3 | Social interaction | 20 | |
HP 4 | Physical activity and active mobility | 60 | |
HP 5 | Healthy diet and balanced nutrition | 40 | |
HP 6 | Safe sexual behavior | 30 | |
HP 7 | Work life balance (integration) and healthy ageing | 30 |
Table 3 Examples of score calculation for each question
No. | Categories and indicators | Point | Score | Weighting |
---|---|---|---|---|
SI | System and infrastructure | 470 | 47% | |
SI 1 | Healthy university policies | 150 | ||
SI 1.1 | Healthy University Policy Statement according to Healthy University Framework (HUF) | 50 | ||
None: No university-wide health policies are established. | 0 | |||
< 25% Implementation: Health policies are established at the university level, with active implementation of the whole conceptual framework of HUF in less than 25%of faculties/institutes/campuses. | 0.25 x 50 | |||
25-50% Implementation: Health policies are established at the university level, with active implementation of the whole conceptual framework of HUF in 25-50% of faculties/institutes/campuses. | 0.5 x 50 | |||
51-75% Implementation: Health policies are established at the university level, with active implementation of the whole conceptual framework of HUF in 51-75% of faculties/institutes/campuses. | 0.75 x 50 | |||
> 75% Implementation: Health policies are established at the university level, with active implementation of the whole conceptual framework of HUF in more than 75% of faculties/institutes/campuses. | 1 x 50 | |||
SI 1.2 | Establishment of a Responsible Body at University and Faculty Levels | 50 | ||
None: No responsible body is established. | 0 | |||
< 25% Establishment: Responsible bodies are established at the university level together with the faculty level in less than 25% of faculties/institutes/campuses. | 0.25 x 50 | |||
25-50% Establishment: Responsible bodies are established at the university level together with the faculty level in 25-50% of faculties/institutes/campuses. | 0.5 x 50 | |||
51-75% Establishment: Responsible bodies are established at the university level together with the faculty level in 51-75% of faculties/institutes/campuses. | 0.75 x 50 | |||
> 75% Establishment: Responsible bodies are established at the university level together with the faculty level in more than 75% of faculties/institutes/campuses. | 1 x 50 | |||
SI 1.3 | Progression of the Responsible Bodies in Conducting Active Implementation of Health Activities according to Healthy University Framework (HUF) | 50 | ||
None: No activity has been implemented during the past year. | 0 | |||
Established Teams: Coordinating bodies for health promotion have been formed and worked together | 0.25 x 50 | |||
Developed an Action Plan: The coordinating body has created a comprehensive action plan detailing health promotion activity. | 0.5 x 50 | |||
Implemented the Action Plan: The action plan is actively being executed across the university. | 0.75 x 50 | |||
Monitoring and Evaluation for Continuous Improvement: Implementation of the action plan is regularly monitored and evaluated, with adjustments made for ongoing improvement. | 1 x 50 |
The composite score is classified into 5 categories, 1 to 5 stars as follows:
1 – 199 = ⭐
200 -399 = ⭐⭐
400 -599 = ⭐⭐⭐
600 – 799 = ⭐⭐⭐⭐
800 – 899 = ⭐⭐⭐⭐⭐
>= 900 = ⭐⭐⭐⭐⭐➕
Remark For the completion of each item of HURS, please declare and provide data for each faculty/ institute to support your evidence of the latest yearly (annual) data that you have by uploading the pdf format of your achievements onto our website or providing any URL where the data is available at your university’s website. Evidence can be displayed as data, pictures, graphs, tables and description. Please provide explanation of evidence in English and highlight the text or information that relates to each question in an easy-to-follow manner. It is noteworthy that lack of evidence might result in a declined score.
The AUN-HPN Secretariat will send the completed questionnaire to two reviewers who will evaluate the answers based on the evidence submitted to the online HURS questionnaire. The consensus between the reviewers will secure the evaluation and corresponding stars to the participating universities will be granted. At the initial phase, please be informed that all the scores and feedback will be kept confidential.
Contact us at the following address:
AUN-HPN Secretariat Office
ASEAN Institute for Health Development,Mahidol University 999 Phuttamonthon Sai 4 Road, Salaya, Phuttamonthon, Nakhon Pathom, 73170, Thailand
Tel: +66 (0) 2441 9040-3 ext. 72
Website: https://aun-hpn.or.th
Email: aunhpn@mahidol.ac.th
Facebook: Aun-Hpn Secretariat Office