Does the academic education of Italian teachers working in early childhood education and care include public health? An analysis of Italian university programmes

Does the academic education of Italian teachers working in early childhood education and care include public health? An analysis of Italian university programmes

Authors

  • Olivia Giulia Bianca Vacchi Dipartimento di Medicina, Università degli Studi di Udine, Udine, Italy
  • Beatrice Favero Dipartimento di Medicina, Università degli Studi di Udine, Udine, Italy
  • Marco Driutti SOC Istituto di Igiene ed Epidemiologia Valutativa, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
  • Francesca Zanon Dipartimento di Lingue e Letterature, Comunicazione, Formazione e Società, Università degli Studi di Udine, Udine, Italy
  • Federico Romanese SOC Igiene e Sanità Pubblica, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
  • Luca Arnoldo Dipartimento di Medicina, Università degli Studi di Udine, Udine, Italy; SOC Accreditamento, Qualità e Rischio Clinico, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
  • Silvio Brusaferro Dipartimento di Medicina, Università degli Studi di Udine, Udine, Italy; SOC Accreditamento, Qualità e Rischio Clinico, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
  • Laura Brunelli Dipartimento di Medicina, Università degli Studi di Udine, Udine, Italy; SOC Accreditamento, Qualità e Rischio Clinico, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy

Keywords:

public health, early childhood education and care, education, teachers, university

Abstract

Early childhood education and care (ECEC) is crucial for children's early awareness of well-being and prevention concepts, which are essential for a future healthy lifestyle. Therefore, as public health agents, teachers and educators in ECEC should be taught core topics related to public health and well-being.

We investigated the presence and characteristics of public health courses (MEDS-24/B) in Italian primary education sciences Master's programmes in the academic year 2023-24 and propose a model for public health topics to be covered, based on the WHO Essential Public Health Functions.

Only a small proportion of the Master's programmes in primary education sciences (n.14/38; 38%) included the course 'General and applied hygiene’ (MEDS-24/B). We found no statistically significant differences in attendance according to any of the variables analysed (i.e. geographical location of the university, size, or public/private status of the university). While topics like ”infectious disease prevention and immunization” were covered in >75%,  others like “oral hygiene” were not covered at all. Detailed analysis showed great heterogeneity at national level in the topics covered between primary education sciences Master's programmes.

The current suboptimal presence and coherence of the public health course within the Master's degree in primary education sciences at national level affects the competencies of ECEC educators and teachers, which in turn affects their ability to implement health promotion, disease prevention, and control measures in primary education and the wider community. At national level, more attention should be paid to the academic education of all public health agents.

References

1. World Health Organization. Improving early childhood development: WHO guideline. Geneva; 2020.

2. World Health Organization and the United Nations Educational S and CO. Making every school a health-promoting school: implementation guidance. Geneva; 2021.

3. Yuksel HS, Şahin FN, Maksimovic N, Drid P, Bianco A. School-Based Intervention Programs for Preventing Obesity and Promoting Physical Activity and Fitness: A Systematic Review. Int J Environ Res Public Health. 2020 Jan 3;17(1):347. doi: 10.3390/ijerph17010347.

4. Pérez-Jorge D, González-Luis MA, Rodríguez-Jiménez MDC, Ariño-Mateo E. Educational Programs for the Promotion of Health at School: A Systematic Review. Int J Environ Res Public Health. 2021 Oct 14;18(20):10818. doi: 10.3390/ijerph182010818.

5. Eurydice. European Commission. 2024 [cited 2025 Aug 20]. Early childhood education and care. Available from: https://eurydice.eacea.ec.europa.eu/eurypedia/italy/early-childhood-education-and-care

6. Eurydice. European Commission. 2024 [cited 2025 Aug 20]. Teachers and education staff. Initial education for teachers working in early childhood and school education. Available from: https://eurydice.eacea.ec.europa.eu/eurypedia/italy/initial-education-teachers-working-early-childhood-and-school-education

7. Ministero dell’Università e della Ricerca. Universitaly [Internet]. [cited 2025 Aug 9]. Available from: https://www.universitaly.it

8. World Health Organization. Defining essential public health functions and services to strengthen national workforce capacity [Internet]. Geneva; 2024. Available from: http://apps.who.int/bookorders.

9. Leethongdissakul S, Chada W, Pengpid S, Chualinfa S. An exploratory factor analysis of core competencies of public health professionals at primary care service level in Northeastern Thailand. SAGE Open Med. 2020 Sep 30;8:2050312120940531. doi: 10.1177/2050312120940531.

10. Clark M, Raffray M, Hendricks K, Gagnon AJ. Global and public health core competencies for nursing education: A systematic review of essential competencies. Nurse Educ Today. 2016 May;40:173-80. doi: 10.1016/j.nedt.2016.02.026.

11. Haas S, Walker R, Mulcahy ER. Incorporating Public Health Competencies Into Veterinary Medical Education. J Vet Med Educ. 2024 Jun;51(3):349-356. doi: 10.3138/jvme-2022-0106.

12. World Health Organization. CORE COMPETENCIES FOR INFECTION PREVENTION AND CONTROL PROFESSIONALS. Geneva: World Health Organization; 2020.

13. Nations U, United Nations. Transforming our world: the 2030 Agenda for sustainable development. Transforming our world: the 2030 Agenda for sustainable development. 2016.

14. Royal Society fo r Public Health. Understanding the wider public health workforce in England [Internet]. 2015. Available from: www.cfwi.org.uk

15. Byrne J, Rietdijk W, Pickett K. Teachers as health promoters: Factors that influence early career teachers to engage with health and wellbeing education. Teach Teach Educ. 2018 Jan 1;69:289–99.

16. McKenzie TL, Lounsbery MA. Physical education teacher effectiveness in a public health context. Res Q Exerc Sport. 2013 Dec;84(4):419-30. doi: 10.1080/02701367.2013.844025.

17. Pulgaron ER, Delamater AM. Obesity and type 2 diabetes in children: epidemiology and treatment. Curr Diab Rep. 2014 Aug;14(8):508. doi: 10.1007/s11892-014-0508-y.

18. Nardone P, Ciardullo S, Spinelli A, Mandolini D, Antonio Salvatore M, Andreozzi S. Stato ponderale e stili di vita di bambine e bambini: i risultati di OKkio alla SALUTE 2023. Roma; 2025.

19. https://www.epicentro.iss.it/okkioallasalute/indagine-2023 [Internet]. [cited 2025 May 15]. Available from: https://www.epicentro.iss.it/okkioallasalute/indagine-2023

20. WHO-ASPHER. Competency Framework for the Public Health Workforce in the European Region 2020 [Internet]. 2020. Available from: http://www.euro.who.int/pubrequest

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Published

2026-04-17

Issue

Section

Original research

How to Cite

1.
Vacchi OGB, Favero B, Driutti M, et al. Does the academic education of Italian teachers working in early childhood education and care include public health? An analysis of Italian university programmes. Ann Ig. 2026;38(1):18606. doi:10.7416/ai.2026.18606