The physical school environment influences the health and educational performance of students and staff. World Health Organization (WHO) has developed guidelines for developing countries to evaluate the Physical school environment. Hence this study analyzed the physical school environment of high schools to ascertain the extent of implementation of these guidelines in Multan. T en core indicators water quality, water quantity , water facilities , hygiene promotion practices , toilets and handwashing facilities, control of vector-borne diseases, cleaning and waste disposal system, school building conditions, school safety and supportive classroom conditions were assessed by three research tools. The responses of 10 core indicators were scored and described. The study concluded that the 10 core indicators at the district level were not meeting the WHO desirable score and the district score (1.01) was below the WHO desirable score (1.5). The development of the Physical School Environment is in the positive trend of
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