Global healthy backpack initiatives Kapila Jayaratne a,* , Karen Jacobs b* and Dulitha Fernando c a Maternal and Child Morbidity and Mortality Surveillance Unit, Family Health Bureau, Ministry of Health, 231 De Saram Place Colombo 10, Sri Lanka b Boston University, College of Health and Rehabilitation Sciences: Sargent College, Department of Occupational Therapy, 635 Commonwealth Ave. Boston, MA 02215, USA c Department of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka. Abstract. Schoolbag use by children is a global common concern.. Children carry school books and other amenities in their school bags. Global evidence indicates that daily load carried by school children may have negative health implications. Back- pack as a school bag model, is the healthiest way of load carriage for school children. Several initiatives have been launched world over to minimize unhealthy consequences resulting from schoolbags. Based on a situation analysis, Sri Lanka imple- mented a national healthy schoolbag campaign by joint efforts of Ministries of Health and Education. Actions were contem- plated on; strategies for bag weight reduction, introduction of an ergonomically modeled schoolbag and bag behaviour change. New strategies were introduced with awareness campaigns to policy makers, bag manufacturers, parents, teachers and children. Four million schoolchildren benefitted. In 2000, the backpack strategy of “Pack it Light, Wear it Right” was started as a public health initiative in the United States by the American Occupational Therapy Association (AOTA). Over the last eleven years, thousands of occupational therapy practitioners and students participated in educational programs and outreach activities. In 2004, modeled after the success AOTA initiative, the Icelandic Occupational Therapy Association launched a national back- pack awareness initiative. This article shares examples of practices that could be implemented in any context to the promote health of children. Keywords: schoolbag, ergonomic, occupational therapy, Sri Lanka, United States * Corresponding authors. E-mail: kapjay613@gmail.com, kjacobs@bu.edu Work 41 (2012) 5553-5557 DOI: 10.3233/WOR-2012-0880-5553 IOS Press 5553 1051-9815/12/$27.50 © 2012 – IOS Press and the authors. All rights reserved