HRIDAY settings-based approach for programs follow the philosophy that education imparted to people, makes them aware about various health issues. This awareness needs to be supported with appropriate skills imparted to this well informed group of youth and adults. The SHAN component of the programme provides advocacy skills to the youth and motivates them to become effective health activists who can voice their demands on health related issues. This aspect of the program also enables youth activists to develop a sense of ownership for the activities. Such interactions conducted regularly lead to a sustainable programme of health education and advocacy. Three outcomes of these efforts: (awareness, skills and ownership) bring about a positive change in terms of adopting healthy practices and changing governmental policies towards health promotion. Education and activism together form a comprehensive programme of school health education.