This circular focuses on the importance of physical activity and healthy eating. It is acknowledged that mental and psychological well-being are a key part of healthy lifestyles. Schools support these through their work on anti-bullying and the SPHE curriculum.

This Framework proposes principles and provides guidelines for the introduction of appropriate curricula for comprehensive sexuality education.

In Macedonia there is a need for introducing sexuality education in schools. This finding is a result of a research determining the needs of the parents, teachers and students, and reviewing the current school curricula.

Social, personal and health education (SPHE) provides students with a unique opportunity to develop the skills and competence to learn about themselves and to care for themselves and others and to make informed decisions about their health, personal lives, and social development.