This document is a report published in 2006 by the Regional Office for Education in the Arab States, Beirut, and the American University of Beirut. This report presents results of phase two of the regional project on School Health Education "Follow up on FRESH Initiative that was implemented by UNESCO regional office in Beirut in collaboration with the Health Education Resource Unit at the Faculty of Health Sciences, American university of Beirut. The overall goals of the project are to: assess school health education and HIV & AIDS preventive activities in schools and needs in this area. Countries included in the project are Lebanon, Jordan, Egypt, Sudan, Oman and Yemen and develop recommendations that will serve capacity building and relevant material production activities to help address these needs. The countries covered by Phase 2 of the FRESH initiative are: Lebanon, Syria, Tunisia, Qatar, Palestine, Bahrain, Egypt, Morocco, Jordan and Sudan. A questionnaire prepared for this purpose was disseminated by the FRESH focal points in these countries, to NGO's and government bodies involved in health and HIV/AIDS education in schools. The findings indicate that despite attempts exerted by the different Ministries of Education and health in the region and the UN agencies namely UNESCO and others, barriers for health education activities and programs still exist. Such programs lack the support of the school administration that does not perceive health education as a priority issue and accordingly does not provide the necessary backing in terms of time allocation and financial support. Specific to HIV & AIDS and RSH, there is a lack of a life skills curriculum and the lack of training programs for teachers on how to discuss HIV & AIDS and RSH with students.