School health service is to enhance healthy growth and development in every pupil and to create a foundation for a healthy adulthood (Mäenpää , Paavilainen & Åsterdt-Kurki, 2007). It is implemented with the cooperation of pupils, teachers and parents (Finnish Ministry of Social Affairs and Health, 2004). It is claimed that one of the core elements of Health Visiting should be safeguarding children (Lowe, 2007). The interest in school hygiene, a more modern predecessor of school health promotion, has its origins in the 19th century with the growing interest in public health in general (Leurs, 2008), thus, the Health Visitors play a central role.