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Health literacy impacts children's health and educational attainment. Therefore, determining the most appropriate pedagogical design is critical. The long‐term health benefits of health literacy for each child's life course further justify this imperative. School‐based health literacy programs are of interest internationally.

We brainstormed the search terms and established inclusion/exclusion criteria for this systematic review. We searched 2 databases (CINAHL, ERIC) following PRISMA guidelines. Three authors screened and sorted the findings.

We identified 21 relevant studies from 629 retrieved. Few (6/21) studies were situated in the primary school setting.

This review found a variety of project designs, evaluation methods, and conceptual models. Descriptive analysis of the final 21 papers highlighted the importance of multicomponent design (whole‐of …