scholarly journals A multilevel transition perspective on embedding intersectoral action in local health policies

2020 ◽  
Author(s):  
Sabina Super ◽  
Laurens W A Klerkx ◽  
Niels Hermens ◽  
Maria A Koelen
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Social Practice ◽  
Social Innovation ◽  
Social Issues ◽  
Health Policies ◽  
Intersectoral Collaboration ◽  
Local Health ◽  
Intersectoral Action ◽  
Local Health Policy

Summary Intersectoral action is advocated as a social practice that can effectively address health inequalities and related social issues. Existing knowledge provides insight into factors that may facilitate or hinder successful intersectoral action, but not much is known about how intersectoral action evolves and becomes embedded in local health policies. This is where this study aims to make its contribution, by adopting the multilevel perspective on transitions, which is increasingly used to study social innovation in sustainability transitions but has not yet been applied to public health and health promotion. Through this perspective, it was unravelled how intersectoral action between youth-care organizations and community sports clubs became embedded in local health policies of Rotterdam, a large city in the Netherlands. A single explorative case study was conducted based on content analysis of policy documents and 15 in-depth interviews with policy officers, managers and field workers operating in the fields of youth and sports in Rotterdam. The findings showed that intersectoral action between community organizations and policymakers evolves through congruent processes at different levels that changed institutional logics. Moreover, it emerged that policymakers and other actors that advocate novel social practices and act as boundary spanners can adopt multiple strategies to embed these practices in local health policy. The multi-level perspective adds value to earlier approaches to research intersectoral collaboration for health promotion as it allows to better capture the politics involved in the social innovation processes. However, further sharpening and more comprehensive application of transition concepts to study transitions in public health and health promotion is needed.

scholarly journals Are Norwegian Municipality policies enabling intersectoral collaboration in migration health?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Nordström ◽  
B Kumar
Keyword(s):  
Public Health ◽  
Social Determinants ◽  
Local Level ◽  
Good Health ◽  
Migrant Health ◽  
Intersectoral Collaboration ◽  
Health Work ◽  
Integration Policy ◽  
Intersectoral Action ◽  
The Social

Abstract Issue Sporadic accounts of initiatives, interventions and good practices in Migrant Health at the Municipality level account for Norways' lower score on “Measures to achieve change” in the Migrant Integration Policy Index (MIPEX). While the structure and organization at the municipality level should enable intersectoral action (as all under one umbrella), the municipal counties say lack of intersectoral collaboration is one of the main barriers for long-term public health work. Description of the Problem 51 municipalities have an immigrant population larger than the national average 17,8% (2019). In a recent Country Assessment (part of Joint Action on Health Equity Europe), limited inter-sectoral action on the social determinants of health including migration was observed. Although multiple agencies are engaged in attempts to address these issues. While there is a drive to promote public health and primary health care in municipalities, these initiatives do not pay special attention to migrants. In the first stage of this project, we have reviewed municipal policy documents to map policy and measures on public health, migrant health and intersectoral collaboration. In the second stage, municipalities will be contacted to engage them in the implementation of intersectoral actions. Results The desk review and mapping show that only 8 of the “top” 32 municipalities mention “intersectoral” in the municipal master plan (5 were not available online), its mentioned in 9 action program/budgets, but not necessarily by the same municipalities. 15 of the municipalities mention migrants, but rarely in relation to health. We observe that, the size of the municipality, financial resources and support from the County are factors that may play a significant role in prioritising migrant health and intersectoral collaboration. Lessons Advocating for and supporting the local/municipal level for intersectoral action is highly relevant, timely and essential. Key messages Intersectoral action on the social determinants of migrants’ health needs to be implemented through municipal policies to reduce inequities in migrants’ health. Implementation on the local level is the main arena for good public health work and is crucial to ensure good health for migrants.

scholarly journals Challenges to create an evidence-based programme register in France

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Arwidson ◽  
C Verry-Jolive
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Disease Prevention ◽  
Scientific Literature ◽  
The United States ◽  
Expert Committee ◽  
Evidence Based ◽  
Local Health ◽  
Addiction Prevention ◽  
Prevention Interventions

Abstract The majority of health promotion and disease prevention interventions implemented in both targeted and general populations have unknown effectiveness. This contrasts with drug treatments which must be proven effective before they can be prescribed. The recent evaluation of four addiction prevention interventions chosen by public health implementers showed that two had positive impacts on addiction prevention and two had deleterious effects. Despite over 50 years’ worth of scientific literature on the evaluation of health promotion and disease prevention programmes, it is little known and little used by project promoters. These promoters cannot be blamed for not using this literature as it is often difficult to access, to read and to understand. Even if they successfully access and read the articles, interventions are often not described properly, rendering the text useless for implementers. It is therefore necessary to create interfaces that translate this literature into a form useful for funders and project promoters. As a result, Public Health France has studied existing portals in both the United States and in Europe. An independent double-reviewing process comparable to the review process used by scientific journals for manuscripts as in the Norwegian portal was chosen for this reason.An expert committee has worked during more than one year to design and test a scoring grid that will be published soon. The 80+ programme evaluations found in the scientific literature will now be reviewed with the approved grid. Public Health France has also begun visiting each region in France to present the portal to local health authorities and NGOs to enable project promoters to submit their programmes soon and to promote the use of evidence-based or research-based programmes when possible.

scholarly journals Analysing local public health action plans: development of a tool for the French CLoterreS Study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Le Bodo ◽  
R Fonteneau ◽  
C Harpet ◽  
H Hudebine ◽  
F Jabot ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Care ◽  
Local Health ◽  
The Social ◽  
Prevention And Health Promotion ◽  
Living Circumstances

Abstract Background The potential contribution of local authorities to prevention and health promotion is well recognized. In France, since 2009, Local Health Contracts (LHCs) are mobilising Regional Health Agencies, local elected officials and stakeholders to intervene in 4 areas: health promotion, prevention, health care and social care. LHCs remain poorly documented policy instruments. Methods As part of the CLoterreS study, a multidimensional coding tool was developed and tested by two coders to explore the place of prevention and health promotion in LHCs. Its development was based on the WHO conceptual framework for action on the social determinants of health and the Self-assessment tool for the evaluation of essential public health operations in the WHO European Region. Preliminary results concern a random sample of 17 LHCs from as many French regions selected among the 165 LHCs signed between 2015 and March 2018. Results On average, the LHCs featured 26 action forms (AF) (min: 5; max: 56). In a LHC, the average proportion of AF addressing either the social determinants of health, living circumstances or other determinants targeted by health protection, promotion or primary prevention interventions (SDoH-HPP-P1) was 79% while 44% of the AF address secondary/tertiary prevention, social care or the organization of health care and services. Among the SDoH-HPP-P1 themes (double coding permitted): psychosocial life circumstances were addressed in the 17 LHCs and concerned, on average, 31% of their AF; material living circumstances were addressed to a lesser extent (16 LHCs, 13%); other key themes include environmental health (12, 14%), mental health (16, 12%), alcohol abuse (15, 11%), drug use (14, 11%), smoking (13, 9%), physical activity (13, 12%), healthy eating (12, 12%). Conclusions This work confirms that LHCs are instruments with prevention and health promotion at their core. Explanation of the differing investments in this area across our sample will be further explored. Key messages Local Health Contracts are promising instruments to address locally a broad range of health determinants. The CLoterreS analytical tool has proven effective in capturing multiple themes and shedding light on differences between Local Health Contracts’ action plans.

Health Promotion at the Ballpark

2016 ◽  
Vol 18 (2) ◽  
pp. 229-237 ◽  
Author(s):  
Bonni C. Hodges
Keyword(s):  
Public Health ◽  
New York ◽  
Health Promotion ◽  
Information Dissemination ◽  
Cognitive Theory ◽  
Environmental Changes ◽  
Health Priorities ◽  
Local Health ◽  
Local Public Health ◽  
Collegiate Baseball

The arrival of a new summer collegiate baseball league franchise to a small central New York city was seen as an opportunity for health promotion. The initiative was set up to explore two overarching questions: (1) Are summer collegiate baseball events acceptable to local public health organizations as viable places for health promotion activities addressing local health issues? (2) Are summer collegiate baseball organizations amenable to health promotion activities built in to their fan and/or player experiences? Planning and implementation were guided by precede–proceed, social cognitive theory, social marketing, and diffusion of innovations constructs. Environmental changes were implemented to support healthy eating and nontobacco use by players and fans; four health awareness nights were implemented at home games corresponding to local public health priorities and included public service announcements, between inning quizzes, information dissemination at concession and team market locations, and special guests. Sales and fan feedback support mostly healthy concession offerings and a tobacco-free ballpark; postseason evaluations from team staff and public health partners support continuing the trials of this sports event as a venue for health promotion.

Children, Adolescents, and Public Health: Ethical Considerations

2019 ◽  
pp. 191-204
Author(s):  
Margaret Moon
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Children And Adolescents ◽  
Health Information ◽  
Social Power ◽  
Global Perspective ◽  
Health Policies ◽  
Ethical Considerations ◽  
Public Health Policies ◽  
Political Economic

The population of children and adolescents encompasses a remarkable range of physiological, developmental, and experiential phenomena. Considered from a global perspective, differences may seem to overwhelm similarities. This chapter proposes and explains three distinct but interrelated characteristics that should frame ethical considerations of public health approaches to children and adolescents: (1) lack of political, economic, and social power; (2) status as subject to stewardship by adults; and (3) presumed lack of capacity for decision-making.The impact of these shared characteristics is examined using public health approaches to health information, health promotion and access to confidential services. Public health policies that anticipate the risks related to powerlessness and failures of stewardship, and seek to promote respect for developing capacity can help to create conditions in which children can thrive.

scholarly journals The EU Health Promotion and Disease Prevention Knowledge Gateway

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Bakogianni
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Health Promotion ◽  
Disease Prevention ◽  
Policy Making ◽  
Health Policies ◽  
High Quality ◽  
Policy Makers ◽  
Public Health Policies ◽  
The Eu

Abstract Issue/ problem Unhealthy diets, physical inactivity, alcohol and tobacco use are leading risk factors for non-communicable diseases. They are all modifiable and health promotion policies can support that. Description of the problem However, information overload, controversies and uncertainties, budget constraints and difficulties in balancing disparate interests are common challenges that can hamper action by policy makers in the field of public health. To support them, the European Commission has created the Health Promotion and Disease Prevention Knowledge Gateway. It is a reference point for independent and reliable information to assist policy making; it summarises both the data and knowledge needed to support prioritisation of public health policies and justify investments in health promotion. Results The Knowledge Gateway currently covers the areas of nutrition, physical activity, alcohol, marketing of foods and beverages, and related societal impacts such as disease burden and health inequalities. These topics have been prioritised by Member States representatives and policy makers. The content is organised into concise, well-structured briefs which include definition of each issue, health related effects, and examples of policy recommendations and implemented policies. The high-quality source documents are selected in a tiered approach and are mainly authored or endorsed by authoritative public health organisations. Lessons Judging by the positive feedback received, the Knowledge Gateway is being used widely across Member States and stakeholders. The content of the Knowledge Gateway will be further expanded to support other health priorities such as mental health promotion. Policy makers have a unique, trusted “one-stop-shop” with high quality information to support, justify and strengthen the development of public health policies and health promotion. Key messages The use of reliable authoritative information for the development of public health policies can support the prevention of major non-communicable disease risk factors. The EU Knowledge Gateway is a unique reference point of reliable, independent information to support policy making in the area of public health.

Governing public health in England and Denmark

2018 ◽  
pp. 33-58
Author(s):  
Peter Triantafillou ◽  
Naja Vucina
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Health Policies ◽  
Relevant Today ◽  
Insight Into

The chapter provides a solid understanding of the historical and political contexts of the obesity and recovery-oriented interventions analysed in the proceeding chapter. The wider purpose of this historical and political contextualisation is to provide an insight into the ways in which health promotion is unfolding in England and Denmark. We argue that three general strategies can be linked to the governing of health in both countries: prevention, cure, and promotion. These are distinct but nevertheless interrelated strategies. All three strategies are relevant today, but health promotion has come to play a hitherto unseen important role in Danish and English health policies since around 1990.

scholarly journals A scoping review of definitions and frameworks of intersectoral action

2015 ◽  
Vol 20 (10) ◽  
pp. 2933-2942 ◽  
Author(s):  
Alejandra Dubois ◽  
Louise St-Pierre ◽  
Mirella Veras
Keyword(s):  
Health Promotion ◽  
Content Analysis ◽  
Scoping Review ◽  
Health Sector ◽  
Systematic Search ◽  
Intersectoral Collaboration ◽  
Intersectoral Action ◽  
Conceptual Definition ◽  
Comprehensive Framework ◽  
Potential Use

AbstractIntersectoral action is rooted in all health promotion activities because the determinants of health lie outside of the health sector. Despite the increasing use of these terms (intersectoral action, intersectoral action for health, intersectoral collaboration), often interchangeably, we noted a lack of consensus on their definitions and conceptualizations. The objective of this paper is to report the results of a scoping review of the use of definitions for a set of related terms as well as for conceptual frameworks, including the discussion of the evolution of those definitions and the sectors that use them. Finally, we propose a single definition for each term. We conducted a systematic search for documents published between January, 1960 and March, 2011 in English, French, Spanish and Portuguese. We retrieved 11 to 15 definitions per main term. Using a content analysis approach, an integrative conceptual definition was proposed for four main terms. Furthermore, in reviewing frameworks for potential use, we noted the lack of a comprehensive framework for intersectoral processes.

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