The Consequences of Movement Office-Holding for Health Policy Implementation and Social Development in Urban Brazil

Social Forces ◽  
2017 ◽  
Vol 96 (2) ◽  
pp. 751-778 ◽  
Author(s):  
Christopher L Gibson
Keyword(s):  
Health Policy ◽  
Policy Implementation ◽  
Social Development ◽  
Health Policy Implementation

scholarly journals A systematic review of school health policy measurement tools: implementation determinants and outcomes

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Gabriella M. McLoughlin ◽  
Peg Allen ◽  
Callie Walsh-Bailey ◽  
Ross C. Brownson
Keyword(s):  
Health Policy ◽  
Policy Implementation ◽  
School Health ◽  
School Policy ◽  
Implementation Processes ◽  
Implementation Outcomes ◽  
Policy Measurement ◽  
Measurement Tools ◽  
School Health Policy ◽  
Health Policy Implementation

Abstract Background Governments in some countries or states/provinces mandate school-based policies intended to improve the health and well-being of primary and secondary students and in some cases the health of school staff. Examples include mandating a minimum time spent per week in programmed physical activity, mandating provision of healthy foods and limiting fat content of school meals, and banning tobacco products or use on school campuses. Although school health researchers have studied whether schools, districts, or states/provinces are meeting requirements, it is unclear to what extent implementation processes and determinants are assessed. The purposes of the present systematic review of quantitative measures of school policy implementation were to (1) identify quantitative school health policy measurement tools developed to measure implementation at the school, district, or state/provincial levels; (2) describe the policy implementation outcomes and determinants assessed and identify the trends in measurement; and (3) assess pragmatic and psychometric properties of identified implementation measures to understand their quality and suitability for broader application. Methods Peer-reviewed journal articles published 1995–2020 were included if they (1) had multiple-item quantitative measures of school policy implementation and (2) addressed overall wellness, tobacco, physical activity, nutrition, obesity prevention, or mental health/bullying/social-emotional learning. The final sample comprised 86 measurement tools from 67 peer-review articles. We extracted study characteristics, such as psychometric and pragmatic measure properties, from included articles based on three frameworks: (1) Implementation Outcomes Framework, (2) Consolidated Framework for Implementation Research, and (3) Policy Implementation Determinants Framework. Results Most implementation tools were developed to measure overall wellness policies which combined multiple policy topics (n = 35, 40%) and were in survey form (n = 75, 87%). Fidelity was the most frequently prevalent implementation outcome (n = 70, 81%), followed by adoption (n = 32, 81%). The implementation determinants most assessed were readiness for implementation, including resources (n = 43, 50%), leadership (n = 42, 49%), and policy communication (n = 41, 48%). Overall, measures were low-cost and had easy readability. However, lengthy tools and lack of reported validity/reliability data indicate low transferability. Conclusions Implementation science can contribute to more complete and rigorous assessment of school health policy implementation processes, which can improve implementation strategies and ultimately the intended health benefits. Several high-quality measures of implementation determinants and implementation outcomes can be applied to school health policy implementation assessment. Dissemination and implementation science researchers can also benefit from measurement experiences of school health researchers.

Health Policy Implementation and Its Barriers

2016 ◽  
pp. 134-150
Author(s):  
Augustine Nduka Eneanya
Keyword(s):  
Health Policy ◽  
Service Delivery ◽  
Policy Implementation ◽  
Health System ◽  
Cultural Barriers ◽  
Vulnerable Groups ◽  
Implementation Barriers ◽  
Demand And Supply ◽  
Policies And Programs ◽  
Health Policy Implementation

The chapter describes policy implementation components of a health system in United States of America and explains how they affect health outcomes (service delivery). It argues that implemented policies affect various components of a health system in terms of service delivery, workforce, information, financing, medical products, technologies, leadership and governance. Using health system as framework of analysis, the paper explains that the outcome of health policy implementation determines the availability, quality and equitability of program service delivery. The chapter goes on to argue that policy implementation barriers, such as demand-and supply-side barriers, market, insufficient resources, cultural barriers, imperfect communication, information, education, coordination, leadership and governance affect the poor and vulnerable groups in developed and developing countries from benefitting from public spending on public health policies and programs.

scholarly journals Quantitative measures of health policy implementation determinants and outcomes: a systematic review

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Peg Allen ◽  
Meagan Pilar ◽  
Callie Walsh-Bailey ◽  
Cole Hooley ◽  
Stephanie Mazzucca ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Policy ◽  
Policy Implementation ◽  
Health Policy Implementation

scholarly journals Health system capacity: maternal health policy implementation in the state of Gujarat, India

2013 ◽  
Vol 6 (1) ◽  
pp. 19629 ◽  
Author(s):  
Linda Sanneving ◽  
Asli Kulane ◽  
Aditi Iyer ◽  
Bengt Ahgren
Keyword(s):  
Health Policy ◽  
Maternal Health ◽  
Policy Implementation ◽  
Health System ◽  
The State ◽  
System Capacity ◽  
Maternal Health Policy ◽  
Health Policy Implementation
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