How to Institutionalize Health Promotion Programs

1989 ◽  
Vol 3 (4) ◽  
pp. 34-43 ◽  
Author(s):  
Allan Steckler ◽  
Robert M. Goodman
Keyword(s):  
Health Promotion ◽  
Health Department ◽  
State Health ◽  
Term Survival ◽  
Local Schools ◽  
Health Agencies ◽  
Health Promotion Programs ◽  
Multiple Case ◽  
Case Design

This article presents six implications for practice that suggest how to optimize the institutionalization of health promotion programs. These six implications were derived from a study of ten health promotion programs funded by the Virginia State Health Department and operated by local schools- and community health agencies. Institutionalization refers to the long-term survival of health promotion programs, i.e., survival well beyond an initial grant funding period. To generate the implications for practice, a multiple case design for cross-case comparisons was applied to the ten health promotion programs. In brief, the six practice implications are: 1) cultivating a “program champion”; 2) favoring organizations with mature “subsystems”; 3) favoring organizations in which health promotion “fits” with the organization's mission; 4) avoiding brokering relationships; 5) altering lengths of funding periods; and 6) funding existing worthy programs. The significance of these practice implications for both funding and implementing agencies is briefly discussed.

Traineeship in diabetes and the older patient. A public health experience

1994 ◽  
Vol 84 (7) ◽  
pp. 344-347
Author(s):  
AE Helfand
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Secondary Prevention ◽  
Education Program ◽  
Professional Education ◽  
Health Department ◽  
State Health ◽  
Older Patient ◽  
Complications Of Diabetes ◽  
Local Resources

The author describes an effort that demonstrates a successful partnership between a professional education program in podiatric medicine, the Pennsylvania State Health Department, and the Professional Diabetes Academy, which served as the catalyst for health promotion, prevention, and education. Similar programs through adaptations geared to local resources could be developed as a demonstration of direct secondary prevention of the complications of diabetes in the older population and have the potential to help meet national goals to significantly reduce amputations.

scholarly journals Evaluación de políticas públicas en salud: Caso promoción y comunicación de la salud en México = Evaluation of public policies in health: Case of health promotion in Mexico

2018 ◽  
Vol 9 (2) ◽  
pp. 127
Author(s):  
Janet Garcia Gonzalez ◽  
Rebeca Thelma Martínez Villareal
Keyword(s):  
Health Promotion ◽  
Organizational Development ◽  
Political Development ◽  
Personal Development ◽  
Public Policies ◽  
State Health ◽  
Health Promotion Programs ◽  
Evaluation Models ◽  
Politica Publica ◽  
Evaluation Of Public Policies

Resumen: Los gobiernos son los responsables de formular la política pública en salud y que por ende, también el análisis de la construcción, sistematización y desarrollo de las líneas de estas, así como su evaluación. El objetivo es evaluar experiencias de políticas públicas en promoción de la salud, mediante la identi­ficación y análisis de evaluación para la sistematzación de indicadores; con ello identificar las líneas, acciónes y proyectos estratégicos de los direferentes programas estatales de promoción de la salud en México. Metodología descriptiva documental, se analizó 67 programas de promoción de la salud de los Estados de México. Resultados: Se identificaron los procesos de promoción de la salud, entre estás, las actividades de desarrollo organizacional (85,1%), seguido por el de actividades de desarrollo personal (41,8%), y finalmente aquellos de actividades de desarrollo político (44,8%). El 92,5% busca consolidar la promoción, el 68,7% está direccionado a la protección de la salud, y el 5,7% a la prevención de las enfermedades. En conclusión, la evidencia de la promoción y comunicación de la salud es un factor importante para diagnósticar las líneas de acción que deben impulsarse o modificarse para influir en los determinantes de la salud pública.Palabras clave: Políticas públicas; Comunicación y promoción en salud; Evaluación; Modelos.Abstract: Governments are responsible for formulating public health policy and therefore, also the analysis of the construction, systematization and development of the lines of these, as well as their evaluation. The objec­tive is to evaluate experiences of public policies in health promotion, through the identification and analysis of evaluation for the systematization of indicators; with this, identify the lines, actions and strategic projects of the state health promotion programs in Mexico. Descriptive documentary methodology, 67 health promo­tion programs of the States of Mexico were analyzed. Results: Health promotion processes were identified, among them, organizational development activities (85,1%), followed by personal development activities (41,8%), and finally those of political development activities. (44,8%). 92.5% seeks to consolidate the pro­motion, 68,7% is directed to the protection of health, and 5,7% to the prevention of diseases. In conclusion, the evidence of the promotion and communication of health is an important factor to diagnose the lines of action that must be promoted or modified to influence the determinants of public health.Keywords: Public policies; Communication and promotion in health; Evaluation; Models.

scholarly journals “It’s good to feel like you’re doing something”: a qualitative study examining state health department employees’ views on why ineffective programs continue to be implemented in the USA

2022 ◽  
Vol 3 (1) ◽  
Author(s):  
Stephanie Mazzucca ◽  
Louise Farah Saliba ◽  
Romario Smith ◽  
Emily Rodriguez Weno ◽  
Peg Allen ◽  
...  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Population Health ◽  
Health Department ◽  
Evidence Based ◽  
State Health ◽  
Improve Population Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Evidence Based Programs

Abstract Background Mis-implementation, the inappropriate continuation of programs or policies that are not evidence-based or the inappropriate termination of evidence-based programs and policies, can lead to the inefficient use of scarce resources in public health agencies and decrease the ability of these agencies to deliver effective programs and improve population health. Little is known about why mis-implementation occurs, which is needed to understand how to address it. This study sought to understand the state health department practitioners’ perspectives about what makes programs ineffective and the reasons why ineffective programs continue. Methods Eight state health departments (SHDs) were selected to participate in telephone-administered qualitative interviews about decision-making around ending or continuing programs. States were selected based on geographic representation and on their level of mis-implementation (low and high) categorized from our previous national survey. Forty-four SHD chronic disease staff participated in interviews, which were audio-recorded and transcribed verbatim. Transcripts were consensus coded, and themes were identified and summarized. This paper presents two sets of themes, related to (1) what makes a program ineffective and (2) why ineffective programs continue to be implemented according to SHD staff. Results Participants considered programs ineffective if they were not evidence-based or if they did not fit well within the population; could not be implemented well due to program restraints or a lack of staff time and resources; did not reach those who could most benefit from the program; or did not show the expected program outcomes through evaluation. Practitioners described several reasons why ineffective programs continued to be implemented, including concerns about damaging the relationships with partner organizations, the presence of program champions, agency capacity, and funding restrictions. Conclusions The continued implementation of ineffective programs occurs due to a number of interrelated organizational, relational, human resources, and economic factors. Efforts should focus on preventing mis-implementation since it limits public health agencies’ ability to conduct evidence-based public health, implement evidence-based programs effectively, and reduce the high burden of chronic diseases. The use of evidence-based decision-making in public health agencies and supporting adaptation of programs to improve their fit may prevent mis-implementation. Future work should identify effective strategies to reduce mis-implementation, which can optimize public health practice and improve population health.

Caspases and apoptosis

2002 ◽  
Vol 38 ◽  
pp. 9-19 ◽  
Author(s):  
Guy S Salvesen
Keyword(s):  
Cysteine Proteases ◽  
Signalling Pathways ◽  
Term Survival ◽  
Mature Adult ◽  
Intracellular Signalling Pathways ◽  
Adult Cell ◽  
Caspase Family ◽  
Cell Fragments ◽  
Pro Inflammatory Cytokines

The ability of metazoan cells to undergo programmed cell death is vital to both the precise development and long-term survival of the mature adult. Cell deaths that result from engagement of this programme end in apoptosis, the ordered dismantling of the cell that results in its 'silent' demise, in which packaged cell fragments are removed by phagocytosis. This co-ordinated demise is mediated by members of a family of cysteine proteases known as caspases, whose activation follows characteristic apoptotic stimuli, and whose substrates include many proteins, the limited cleavage of which causes the characteristic morphology of apoptosis. In vertebrates, a subset of caspases has evolved to participate in the activation of pro-inflammatory cytokines, and thus members of the caspase family participate in one of two very distinct intracellular signalling pathways.

Human thymic epithelial cells maintain long-term survival of clonogenic myeloid and erythroid progenitor cells in vitro

2000 ◽  
Vol 111 (1) ◽  
pp. 363-370 ◽  
Author(s):  
Katsuto Takenaka ◽  
Mine Harada ◽  
Tomoaki Fujisaki ◽  
Koji Nagafuji ◽  
Shinichi Mizuno ◽  
...  
Keyword(s):  
Epithelial Cells ◽  
Progenitor Cells ◽  
Thymic Epithelial Cells ◽  
Erythroid Progenitor ◽  
Term Survival ◽  
Long Term Survival ◽  
Erythroid Progenitor Cells

Clinical outcome and long-term survival following radical esophagectomy in the elderly

2001 ◽  
Vol 120 (5) ◽  
pp. A747-A748
Author(s):  
S DRESNER ◽  
A IMMMANUEL ◽  
P LAMB ◽  
S GRIFFIN
Keyword(s):  
Clinical Outcome ◽  
The Elderly ◽  
Radical Esophagectomy ◽  
Term Survival ◽  
Long Term Survival
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