Challenging Health in All Policies, an action research study in Dutch municipalities

Steenbakkers, Mieke; Jansen, Maria; Maarse, Hans; Vries, Nanne de

doi:10.1016/j.healthpol.2012.01.010

Cited by 46 publications

(71 citation statements)

References 19 publications

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“…Since policy makers were not used to collaborating with policy sectors outside their own “niche,” their experience of intersectoral collaboration was limited (see also [16, 17, 45]). Most respondents argued that it was “new” for them to think explicitly about public health outcomes in relation to their own work.…”

Section: Discussionmentioning

confidence: 99%

Towards Health in All Policies for Childhood Obesity Prevention

et al. 2013

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The childhood obesity epidemic can be best tackled by means of an integrated approach, which is enabled by integrated public health policies, or Health in All Policies. Integrated policies are developed through intersectoral collaboration between local government policy makers from health and nonhealth sectors. Such intersectoral collaboration has been proved to be difficult. In this study, we investigated which resources influence intersectoral collaboration. The behavior change wheel framework was used to categorize motivation-, capability-, and opportunity-related resources for intersectoral collaboration. In-depth interviews were held with eight officials representing 10 non-health policy sectors within a local government. Results showed that health and non-health policy sectors did not share policy goals, which decreased motivation for intersectoral collaboration. Awareness of the linkage between health and nonhealth policy sectors was limited, and management was not involved in creating such awareness, which reduced the capability for intersectoral collaboration. Insufficient organizational resources and structures reduced opportunities for intersectoral collaboration. To stimulate intersectoral collaboration to prevent childhood obesity, we recommend that public health professionals should reframe health goals in the terminology of nonhealth policy sectors, that municipal department managers should increase awareness of public health in non-health policy sectors, and that flatter organizational structures should be established.

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Section: Discussionmentioning

confidence: 99%

Towards Health in All Policies for Childhood Obesity Prevention

et al. 2013

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“…The importance of coordination, a common focus and policy framework, institutional involvement at all levels, and a long-term horizon have been emphasised in order to facilitate "health in all policies" (HiAP), both at the national and municipality levels [29,30]. However, implementing such an approach is challenging.…”

Section: Discussionmentioning

confidence: 99%

From knowledge to action in public health management: Experiences from a Norwegian context

Lillefjell

Knudtsen²,

Wist³

et al. 2013

Scand J Public Health

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“…Internationally, a number of HiAP evaluations have been driven by a critical action research approach 12,19 – whereby emerging findings inform ongoing implementation – and a realistic evaluation approach 12,17 – which emphasizes mechanisms and context (i.e., how and why something is working). Related approaches can also be considered, such as developmental evaluation and improvement science, which are suitable for situations of high complexity in their early stages of development and emphasize conducting small tests of change to support innovation.…”

Section: Resultsmentioning

confidence: 99%

“…12,18 Researchers in the Netherlands examined the impact of a HiAP coaching program to study whether municipalities were able to make progress in intersectoral collaboration at the strategic, tactical, or operational levels; findings showed mixed results. 19 Groups in Australia, New Zealand, and the United States have shown promising impacts of Health Impact Assessments (HIA) on decision-making processes and have described factors that can facilitate their success. 20–22 …”

Section: Introductionmentioning

confidence: 99%

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives in the United States

Gase¹,

Schooley

Lee

et al. 2017

Journal of Public Health Management and Practice

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Objective In order to address the social determinants of health, an increasing number of public health practitioners are implementing Health in All Policies initiatives aimed at increasing cross-sector collaboration and integrating health considerations into decisions made by “non-health” sectors. Despite the growth in practice nationally and internationally, evaluation of Health in All Policies is a relatively new field. In order to help inform evaluation of Health in All Policies initiatives in the United States, this study sought to develop a practice-grounded approach, including a logic model and a set of potential indicators, which could be used to describe and assess Health in All Policies activities, outputs, and outcomes. Design Methods included: a) a review of the literature on current Health in All Policies approaches, practices, and evaluations; and b) consultation with experts with substantive knowledge in implementing or evaluating Health in All Policies initiatives. Feedback from experts was obtained through individual (n=11) and group (n=14) consultation. Results The logic model depicts a range of potential inputs, activities, outputs, and outcomes of Health in All Policies initiatives; example indicators for each component of the logic model are provided. Case studies from California, Washington, and Nashville highlight emerging examples of Health in All Policies evaluation and the ways in which local context and goals inform evaluation efforts. Conclusions The tools presented in this article synthesize concepts present in the emerging literature on Health in All Policies implementation and evaluation. Practitioners and researchers can the tools to facilitate dialogue among stakeholders, clarify assumptions, identify how they will assess progress, and implement data-driven ways to improve their Health in All Policies work.

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Challenging Health in All Policies, an action research study in Dutch municipalities

Cited by 46 publications

References 19 publications

Towards Health in All Policies for Childhood Obesity Prevention

Towards Health in All Policies for Childhood Obesity Prevention

From knowledge to action in public health management: Experiences from a Norwegian context

A Practice-Grounded Approach for Evaluating Health in All Policies Initiatives in the United States

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