Obstacles to community health promotion

Understanding Facilitators of and Barriers to Health Promotion Practice

“…The few factors identified across this set of provincial projects as being unique to the evaluation and research stage do reinforce previous assertions relating to partnership tensions, balancing rigor and science with community intervention needs, the difficulty of studying a large range of factors and indicators with few resources, and health promotion measurement challenges (Guldan, 1996;Speller et al, 1997). The findings from several other provincial projects (Alberta, British Columbia, Nova Scotia) confirm that research team turnover, lack of gold-standard measurement tools, conducting real-time studies in dynamic systems (e.g., experiencing health reform), and trying to balance research and intervention were key factors affecting health promotion evaluation and/or research (Ebbesen, Heath, Naylor, & Anderson, 2004).…”

“…Yet the range of factors identified as influencing the various stages of health promotion practice from the experiences of these five provincial projects reflect themes that recur in the health promotion literature (Guldan, 1996;Kelder et al, 2003;Schaalma et al, 2004). The themes they represent fall essentially into two categories: (a) those factors internal to the organization or community engaged in health promotion (leadership, staffing, resources, priority and/or interest, internal organization and/or structure and infrastructure [communication, coordination]) and (b) factors operating in the external environment (partnerships, geographical factors [land area, population size], provincial policy or health system reform, and turnover of local contacts).…”

Understanding Facilitators of and Barriers to Health Promotion Practice

“…The few factors identified across this set of provincial projects as being unique to the evaluation and research stage do reinforce previous assertions relating to partnership tensions, balancing rigor and science with community intervention needs, the difficulty of studying a large range of factors and indicators with few resources, and health promotion measurement challenges (Guldan, 1996;Speller et al, 1997). The findings from several other provincial projects (Alberta, British Columbia, Nova Scotia) confirm that research team turnover, lack of gold-standard measurement tools, conducting real-time studies in dynamic systems (e.g., experiencing health reform), and trying to balance research and intervention were key factors affecting health promotion evaluation and/or research (Ebbesen, Heath, Naylor, & Anderson, 2004).…”

“…Yet the range of factors identified as influencing the various stages of health promotion practice from the experiences of these five provincial projects reflect themes that recur in the health promotion literature (Guldan, 1996;Kelder et al, 2003;Schaalma et al, 2004). The themes they represent fall essentially into two categories: (a) those factors internal to the organization or community engaged in health promotion (leadership, staffing, resources, priority and/or interest, internal organization and/or structure and infrastructure [communication, coordination]) and (b) factors operating in the external environment (partnerships, geographical factors [land area, population size], provincial policy or health system reform, and turnover of local contacts).…”

Variabilidad en la implantación de las actividades comunitarias de promoción de la salud en España

“…Esto lo explican las diferentes prioridades que las administraciones sanitarias autonómicas han otorgado a la promoción de la salud y a la participación comunitaria. El interés y apoyo de estas administraciones ha sido destacado como un factor clave para la realización de AC 15,21 . Muchas CCAA todavía no tienen objetivos formales en sus gerencias de atención primaria que contemplen la realización de AC, ni incluyen estas acciones en las carteras de servicios de sus centros de salud, ni tienen mesas intersectoriales institucionalizadas, aunque este último es un elemento fundamental para el desarrollo de AC 22,23 .…”

Utilization of Family Planning Services in the Governorate of Zarqa, Jordan

“…Moving FP provision away from the biomedical model can increase service utilization. Family planning services need to become health promoting in Jordan in the sense of helping people to increase control over and improve their health (Guldan, 1996). A major long-term strategy would be to demedicalize FP provision.…”

Understanding Facilitators of and Barriers to Health Promotion Practice

“…The few factors identified across this set of provincial projects as being unique to the evaluation and research stage do reinforce previous assertions relating to partnership tensions, balancing rigor and science with community intervention needs, the difficulty of studying a large range of factors and indicators with few resources, and health promotion measurement challenges (Guldan, 1996;Speller et al, 1997). The findings from several other provincial projects (Alberta, British Columbia, Nova Scotia) confirm that research team turnover, lack of gold-standard measurement tools, conducting real-time studies in dynamic systems (e.g., experiencing health reform), and trying to balance research and intervention were key factors affecting health promotion evaluation and/or research (Ebbesen, Heath, Naylor, & Anderson, 2004).…”

“…Yet the range of factors identified as influencing the various stages of health promotion practice from the experiences of these five provincial projects reflect themes that recur in the health promotion literature (Guldan, 1996;Kelder et al, 2003;Schaalma et al, 2004). The themes they represent fall essentially into two categories: (a) those factors internal to the organization or community engaged in health promotion (leadership, staffing, resources, priority and/or interest, internal organization and/or structure and infrastructure [communication, coordination]) and (b) factors operating in the external environment (partnerships, geographical factors [land area, population size], provincial policy or health system reform, and turnover of local contacts).…”

Variabilidad en la implantación de las actividades comunitarias de promoción de la salud en España

“…Esto lo explican las diferentes prioridades que las administraciones sanitarias autonómicas han otorgado a la promoción de la salud y a la participación comunitaria. El interés y apoyo de estas administraciones ha sido destacado como un factor clave para la realización de AC 15,21 . Muchas CCAA todavía no tienen objetivos formales en sus gerencias de atención primaria que contemplen la realización de AC, ni incluyen estas acciones en las carteras de servicios de sus centros de salud, ni tienen mesas intersectoriales institucionalizadas, aunque este último es un elemento fundamental para el desarrollo de AC 22,23 .…”

Utilization of Family Planning Services in the Governorate of Zarqa, Jordan

“…Moving FP provision away from the biomedical model can increase service utilization. Family planning services need to become health promoting in Jordan in the sense of helping people to increase control over and improve their health (Guldan, 1996). A major long-term strategy would be to demedicalize FP provision.…”

Understanding Facilitators of and Barriers to Health Promotion Practice

“…The few factors identified across this set of provincial projects as being unique to the evaluation and research stage do reinforce previous assertions relating to partnership tensions, balancing rigor and science with community intervention needs, the difficulty of studying a large range of factors and indicators with few resources, and health promotion measurement challenges (Guldan, 1996;Speller et al, 1997). The findings from several other provincial projects (Alberta, British Columbia, Nova Scotia) confirm that research team turnover, lack of gold-standard measurement tools, conducting real-time studies in dynamic systems (e.g., experiencing health reform), and trying to balance research and intervention were key factors affecting health promotion evaluation and/or research (Ebbesen, Heath, Naylor, & Anderson, 2004).…”

“…Yet the range of factors identified as influencing the various stages of health promotion practice from the experiences of these five provincial projects reflect themes that recur in the health promotion literature (Guldan, 1996;Kelder et al, 2003;Schaalma et al, 2004). The themes they represent fall essentially into two categories: (a) those factors internal to the organization or community engaged in health promotion (leadership, staffing, resources, priority and/or interest, internal organization and/or structure and infrastructure [communication, coordination]) and (b) factors operating in the external environment (partnerships, geographical factors [land area, population size], provincial policy or health system reform, and turnover of local contacts).…”

Variabilidad en la implantación de las actividades comunitarias de promoción de la salud en España

“…Esto lo explican las diferentes prioridades que las administraciones sanitarias autonómicas han otorgado a la promoción de la salud y a la participación comunitaria. El interés y apoyo de estas administraciones ha sido destacado como un factor clave para la realización de AC 15,21 . Muchas CCAA todavía no tienen objetivos formales en sus gerencias de atención primaria que contemplen la realización de AC, ni incluyen estas acciones en las carteras de servicios de sus centros de salud, ni tienen mesas intersectoriales institucionalizadas, aunque este último es un elemento fundamental para el desarrollo de AC 22,23 .…”

Utilization of Family Planning Services in the Governorate of Zarqa, Jordan

“…Moving FP provision away from the biomedical model can increase service utilization. Family planning services need to become health promoting in Jordan in the sense of helping people to increase control over and improve their health (Guldan, 1996). A major long-term strategy would be to demedicalize FP provision.…”