The significance of policy documents in municipal child health promotion

Guldbrandsson, Karin; Bäck, Henry; Bremberg, Sven

doi:10.1177/1403494807086980

Cited by 4 publications

(3 citation statements)

References 16 publications

(21 reference statements)

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“…Since the 1980s, these core members have initiated health-promotion activities and driven them forwards, at the outset principally in the form of ad-hoc measures at departmental level in a decentralized and sectorally divided administration. This kind of engagement, combined with a position of power based on professional knowledge, has been shown to be of importance in health-development processes [29]. …”

Section: Discussionmentioning

confidence: 99%

Health promotion at local level: a case study of content, organization and development in four Swedish municipalities

Jansson

Tillgren

2010

BMC Public Health

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BackgroundSeveral health determinants are related to local conditions and prerequisites at community level. For this reason, strengthening community action has been one of five strategies implemented in health promotion since the end of the 1980s. Such action includes setting priorities, making decisions, planning strategies, and implementing them to achieve better health. The aim of this paper is to obtain a deeper understanding of content, organization and processes in the development of local health promotion.MethodsA qualitative multiple case study of four Swedish municipalities. The cases were analyzed in accordance with the principles of cross-case study analysis, and a content analysis of documents and interviews was conducted in two steps. First, a manifest content analysis was performed to identify present and former actors and measures. Thereafter, a latent content analysis was performed to investigate structures and processes in local contexts.ResultsThe results of the inductive content analysis showed development of local health promotion in three phases: initiation, action, and achievement. Strengthening factors were local actors, health statistics and events. Hindering factors were lack of resources and vague objectives. External factors, e.g. national policies, were not perceived as prominent influencing factors. Media reports were regarded as having had an influence, but only to some extent. The content of local health promotion has developed from ad-hoc lifestyle and behaviour-related actions into structural, intersectoral actions related to determinants of health.ConclusionsThe municipalities have organized and developed their health promotion targets, actions and priorities on the basis of local needs and prerequisites. The three phases in the identified health promotion processes were experienced and documented as being subject to greater influence from internal rather than external strengthening and hindering factors in their local contexts.

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Section: Discussionmentioning

confidence: 99%

Health promotion at local level: a case study of content, organization and development in four Swedish municipalities

Jansson

Tillgren

2010

BMC Public Health

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“…asked whether the packages would increase quality of health promotion, 38% answered that this was likely to a high extent, while 55% thought the likelihood was only moderate [2]. a Swedish study showed that similar policy documents were used by municipalities in child-health promotion [3].…”

Section: Introductionmentioning

confidence: 99%

Ethics, equality and evidence in health promotion Danish guidelines for municipalities

Vallgårda

2014

Scand J Public Health

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Including reduction of health inequalities and evidence-informed and ethically defendable interventions in health promotion is a challenge, which is not yet fully met by the National Board of Health. When judged from liberal ethical principles, only few of the suggested interventions are acceptable, i.e., those concerning information, but from a paternalistic view, all interventions that may actually benefit the citizens are justified.

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“…As such, the primary focus is on introducing and managing change within organizations and/or whole systems (Dooris 2006). Settings-based HP activities provide a way of influencing local community behaviour and/or the development of health-promoting practices (Guldbrandsson, Back, and Bremberg 2008;Hawe, Wise, and Nutbeam 2001). For example, Bormann and Stone (2001) reported that a policy banning alcohol in American college-sporting stadiums reduced arrests and assaults at the venue.…”

Section: Introductionmentioning

confidence: 99%

The test-retest reliability of a health promotion assessment tool in sport

Casey

Harvey

Eime

et al. 2011

Annals of Leisure Research

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Evaluation tools for measuring health promotion (HP) policies, practices, and organizational capacity in a sport setting are absent. This research describes the test-retest reliability of the Health Promotion in Sport Assessment Tool (HP-SAT), which measures nine domains of HP in two contexts: State Sporting Organizations (SSOs)-organized events, and support provided by SSOs to affiliated clubs. The HP-SAT also gathers information about HP policies and practices regarding SSO staff, board members and volunteers, along with organizational planning and capacity for HP. Reliability was assessed using data from 22 SSO participants. Individual survey-items were grouped to produce a composite scale for each HP area, which was assessed using an intraclass correlation. Reliabilities were generally moderate to strong. The HP-SAT is a quantitative measurement tool that effectively captures meaningful information regarding SSO organizational capacity for HP and about a wide range of HP policies and practices in a sport setting.

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The significance of policy documents in municipal child health promotion

Cited by 4 publications

References 16 publications

Health promotion at local level: a case study of content, organization and development in four Swedish municipalities

Health promotion at local level: a case study of content, organization and development in four Swedish municipalities

Ethics, equality and evidence in health promotion Danish guidelines for municipalities

The test-retest reliability of a health promotion assessment tool in sport

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