Health Promotion at Local Level in Norway – Who, What, When, and How: A Response to Recent Commentaries
| Autor: | Marit Helgesen, Steffen Torp, Elisabeth Fosse, Susanne Hagen, Kjell Ivar Øvergård |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Health (social science)
Leadership and Management health promotion Public Policy Management Monitoring Policy and Law 03 medical and health sciences equity 0302 clinical medicine Health Information Management Political science Correspondence Humans norway 030212 general & internal medicine commentary Local Government Health Equity Public economics 030503 health policy & services Health Policy lcsh:Public aspects of medicine Equity (finance) lcsh:RA1-1270 Health Status Disparities Health promotion Public Health Practice hiap 0305 other medical science Public Health Administration |
| Zdroj: | International Journal of Health Policy and Management, Vol 8, Iss 4, Pp 253-255 (2019) International Journal of Health Policy and Management |
| ISSN: | 2322-5939 |
| Popis: | Norway is internationally known today for its political and socio-economic prioritization of equity. The 2012 Public Health Act (PHA) aimed to further equity in the domain of health by addressing the social gradient in health. The PHA's main policy measures were (1) delegation to the municipal level of responsibility for identifying and targeting underserved groups and (2) the imposition on municipalities of a "Health in All Policies" (HiAP) approach where local policy-making generally is considered in light of public health impact. In addition, the act recommended municipalities employ a public health coordinator (PHC) and required a development of an overview of their citizens' health to reveal underserved social segments. This study investigates the relationship between changes in municipal use of HiAP tools (PHC and health overviews) with regard to the PHA implementation and municipal prioritization of fair distribution of social and economic resources among social groups.Data from two surveys, conducted in 2011 and 2014, were merged with official register data. All Norwegian municipalities were included (N=428). Descriptive statistics as well as bi- and multivariate logistic regression analyses were performed.Thirty-eight percent of the municipalities reported they generally considered fair distribution among social groups in local policy-making, while 70% considered fair distribution in their local health promotion initiatives. Developing health overviews after the PHA's implementation was positively associated with prioritizing fair distribution in political decision-making (odds ratio [OR] = 2.54; CI: 1.12-5.76), compared to municipalities that had not developed such overviews. However, the employment of PHCs after the implementation was negatively associated with prioritizing fair distribution in local health promotion initiatives (OR = 0.22; CI: 0.05-0.90), compared to municipalities without that position.Development of health overviews - as requested by the PHA - may contribute to prioritization of fair distribution among social groups with regard to the social determinants of health at the local level. |
| Databáze: | OpenAIRE |
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