Decentralisatie en lokaal bestuur in Ghana

Buntinx, Ine

doi:10.21825/agora.v32i1.3654

Cited by 1 publication

(2 citation statements)

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“…The interviewees stated that the governmental cutbacks within the national context , which started in 2012, led to national decentralisation, enhanced the responsibilities of municipalities for the health of their citizens [35], and affected municipal budgets, health policy budgets, and intersectoral collaboration. The interviewees believed that the perception of municipal authorities is that prevention of obesity will require a lot of national financial support.…”

Section: Resultsmentioning

confidence: 99%

“…Factors at the national level include decentralisation [35], elections, cutbacks, financial support from the government, policies, health care, developments in society, and public-private partnerships. Local-level characteristics that were mentioned included the size of the community, organisational characteristics, social networks, financial resources, public-private partnerships, and current and past collaborations, which impact on the social cohesion in the region (the degree of mutual trust), as was also found in earlier research [39, 41].…”

Section: Discussionmentioning

confidence: 99%

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Health Brokers: How Can They Help Deal with the Wickedness of Public Health Problems?

Rinsum

Gerards

Rutten

et al. 2017

BioMed Research International

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Background The role of health broker is a relatively new one in public health. Health brokers aim to create support for efforts to optimise health promotion in complex or even “wicked” public health contexts by facilitating intersectoral collaborations and by exchanging knowledge with different stakeholders. The current study aimed to explore the role of health brokers, by examining the motivational, contextual, and behaviour-related factors they have to deal with. Methods Fifteen professionals from various backgrounds and from various policy and practice organisations were recruited for a semistructured interview. To structure the interviews, we developed the “Health Broker Wheel” (HBW), a framework we then specified with more details derived from the interviews. Results We identified seven primary types of behaviour that health brokers need to engage in: recognizing opportunities, agenda setting, implementing, network formation, intersectoral collaboration, adaptive managing, and leadership. Determinants of health brokers' behaviours were identified and categorised as capability, opportunities, motivation, and local or national contextual factors. Conclusion The health brokers' role can be seen as an operational approach and is visualised in the HBW. This framework can assist further research to monitor and evaluate this role, and health promotion practitioners can use it as a tool to implement the health brokers' role and to facilitate intersectoral collaboration.

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Section: Resultsmentioning

confidence: 99%