Models of Intersectoral Cooperation in Municipal Health Promotion and Prevention: Findings from a Scoping Review

Quilling, Eike; Kruse, Stefanie; Kuchler, Maja; Leimann, Janna; Walter, Ulla

doi:10.3390/su12166544

Cited by 10 publications

(7 citation statements)

References 27 publications

(31 reference statements)

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“…Overall measurability and evidency consistency (maximum n=57)Distance to public transport(22) Minimum requirements for public transport access(23) Targets for public transport use Total coding score (21) Required urban growth boundary or maximum levels of greenfield development (20) Height restrictions on residential buildings (minimum or maximum) Density (19) Housing density requirements citywide or near transport or town centres (18) Targets for cycling participation (10) Requirements for distribution of employment across the city (11) Requirements for ratio of jobs to housing Minimum requirements for public open space access (14) Minimum requirements for street connectivity (15) Requirements for provision of pedestrian infrastructure (16) Requirements for provision of cycling infrastructure (17) Targets for walking participation Score multiplier Destination accessibility Requirements for public transport access to employment and infrastructure Distribution of employment Integrated transport and urban planning Specific health-focused actions in national or subnational urban policy for the whole city (5) Specific health-focused actions in national or subnational transport policy for the whole city Air pollution Air pollution policies related to transport planning (8) Air pollution policies related to land use planning Cities (ordered by World Bank country income classification) High-income countries Lower-middleincome countries ESP PRT CZE HKG MEX BRA THA VNM NGA IND AUS NZL CHE DNK AUT DEU BEL GBR USA Score Series e887 www.thelancet.com/lancetgh Vol 10 June 2022…”

mentioning

confidence: 98%

City planning policies to support health and sustainability: an international comparison of policy indicators for 25 cities

Lowe

Adlakha

Sallis

et al. 2022

The Lancet Global Health

109

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mentioning

confidence: 98%

City planning policies to support health and sustainability: an international comparison of policy indicators for 25 cities

Lowe

Adlakha

Sallis

et al. 2022

The Lancet Global Health

109

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“…On the one hand, health is not sufficiently anchored in the school laws of the federal states, which could lead to an underrepresentation of cooperation with health-related stakeholders. Simultaneously, with few exceptions, intersectoral cooperation in German health promotion has only been advanced in recent years [ 59 , 60 ]. The Dutch Diagnosis of Sustainable Collaboration (DISC) model provides an innovative conceptual framework whose factors (external factors, change management, context, project management, stakeholders’ support) have been shown to be significant predictors of HPS implementation [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health

Dadaczynski

Hering

2021

IJERPH

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Noncommunicable diseases (NCDs) and their underlying risk factors are seen as major public health problems that threaten health and welfare systems worldwide. The holistic and resource oriented Health Promoting School (HPS) approach can serve as an appropriate framework for the prevention and control of NCDs. The paper aimed to map the implementation of HPS activities in German schools and to examine associations with potential influencing factors. A series of cross-sectional online studies including five federal states and 5006 school principals (40.2% males, 50.8% females) from primary and secondary public schools was conducted from 2013 to 2018. Principal component analysis (PCA) resulted in two factors of HPS implementation (F1: concrete HPS action, F2: capacity building for HPS). Comparing both factors, a lower implementation level could be identified for HPS capacity building with lowest mean values found for regular teacher training and intersectoral collaboration. Multiple binary regression analyses revealed significant associations between low HPS implementation and male gender (OR: 1.36 to 1.42), younger age (OR: 1.47 to 1.90), secondary school (OR: 1.78 to 3.13) and federal state (Lower Saxony = OR: 1.27 to 1.45; Schleswig-Holstein = OR: 1.95 to 2.46). Moreover, low access to resources, decision-latitude and perceived educational benefits were independently associated with both factors of HPS implementation. Based on the results of this study, there is a need to support schools in their capacity building for health (e.g., regular teacher training, cooperation with local health services). Moreover, considering the core mission of schools, more evidence of the educational impact of health promotion and its translation into the language of education is needed for secondary schools in particular.

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“…Several theoretical frameworks have been developed and used to understand IC, such as the Bergen Model of Collaborative Functioning [ 19 ], the Diagnosis of Sustainable Collaboration model [ 20 ], or the Theoretical Model for Reducing Inequalities [ 12 , 21 ]. Co-operation is a matter of behaviour, hence understanding co-operation between people from different sectors is about understanding (factors influencing) their behaviours.…”

Section: Capability – Opportunity – Motivation- Behaviourmentioning

confidence: 99%

Facilitators and barriers of intersectoral co-operation to promote healthier and more environmentally friendly behaviour: a qualitative evaluation through focus groups for the INHERIT project

et al. 2022

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Background Tackling challenges related to health, environmental sustainability and equity requires many sectors to work together. This “intersectoral co-operation” can pose a challenge on its own. Research commonly focuses on one field or is conducted within one region or country. The aim of this study was to investigate facilitators and barriers regarding intersectoral co-operative behaviour as experienced in twelve distinct case studies in ten European countries. The COM-B behavioural system was applied to investigate which capabilities, opportunities and motivational elements appear necessary for co-operative behaviour. Method Twelve focus groups were conducted between October 2018 and March 2019, with a total of 76 participants (policymakers, case study coordinators, governmental institutes and/or non-governmental organisations representing citizens or citizens). Focus groups were organised locally and held in the native language using a common protocol and handbook. One central organisation coordinated the focus groups and analysed the results. Translated data were analysed using deductive thematic analysis, applying previous intersectoral co-operation frameworks and the COM-B behavioural system. Results Amongst the main facilitators experienced were having highly motivated partners who find common goals and see mutual benefits, with good personal relationships and trust (Motivation). In addition, having supportive environments that provide opportunities to co-operate in terms of support and resources facilitated co-operation (Opportunity), along with motivated co-operation partners who have long-term visions, create good external visibility and who have clear agreements and clarity on roles from early on (Capability). Barriers included not having necessary and/or structural resources or enough time, and negative attitudes from specific stakeholders. Conclusions This study on facilitators and barriers to intersectoral co-operation in ten European countries confirms findings of earlier studies. This study also demonstrates that the COM-B model can serve as a relatively simple tool to understand co-operative behaviour in terms of the capability, opportunity and motivation required amongst co-operation partners from different sectors. Results can support co-operators’ and policymakers’ understanding of necessary elements of intersectoral co-operation. It can help them in developing more successful intersectoral co-operation when dealing with challenges of health, environmental sustainability and equity.

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Models of Intersectoral Cooperation in Municipal Health Promotion and Prevention: Findings from a Scoping Review

Cited by 10 publications

References 27 publications

City planning policies to support health and sustainability: an international comparison of policy indicators for 25 cities

City planning policies to support health and sustainability: an international comparison of policy indicators for 25 cities

Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health

Facilitators and barriers of intersectoral co-operation to promote healthier and more environmentally friendly behaviour: a qualitative evaluation through focus groups for the INHERIT project

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