Regionalt og lokalt folkehelsearbeid

Helgesen, Marit; Hofstad, Hege

doi:10.7577/nibr/rapport/2012/13

Cited by 17 publications

(22 citation statements)

References 4 publications

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“…The informants in the interview study at the national level were policymakers in the Directorate of Health and the Ministry of Health and Care Services, who were responsible for supporting the implementation in the municipalities [14].…”

Section: Methodsmentioning

confidence: 99%

Addressing the social determinants of health at the local level: Opportunities and challenges

Fosse

Helgesen

Hagen

et al. 2018

Scand J Public Health

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Aims:The gradient in health inequalities reflects a relationship between health and social circumstance, demonstrating that health worsens as you move down the socio-economic scale. For more than a decade, the Norwegian National government has developed policies to reduce social inequalities in health by levelling the social gradient. The adoption of the Public Health Act in 2012 was a further movement towards a comprehensive policy. The main aim of the act is to reduce social health inequalities by adopting a Health in All Policies approach. The municipalities are regarded key in the implementation of the act. The SODEMIFA project aimed to study the development of the new public health policy, with a particular emphasis on its implementation in municipalities. Methods: In the SODEMIFA project, a mixed-methods approach was applied, and the data consisted of surveys as well as qualitative interviews. The informants were policymakers at the national and local level. Results: Our findings indicate that the municipalities had a rather vague understanding of the concept of health inequalities, and even more so, the concept of the social gradient in health. The most common understanding was that policy to reduce social inequalities concerned disadvantaged groups. Accordingly, policies and measures would be directed at these groups, rather than addressing the social gradient. Conclusions: A movement towards an increased understanding and adoption of the new, comprehensive public health policy was observed. However, to continue this process, both local and national levels must stay committed to the principles of the act.

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Section: Methodsmentioning

confidence: 99%

Addressing the social determinants of health at the local level: Opportunities and challenges

Fosse

Helgesen

Hagen

et al. 2018

Scand J Public Health

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“…The smallest and most geographically remote municipalities were the ones that in most cases did not respond to the survey request. 28 The second survey was carried out in spring 2014. As with the first, the questionnaire was sent to the CEOs of the municipalities and urban districts of Oslo; 269 municipalities responded to the whole questionnaire, while an additional 40 municipalities responded to parts of it.…”

Section: Methods and Datamentioning

confidence: 99%

Leveling the Social Gradient in Health at the Local Level: Applying the Gradient Equity Lens to Norwegian Local Public Health Policy

2019

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The gradient in health inequalities reflects a relationship between health and social circumstance demonstrating that health worsens as you move down the socioeconomic scale. Norway’s Public Health Act (PHA) specifically aims to tackle the gradient by addressing the social determinants of health. In this article, we draw on data from 2 studies that investigated how municipalities in Norway deal with these challenges. In doing so, we apply theoretical perspectives, as defined in the Gradient Evaluation Framework (GEF), to analyze the implementation of the PHA at the municipality level. The article aims to describe and analyze how local governments follow the requirements of the act. In doing so, we address the following research questions: Which policies are implemented at the local level to reduce social inequalities in health among families and children? How is intersectoral collaboration carried out, and who is taking part in the collaboration? The article draws on both quantitative survey data from questionnaires sent to all Norwegian municipalities and qualitative interview data in 6 municipalities. The findings show that there is raised awareness of the significance of social determinants among an increased number of municipalities, indicating that the PHA is being implemented according to its objectives.

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“…The chosen municipalities were included because of their experience with integrating public health policies in local planning and management systems, in addition to their variation in geography and number of inhabitants. The municipalities were selected by reviewing the results from a survey on the implementation of public health policies [7], national supervision and a national webpage for municipalities. The selection of informants was also strategic and was designed to include informants experienced in the implementation of public health policies at a strategic level in their municipal organization.…”

Section: Methodsmentioning

confidence: 99%

“…Implementation of the NPHA is progressing, but is still challenging [6–8]. Even though they are agents for the welfare state and are included in an implementation chain of policies at the national, regional and local levels [9], municipalities are not expected to copy public health work from the NPHA.…”

Section: Introductionmentioning

confidence: 99%

Public health terminology: Hindrance to a Health in All Policies approach?

Synnevåg

Amdam

Fosse

2017

Scand J Public Health

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This paper promotes debate about the appropriateness of using the terms 'public health' and 'public health work' at the local level. It suggests that adaptation is suitable and necessary, unless it compromises knowledge, responsibility and a systematic approach. This study concludes that the use of terminology is a central factor when implementing the Norwegian Public Health Act at the local level.

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Regionalt og lokalt folkehelsearbeid

Cited by 17 publications

References 4 publications

Addressing the social determinants of health at the local level: Opportunities and challenges

Addressing the social determinants of health at the local level: Opportunities and challenges

Leveling the Social Gradient in Health at the Local Level: Applying the Gradient Equity Lens to Norwegian Local Public Health Policy

Public health terminology: Hindrance to a Health in All Policies approach?

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