The role of trust in joined‐up government activities: Experiences from Health in All Policies in South Australia

Delany‐Crowe, Toni; Popay, Jennie; Lawless, Angela; Baum, Fran; MacDougall, Colin; Eyk, Helen van; Williams, Carmel

doi:10.1111/1467-8500.12383

Cited by 14 publications

(11 citation statements)

References 36 publications

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“…CLAHRC NWC brought together organizations and individuals from very diverse disciplines and backgrounds, most of whom had no previous connecting ties. This can have serious implications for the levels and extent of trust, which is an important requirement for cooperation [ 10 ]. We bring a group of people together that have not worked together before, and that was a major challenge.…”

Section: Discussion: Understanding Factors That Enabled or Prevented mentioning

confidence: 99%

From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration

Porroche-Escudero

Popay

Ward

et al. 2021

Health Res Policy Sys

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Background Action to address the structural determinants of health inequalities is prioritized in high-level initiatives such as the United Nations Sustainable Development Goals and many national health strategies. Yet, the focus of much local policy and practice is on behaviour change. Research shows that whilst lifestyle approaches can improve population health, at best they fail to reduce health inequalities because they fail to address upstream structural determinants of behaviour and health outcomes. In health research, most efforts have been directed at three streams of work: understanding causal pathways; evaluating the equity impact of national policy; and developing and evaluating lifestyle/behavioural approaches to health improvement. As a result, there is a dearth of research on effective interventions to reduce health inequalities that can be developed and implemented at a local level. Objective To describe an initiative that aimed to mainstream a focus on health equity in a large-scale research collaboration in the United Kingdom and to assess the impact on organizational culture, research processes and individual research practice. Methods The study used multiple qualitative methods including semi-structured interviews, focus groups and workshops (n = 131 respondents including Public Advisers, university, National Health Service (NHS), and local and document review. Results utilizing Extended Normalization Process Theory (ENPT) and gender mainstreaming theory, the evaluation illuminated (i) the processes developed by Collaboration for Leadership in Applied Health Research and Care North West Coast to integrate ways of thinking and acting to tackle the upstream social determinants of health inequities (i.e. to mainstream a health equity focus) and (ii) the factors that promoted or frustrated these efforts. Conclusions Findings highlight the role of contextual factors and processes aimed at developing and implementing a robust strategy for mainstreaming health equity as building blocks for transformative change in applied health research.

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Section: Discussion: Understanding Factors That Enabled or Prevented mentioning

confidence: 99%

From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration

Porroche-Escudero

Popay

Ward

et al. 2021

Health Res Policy Sys

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“…(Leach et al, 2017;Pedraza-Fariña, 2017) CLAHRC-NWC brought together organisations and individuals from very diverse disciplines and backgrounds, most of whom had no previous connecting ties. This can have serious implications for the levels and extent of trust, which is an important requirement for cooperation (Delany-Crowe et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

From Fringe to Centre-Stage: experiences of mainstreaming health equity in a health research collaboration

Porroche-Escudero

Popay

Ward

et al. 2020

Preprint

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Background: Action to address the structural determinants of health inequalities is prioritised in high level initiatives such as the UN Sustainable Development Goals and many national health strategies. Yet, the focus of much local policy and practice is on behaviour change. Research shows that whilst lifestyle approaches can improve population health, at best they fail to reduce health inequalities because they fail to address upstream structural determinants of behaviour and health outcomes. In health research most efforts have been directed at three streams of work: understanding causal pathways; evaluating the equity impact of national policy; and developing and evaluating lifestyle/behavioural approaches to health improvement. As a result, there is a dearth of research on effective interventions to reduce health inequalities that can be developed and implemented at a local level. Objective: To describe an initiative that aimed to mainstream a focus on health equity in a large scale research collaboration in the UK and to assess the impact on organisational culture, research processes and individual research practice. Methods: The study used multiple qualitative methods including semi-structured interviews, focus groups and workshops (n=131 respondents including Public Advisers, university, NHS and local and document review.. Results: Utilising Extended Normalisation Process Theory (ENPT) and Gender Mainstreaming theory the evaluation illuminated: (i) the processes developed by CLAHRC NWC to integrate ways of thinking and acting to tackle the upstream social determinants of health inequities (i.e. to mainstream a health equity focus) and, (ii) the factors that promoted or frustrated these efforts. Conclusions: Findings highlight the role of contextual factors and processes aimed at developing and implementing a robust strategy for mainstreaming health equity as building blocks for transformative change in applied health research.

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“…Addressing these challenges requires work across various sectors to find innovative, creative, and health-promoting solutions, which the HiAP framework can help identify and advance. In South Australia, for example, the HiAP initiative between government departments aims to find win-win solutions to problems and to establish relationships built upon trust and which can use co-benefit approaches [ 17 ]. The evaluation of the project using a narrative theory of change indicated that its varied initiatives did, in all probability, lead to health gains [ 18 ].…”

Section: Health In All Policies: Governing For Health Equity and mentioning

confidence: 99%

Recent Advances in Health Impact Assessment and Health in All Policies Implementation: Lessons from an International Convening in Barcelona

Rogerson

Lindberg

Baum

et al. 2020

IJERPH

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Health Impact Assessment (HIA) and Health in All Policies (HiAP) are policy tools used to include health considerations in decision-making processes across sectors such as transportation, education, and criminal justice that can play a role in improving health and equity. This article summarizes proceedings from an international convening of HIA and HiAP experts held in July 2019 in Barcelona, Spain. The presentations and panel discussions included different models, best practices, and lessons learned, including from government, international banks, think tanks, and academia. Participants discussed ideas from around the world for cross-sector collaboration to advance health. The convening covered the following topics: community engagement, building greater understanding of and support for HiAP, and exploring how mandates for HIA and HiAP approaches may advance health and equity.

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The role of trust in joined‐up government activities: Experiences from Health in All Policies in South Australia

Cited by 14 publications

References 36 publications

From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration

From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration

From Fringe to Centre-Stage: experiences of mainstreaming health equity in a health research collaboration

Recent Advances in Health Impact Assessment and Health in All Policies Implementation: Lessons from an International Convening in Barcelona

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