Capacity building for intersectoral action for health by local governments is needed: a policy brief

Authors

  • N. Hernantes Ayuntamiento de Donostia-San Sebastián. Dirección de Salud y Medio Ambiente. Departamento de Salud Pública. Sección de Promoción de la Salud. Donostia-San Sebastián. https://orcid.org/0000-0001-9277-5417
  • E. Bermejo-Martins Departamento de Enfermería Comunitaria y Materno-Infantil. Facultad de Enfermería. Universidad de Navarra. Pamplona https://orcid.org/0000-0001-7040-3508
  • M.J. Pumar-Méndez Departamento de Ciencias de la Salud. Facultad de Ciencias de la Salud. Universidad Pública de Navarra. Pamplona. https://orcid.org/0000-0003-3284-5588
  • O. López-Dicastillo Departamento de Ciencias de la Salud. Facultad de Ciencias de la Salud. Universidad Pública de Navarra. Pamplona. https://orcid.org/0000-0001-7375-8072
  • A. Iriarte-Roteta Departamento de Ciencias de la Salud. Facultad de Ciencias de la Salud. Universidad Pública de Navarra. Pamplona. https://orcid.org/0000-0002-6316-0795
  • S. Fernández-Unanue Ayuntamiento de Donostia-San Sebastián. Dirección de Salud y Medio Ambiente. Departamento de Salud Pública. Sección de Promoción de la Salud. Donostia-San Sebastián.
  • A. Mujika Facultad de Medicina y Enfermería. Universidad del País Vasco. Donostia-San Sebastián. https://orcid.org/0000-0002-9470-1048

DOI:

https://doi.org/10.23938/ASSN.0917

Keywords:

Policy brief, Capacity Building, Health Promotion, Local Governments, Intersectoral action

Abstract

Local governments have a pivotal role promoting population’s health. Nevertheless, there are mutiple barriers for implementing approaches such as Health in All Policies or Governance for Health, This document presents three key recommendations for advancing in this field. Two of them are based on the most frecuently identified redommendations on the literature; they include the stablishment of specific budgets and the implementation of tools for measuring political impacts on health. Authors propose a thirth one, capacity building; this one is aimed at improving local governments’ settings for stablishing the neccesary elements which allow an intersectoral health promotion, and synergys between different facilitators.

 

Downloads

Download data is not yet available.

References

World Health Organization. Addresing the social determinants of health: the urban dimension and the role of local government. Denmark 2012. https://www.euro.who.int/__data/assets/pdf_file/0005/166136/UrbanDimensions.pdf

Jansson EV, Tillgren PE. Health promotion at local level: a case study of content, organization and development in four Swedish municipalities. BMC Public Health 2010; 10: 455. https://doi.org/10.1186/1471-2458-10-455

The Health Foundation. What makes us healthy? An introduction to the social determinants of health. 2018: 62. Available from: http://www.health.org.uk/sites/health/files/What-makes-us-healthy-quick-guide.pdf

CSDH. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization, 2008. https://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf

KESHAVARZ MOHAMMADI N, TAHERI F, MOTALLEBI M, YAZDANPANAH A, KHOSRAVI Y, BORHANI JEBELI M et al. Development of a national conceptual framework and measuring tool for Organisational Social Responsibility and Accountability for Health (OSRAH). Glob Health Promot 2019; 27: 17-25. https://doi.org/10.1177/1757975918789346

VAN VLIET-BROWN CE, SHAHRAM S, OELKE ND. Health in All Policies utilization by municipal governments: scoping review. Health Promot Int 2017. https://doi.org/10.1093/heapro/dax008

GUGLIELMIN M, MUNTANER C, O’CAMPO P, SHANKARDASS K. A scoping review of the implementation of health in all policies at the local level. Health Policy (New York) 2018; 122: 284-292. https://doi.org/10.1016/j.healthpol.2017.12.005

CAREY G, FRIEL S. Understanding the role of public administration in implementing action on the social determinants of health and health inequities. Int J Heal Policy Manag 2015 ; 4(12): 795-798. https://doi.org/10.15171/ijhpm.2015.185

FOSSE E, HELGESEN MK, HAGEN S, TORP S. Addressing the social determinants of health at the local level: opportunities and challenges. Scand J Public Health 2018; 46 (Suppl 20): 47-52. https://doi.org/10.1177/1403494817743896

HOLT DH, CAREY G, ROD MH. Time to dismiss the idea of a structural fix within government? An analysis of intersectoral action for health in Danish municipalities. Scand J Public Health 2018; 46 (Suppl 22): 48-57. https://doi.org/10.1177/1403494818765705

SCHEELE CE, LITTLE I, DIDERICHSEN F. Governing health equity in Scandinavian municipalities: the inter-sectorial challenge. Scand J Public Health 2018; 46: 57-67. https://doi.org/10.1177/1403494816685538

JANCEY J, BARNETT L, SMITH J, BINNS C, HOWAT P. We need a comprehensive approach to health promotion. Heal Promot J Aust 2016 ; 27: 1-3. https://doi.org/10.1071/hev27n1_ed

FREILER A, MUNTANER C, SHANKARDASS K, MAH CL, MOLNAR A, RENAHY E et al. Glossary for the implementation of Health in All Policies (HiAP). J Epidemiol Community Health 2013; 67: 1068-1072. https://doi.org/10.1136/jech-2013-202731

HOLT DH, ROD MH, WALDORFF SB, TJØRNHØJ-THOMSEN T. Elusive implementation: an ethnographic study of intersectoral policymaking for health. BMC Health Serv Res 2018; 18: 54. https://doi.org/10.1186/s12913-018-2864-9

WEISS D, LILLEFJELL M, MAGNUS E. Facilitators for the development and implementation of health promoting policy and programs – a scoping review at the local community level. BMC Public Health 2016; 16: 140. https://doi.org/10.1186/s12889-016-2811-9

SYNNEVÅG ES, AMDAM R, FOSSE E. Intersectoral planning for public health: dilemmas and challenges. Int J Heal Policy Manag 2018; 7: 982-992. https://doi.org/10.15171/ijhpm.2018.59

MATEU I SERRA A. Salud en Todas las Políticas e intersectorialidad en la promoción de la salud: el Plan Interdepartamental de Salud Pública (PINSAP) de Cataluña. Med Clin (Barc) 2015; 145: 34-37. https://doi.org/10.1016/s0025-7753(15)30036-1

BORRELL C, PASARÍN MI, DÍEZ E, PÉREZ K, MALMUSI D, PÉREZ G et al. Las desigualdades en salud como prioridad política en Barcelona. Gac Sanit 2020; 34: 69-76. https://doi.org/10.1016/j.gaceta.2019.04.004

MCGUIRE F, VIJAYASINGHAM L, VASSALL A, SMALL R, WEBB D, GUTHRIE T et al. Financing intersectoral action for health: a systematic review of co-financing models. Global Health 2019; 15: 86. https://doi.org/10.1186/s12992-019-0513-7

MELKAS T. Health in all policies as a priority in Finnish health policy: a case study on national health policy development. Scand J Public Health 2013; 41(Suppl 11): 3-28. https://doi.org/10.1177/1403494812472296

HAGEN S, TORP S, HELGESEN M, FOSSE E. Promoting health by addressing living conditions in Norwegian municipalities. Health Promot Int 2016; 32: 977-987. https://doi.org/10.1093/heapro/daw052

VELA-RÍOS J, RODRÍGUEZ-RASERO FJ, MOYA-RUANO LA, CANDAU-BEJARANO A, RUIZ-FERNÁNDEZ J. Institucionalización de la evaluación del impacto en la salud en Andalucía. Gac Sanit 2016; 30: 81-84. https://doi.org/10.1016/j.gaceta.2015.08.009

MORTERUEL M. Valoración de la efectividad y sus determinantes de las Evaluaciones de Impacto en Salud en el estado español. Tesis doctoral: Universidad del País Vasco, 2017. https://www.ehu.eus/documents/3638427/7319509/Tesis-Maite-Morteruel.pdf

HOLT DH, FROHLICH KL, TJØRNHØJ-THOMSEN T, CLAVIER C. Intersectoriality in Danish municipalities: corrupting the social determinants of health? Health Promot Int 2017; 32: 881-890. https://doi.org/10.1093/heapro/daw020

Organización Mundial de la Salud, Centro OMS para el Desarrollo Sanitario. Urban HEART : instrumento de evaluación y respuesta en materia de equidad sanitaria en los medios urbanos. Kobe: World Health Organization, 2010. https://apps.who.int/iris/handle/10665/79063

NOVOA AM, PÉREZ G, ESPELT A, ECHAVE C, DE OLALLA PG, CALVO MJ et al. The experience of implementing urban HEART Barcelona: a tool for action. J Urban Health 2018; 95: 647-661. https://doi.org/10.1007/s11524-017-0194-6.

LARSEN M, RANTALA R, KOUDENBURG OA, GULIS G. Intersectoral action for health: the experience of a Danish municipality. Scand J Public Health 2014; 42: 649-657. https://doi.org/10.1177/1403494814544397

World Health Organization. Health Promotion Glossary. Geneva: World Health Organization, 1998. https://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf?ua

VON HEIMBURG D, HAKKEBO B. Health and equity in all policies in local government: processes and outcomes in two Norwegian municipalities. Scand J Public Health 2017; 45 (Suppl 18): 68-76. https://doi.org/10.1177/1403494817705804

BERGERON K, ABDI S, DECORBY K, MENSAH G, REMPEL B, MANSON H. Theories, models and frameworks used in capacity building interventions relevant to public health: a systematic review. BMC Public Health 2017; 17: 914. https://doi.org/10.1186/s12889-017-4919-y

STORM I, DEN HERTOG F, VAN OERS H, SCHUIT AJ. How to improve collaboration between the public health sector and other policy sectors to reduce health inequalities? – A study in sixteen municipalities in the Netherlands. Int J Equity Health 2016; 15: 97. https://doi.org/10.1186/s12939-016-0384-y

VAN RINSUM CE, GERARDS SMPL, RUTTEN GM, VAN DE GOOR IAM, KREMERS SPJ. Health brokers: how can they help deal with the wickedness of public health problems? Biomed Res Int 2017; 2017: 1-10. https://doi.org/10.1155/2017/1979153

HARTING J, KUNST AE, KWAN A, STRONKS K. A “health broker” role as a catalyst of change to promote health: an experiment in deprived Dutch neighbourhoods. Health Promot Int 2011; 26: 65-81. https://doi.org/10.1093/heapro/daq069

New South Wales Health Department. A framework for building capacity to improve health. Gladesville: New South Wales Health Department, 2001.

Published

2020-12-22

How to Cite

1.
Hernantes N, Bermejo-Martins E, Pumar-Méndez M, López-Dicastillo O, Iriarte-Roteta A, Fernández-Unanue S, et al. Capacity building for intersectoral action for health by local governments is needed: a policy brief. An Sist Sanit Navar [Internet]. 2020 Dec. 22 [cited 2026 Jan. 31];43(3):429-34. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/83165

Issue

Section

Letters to the Editor

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.