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Swedish public health policy: Impact on regional and local public health practice and priorities

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Abstract

We evaluated the Swedish National Public Health Policy to determine its impact on public health priorities and practice at regional and local levels between 2004 and 2013. We conducted a survey by questionnaire in February 2013 among Swedish county councils/regions (n=19/21), and municipalities (n=219/290). The National Public Health Policy facilitated systematic public health practice, particularly for planning, for high priority concerns, including conditions during childhood and adolescence, physical activity, and tobacco prevention. Respondents expressed need for a comprehensive monitoring system with comparable indicators nationwide and explicit measurable objectives. To ensure effective monitoring and follow-up, the measurable outcomes need direct relevance to decision making and high-priority public health issues addressing Sweden’s “overarching public health goal” – to create societal conditions for good health on equal terms for the entire population.

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References

  • Govt. Bill. (2002/03:35) Objectives for Public Health [Mål för folkhälsan]. Stockholm, Sweden: Ministry of Health and Social Affairs.

  • Linell, A., Richardson, M.X. and Wamala, S. (2013) The Swedish national public health policy report 2010. Scandinavian Journal of Public Health 41 (10 Suppl): 3–56.

    Article  Google Scholar 

  • Marmot, M.G. and Wilkinson, R.G. (2006) Social Determinants of Health, 2nd edn. Oxford; New York: Oxford University Press.

    Google Scholar 

  • Govt. Bill. (2007/08:110) A Renewed Public Health Policy [En förnyad folkhälsopolitik]. Stockholm, Sweden: Ministry of Health and Social Affairs.

  • Gov. Skr. (2011/12:166) An Public Health Policy with the Individual in the Centrum [En folkhälsopolitik med människan i centrum]. Stockholm, Sweden: Ministry of Health and Social Affairs.

  • Swedish National Institute of Public Health [SNIPH]. (2005) Public Health Policy Report 2005. Stockholm, Sweden: Statens folkhälsoinstitut.

  • Swedish National Institute of Public Health [SNIPH]. (2010) The Public Health Policy Report 2010: Public Health of the Future – Everyone’s Responsibility, http://www.folkhalsomyndigheten.se/pagefiles/12462/R2010-16-folkhalsopolitisk-rapport-2010.pdf/, accessed 3 September 2014.

  • Diderichsen, F., Evans, T. and Whitehead, M. (2001) The social basis of disparities in health. In: T. Evans, M. Whitehead, F. Diderichsen, A. Bhuiya, and M. Wirth, (eds.) Challenging Inequities in Health: From Ethics to Action. New York: Oxford University Press.

    Google Scholar 

  • Kickbusch, I. (2003) The contribution of the World Health Organization to a new public health and health promotion. Amercian Journal of Public Health 93 (3): 383–388.

    Article  Google Scholar 

  • Hanlon, P., Carlisle, S., Hannah, M., Reilly, D. and Lyon, A. (2011) Making the case for a ‘fifth wave’ in public Health. Public Health 125 (1): 30–36.

    Article  Google Scholar 

  • Stigendal, M. and Östergren, P.-O. (eds.) (2013) Malmö’s Path Towards a Sustainable future: Health, Welfare and Justice. Commission for a Socially Sustainable Malmö. Malmö, Sweden: Commission for a Socially Sustainable Malmö.

    Google Scholar 

  • Keeble, B.R. (1987) The brundtland commission: Environment and development to the year 2000. Med War 3 (4): 207–210.

    Article  Google Scholar 

  • Lundberg, O. et al (2008) The role of welfare state principles and generosity in social policy programmes for public health: An international comparative study. Lancet 372 (9650): 1633–1640.

    Article  Google Scholar 

  • The Swedish Gouvernement. (2014) Human rights in Sweden, http://www.manskligarattigheter.se/en, accessed 3 September 2014.

  • World Health Organization. (2014) Review of Social Determinants and the Health Divide in the WHO European Region. Final Report. WHO Regional Office Europé 2014, UCL Institute of Health Equity. Copenhagen: WHO.

  • The Public Health Agency of Sweden. (2014) About Folkhälsomyndigheten - Public Health Agency of Sweden, http://www.folkhalsomyndigheten.se/about-folkhalsomyndigheten-the-public-health-agency-of-sweden/, accessed 3 September 2014.

  • The Data Inspection Board. (2008) What on earth does the data inspection board do?, http://www.datainspektionen.se/Documents/datainspektionen-presentation-eng.pdf, accessed 3 September 2014.

  • Kinnear, P.R. and Gray, C.D. (2009) PASW 17 Statistics Made Simple. Hove, UK: Psychlogy Press.

    Google Scholar 

  • Graneheim, U.H. and Lundman, B. (2004) Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 24 (2): 105–112.

    Article  Google Scholar 

  • SFS. (1982:763) Swedish Health and Medical Service Act [Hälso – och sjukvårdslagen]. Stockholm, Sweden: Ministry of Health and Social Affairs.

  • The National Agency of Public Health. (2014) Public Health in Sweden. Annual Report 2013, http://www.folkhalsomyndigheten.se/pagefiles/17825/Folkhalsan-i-Sverige-arsrapport-2014.pdf, accessed 1 August 2014.

  • Govt. Bill. (2008:131) Parental Support – Profits for Everyone: A National Strategy for Society’s Support and Assistance to Parents in their Parenthood. Stockholm, Sweden: Ministry of Health and Social Affairs.

  • Axelsen, M., Danielsson, M., Norberg, M. and Sjoberg, A. (2012) Eating habits and physical activity: Health in Sweden: The national public health report. Chapter 8 Scandinavian Journal of Public Health 40 (9 Suppl): 164–175.

    Article  Google Scholar 

  • National Board of Health and Welfare [NBHW]. (2011) National Guidelines for Methods of Preventing Disease [Nationella riktlinjer för sjukdomsförebyggande metoder], http://www.socialstyrelsen.se/nationalguidelines/nationalguidelinesformethodsofpreventingdisease, accessed 3 September 2014.

  • Danielsson, M., Gilljam, H. and Hemstrom, O. (2012) Tobacco habits and tobacco-related diseases: Health in Sweden: The national public health report 2012. Chapter 10 Scandinavian Journal of Public Health 40 (9 Suppl): 197–210.

    Article  Google Scholar 

  • Hensing, G. (2012) The health consequences of alcohol and drug abuse: Health in Sweden: The national public health report 2012. Chapter 11 Scandinavian Journal of Public Health 40 (9 Suppl): 211–228.

    Article  Google Scholar 

  • Hu, G. and Mamady, K. (2010) Alcohol-related road traffic injury and global burden of disease. Lancet 382 (9898): 1092–1093.

    Article  Google Scholar 

  • Govt. Bill. (2010/11:47) A Coherent Strategy for Alcohol, Narcotics, Doping and Tobacco Policy. Stockholm, Sweden: Ministry of Health and Social Affairs.

  • Moodie, R. et al (2013) Profits and pandemics: Prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet 381 (9867): 670–679.

    Article  Google Scholar 

  • Larson, C. and Mercer, A. (2004) Global health indicators: An overview. Canadian Medical Association Journal 171 (10): 1199–1200.

    Article  Google Scholar 

  • Finucane, M. et al (2011) National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet 377 (9765): 557–567.

    Article  Google Scholar 

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Acknowledgements

The authors are grateful to Anna Bessö, Mona Lakso, Anita Linell, Mikael Nordberg, Sven Bremberg, Kontie Moussa, and Matt X. Richardson, at the National Institute of Public Health, for their substantial contribution to different stages of the process of this study.

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Authors and Affiliations

  1. Department of Public Health and Caring Sciences, Uppsala University, Sweden

    Marlene Makenzius

  2. Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden

    Sarah Wamala

Authors
  1. Marlene Makenzius
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  2. Sarah Wamala
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Corresponding author

Correspondence to Marlene Makenzius.

Additional information

How does Sweden's national public health policy facilitate planning for high priority concerns in its regions and localities?

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Makenzius, M., Wamala, S. Swedish public health policy: Impact on regional and local public health practice and priorities. J Public Health Pol 36, 335–349 (2015). https://doi.org/10.1057/jphp.2015.3

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