Community maturity to implement Health in All Policies

Abstract

Objectives

To provide a fundament for practical guidance on implementation of HiAP to Danish Municipalities HiAP.

Methods

This study is based on a descriptive case study design where a mixed method is used. A questionnaire survey with 64 respondents was conducted in the five political sectors of Esbjerg municipality and it was followed up by four semi-structured interviews with key respondents based on a Dutch prototype model from 2014; The Capability Maturity Model for HiAP.

Results

The Maturity Model was applied in Esbjerg Municipality and proved practical for the assessment of the growth process of HiAP. Esbjerg municipality is assessed to be at maturity level 2 in the implementation process of HiAP, where the approach is recognized and considered to tackle health inequalities.

Conclusion

The Maturity Model for HiAP has proved suitable for assessing the implementation process of HiAP on a municipality level and establishes a fundament for practical guidance in the area.

This is a preview of subscription content, log in to check access.

Fig. 1
Fig. 2
Fig. 3

References

  1. Abramson JH, Abramson ZH (1999) Survey methods in community medicine, 5th edn. Churchill Livingstone, Edinburgh

    Google Scholar 

  2. Fredsgaard MW (2010) Sundhedskonsekvensvurdering i danske kommuner og regioner—anvendt og planlagt praksis for sundhedskonsekvensvurdering, Copenhagen

  3. Kamper-Jørgensen F, Bistrup ML (2005) Sundhedskonsekvensvurderinger—Koncept. Perspektiver. Anvendelse i stat, amter og kommuner, Copenhagen

  4. Kang E (2016) Intersectoral collaboration for physical activity in Korean Healthy Cities. Health Promot Int 31:551–561

    Article  PubMed  Google Scholar 

  5. Khayatzadeh-Mahani A, Sedoghi Z, Mehrolhassani MH, Yazdi-Feyzabadi V (2016) How Health in All Policies are developed and implemented in a developing country? A case study of a HiAP initiative in Iran. Healt Promot Int 31:769–781

    Google Scholar 

  6. Kommune (2015) Sundhedspolitik Esbjerg Kommune 2015–2020 Et sammendrag Indhold

  7. Kraemer SRJ, Nikolajsen LT, Gulis G (2014) Implementation of health impact assessment in Danish municipal context. Cent Eur J Public Health 22(4):211–214

    Article  PubMed  Google Scholar 

  8. Larsen M (2014) Intersectoral action for health: the experience of a Danish municipality. Scand J Public Health 42(7):649–657

    Article  PubMed  Google Scholar 

  9. Leppo K et al (2013) Health in All Policies—Seizing opportunities, implementing policies, 1st ed., Ministry of Social Affairs and Health of Finland, Finland

  10. Paulk MC (2009) A history of the capability maturity model for software. Softw Qual Profile 12(1):15

    Google Scholar 

  11. Puska P, Stahl T (2010) Health in All Policies—the Finnish initiative: background, principles, and current issues. Annu Rev Public Health 31:315–328

    Article  PubMed  Google Scholar 

  12. Rantala R, Bortz M, Armada F (2014) Intersectoral action: local governments promoting health. Health Promot Int 29(suppl 1):i92–i102

    Article  PubMed  Google Scholar 

  13. Regeringen (2002) Sund hele livet - – de nationale mål og strategier for folkesundheden 2002–10, Copenhagen. http://forskningsbasen.deff.dk/Share.external?sp=S13c27ce0-ac5d-11da-bee9-02004c4f4f50&sp=Sau. Accessed 17 Jan 2017

  14. Steenbakkers M, Jansen MJW, Maarse H, Vries de N (2012) Challenging Health in All Policies, an action research study in Dutch municipalities. Health Policy 105(2–3):288–295

    Article  PubMed  Google Scholar 

  15. Storm I et al (2014) Measuring stages of Health in All Policies on a local level: the applicability of a maturity model. Health Policy 114(2–3):183–191

    Article  PubMed  Google Scholar 

  16. Sundhedsstyrelsen (2012) Sundere liv for alle—Nationale mål for danskernes sundhed de næste ti år, Copenhagen

  17. WHO (1978) Declaration of Alma-Ata. Lancet 2(8103):1308

    Google Scholar 

  18. WHO (1986) Ottawa Charter for Health Promotion. http://www.who.int/healthpromotion/conferences/previous/ottawa/en/. Accessed 16 Feb 2017

  19. WHO (2014) The Helsinki Statement on Health in All Policies. Health Promot Int 29(suppl 1): i17–i18. http://www.heapro.oxfordjournals.org/cgi/doi/10.1093/heapro/dau036. Accessed 17 Jan 2017

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Gabriel Gulis.

Ethics declarations

Conflict of interest

Author Jonas Bech Andersen declares that he has no conflict of interest. Author Gabriel Gulis declares that he has no conflict of interest.

Funding

No specific funding provided for the work as all is based on a master thesis of the first author of manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was not considered relevant for this study as it does not contain individual information.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Andersen, J.B., Gulis, G. Community maturity to implement Health in All Policies. Int J Public Health 62, 605–612 (2017). https://doi.org/10.1007/s00038-017-0951-z

Download citation

Keywords

  • Health in All Policies
  • Implementation
  • Local government
  • Municipality
  • Intersectoral action