Abstract
An ontological underpinning of health promotion (HP) is that the practices and actions of policymakers and other institutional actors have wide implications for health. Researching the practices of policymakers and other stakeholders is, thus, key to advancing health promotion knowledge and practice. This chapter presents a case study of a research focused on understanding how a social policy intervention called the Livelihood Empowerment Against Poverty (LEAP) works to influence the social determinants of health (SDH) and the factors that influence health sector involvement in the programme in Ghana. The chapter reflects on the epistemological and ethical framework, which governed this HP research to shed light on how the practices of policy actors and policy entrepreneurs advance or fail to advance action on the SDH. It also outlines the contribution of this case study to advancing HP research. In doing so, the chapter argues that HP research needs to take pragmatic measures to ensure that the research process, which is an HP practice, is in congruence with health promotion values and adopts study designs and methods that would optimise these values.
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References
Allison, K. R., & Rootman, I. (1996). Scientific rigor and community participation in health promotion research: Are they compatible? Health Promotion International, 11(4), 333–340.
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122.
Commission on Social Determinants of Health. (2008). 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. World Health Organization.
Crosby, R., & Noar, S. M. (2010). Theory development in health promotion: Are we there yet? Journal of Behavioral Medicine, 33(4), 259–263.
Dalkin, S., Greenhalgh, J., Jones, D., Cunningham, B., & Lhussier, M. (2015). What’s in a mechanism? Development of a key concept in realist evaluation. Implementation Science, 10(1), 1–7.
de Leeuw, E. (2017). Engagement of sectors other than health in integrated health governance, policy, and action. Annual Review of Public Health, 38, 329–349.
DiClemente, R. J., Crosby, R. A., & Kegler, M. C. (2002). Emerging theories in health promotion practice and research: Strategies for improving public health (Vol. 15). Wiley.
Fetterman, D. M., RodrÃguez-Campos, L., & Zukoski, A. P. (2017). Collaborative, participatory, and empowerment evaluation: Stakeholder involvement approaches. Guilford Publications.
Friedmann, J. (1992). Empowerment: The politics of alternative development. Blackwell.
Green, J. (2000). The role of theory in evidence-based health promotion practice. Oxford University Press.
Hesse-Biber, S. N. (2011). The practice of qualitative research (2nd ed.). SAGE.
Kabeer, N. (1999). Resources, agency, achievements: Reflections on the measurement of women’s empowerment. Development and Change, 30(3), 435–464.
Kingdon, J. W. (2011). Agendas, alternatives, and public policies (updated) (Vol. 128, pp. 251–257). Pearson.
Lahtinen, E., Koskinen-Ollonqvist, P., Rouvinen-Wilenius, P., Tuominen, P., & Mittelmark, M. B. (2005). The development of quality criteria for research: A Finnish approach. Health Promotion International, 20(3), 306–315.
Lasker, R. D., Weiss, E. S., & Miller, R. (2001). Partnership synergy: A practical framework for studying and strengthening the collaborative advantage. The Milbank Quarterly, 79(2), 179–205.
Lawless, A., Lane, A., Lewis, F. A., Baum, F., & Harris, P. (2017). Social determinants of health and local government: Understanding and uptake of ideas in two Australian states. Australian and New Zealand Journal of Public Health, 41(2), 204–209.
Liamputtong, P. (2013). Qualitative research methods (4th ed.). Oxford University Press.
Mantoura, P., & Potvin, L. (2013). A realist–constructionist perspective on participatory research in health promotion. Health Promotion International, 28(1), 61–72.
Marchal, B., Van Belle, S., Van Olmen, J., Hoerée, T., & Kegels, G. (2012). Is realist evaluation keeping its promise? A review of published empirical studies in the field of health systems research. Evaluation, 18(2), 192–212.
Marmot, M., Allen, J., Bell, R., Bloomer, E., Goldblatt, P., & Consortium for the European Review of Social Determinants of Health. (2012). WHO European review of social determinants of health and the health divide. Lancet, 380(9846), 1011–1029.
Maxwell, J. A. (2012). A realist approach for qualitative research. Sage.
Ministry of Gender Children and Social Protection [MoGCSP]. (2020). Livelihood empowerment against poverty. Available at http://leap.gov.gh/. Accessed 16 Nov 2020.
Owusu-Addo, E. (2016). Perceived impact of Ghana’s conditional cash transfer on child health. Health Promotion International, 31(1), 33–43.
Owusu-Addo, E., Edusah, S. E., & Sarfo-Mensah, P. (2015). The utility of stakeholder involvement in the evaluation of community-based health promotion programmes. International Journal of Health Promotion and Education, 53(6), 291–302.
Owusu-Addo, E., Renzaho, A., & Smith, B. (2019a). Cash transfers and the social determinants of health: A conceptual framework. Health Promotion International, 34(6), e106–e118.
Owusu-Addo, E., Renzaho, A., & Smith, B. (2019b). Cash transfers and the social determinants of health: Towards an initial realist program theory. Evaluation, 25(2), 224–244.
Owusu-Addo, E., Renzaho, A. M., & Smith, B. J. (2018a). Evaluation of cash transfer programs in sub-Saharan Africa: A methodological review. Evaluation and Program Planning, 68, 47–56.
Owusu-Addo, E., Renzaho, A. M., & Smith, B. J. (2018b). The impact of cash transfers on social determinants of health and health inequalities in sub-Saharan Africa: A systematic review. Health Policy and Planning, 33(5), 675–696.
Owusu-Addo, E., Renzaho, A. M., & Smith, B. J. (2020a). Developing a middle-range theory to explain how cash transfers work to tackle the social determinants of health: A realist case study. World Development, 130, 104920.
Owusu-Addo, E., Renzaho, A. M., & Smith, B. J. (2020b). Factors affecting health sector involvement in public policies addressing the social determinants of health: A critical realist case study of cash transfers in Ghana. International Journal of Health Promotion and Education, 58, 1–19.
Patton, M. Q. (2011). Essentials of utilization-focused evaluation. Sage.
Patton, M. Q. A. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). SAGE.
Pawson, R. (2013). The science of evaluation: A realist manifesto. Sage.
Pawson, R., & Manzano-Santaella, A. (2012). A realist diagnostic workshop. Evaluation, 18(2), 176–191.
Pawson, R., Tilley, N., & Tilley, N. (1997). Realistic evaluation. Sage.
Potvin, L., Mcqueen, D. V., & Hall, M. (2008). Introduction. Aligning evaluation research and health promotion values: Practices from the Americas. In Health promotion evaluation practices in the Americas (pp. 1–9). Springer.
Ritchie, J., Spencer, L., & O’Connor, W. (2008). Carrying out qualitative analysis. In J. Ritchie & J. Lewis (Eds.), Qualitative research practice (pp. 219–262). Sage.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68.
Sen, A. (2001). Development as freedom (Oxford Paperbacks). Oxford University.
WHO. (1986). Ottawa charter for health promotion. Retrieved from https://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf. Accessed 4 June 2021.
World Health Organization. (2011). Closing the gap: Policy into practice on social determinants of health. Discussion paper.
Woodall, J., Warwick-Booth, L., South, J., & Cross, R. (2018). What makes health promotion research distinct? Scandinavian Journal of Public Health, 46(20_suppl), 118–122.
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Owusu-Addo, E. (2022). Researching the Practices of Policymakers in Implementing a Social Policy Intervention in Ghana. In: Potvin, L., Jourdan, D. (eds) Global Handbook of Health Promotion Research, Vol. 1. Springer, Cham. https://doi.org/10.1007/978-3-030-97212-7_31
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