scholarly journals Designing a toolkit for the assessment of Health in All Policies at a national scale in Iran

2020 ◽  
Vol 10 (3) ◽  
pp. 244-249 ◽  
Author(s):  
Behzad Damari ◽  
Alireza Heidari ◽  
Maryam Rahbari Bonab ◽  
Abbas Vosoogh Moghadam
Keyword(s):  
Audit Committee ◽  
Health Indicators ◽  
Intersectoral Collaboration ◽  
Health In All Policies ◽  
Structured Interviews ◽  
National Scale ◽  
Implementation Processes ◽  
Intersectoral Cooperation ◽  
Health Goals ◽  
Annual Reporting

Background: Equitable promotion of health indicators requires cooperation among different sectors more than ever. The "Health in All Policies" (HiAP) approach contributes to this process through strengthening intersectoral collaboration. To implement this approach at a national scale, indicators of health-oriented performance from various organizations, and their measurement methods, need to be precisely defined. The aim of present study was to design a toolkit for implementing HiAP in Iran. Methods: A review of literature and documents, as well as conducting semi-structured interviews and focus group discussions were undertaken to collect data for this qualitative study. Content analysis was applied to the collected data and the results were placed in three categories: criteria, sub-criteria and indicators; implementation processes; and implementation requirements. Results: The toolkit aims to achieve various objectives, including intersectoral excellence and the systematic development of intersectoral collaboration. In the process section, reports on measures taken by organizations are assessed by a three-member audit committee. The top three organizations, in terms of intersectoral cooperation in achieving public health goals, are introduced in a Health Week. Requirements for success in achieving the HiAP approach include financial resources to implement the HiAP, a database, an electronic method for submitting reports, training courses, monitoring and annual reporting of relevant indicators, and formulating regulations in order to assess organizations. Conclusion: Justification and training in various organizations to support the implementation of health-oriented measures, providing an annual ranking of organizations, and encouraging the organizations can contribute to the institutionalization of the toolkit through the SupremeCouncil for Health and Food Security. It is recommended that a Secretariat of sustainable development to be established under the Plan and Budget Organization (PBO) of the Islamic republic of Iran to monitor portfolio indicators.

scholarly journals Towards Health in All Policies for Childhood Obesity Prevention

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Anna-Marie Hendriks ◽  
Stef P. J. Kremers ◽  
Jessica S. Gubbels ◽  
Hein Raat ◽  
Nanne K. de Vries ◽  
...  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Childhood Obesity ◽  
Local Government ◽  
Integrated Approach ◽  
Organizational Structures ◽  
Intersectoral Collaboration ◽  
Health In All Policies ◽  
Obesity Epidemic ◽  
Health Goals

The childhood obesity epidemic can be best tackled by means of an integrated approach, which is enabled by integrated public health policies, orHealth in All Policies. Integrated policies are developed through intersectoral collaboration between local government policy makers from health and nonhealth sectors. Suchintersectoral collaborationhas been proved to be difficult. In this study, we investigated which resources influence intersectoral collaboration. Thebehavior change wheelframework was used to categorize motivation-, capability-, and opportunity-related resources for intersectoral collaboration. In-depth interviews were held with eight officials representing 10 non-health policy sectors within a local government. Results showed that health and non-health policy sectors did not share policy goals, which decreased motivation for intersectoral collaboration. Awareness of the linkage between health and nonhealth policy sectors was limited, and management was not involved in creating such awareness, which reduced the capability for intersectoral collaboration. Insufficient organizational resources and structures reduced opportunities for intersectoral collaboration. To stimulate intersectoral collaboration to prevent childhood obesity, we recommend that public health professionals should reframe health goals in the terminology of nonhealth policy sectors, that municipal department managers should increase awareness of public health in non-health policy sectors, and that flatter organizational structures should be established.

scholarly journals Investigation of Health Socialization Status in Iran: A Qualitative Study in 2020

2020 ◽  
Author(s):  
Rahim Khodayari ◽  
Hassan Jafari ◽  
Leila Torkzadeh ◽  
Solmaz Azimzadeh
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Social Issues ◽  
Health Indicators ◽  
Structured Interviews ◽  
Ministry Of Health ◽  
Health Goals ◽  
Content Analysis Method ◽  
The Social ◽  
The Status

Background: There are significant differences in the health status of different social groups, despite governments' commitment to improving health indicators, which can be avoided by intervening appropriately. In this regard, it can be mentioned that the formation of the social deputy in the Ministry of Health of Iran in 2016, which was dissolved in 1998, and the socialization of health were ignored. Due to the ambiguity in the new process of socialization of health, this study aimed to investigate the status of health socialization in the current structure of the country. Method: The present study as a qualitative study carried out through documentation analysis and two in-depth semi-structured interviews with social deputies of two medical universities of Iran. Data were analyzed using the contractual content analysis method. Two in-depth semi-structured interviews were conducted with the social deputies of the universities of Tehran and Ilam, who were selected using convenience sampling to complete the findings. Result: According to the results of content analysis and 23 extracted codes, the socialization of health in Iran is debatable in two main areas, namely strategies and pillars of socializing health which consisted of three and five sub-themes, respectively. At present, the structure and pillars of socializing health and coordination among these pillars are vague and uncertain due to the distribution of responsibilities of the social deputy in other departments of the Ministry of Health and universities. Conclusion: For achieving equity in the socialization of health goals, it is better to clarify the socialization of health stewardship, strategies, and policies in the whole country concerning social issues and dimensions of the health system.

Health in All Policies: Improving Health Through Intersectoral Collaboration

2013 ◽  
Vol 3 (9) ◽  
Author(s):  
Linda Rudolph ◽  
◽  
Julia Caplan ◽  
Connie Mitchell ◽  
Karen Ben-Moshe ◽  
...  
Keyword(s):  
Intersectoral Collaboration ◽  
Health In All Policies

scholarly journals Leadership assumptions on implementation of patient involvement methods

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathrine Håland Jeppesen ◽  
Kirsten Frederiksen ◽  
Marianne Johansson Joergensen ◽  
Kirsten Beedholm
Keyword(s):  
Health Care ◽  
Organizational Learning ◽  
Health Care Professionals ◽  
Large Scale ◽  
Patient Involvement ◽  
Hospital Setting ◽  
Implementation Process ◽  
University Hospital ◽  
Structured Interviews ◽  
Implementation Processes

Abstract Background From 2014 to 17, a large-scale project, ‘The User-involving Hospital’, was implemented at a Danish university hospital. Research highlights leadership as crucial for the outcome of change processes in general and for implementation processes in particular. According to the theory on organizational learning by Agyris and Schön, successful change requires organizational learning. Argyris and Schön consider that the assumptions of involved participants play an important role in organizational learning and processes. The purpose was to explore leaders’ assumptions concerning implementation of patient involvement methods in a hospital setting. Methods Qualitative explorative interview study with the six top leaders in the implementation project. The semi-structured interviews were conducted and analyzed in accordance with Kvale and Brinkmanns’ seven stages of interview research. Result The main leadership assumptions on what is needed in the implementation process are in line with the perceived elements in organizational learning according to the theory of Argyris and Schön. Hence, they argued that implementation of patient involvement requires a culture change among health care professionals. Two aspects on how to obtain success in the implementation process were identified based on leadership assumptions: “The health care professionals’ roles in the implementation process” and “The leaders’ own roles in the implementation process”. Conclusion The top leaders considered implementation of patient involvement a change process that necessitates a change in culture with health care professionals as crucial actors. Furthermore, the top leaders considered themselves important facilitators of this implementation process.

scholarly journals An Investigation into the Implementation Processes of Ghana’s Primary Health Care Strategy: The Community-Based Health Planning and Services Programme.

2021 ◽  
Author(s):  
Matthew Kwame Edusei ◽  
Kofi Bobi Barimah ◽  
Samuel Kwadwo Asibuo
Keyword(s):  
Health Planning ◽  
Exploratory Research ◽  
Community Based ◽  
Policy Makers ◽  
Implementation Challenges ◽  
The Public ◽  
Implementation Processes ◽  
Health Goals ◽  
Health Strategy ◽  
District Assemblies

Abstract Background: Ghana has adopted the community-based health planning and services (CHPS) programme as the public health strategy for meeting its universal health goals. The programme is facing implementation challenges that are affecting its expansion within the communities. This research was undertaken to examine the implementation processes of CHPS and suggest solutions to improve its scaling-up within the communities.Method : An exploratory research design was used with a mixed method approach that involved the testing of a hypothesis. Results : The study found that in places with on-going CHPS programmes, there is statistically significant (p<0.001) evidence that the implementation processes are not flawed. However, the district assemblies were selective in the allocation of CHPS zones within the communities. Conclusion : Chieftaincy conflicts within the communities are impeding the community entry aspect of the CHPS policy implementation processes and needs to be addressed by policy makers in the relevant government agencies.

scholarly journals Understanding Low-value Care and Associated De-implementation Processes: A Qualitative Study of Choosing Wisely Interventions Across Canadian Hospitals

2021 ◽  
Author(s):  
Gillian Parker ◽  
Monika Kastner ◽  
Karen Born ◽  
Nida Shahid ◽  
Whitney Berta
Keyword(s):  
Process Model ◽  
Healthcare Providers ◽  
Implementation Process ◽  
Choosing Wisely ◽  
Structured Interviews ◽  
Team Members ◽  
Implementation Processes ◽  
Healthcare Settings ◽  
National Campaigns ◽  
The Impact

Abstract Background:Choosing Wisely (CW) is an international movement comprised of national campaigns in more than 20 countries to reduce low-value care (LVC). Hospitals and healthcare providers are examining existing practices and putting interventions in place to reduce practices that offer little to no benefit to patients or may cause them harm. De-implementation, the reduction or removal of a healthcare practice is an emerging field of research. Little is known about the factors which (i) sustain LVC; and (ii) the magnitude of the problem of LVC. In addition, little is known about the processes of de-implementation, and if and how these processes differ from implementation endeavours. The objective of this study was to explicate the myriad factors which impact the processes and outcomes of de-implementation initiatives that are designed to address national Choosing Wisely campaign recommendations.Methods:Semi-structured interviews were conducted with individuals implementing Choosing Wisely Canada recommendations in healthcare settings in four provinces. The interview guide was developed using concepts from the literature and the Implementation Process Model (IPM) as a framework. All interviews were conducted virtually, recorded, and transcribed verbatim. Data were analysed using thematic analysis.Results:Seventeen Choosing Wisely team members were interviewed. Participants identified numerous provider factors, most notably habit, which sustain LVC. Contrary to reporting in recent studies, the majority of LVC in the sample was not ‘patient facing’; therefore, patients were not a significant driver for the LVC, nor a barrier to reducing it. Participants detailed aspects of the magnitude of the problems of LVC, specifically the impact of harm and resources. Unique factors influencing the processes of de-implementation reported were: influence of Choosing Wisely campaigns, availability of data, lack of targets and hard-coded interventions.Conclusions: This study explicates factors ranging from those which impact the maintenance of LVC to factors that impact the success of de-implementation interventions intended to reduce them. The findings draw attention to the significance of unintentional factors, highlight the importance of understanding the impact of harm and resources to reduce LVC and illuminate the overstated impact of patients in de-implementation literature. These findings illustrate the complexities of de-implementation.

Audit committee oversight of external audit: an examination of structural power and behavioural tactics

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Noor Adwa Sulaiman ◽  
Fatimah Mat Yasin
Keyword(s):  
Audit Committee ◽  
Power Bases ◽  
Structured Interviews ◽  
External Audit ◽  
Personal Power ◽  
Structural Power ◽  
Content Type ◽  
Network Position ◽  
Bases Of Power ◽  
Power Base

PurposeThis study aims to examine the structural power wielded by the audit committee (AC) and the various bases of its power, whilst also exploring the behavioural tactics used by the AC to leverage its power in the oversight of the external audit. Design/methodology/approachEmpirical evidence was drawn from semi-structured interviews with external auditors and AC members in Malaysia. FindingsThe AC’s structural power is derived from its formal and network position in the organisation. The AC possesses three forms of organisational-based power (legitimate, coercive and informational) resultant from its formal position, and these combine with the AC’s personal power (will and expert). The AC uses its personal power base to develop trusting relationships and to promote the exchange of information with other key corporate governance actors in the network position. Furthermore, the AC applies at least four behavioural tactics (assertiveness, ingratiation, rationality and coalition formation) to exercise its bases of power. Originality/valueThis study attempts to describe the AC’s structural sources of power, its organisational and personal power bases, and the behavioural tactics it uses when exerting its power.

Integration of multi-sectoral activities in protecting children from violence – barriers and models of development

2021 ◽  
Vol 597 (2) ◽  
pp. 33-42
Author(s):  
Ewa Jarosz
Keyword(s):  
Child Protection ◽  
Functional Model ◽  
Local Environment ◽  
Intersectoral Collaboration ◽  
The Real ◽  
Intersectoral Cooperation ◽  
Models Of Development ◽  
Real Picture

Intersectoral cooperation is widely recommended strategy in child protection. However despite many efforts to develop it, the real picture of intersectoral collaboration still is not enough satisfying. Researchers identify many factors that are obstacles to its development. Based on the analysis of the practice some models for constructing and improving intersectoral cooperation are suggested. The aim of the paper is to present main barriers of this collaboration as well as to present an example of a functional model that helps to construct intersectoral collaboration in a local environment.

scholarly journals Local Alcohol Policy Implementation in Scotland: Understanding the Role of Accountability within Licensing

2019 ◽  
Vol 16 (11) ◽  
pp. 1880 ◽  
Author(s):  
Alex Wright
Keyword(s):  
Public Health ◽  
Policy Implementation ◽  
National Level ◽  
Alcohol Policy ◽  
Structured Interviews ◽  
Public Health Perspective ◽  
Health Goals ◽  
Documentary Analysis ◽  
Guidance Documents ◽  
Specific Implementation

Scotland has been ambitious in its policy and legislative efforts to tackle alcohol-related harm, efforts which include the innovative feature of a ‘public health objective’ within local alcohol licensing. However, the persistence of alcohol-related harms and inequalities requires further examination of both the overarching Scottish alcohol strategy and its specific implementation. A qualitative case study was undertaken to explore how alcohol policy is implemented locally in Scotland, with data generated from (i) documentary analysis of 12 relevant policies, legislation, and guidance documents; and (ii) a thematic analysis of semi-structured interviews with 54 alcohol policy implementers in three Scottish localities and nine national-level stakeholders. The data suggest there is a tension between the intentions of licensing legislation and the way it is enacted in practice, and that accountability emerges as an important factor for understanding why this occurs. In particular, there are a lack of accountability mechanisms acting upon Scottish Licensing Boards to ensure they contribute to the public health goals of the Scottish alcohol strategy. From a public health perspective, this has perpetuated a system in which Licensing Boards continue to act with autonomy from the rest of the alcohol policy implementation system, creating a challenge to the achievement of public health goals. Alcohol policy in Scotland is likely to fall short of intended goals as long as the tension between licensing legislation and enacted licensing practices remains.

scholarly journals Do Healthy City Performance Awards Lead to Health in All Policies? A Case of Taiwan

2019 ◽  
Vol 16 (6) ◽  
pp. 1061 ◽  
Author(s):  
Nuan-Ching Huang ◽  
Hsien-Wen Kuo ◽  
Te-Jen Hung ◽  
Susan Hu
Keyword(s):  
Innovation Performance ◽  
World Health ◽  
Intersectoral Collaboration ◽  
Health In All Policies ◽  
Healthy Cities ◽  
Health Departments ◽  
Healthy City ◽  
The World ◽  
Setting Approach ◽  
Health Organization

The Healthy Cities (HC) Project, which was introduced by the World Health Organization (WHO) in 1986, has been recognized as the best setting approach for health promotion. However, very few studies have addressed how to use HC approaches to establish public policies in non-health departments in cities. This paper describes the strategies for the HC Performance Awards used in Taiwan to draw attention from different departments and to sustain intersectoral collaboration for the purpose of establishing Health in All Policies (HiAP). The methods include: (1) setting up the Taiwan Healthy City Alliance; (2) establishing HC Innovation Performance Awards; (3) reviewing the award applications according to seven criteria; and (4) analyzing the topic content of the award applications. We collected 961 HC award applications during 2013–2016 to analyze their content. The results showed that the number of applications increased nearly every year while significantly more non-health departments applied for the awards compared to health departments (73.3% vs. 26.7%). The award rates of non-health departments have also increased twice from 13.9% in 2013 to 25.8% in 2016. By examining the topics of the award winners, we concluded that “HC Innovation Performance Awards” indeed provide a role and opportunity for political involvement, intersectoral collaboration, co-opetition and capacity building that is necessary for establishing health in all policies.

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