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Involvement and Multi-Sectoral Collaboration: Applying Principles of Health Promotion during the Implementation of Local Policies and Measures—A Case Study
Article

‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study

1
Department of Psychosocial Health, University of Agder, 4604 Kristiansand, Norway
2
Department of Political Science and Management, University of Agder, 4604 Kristiansand, Norway
*
Author to whom correspondence should be addressed.
Academic Editors: Elisabeth Fosse and Marit Kristine Helgesen
Societies 2022, 12(1), 11; https://doi.org/10.3390/soc12010011
Received: 29 September 2021 / Revised: 8 December 2021 / Accepted: 22 December 2021 / Published: 13 January 2022
(This article belongs to the Special Issue The Role of Municipalities in Health Promotion)
Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency. View Full-Text
Keywords: municipalities; public health; public health coordinators; intersectoral collaboration; health in all policies municipalities; public health; public health coordinators; intersectoral collaboration; health in all policies
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MDPI and ACS Style

Karlsen, T.-I.; Kiland, C.; Kvåle, G.; Torjesen, D.O. ‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study. Societies 2022, 12, 11. https://doi.org/10.3390/soc12010011

AMA Style

Karlsen T-I, Kiland C, Kvåle G, Torjesen DO. ‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study. Societies. 2022; 12(1):11. https://doi.org/10.3390/soc12010011

Chicago/Turabian Style

Karlsen, Tor-Ivar, Charlotte Kiland, Gro Kvåle, and Dag O. Torjesen. 2022. "‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study" Societies 12, no. 1: 11. https://doi.org/10.3390/soc12010011

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