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‘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

Author

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  • Tor-Ivar Karlsen

    (Department of Psychosocial Health, University of Agder, 4604 Kristiansand, Norway)

  • Charlotte Kiland

    (Department of Political Science and Management, University of Agder, 4604 Kristiansand, Norway)

  • Gro Kvåle

    (Department of Political Science and Management, University of Agder, 4604 Kristiansand, Norway)

  • Dag Olaf Torjesen

    (Department of Political Science and Management, University of Agder, 4604 Kristiansand, Norway)

Abstract

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.

Suggested Citation

  • Tor-Ivar Karlsen & Charlotte Kiland & Gro Kvåle & Dag Olaf 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, MDPI, vol. 12(1), pages 1-17, January.
    • Handle: RePEc:gam:jsoctx:v:12:y:2022:i:1:p:11-:d:724139
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    References listed on IDEAS

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    1. Guglielmin, Maria & Muntaner, Carles & O’Campo, Patricia & Shankardass, Ketan, 2018. "A scoping review of the implementation of health in all policies at the local level," Health Policy, Elsevier, vol. 122(3), pages 284-292.
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    1. Tokovska Miroslava & Sørensen Anette & Nour Magde Mohamed & Ferreira Vanessa Nolasco, 2023. "Public Health Measures Enacted by the Norwegian Political Leadership to Protect the Elderly in Response to the SARS-CoV-2 Pandemic Crisis," Central European Journal of Public Policy, Sciendo, vol. 17(1), pages 1-13, June.

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