An analysis of local government health policy against state priorities and a social determinants framework.

Abstract:

OBJECTIVE:Victorian local governments are required to develop Municipal Public Health and Wellbeing Plans that incorporate state-level health planning priorities and address the social determinants of health. This paper describes a novel method for evaluating councils' performance against these requirements. METHODS:Deductive content analysis was used to categorise all actions in 14 local government MPHWPs against Victorian state priorities as well as against social determinants of health policy areas. RESULTS:More than 1,000 actions were identified. However, fewer than half directly addressed a state priority, with many actions addressing policy areas known to be broader determinants of health. In particular, there was a marked focus on leisure and culture, and on building social cohesion through changes to living and working conditions. CONCLUSIONS:Councils are working beyond state priorities and there was a clear emphasis on addressing the diverse upstream 'causes of the causes' of health, rather than health promotion behaviour change programs. IMPLICATIONS:The approach for data analysis and presentation provides a useful method for rapid appraisal of health and wellbeing actions relative to councils', and the State's, responsibility and efficacy in public health.

authors

Browne GR,Davern MT,Giles-Corti B

doi

10.1111/1753-6405.12463

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

126-31

issue

2

eissn

1326-0200

issn

1753-6405

journal_volume

40

pub_type

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