Health policy development in Flemish small-sized municipalities: a real-world intervention

De Cocker, Katrien and Dubuy, Veerle and De Bourdeaudhuij, Ilse and Maes, Lea and Seghers, Jan and Lefevre, Johan and De Martelaer, Krstine and Buytaert, Bruno and Cardon, Greet (2016) Health policy development in Flemish small-sized municipalities: a real-world intervention. Health Promotion Practice, 17 (5). pp. 656-667. ISSN 1524-8399


BACKGROUND: A health promotion institute developed an intervention to support small-sized municipalities (<15,000 citizens; n = 167) in their development of a local health policy.

OBJECTIVES: To (1) find out which municipalities showed interest to participate and (2) assess the intervention effects after 1 year.

METHOD: The intervention consisted of (1) completing an online tool that generated feedback on the quality level of the health policy (9 scores) and (2) receiving advice (four contacts) from the local-regional support service for health promotion. In total 121 small-sized municipalities agreed to participate (intervention municipalities), and the nonparticipating municipalities (n = 46) were used as a comparison group. Chi-square tests were conducted to compare baseline quality scores between intervention and comparison municipalities and to assess the change (baseline to follow-up) within the intervention group.

RESULTS: At baseline, intervention municipalities had significant higher health policy quality scores compared to the comparison municipalities. Municipalities interested in the intervention mostly had already high policy scores. A significant positive shift in the quality levels was found after 1 year in the intervention municipalities.

CONCLUSION: The intervention succeeded in improving the quality levels of the local health policy, though municipalities scoring low and possibly benefiting most from the intervention need to be extra-motivated to participate.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 21 Oct 2019 05:38
Last Modified: 25 Oct 2019 05:36
Uncontrolled Keywords: local health policy; policy development; community approach; nutrition; physical activity
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
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