TY - JOUR
T1 - Creating a whole-of-government approach to promoting healthy weight
T2 - What can Health in All Policies contribute?
AU - van Eyk, Helen
AU - Baum, Fran
AU - Delany-Crowe, Toni
PY - 2019/10/12
Y1 - 2019/10/12
N2 - Objectives: This paper examines the opportunities and barriers that the South Australian Health in all Policies (SA HiAP) approach encountered when seeking to establish a whole-of-government response to promoting healthy weight. Methods: The paper draws on data collected during 31 semi-structured interviews, analysis of 113 documents, and a program logic model developed via workshops to show the causal links between strategies and anticipated outcomes. Results: A South Australian Government target to increase healthy weight was supported by SA HiAP to develop a cross-government response. Our analysis shows what supported and hindered implementation. A combination of economic and systemic framing, in conjunction with a co-benefits approach, facilitated intersectoral engagement. The program logic shows how implementation can be expected to contribute to a population with healthy weight. Conclusions: The HiAP approach achieved some success in encouraging a range of government departments to contribute to a healthy weight target. However, a comprehensive approach requires national regulation to address the commercial determinants of health and underlying causes of population obesity in addition to cross-government action to promote population healthy weight through regional government action.
AB - Objectives: This paper examines the opportunities and barriers that the South Australian Health in all Policies (SA HiAP) approach encountered when seeking to establish a whole-of-government response to promoting healthy weight. Methods: The paper draws on data collected during 31 semi-structured interviews, analysis of 113 documents, and a program logic model developed via workshops to show the causal links between strategies and anticipated outcomes. Results: A South Australian Government target to increase healthy weight was supported by SA HiAP to develop a cross-government response. Our analysis shows what supported and hindered implementation. A combination of economic and systemic framing, in conjunction with a co-benefits approach, facilitated intersectoral engagement. The program logic shows how implementation can be expected to contribute to a population with healthy weight. Conclusions: The HiAP approach achieved some success in encouraging a range of government departments to contribute to a healthy weight target. However, a comprehensive approach requires national regulation to address the commercial determinants of health and underlying causes of population obesity in addition to cross-government action to promote population healthy weight through regional government action.
KW - Determinants of health
KW - Health in All Policies
KW - Healthy public policy
KW - Healthy weight
KW - Intersectoral action
KW - Obesity
UR - http://www.scopus.com/inward/record.url?scp=85074106886&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/1027561
U2 - 10.1007/s00038-019-01302-4
DO - 10.1007/s00038-019-01302-4
M3 - Article
C2 - 31606749
AN - SCOPUS:85074106886
VL - 64
SP - 1159
EP - 1172
JO - International Journal of Public Health
JF - International Journal of Public Health
SN - 1661-8556
IS - 8
ER -