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Improving child health promotion practices in multiple sectors: outcomes of the Swedish Salut Programme
Umeå universitet.
Umeå universitet.
Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Business Administration and Industrial Engineering.
Umeå universitet.
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2013 (English)Conference paper, Presentation (Refereed)
Abstract [en]

Background To improve health in the population, public health interventions must be successfully implemented within organisations, requiring behaviour change in health service providers as well as in the target population group. Such behavioural change is seldom easily achieved. The purpose of this study was to examine the outcomes of a child health promotion programme (The Salut Programme) on professionals’ self-reported health promotion practices, and to investigate perceived facilitators and barriers for programme implementation. MethodsA before-and-after design was used to measure programme outcomes, and qualitative data on implementation facilitators and barriers were collected on two occasions during the implementation process. The sample included professionals in antenatal care (ANC), child health care (CHC), dental services (DS) and open pre-schools (OP) (n=144 pre-implementation) in 13 out of 15 municipalities in a Swedish county. Response rates ranged between 81% and 96% at the four measurement points. ResultsHealth promotion practices and collaboration improved in all sectors. Significant changes included an increase in the extent to which professionals raised a range of lifestyle topics (CHC, DS) including issues related to men’s violence against women (ANC), an increased use of motivational interviewing and ‘fathers visits’ (CHC), improvements in the supply of healthy snacks and beverages (OP), and increased inter-sectorial collaboration. Main facilitators included sector-specific work manuals and inter-sectoral collaboration, while main barriers were related to workload issues.ConclusionThis multisectoral programme for health promotion, based on sector-specific intervention packages developed and tested by end users, and introduced via interactive multisectoral seminars, shows potential for improving health promotion practices and collaboration across sectors. Consideration of the key facilitators and barriers for programme implementation as highlighted in this study can inform future improvement efforts.

Place, publisher, year, edition, pages
Research subject
Quality Technology and Management
URN: urn:nbn:se:ltu:diva-35043Local ID: 96ae8355-29bb-460a-abc7-531228f349ecOAI: diva2:1008295
International Conference on Health Promoting Hospitals and Health Services : Towards a more health-oriented health service – an issue of body and mind : The contribution of HPH to Health 2020 22/05/2013 - 24/05/2013
Godkänd; 2013; 20130527 (rickg)Available from: 2016-09-30 Created: 2016-09-30Bibliographically approved

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