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Views and Perceptions of Local Council Partners Concerning a Regional-scale Health Promotion Initiative in Rural Australia

机译:地方理事会合作伙伴对澳大利亚农村地区区域性健康促进计划的看法和看法

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There are a number of risk factors which increasingly impact the health and wellbeing of Australians, particularly in rural communities. To address the health and wellbeing of communities, local governments are taking on a more focused role by supporting healthy community initiatives (HCI). This paper presents local council partners perceptions concerning a regional-scale health promotion initiative that was undertaken in rural Tasmania, Australia. The evaluation provides insight into the future decisions and strategies that may be developed to improve processes, methods and outcomes of health initiatives undertaken by local governments. The study used a mixed methods approach collecting data through a questionnaire, focus group discussions and interviews with stakeholders and participating councils to provide an understanding of the effectiveness and success of, and barriers to, the health promotion initiative. It was found that there was an emphasis by local councils on programs that promoted physical activities, while programs that focused on healthy food and other health promotion topics, such as quit smoking and healthy workplaces were less emphasised. Overall, the health promotion initiative was perceived to be effective; however, there was little measureable evidence as to the outcomes of the various projects within the initiative and there was concern regarding the sustainability of the initiative beyond the funding timeframe. Community based, health promotion interventions are complex. Local government are suitably placed to deliver health promotion initiatives, as they have a greater understanding and can affect the greatest change by investing in projects with the highest priority among those communities within their boundaries. Nevertheless, sustainability of projects beyond funding allocation, while building and improving partnerships among local governments, and service agencies to pool resources and capture specific target groups must be central to ongoing initiatives.
机译:有许多风险因素越来越多地影响澳大利亚人的健康,尤其是在农村社区。为了解决社区的健康和福祉,地方政府通过支持健康的社区计划(HCI)发挥了更加集中的作用。本文介绍了地方议会合作伙伴对在澳大利亚塔斯马尼亚州农村地区实施的区域性健康促进计划的看法。该评估提供了对未来可能制定的决策和策略的见解,这些决策和策略可用于改善地方政府采取的健康计划的流程,方法和结果。该研究采用了一种混合方法的方法,即通过问卷调查,焦点小组讨论以及与利益相关者和参与委员会的访谈来收集数据,以了解健康促进计划的有效性,成功与障碍。结果发现,地方议会将重点放在促进体育锻炼的计划上,而针对健康食品和其他健康促进主题(例如戒烟和健康工作场所)的计划则较少受到重视。总体而言,人们认为健康促进计划是有效的;但是,关于该倡议内各个项目的成果的可衡量的证据很少,而且人们担心该倡议在供资期限之外的可持续性。基于社区的健康促进干预措施很复杂。地方政府具有适当的位置,可以执行健康促进计划,因为它们具有更深入的了解,并且可以通过投资其边界内那些社区中具有最高优先级的项目来影响最大的变化。但是,除了资金分配之外,项目的可持续性,同时在地方政府和服务机构之间建立和改善伙伴关系,以集中资源并捕获特定目标群体,对于正在进行的举措必须至关重要。

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