ArticleBMC public health2019
To what extent can the activities of the South Australian Health in All Policies initiative be linked to population health outcomes using a program theory-based evaluation?
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Multisectoral interventions and health system performance: a systematic review.Bulletin of the World Health Organization · 2024Pooled it
- Governance of Intersectoral Collaborations for Population Health and to Reduce Health Inequalities in High-Income Countries: A Complexity-Informed Systematic Review.International journal of health policy and management · 2022Pooled it
- The future of public health policymaking after COVID-19: a qualitative systematic review of lessons from Health in All Policies.Open research Europe · 2021Pooled it
- Forty Years of the Ottawa Charter. Why Healthy Public Policy Still Matters for Health Equity in Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- 40 Years of the Ottawa Charter: why healthy public policy still matters for health equity in Australia.Health promotion international · 2026Article
- Tracing the undercurrents: a scoping review of the lifestyle drift concept.BMC public health · 2025Article
- Health in All Policies at the Local Level: What Facilitates Success? Comment on "A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland".International journal of health policy and management · 2023Article
- A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland.International journal of health policy and management · 2022Article
- 'Health in All Policies'-A Key Driver for Health and Well-Being in a Post-COVID-19 Pandemic World.International journal of environmental research and public health · 2021Article
- Recent Advances in Health Impact Assessment and Health in All Policies Implementation: Lessons from an International Convening in Barcelona.International journal of environmental research and public health · 2020Article
- Canada needs a "Health in All Policies" action plan now.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Urban health: an example of a "health in all policies" approach in the context of SDGs implementation.Globalization and health · 2019Article
- Developing a critical realist informed framework to explain how the human rights and social determinants of health relationship works.BMC public health · 2019Article
- Creating a whole-of-government approach to promoting healthy weight: What can Health in All Policies contribute?International journal of public health · 2019Article
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7 authors.
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Abstract
backgroundThis paper reports on a five-year study using a theory-based program logic evaluation, and supporting survey and interview data to examine the extent to which the activites of the South Australian Health in All Policies initiative can be linked to population health outcomes.
methodsMixed-methods data were collected between 2012 and 2016 in South Australia (144 semi-structured key informant interviews; two electronic surveys of public servants in 2013 (n = 435) and 2015 (n = 483); analysis of state government policy documents; and construction of a program logic model to shape assessment of the feasibility of attribution to population health outcomes).
resultsMultiple actions on social determinants of health in a range of state government sectors were reported and most could be linked through a program logic model to making some contribution to future population health outcomes. Context strongly influences implementation; not all initiatives will be successful and experimentation is vital. Successful initiatives included HiAP influencing the urban planning department to be more concerned with the health impacts of planning decisions, and encouraging the environment department to be concerned with the health impacts of its work.
conclusionsThe theory-based program logic suggests that SA HiAP facilitated improved population health through working with multiple government departments. Public servants came to appreciate how their sectors impact on health. Program logic is a mechanism to evaluate complex public health interventions in a way that takes account of political and economic contexts. SA HiAP was mainly successful in avoiding lifestyle drift in strategy. The initiative encouraged a range of state government departments to tackle conditions of daily living. The broader underpinning factors dictating the distribution of power, money and resources were not addressed by HiAP. This reflects HiAP's use of a consensus model which was driven by (rather than drove) state priorities and sought 'win-win' strategies.
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