ArticleInternational journal for equity in health2023
Strengthening local government policies to address health inequities: perspectives from Australian local government stakeholders.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Addressing Power in Local-Level Policies and Programs to Reduce Health Inequities - A Systematic Review.International journal of social determinants of health and health services · 2026Pooled it
- Evaluation of health equity frameworks in telehealth and digital health: a systematic review and narrative synthesis.Frontiers in public health · 2025Pooled it
- "We don't know what we don't know": rural council officers' perceptions of the gendered impacts of climate change in Australia.BMC public health · 2026Article
- Community-Based Preventive Health Interventions and Their Impact on Population Health Outcomes: A Narrative Review.Cureus · 2026Review
- Defining Competencies for Policymaking in Public Health: A Scoping Review on the State-of- The-Art.Public health reviews · 2026Review
- "I would be very proud to be part of an initiative that didn't exclude people because it was hard": mapping and contextualising health equity responsibilities and decision-making tensions in the implementation of a multi-level system reform initiative.International journal for equity in health · 2025Article
- Pragmatic Application of Implementation Science in Filipino Healthcare Environments.International forum for nursing and healthcare · 2025Article
- State and county level legislative approaches to address racial/ethnic health inequities in Maryland (2012-2021).Frontiers in public health · 2025Article
- A realist impact evaluation of a tool to strengthen equity in local government policy-making.International journal for equity in health · 2024Article
- Intersectoral Partnerships Between Local Governments and Health Organisations in High-Income Contexts: A Scoping Review.International journal of health policy and management · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith their close connection to community and increasing preventive health remit, local governments are well positioned to implement policies and programs to address health inequities. Nevertheless, there is a lack of evidence of equity-focused policy action in this sector. We aimed to understand how local government representatives approach equity in the development and implementation of health and wellbeing policies and programs, and to identify potential enablers for strengthening an equity focus.
methodsWe conducted semi-structured interviews (June 2022-January 2023) with 29 health directorate representatives from 21 local governments in Victoria, Australia. Representatives were recruited from urban, regional and rural local government areas, with varying levels of socioeconomic position. Data was analysed inductively using Braun and Clarke's reflexive thematic analysis, informed by social determinants of health theory and a public policy decision making framework.
resultsLocal governments approach health equity in different ways including focusing on priority populations, disadvantaged geographic areas, or by targeting the upstream determinants of health, such as housing and employment. Enabling factors for more equity-oriented local government policy action included those internal to local governments: (i) having a clear conceptualisation of equity, (ii) fostering a strong equity-centric culture, and (iii) developing organisational-wide competency in health equity. External factors related to key stakeholder groups that support and/or influence local governments included: (iv) strong support from community, (v) state government leadership and legislation, and (vi) supportive local partners, networks and NGO's.
conclusionsLocal governments have a responsibility to implement policies and programs that improve health and reduce health inequities. Local government's capacity to leverage resources, structures, processes and relationships, internally and across sectors and community, will be key to strengthening equity-oriented local government health policies and programs.
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