Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/57862 http://dx.doi.org/10.1177/1757975914550255 |
Resumo: | Health promotion programs are commonly viewed as value-free initiatives which seek to improve health, often through behavior change. An opposing view has begun to emerge that health promotion efforts, especially ones seeking to impact health policy and social determinants of health, are vulnerable to political contexts and may depend on who is in power at the time. This community-based participatory research study attempts to understand these interactions by applying a conceptual model focused on the power context, diverse stakeholder roles within this context, and the relationship of political levers and other change strategies to the sustainability of health promotion interventions aimed at health policy change. We present a case study of a health promotion coalition, New Mexico for Responsible Sex Education (NMRSE), as an example of power dynamics and change processes. Formed in 2005 in response to federal policies mandating abstinence-only education, NMRSE includes community activists, health promotion staff from the New Mexico Department of Health, and policy-maker allies. Applying an adapted Mayer's power analysis' instrument, we conducted semi-structured stakeholder interviews and triangulated political-context analyses from the perspective of the stakeholders. We identified multiple understandings of sustainability and health promotion policy change, including: the importance of diverse stakeholders working together in coalition and social networks; their distinct positions of power within their political contexts; the role of science versus advocacy in change processes; the particular challenges for public sector health promotion professionals; and other facilitators versus barriers to action. One problem that emerged consisted of the challenges for state employees to engage in health promotion advocacy due to limitations imposed on their activities by state and federal policies. This investigation's results include a refined conceptual model, a power-analysis instrument, and new understandings of the intersection of power and stakeholder strategies in the sustainability of health promotion and health in all policies. |
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Mendes, Rosilda [UNIFESP]Plaza, VeronicaWallerstein, Nina2020-08-21T17:00:05Z2020-08-21T17:00:05Z2016Global Health Promotion. Thousand Oaks, v. 23, n. 1, p. 61-74, 2016.1757-9759https://repositorio.unifesp.br/handle/11600/57862http://dx.doi.org/10.1177/1757975914550255WOS000373234300007.pdf10.1177/1757975914550255WOS:000373234300007Health promotion programs are commonly viewed as value-free initiatives which seek to improve health, often through behavior change. An opposing view has begun to emerge that health promotion efforts, especially ones seeking to impact health policy and social determinants of health, are vulnerable to political contexts and may depend on who is in power at the time. This community-based participatory research study attempts to understand these interactions by applying a conceptual model focused on the power context, diverse stakeholder roles within this context, and the relationship of political levers and other change strategies to the sustainability of health promotion interventions aimed at health policy change. We present a case study of a health promotion coalition, New Mexico for Responsible Sex Education (NMRSE), as an example of power dynamics and change processes. Formed in 2005 in response to federal policies mandating abstinence-only education, NMRSE includes community activists, health promotion staff from the New Mexico Department of Health, and policy-maker allies. Applying an adapted Mayer's power analysis' instrument, we conducted semi-structured stakeholder interviews and triangulated political-context analyses from the perspective of the stakeholders. We identified multiple understandings of sustainability and health promotion policy change, including: the importance of diverse stakeholders working together in coalition and social networks; their distinct positions of power within their political contexts; the role of science versus advocacy in change processes; the particular challenges for public sector health promotion professionals; and other facilitators versus barriers to action. One problem that emerged consisted of the challenges for state employees to engage in health promotion advocacy due to limitations imposed on their activities by state and federal policies. This investigation's results include a refined conceptual model, a power-analysis instrument, and new understandings of the intersection of power and stakeholder strategies in the sustainability of health promotion and health in all policies.Univ Fed Sao Paulo, Campus Baixada Santista, Sao Paulo, BrazilUniv New Mexico, Albuquerque, NM 87131 USAUniv New Mexico, Publ Hlth Program, MSC 09 5060, Albuquerque, NM 87131 USAUniv Fed Sao Paulo, Campus Baixada Santista, Sao Paulo, BrazilWeb of Science61-74engSage Publications IncGlobal Health Promotionhealth promotionreproductive healthpolicyempowermentcommunity-based participatory researchpreventionschoolseducation settingsadolescents and youthSustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexicoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleThousand Oaks231info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000373234300007.pdfapplication/pdf336458${dspace.ui.url}/bitstream/11600/57862/1/WOS000373234300007.pdf3788d12bcabe59b0cff1e449e47e3d90MD51open accessTEXTWOS000373234300007.pdf.txtWOS000373234300007.pdf.txtExtracted texttext/plain56739${dspace.ui.url}/bitstream/11600/57862/5/WOS000373234300007.pdf.txt5599e640b8148791b357c5990c86b1d6MD55open accessTHUMBNAILWOS000373234300007.pdf.jpgWOS000373234300007.pdf.jpgIM Thumbnailimage/jpeg6652${dspace.ui.url}/bitstream/11600/57862/7/WOS000373234300007.pdf.jpg9750f283122ef011d239613a81613795MD57open access11600/578622023-06-05 19:06:12.503open accessoai:repositorio.unifesp.br:11600/57862Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T22:06:12Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
title |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
spellingShingle |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico Mendes, Rosilda [UNIFESP] health promotion reproductive health policy empowerment community-based participatory research prevention schools education settings adolescents and youth |
title_short |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
title_full |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
title_fullStr |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
title_full_unstemmed |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
title_sort |
Sustainability and power in health promotion: community-based participatory research in a reproductive health policy case study in New Mexico |
author |
Mendes, Rosilda [UNIFESP] |
author_facet |
Mendes, Rosilda [UNIFESP] Plaza, Veronica Wallerstein, Nina |
author_role |
author |
author2 |
Plaza, Veronica Wallerstein, Nina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Mendes, Rosilda [UNIFESP] Plaza, Veronica Wallerstein, Nina |
dc.subject.eng.fl_str_mv |
health promotion reproductive health policy empowerment community-based participatory research prevention schools education settings adolescents and youth |
topic |
health promotion reproductive health policy empowerment community-based participatory research prevention schools education settings adolescents and youth |
description |
Health promotion programs are commonly viewed as value-free initiatives which seek to improve health, often through behavior change. An opposing view has begun to emerge that health promotion efforts, especially ones seeking to impact health policy and social determinants of health, are vulnerable to political contexts and may depend on who is in power at the time. This community-based participatory research study attempts to understand these interactions by applying a conceptual model focused on the power context, diverse stakeholder roles within this context, and the relationship of political levers and other change strategies to the sustainability of health promotion interventions aimed at health policy change. We present a case study of a health promotion coalition, New Mexico for Responsible Sex Education (NMRSE), as an example of power dynamics and change processes. Formed in 2005 in response to federal policies mandating abstinence-only education, NMRSE includes community activists, health promotion staff from the New Mexico Department of Health, and policy-maker allies. Applying an adapted Mayer's power analysis' instrument, we conducted semi-structured stakeholder interviews and triangulated political-context analyses from the perspective of the stakeholders. We identified multiple understandings of sustainability and health promotion policy change, including: the importance of diverse stakeholders working together in coalition and social networks; their distinct positions of power within their political contexts; the role of science versus advocacy in change processes; the particular challenges for public sector health promotion professionals; and other facilitators versus barriers to action. One problem that emerged consisted of the challenges for state employees to engage in health promotion advocacy due to limitations imposed on their activities by state and federal policies. This investigation's results include a refined conceptual model, a power-analysis instrument, and new understandings of the intersection of power and stakeholder strategies in the sustainability of health promotion and health in all policies. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2020-08-21T17:00:05Z |
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2020-08-21T17:00:05Z |
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info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Global Health Promotion. Thousand Oaks, v. 23, n. 1, p. 61-74, 2016. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/handle/11600/57862 http://dx.doi.org/10.1177/1757975914550255 |
dc.identifier.issn.none.fl_str_mv |
1757-9759 |
dc.identifier.file.none.fl_str_mv |
WOS000373234300007.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1177/1757975914550255 |
dc.identifier.wos.none.fl_str_mv |
WOS:000373234300007 |
identifier_str_mv |
Global Health Promotion. Thousand Oaks, v. 23, n. 1, p. 61-74, 2016. 1757-9759 WOS000373234300007.pdf 10.1177/1757975914550255 WOS:000373234300007 |
url |
https://repositorio.unifesp.br/handle/11600/57862 http://dx.doi.org/10.1177/1757975914550255 |
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eng |
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Global Health Promotion |
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61-74 |
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Thousand Oaks |
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Sage Publications Inc |
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Sage Publications Inc |
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