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Table 3 Comparison of the main stakeholders in local HEPA policymaking between the three country cases

From: Unravelling networks in local public health policymaking in three European countries – a systems analysis


The Netherlands





Authorization and accountability of the local policy

• Local Authority, City council and Board of Mayor and Aldermen

• Local authority, City council, Mayor and political committees

• Accountability not specifically defined locally: National level strategy developed by Ministry Youth and Sport, locally embedded by County Youth and Sport department (main stakeholder in charge of implementing the national developed strategy)

Final accountability

• Board of Mayor and Aldermen

• Board of Mayor and Aldermen

• No strict accountability

Allocation of tasks

• Civil servants in sectors • Municipality services • Local organisations

• Civil servants in sectors • Municipality services • Local organisations

• Local organisations


Local/ County

Local & County authority

• City council • Board of Mayor and Aldermen • Sectors at local level • Municipality services

• City council • Political committees • Mayor and Directors • Sectors at local level • Municipality services

• Mayor and City Council • County Council • Sectors at county level, representative of sectors national level

Part of municipality services

• Combination functions • Centres for youth and family

• Schools • Day care • Health service • Social neighbourhood co-workers


Local organizations, including private and civil society

• Schools and day care • Sport clubs • Health and Care organisations • Private partners • Local councils and citizen’s platform

• Local councils, such as sports, youth • Interest groups, e.g. local sports associations • Private partners • Media

• Sport equipment companies • Running clubs • Cycling clubs • Paralympics sport organisation • Media • Student NGOs


Regional stakeholders influencing local level

• Public Health Service • Regional Sport Services

• Research Centre for Prevention and Health

• County Sport for All Association


National stakeholders influencing local level

• Ministry of Health, Welfare and Sports • Health Inspectorate • Knowledge institutes: National Institute for Public Health and the Environment, National Institute for Physical Activity and Sportsa, National Youth on Healthy Weight Bureau

• Ministry of Health • Danish Nature Agency • Healthy cities network • Local Government Denmark • Universities • Danish Health and Medicines Authorities

• Ministry of Youth and Sport • Romanian Sport for all Federation • Ministry of Education • Ministry of Health • National Institute for Sport Research • National Physical Education and Sport University • Private Sector and Civil Society

  1. aSince January 2016: Knowledge Centre for sport Netherlands