Table 5 Key findings regarding factors that influenced health promotion (HP) policy and practice
Key findings | Document review | Stakeholder interviews |
|---|---|---|
Lack of strong support for or discussion of reducing health inequities | ✓ | ✓ |
Lack of support for community participation | ✓ | ✓ |
Lack of clear federal-state-local government roles, governance structures and policy directions | ✓ | ✓ |
Cuts to/lack of HP financing | ✓ | ✓ |
Cuts to/the need for HP workforce capacity | ✓ | ✓ |
Cuts to/limited HP service | ✓ | ✓ |
Lack of information/evidence of HP effectiveness | ✓ | ✓ |
Negative impact of state economic circumstances/budgetary constraints | ✓ | ✓ |
Calls for/focus on whole-of-government approaches | ✓ | ✓ |
Potential negative impact of state leadership changes to HP | ✓ | |
Negative impact of HP discourse regarding past financing and services in health sector | ✓ | |
Dominance of the biomedical model | ✓ | |
Demoralisation of HP workforce | ✓ | |
Fear of cost shifting from state to local governments | ✓ | |
Fragmented system elements | ✓ | |
Need for a strategic framework | ✓ | |
Support for monitoring and reporting on population health | ✓ |