Public health and health promotion capacity at national and regional level: a review of conceptual frameworks

The concept of capacity building for public health has gained much attention during the last decade. National as well as international organizations increasingly focus their efforts on capacity building to improve performance in the health sector. During the past two decades, a variety of conceptual...

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Main Authors: Christoph Aluttis, Stephan van den Broucke, Cristina Chiotan, Caroline Costongs, Kai Michelsen, Helmut Brand
Format: Article
Language:English
Published: SAGE Publishing 2014-04-01
Series:Journal of Public Health Research
Subjects:
Online Access:http://www.jphres.org/index.php/jphres/article/view/199
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author Christoph Aluttis
Stephan van den Broucke
Cristina Chiotan
Caroline Costongs
Kai Michelsen
Helmut Brand
author_facet Christoph Aluttis
Stephan van den Broucke
Cristina Chiotan
Caroline Costongs
Kai Michelsen
Helmut Brand
author_sort Christoph Aluttis
collection DOAJ
description The concept of capacity building for public health has gained much attention during the last decade. National as well as international organizations increasingly focus their efforts on capacity building to improve performance in the health sector. During the past two decades, a variety of conceptual frameworks have been developed which describe relevant dimensions for public health capacity. Notably, these frameworks differ in design and conceptualization. This paper therefore reviews the existing conceptual frameworks and integrates them into one framework, which contains the most relevant dimensions for public health capacity at the country or regional level. A comprehensive literature search was performed to identify frameworks addressing public health capacity building at the national or regional level. We content-analysed these frameworks to identify the core dimensions of public health capacity. The dimensions were subsequently synthesized into a set of thematic areas to construct a conceptual framework which describes the most relevant dimensions for capacities at the national or regional level. The systematic review resulted in the identification of seven core domains for public health capacity: resources, organizational structures, workforce, partnerships, leadership and governance, knowledge development and country specific context. Accordingly, these dimensions were used to construct a framework, which describes these core domains more in detail. Our research shows that although there is no generally agreed upon model of public health capacity, a number of key domains for public health and health promotion capacity are consistently recurring in existing frameworks, regardless of their geographical location or thematic area. As only little work on the core concepts of public health capacities has yet taken place, this study adds value to the discourse by identifying these consistencies across existing frameworks and by synthesising them into a new framework. The framework proposed in this paper can act as a theoretical guide for academic researchers and institutions to set up their own public health capacity assessment.
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spelling doaj.art-7a18102040a946909329012ca8429f5c2023-01-02T00:44:03ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362014-04-013110.4081/jphr.2014.19981Public health and health promotion capacity at national and regional level: a review of conceptual frameworksChristoph Aluttis0Stephan van den Broucke1Cristina Chiotan2Caroline Costongs3Kai Michelsen4Helmut Brand5Department of International Health, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of Psychology, Catholic University of Louvain, Louvain-la-NeuveEuroHealthNet, BrusselsEuroHealthNet, BrusselsDepartment of International Health, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of International Health, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht UniversityThe concept of capacity building for public health has gained much attention during the last decade. National as well as international organizations increasingly focus their efforts on capacity building to improve performance in the health sector. During the past two decades, a variety of conceptual frameworks have been developed which describe relevant dimensions for public health capacity. Notably, these frameworks differ in design and conceptualization. This paper therefore reviews the existing conceptual frameworks and integrates them into one framework, which contains the most relevant dimensions for public health capacity at the country or regional level. A comprehensive literature search was performed to identify frameworks addressing public health capacity building at the national or regional level. We content-analysed these frameworks to identify the core dimensions of public health capacity. The dimensions were subsequently synthesized into a set of thematic areas to construct a conceptual framework which describes the most relevant dimensions for capacities at the national or regional level. The systematic review resulted in the identification of seven core domains for public health capacity: resources, organizational structures, workforce, partnerships, leadership and governance, knowledge development and country specific context. Accordingly, these dimensions were used to construct a framework, which describes these core domains more in detail. Our research shows that although there is no generally agreed upon model of public health capacity, a number of key domains for public health and health promotion capacity are consistently recurring in existing frameworks, regardless of their geographical location or thematic area. As only little work on the core concepts of public health capacities has yet taken place, this study adds value to the discourse by identifying these consistencies across existing frameworks and by synthesising them into a new framework. The framework proposed in this paper can act as a theoretical guide for academic researchers and institutions to set up their own public health capacity assessment.http://www.jphres.org/index.php/jphres/article/view/199capacity building, framework, public health, health promotion
spellingShingle Christoph Aluttis
Stephan van den Broucke
Cristina Chiotan
Caroline Costongs
Kai Michelsen
Helmut Brand
Public health and health promotion capacity at national and regional level: a review of conceptual frameworks
Journal of Public Health Research
capacity building, framework, public health, health promotion
title Public health and health promotion capacity at national and regional level: a review of conceptual frameworks
title_full Public health and health promotion capacity at national and regional level: a review of conceptual frameworks
title_fullStr Public health and health promotion capacity at national and regional level: a review of conceptual frameworks
title_full_unstemmed Public health and health promotion capacity at national and regional level: a review of conceptual frameworks
title_short Public health and health promotion capacity at national and regional level: a review of conceptual frameworks
title_sort public health and health promotion capacity at national and regional level a review of conceptual frameworks
topic capacity building, framework, public health, health promotion
url http://www.jphres.org/index.php/jphres/article/view/199
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