Lokal iverksettelse av nasjonal folkehelsepolitikk : lokale beslutningstageres forståelse av styringssignalene i nasjonal folkehelsepolitikk

Abstract

The purpose of this study is to investigate the local implementation of national public health policies. Attention focus on the early phase of the prosess of implementation, and exactly towards the local decisionmakers and how they understand the national public health policies.

The study are based on a quality design were case-study are used as a strategy of research. The methods used are quality research interview. The Mayors and the Chief Municipal Executive from seven collaborative Municipalities are the strategic selection who were interviewed.

The results end the conclusion of the study: The results in this study shows that the local desicion makers perceive the national public health policies as unclear. An important findings in the study is that the decisionsmakers in the intermunicipial collaboration have developed a common perception and where HiAP are basic. The decisionmakers perceive the room of possibility as huge when it comes to the local public health work. The Mayor and the Chief Municipal Executive have different understanding of the signal of steering in the national public health policies. The Chief Municipal Executive denote that the steering signal are clearified through the public health act, and they perceive that the administrative and political management in the Municipal are the most important prosecutor to implement local public health work. Both The Mayor and the Chief Municipal Executive claims that the healthoverview are a useful tool make priorities and target the measures. The desicionmakers have a equal understanding in what are the most important challenges in the public health in the region, this comes to living conditions and mentally health. This understanding shows that the region have a developed understanding in what impact the health.

Nøkkelord: public health, public health work, national public health policies, steeringsignals, local implementation, perceive and translation