Capacity Building für die Implementierung von Gesundheitsförderung an österreichischen Schulen

"Dieser Artikel untersucht, welche Möglichkeiten Schulen sehen, Ressourcen für die Implementierung von Gesundheitsförderung zu entwickeln sowie welche Unterstützung Gesundheitsförderungs-AkteurInnen auf der Ebene der Bundesländer für Schulen bereitstellen. Es wurden elf qualitative Interviews mit SchulleiterInnen und 18 Interviews mit AkteurInnen in den Bundesländern geführt. Als Ergebnis wurden sieben Handlungsfelder von Seiten der Schulen und fünf Handlungsfelder von Seiten der regionalen AkteurInnen identifiziert, in denen es für die jeweiligen HauptakteurInnen sinnvoll erscheint, Maßnahmen zu setzen, die die Implementierung von Gesundheitsförderung unterstützen. Beide Ebenen - Schulen und Bundesländer - können als soziale Systeme verstanden werden, die verschiedene Logiken und Ziele verfolgen. Stellt man die Handlungsfelder von Seiten der Schulen und von Seiten der Bundesländer gegenüber, wird ersichtlich, dass die Logiken von Schulen und Bundesländern teilweise voneinander abweichen." (Autorenreferat)"This article examines the possibilities for schools to develop relevant resources needed for the implementation of health promotion as well as the support provided by key actors on the provincial school level. Eleven qualitative interviews were conducted with school representatives and eighteen qualitative interviews with health promotion actors were undertaken in the respective provinces. As a result, the schools identified seven spheres of activity and five activity spheres could be traced back to the health promotion actors, in which the key actors stressed the importance of the required measures needed to implement health promotion. Both levels - school and provincial - can be understood as social systems that work logically and follow their own set of aims. However, when the spheres of activity of both the school and provincial levels are compared, a slight deviation in the logic of both systems becomes evident." (author's abstract

A European Seal of Approval for ‘gay’ businesses: findings from an HIV-prevention pilot project

Aims: ‘Gay’ businesses can be important settings through which to deliver health promotion interventions to vulnerable populations, such as men who have sex with men (MSM) regarding HIV prevention. This article draws on data from the European Everywhere project, which represents the first scheme to develop and pre-test a common framework for HIV/STI prevention in ‘gay’ businesses across eight European countries. Methods: The scientific basis of the Everywhere framework was developed using a comprehensive consensus-building process over 30 months. This process included: formative scoping research; interviews with 54 ‘gay’ businesses; meetings/workshops with representatives from project partners, ‘gay’ businesses, public health administrations and external experts; 15 interviews and three focus groups with project partners; a five-month pilot action phase in eight countries, together with support from the project’s Advisory Group; and all Everywhere project partners including the Scientific Steering Committee. Results: A voluntary European code setting out differentiated HIV/STI-prevention standards for ‘gay’ businesses (including sex venues, ‘gay’ and ‘gay’ friendly social spaces, travel agencies, hotels, dating websites) was developed and piloted in eight European cities. During a five-month pilot action, 83 ‘gay’ businesses were certified with the Everywhere Seal of Approval representing a considerable increase on the expected pilot target of 30. Conclusions: Everywhere offers a major contribution to the public health and/or health promotion field in the form of a practical, policy-relevant, settings-based HIV-prevention framework for ‘gay’ businesses that is common across eight European countries. Findings suggest that a European-wide model of prevention is acceptable and feasible to businesses. </jats:sec

Phases of health promotion implementation into the Scottish school system

Schools have been identified as ideal settings for health promotion (HP) among children, adolescents and school staff. Most European countries have established strategies to implement HP into their school system, however, little is known about these national strategies and how effective they have been. School HP implementation concerns processes of adoption, adaptation and operation of a complex intervention into a complex setting. This study analyses the processes that have led to school HP implementation in Scotland from the 1980s until now to identify key factors which facilitated and supported effective implementation. In the tradition of case-study research, 14 interviews with representatives of national and local organizations involved in school health, as well as with school staff were conducted. Furthermore, policy documents, reports and guidelines were collected. The data were analysed following a Grounded Theory approach. Four phases of school HP implementation into the Scottish school system were identified: (i) getting started (1980s-1998), (ii) political will and strategic vision (1999-2001), (iii) national leadership (2002-2008), and (iv) integration and embedding into education system (2008-ongoing). Throughout the phases political will and committed actors, the strategy/tradition to give power to the local authorities and individual schools, and the establishment of partnerships and ownership have supported implementation. Scotland is an interesting case giving important insights into the ways and possibilities of negotiating an interdisciplinary and cross-sectoral theme such as HP in schools. Further research concerning different political systems and national implementation processes is important to widen the understanding of national implementation strategies of school HP