Policy Frameworks for Advancing Health Promotion in Public Health Systems
Keywords:
Health promotion, Policy frameworks, Governance, Sociocultural context, Public healthAbstract
Objective: This study evaluates the capacity of policy frameworks to bolster health promotion in public health systems by assessing policy design and clarity, implementation mechanics, stakeholder involvement, and resource distribution, along dimensions of governance quality and sociocultural context as moderating variables.
Methods: An Observational study design was used, with structured questionnaires and document review among the study units. Data were analysed through EViews, reliability and validity testing, multiple regression, moderation analysis, and variance diagnostics to test for both direct and conditional effects.
Results: Indicators from all four policy dimensions showed statistically significant positive relationships with the effectiveness of health promotion; policy design and resource allocation as the strongest predictors. The impact of both policy frameworks and resource allocation was stronger under good governance, and the influence of the sociocultural context was the interposition of the policy matrix and resource share. The final model explained 51.8% of variance and had good explanatory power and diagnostic stability.
Novelty: The study introduces an integrated multilevel model consisting of structure, process and cultural determinants to account for inconsistent findings in previous research. The study makes a unique contribution to the literature on health promotion policies by testing direct effects and moderating roles at the same time.
Implications for Research: The study highlights the significance of integrating studies of governance reforms and cultural contexts in HP policies analysis. Further studies are needed to test this framework in other contexts to improve our knowledge of health policy design that works globally.
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