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Assets for policy making in health promotion: Overcoming political barriers inhibiting women in difficult life situations to access sport facilities

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  • Rütten, Alfred
  • Abu-Omar, Karim
  • Frahsa, Annika
  • Morgan, Antony

Abstract

Although the need for intersectoral policy making in health promotion has been commonplace and a high priority for several decades, there is still a lack of appropriate methods available to assess the inputs, processes, and outcomes associated with the effectiveness of such approaches, particularly in relation to sectors outside of health. This paper demonstrates how asset based models to intersectoral policy making in health promotion can improve the effectiveness of projects aiming to improve health and related outcomes. In particular, it summarises how asset based approaches to the planning and implementation of health promotion programmes can be used to develop our methods for assessing intersectorial actions. The paper is based on the findings from a local neighbourhood project based in Erlangen, Germany, aiming to improve the opportunities for physical activity among women in difficult life situations. The neighbourhood was characterised by high rates of unemployment, social welfare recipients, and migrants. Ethnographic methods enabled us to highlight the range of health related assets available in the neighbourhood which could be activated to improve access to and uptake of physical activity amongst the target population. Results indicate that intersectoral policies seeking to improve health outcomes, are more likely to be successful if they maximise the opportunities for making the most of the assets that exist in individuals, communities and organisations. This study demonstrates how the asset model was used to create the supportive environments which facilitated women from the target population to work with policy makers on an equal footing. Their involvement in project planning and implementation helped to achieve the structural changes required to achieve the aims of the project. These included the establishment of a new job position at the city office for sports and improved access to sport facilities for women in difficult life situations.

Suggested Citation

  • Rütten, Alfred & Abu-Omar, Karim & Frahsa, Annika & Morgan, Antony, 2009. "Assets for policy making in health promotion: Overcoming political barriers inhibiting women in difficult life situations to access sport facilities," Social Science & Medicine, Elsevier, vol. 69(11), pages 1667-1673, December.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:11:p:1667-1673
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    References listed on IDEAS

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    1. Alfred Rütten & Karim Abu-Omar, 2004. "Prevalence of physical activity in the European Union," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 49(4), pages 281-289, August.
    2. Powell, L.M. & Slater, S. & Chaloupka, F.J. & Harper, D., 2006. "Availability of physical activity-related facilities and neighborhood demographic and socioeconomic characteristics: A national study," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1676-1680.
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    Cited by:

    1. Annika Herbert-Maul & Karim Abu-Omar & Anna Streber & Zsuzsanna Majzik & Jeanette Hefele & Stephanie Dobslaw & Hedi Werner & Alexandra Wolf & Anne K. Reimers, 2021. "Scaling Up a Community-Based Exercise Program for Women in Difficult Life Situations in Germany—The BIG Project as a Case-Study," IJERPH, MDPI, vol. 18(18), pages 1-16, September.
    2. Niels Hermens & Sabina Super & Kirsten Verkooijen & Maria Koelen, 2015. "Intersectoral Action to Enhance the Social Inclusion of Socially Vulnerable Youth through Sport: An Exploration of the Elements of Successful Partnerships between Youth Work Organisations and Local Sp," Social Inclusion, Cogitatio Press, vol. 3(3), pages 98-107.
    3. Abel, Thomas & Frohlich, Katherine L., 2012. "Capitals and capabilities: Linking structure and agency to reduce health inequalities," Social Science & Medicine, Elsevier, vol. 74(2), pages 236-244.
    4. Rütten, Alfred & Gelius, Peter, 2011. "The interplay of structure and agency in health promotion: Integrating a concept of structural change and the policy dimension into a multi-level model and applying it to health promotion principles a," Social Science & Medicine, Elsevier, vol. 73(7), pages 953-959.
    5. Christian Blickem & Shoba Dawson & Susan Kirk & Ivaylo Vassilev & Amy Mathieson & Rebecca Harrison & Peter Bower & Jonathan Lamb, 2018. "What is Asset-Based Community Development and How Might It Improve the Health of People With Long-Term Conditions? A Realist Synthesis," SAGE Open, , vol. 8(3), pages 21582440187, July.
    6. Rebecca Harrison & Christian Blickem & Jonathan Lamb & Susan Kirk & Ivaylo Vassilev, 2019. "Asset-Based Community Development: Narratives, Practice, and Conditions of Possibility—A Qualitative Study With Community Practitioners," SAGE Open, , vol. 9(1), pages 21582440188, January.

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