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Styrning och organisation av folkhälsoarbetet i Sörmland: En kvalitativ studie om arbetet med folkhälsofrågor i fem kommuner i Sörmland
Mälardalen University, School of Health, Care and Social Welfare.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Investeringarna i Sverige inom folkhälsa genomförs på flera nivåer; både på regional och lokal nivå. Dessa investeringar genomförs av landsting och deras respektive kommuner. Folkhälsoarbetet är under ständig utveckling, även i Sörmland, där det sker en omorganisation där nya styrmetoder skapas. Syftet med studien var att studera styrning och organisation av folkhälsoarbetet i fem av kommunerna i Sörmland. För att besvara syftet med denna studie användes en kvalitativ metod där data samlades in med semistrukturerade intervjuer. Respondenterna i denna studie var fem strateger och samordnare från fem olika kommuner i Sörmland. Materialet analyserades med en manifest innehållsanalys. Resultatet som framkom var att de som arbetade med folkhälsofrågor i kommunerna har olika utbildning och erfarenhet. De flesta av dem arbetar 50 procent med folkhälsa, resterande procent med utredning och projektledning. Dessa betraktas som "vanliga uppgifter." Det finns ett folkhälsonätverk i Sörmland där kommunerna samarbetar vilket kan ses som samverkan. Respondenterna anser att politiken är ytterst ansvarig för folkhälsan och decentralisering förekommer i kommunerna. Alla kommuner använder planer och strategier; det varierar i hur evidensbaserat arbetet är och om omvärldsanalys genomförs. Detta genomförs dels genom nätverksmötena. På grund av folkhälsoarbetets organisering inom kommunerna, styrning och ansvarsfördelning mellan kommuner och politiker, samt hur uppföljning av folkhälsoarbetet ser ut så varierar förutsättningarna att förbättra folkhälsan i kommunerna.

Abstract [en]

In Sweden, investments in Public Health are conducted at several levels; both at the regional and the local level. These investments are conducted by the county council and their respective municipalities. Public health work is under constant development, as well as in Sörmland, where there is a reorganization in which new control methods are being discussed. The purpose of the study was to investigate the governance and organization of public health investments in five of the municipalities in Sörmland. To answer the purpose of this study , qualitative methods was used and data was collected by semi-structured interviews. The respondents in this study were five strategists and coordinators from five different municipalities in Sörmland. The material was analyzed by a manifest content analysis. The result that emerged was that public health workers in the municipalities have different educational backgrounds and experience. The majority of the public health workers work 50 percent in public health, and the rest in investigation and project management. These are regarded as “common tasks.” There is a public health network in Sörmland where municipalities work together which can be seen as cooperation. The respondents feel that the politicians are is ultimately responsible for the public health and decentralization is present in the municipalities. All municipalities use plans and policies; it differs in how evidence-based the work is, however social and environmental analyzes are carried out. This is carried out partly through networking meetings. Due to the organization of the public healthwork in the municipalities, control and allocation of responsibilities between municipalities and management, and the follow-up of public health-interventions makes it more or less effective when it comes to improving public health.

Place, publisher, year, edition, pages
2016.
Keyword [en]
Collaboration, Health Promotion, Municipality, Public Health Network, Communication, Qualitative interviews.
Keyword [sv]
Samverkan, Folkhälsoarbete, Kommun, Folkhälsonätverk, Kommunikation, Kvalitativa intervjuer
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-32365OAI: oai:DiVA.org:mdh-32365DiVA: diva2:947351
Subject / course
Science of Public Health
Supervisors
Examiners
Available from: 2016-08-16 Created: 2016-07-07 Last updated: 2016-08-16Bibliographically approved

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