The results of the inductive content analysis showed development of local health promotion in three
phases: initiation, action, and achievement. Strengthening factors were local actors, health statistics and events.
Hindering factors were lack of resources and vague objectives. External factors, e.g. national policies, were not
perceived as prominent influencing factors. Media reports were regarded as having had an influence, but only to
some extent. The content of local health promotion has developed from ad-hoc lifestyle and behaviour-related
actions into structural, intersectoral actions related to determinants of health.