A settings approach is an attractive and eminently
feasible route to health promotion. An analysis of the
setting at an early stage can be helpful in organizing
for action and optimizing the likelihood of success.
Systematic
analysis can create valuable opportunities
for empowerment and capacity building with those in
the setting as well as those in systems that envelop the
setting. In this article we have described a framework
of critical questions for the analysis of settings that we
developed for teaching purposes and that has benefited
from input from practitioners and academic colleagues
from across Canada. Its purpose is to assist in the planning,
implementation, and analysis of health promotion
interventions that incorporate, or take as their
point of departure, a settings approach—working on,
with, and through the settings in which people live,
work, and play. We maintain that a reflexive engagement
with issues such as stakeholder interests, power
relations, implicit assumptions, and the evidence base for interventions (only a few of the issues we raise) will
make for more relevant, sustainable, and successful
interventions. This framework is currently being adapted
for use in Brazil and we look forward to reporting on
lessons learned at a future date. Meanwhile, we
welcome comments from readers, including suggestions
for improvement, stories of application, and identification
of practice issues.
A settings approach is an attractive and eminentlyfeasible route to health promotion. An analysis of thesetting at an early stage can be helpful in organizingfor action and optimizing the likelihood of success.Systematicanalysis can create valuable opportunitiesfor empowerment and capacity building with those inthe setting as well as those in systems that envelop thesetting. In this article we have described a frameworkof critical questions for the analysis of settings that wedeveloped for teaching purposes and that has benefitedfrom input from practitioners and academic colleaguesfrom across Canada. Its purpose is to assist in the planning,implementation, and analysis of health promotioninterventions that incorporate, or take as theirpoint of departure, a settings approach—working on,with, and through the settings in which people live,work, and play. We maintain that a reflexive engagementwith issues such as stakeholder interests, powerrelations, implicit assumptions, and the evidence base for interventions (only a few of the issues we raise) willmake for more relevant, sustainable, and successfulinterventions. This framework is currently being adaptedfor use in Brazil and we look forward to reporting onlessons learned at a future date. Meanwhile, wewelcome comments from readers, including suggestionsfor improvement, stories of application, and identificationof practice issues.
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