La Trobe
1147037_Kavanagh,S_2022.pdf (240.99 kB)
Download file

Resources, relationships, and systems thinking should inform the way community health promotion is funded

Download (240.99 kB)
journal contribution
posted on 23.06.2022, 05:31 authored by S Kavanagh, Alan ShiellAlan Shiell, P Hawe, Kate GarveyKate Garvey
Public health agencies tasked with improving the health of communities are poorly supported by many ‘business-as-usual’ funding practices. It is commonplace to call for more funding for health promotion, but additional funding could do more harm than good if, at the same time, we do not critically examine the micro-processes that lead to health enablement–micro-processes that are instigated or amplified by funding. We are currently engaged in a university-and-policy research partnership to identify how funding mechanisms may better serve the practice of community-based health promotion. We propose three primary considerations to inform the way funds are used to enable community-based health promotion. The first is a broader understanding and legitimising of the ‘soft infrastructure’ or resources required to enhance a community’s capacity for change. The second is recognition of social relationships as key to increasing the availability and management of resources within communities. The third consideration understands communities to be complex systems and argues that funding models are needed to support the dynamic evolution of these systems. By neglecting these considerations, current funding practices may inadvertently privilege communities with pre-existing capacity for change, potentially perpetuating inequalities in health. To begin to address these issues, aspects of funding processes (e.g., stability, guidance, evaluation, and feedback requirements) could be designed to better support the flourishing of community practice. Above all, funders must recognise that they are actors in the health system and they, like other actors, should be reflexive and accountable for their actions.

Funding

This work was supported in part by the Australian Prevention Partnership Centre through the National Health and Medical Research Council grant GNT 9100001

History

Publication Date

01/06/2022

Journal

Critical Public Health

Volume

32

Issue

3

Pagination

10p. (p. 273-282)

Publisher

Taylor and Francis

ISSN

0958-1596

Rights Statement

© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons. org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.