Prevention of overweight and obesity undertaken by local government units in Poland.
Health policy programme
Local government unit
Obesity
Overweight
Journal
Health policy (Amsterdam, Netherlands)
ISSN: 1872-6054
Titre abrégé: Health Policy
Pays: Ireland
ID NLM: 8409431
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
12
02
2018
revised:
05
03
2019
accepted:
06
03
2019
pubmed:
31
3
2019
medline:
28
7
2020
entrez:
31
3
2019
Statut:
ppublish
Résumé
Based on the estimates of World Health Organization (WHO), in European Union countries overweight or obesity affects more than 60% of men and over 50% of women. According to the nationwide European Health Interview Survey (EHIS) survey conducted in 2014, in Poland over 62% of men and nearly 46% of women carried excess weight in 2014. The objective of the paper is to present health policy programmes aimed at prevention of overweight and obesity developed, implemented and funded by local government units (self-governments of voivodeships, counties, municipalities) in Poland in 2010-2016. The study was based on a desk research. It covered data from two sources, i.e. data included in annual reports formulated by voivodes and submitted to Minister of Health concerning all health policy programmes implemented by local government units and data published online as part of reviews of draft programmes by the Agency for Health Technology Assessment and Tariff System (AOTMiT). In the period under review local government units implemented a total of 333 overweight and obesity prevention programmes. 18 programmes were reviewed by AOTMiT. Most programmes have been implemented in the Zachodniopomorskie and Mazowieckie Voivodeships, whereas the least in the Podlaskie, Lubelskie and Kujawsko-Pomorskie Voivodeships. Around 99% of municipalities, 97% of counties and 86% of self-governments of voivodeships did not complete any overweight and obesity prevention programmes in the period under review. Insufficient engagement of local government units in the prevention of overweight and obesity - one of the primary objectives of the National Health Programme for 2007-2015 and 2016-2020. Differences in terms of the number of programmes implemented by particular types of local government units and the financial resources employed in the implementation of the programmes. Failure to fulfil the statutory obligation to obtain a review from AOTMiT. Failure to address the actual health needs of local communities related to overweight and obesity prevention by some of the voivodeships.
Sections du résumé
BACKGROUND
Based on the estimates of World Health Organization (WHO), in European Union countries overweight or obesity affects more than 60% of men and over 50% of women. According to the nationwide European Health Interview Survey (EHIS) survey conducted in 2014, in Poland over 62% of men and nearly 46% of women carried excess weight in 2014.
OBJECTIVE
The objective of the paper is to present health policy programmes aimed at prevention of overweight and obesity developed, implemented and funded by local government units (self-governments of voivodeships, counties, municipalities) in Poland in 2010-2016.
METHODS
The study was based on a desk research. It covered data from two sources, i.e. data included in annual reports formulated by voivodes and submitted to Minister of Health concerning all health policy programmes implemented by local government units and data published online as part of reviews of draft programmes by the Agency for Health Technology Assessment and Tariff System (AOTMiT).
RESULTS
In the period under review local government units implemented a total of 333 overweight and obesity prevention programmes. 18 programmes were reviewed by AOTMiT. Most programmes have been implemented in the Zachodniopomorskie and Mazowieckie Voivodeships, whereas the least in the Podlaskie, Lubelskie and Kujawsko-Pomorskie Voivodeships. Around 99% of municipalities, 97% of counties and 86% of self-governments of voivodeships did not complete any overweight and obesity prevention programmes in the period under review.
CONCLUSION
Insufficient engagement of local government units in the prevention of overweight and obesity - one of the primary objectives of the National Health Programme for 2007-2015 and 2016-2020. Differences in terms of the number of programmes implemented by particular types of local government units and the financial resources employed in the implementation of the programmes. Failure to fulfil the statutory obligation to obtain a review from AOTMiT. Failure to address the actual health needs of local communities related to overweight and obesity prevention by some of the voivodeships.
Identifiants
pubmed: 30926135
pii: S0168-8510(19)30052-1
doi: 10.1016/j.healthpol.2019.03.006
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
499-502Informations de copyright
Copyright © 2019. Published by Elsevier B.V.