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Planning in Dutch health promotion practice: a comprehensive view
Jeanette Lezwijn1, Annemarie Wagemakers, Lenneke Vaandrager
1*Corresponding author.
Health promotion planning often uses professional-defined models, but practice shows flexibility. Different planning approaches are used based on context, program phase, and time, highlighting the need for stakeholder discussion.
Area of Science:
- Public Health
- Health Promotion Planning
- Program Development
Background:
- Traditional health promotion planning relies on pre-defined goals and professional expertise.
- Modern health promotion emphasizes participatory and collaborative processes, challenging traditional rational models.
Purpose of the Study:
- To provide a comprehensive overview of health promotion planning approaches.
- To investigate the application of Whittington's planning typology in practice.
Main Methods:
- Retrospective multiple case study of a healthy ageing program in three Dutch municipalities.
- Data collection through interviews, participant observation, document analysis, and external auditing.
- Interpretation of data using characteristics of four planning approaches: classical, evolutionary, processual, and systemic.
Main Results:
- All four planning approaches were observed in practice.
- The choice of planning approach varied based on program complexity, context dynamics, program phase, and time constraints.
- Health promotion planning is emergent and context-dependent.
Conclusions:
- Health promotion practice utilizes diverse planning approaches.
- Explicitly defining and managing these approaches requires stakeholder discussion and reflection.
- Understanding emergent planning practices is crucial for both health promotion science and practice.
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