Tackling 'wicked' health promotion problems: a New Zealand case study

Signal, Louise N., Walton, Mat D., Ni Mhurchu, Cliona, Maddison, Ralph, Bowers, Sharron G., Carter, Kristie N., Gorton, Delvina, Heta, Craig, Lanumata, Tolotea S., McKerchar, Christina W., O'Dea, Des and Pearce, Jamie 2013, Tackling 'wicked' health promotion problems: a New Zealand case study, Health promotion international, vol. 28, no. 1, pp. 84-94, doi: 10.1093/heapro/das006.

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Title Tackling 'wicked' health promotion problems: a New Zealand case study
Author(s) Signal, Louise N.
Walton, Mat D.
Ni Mhurchu, Cliona
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Bowers, Sharron G.
Carter, Kristie N.
Gorton, Delvina
Heta, Craig
Lanumata, Tolotea S.
McKerchar, Christina W.
O'Dea, Des
Pearce, Jamie
Journal name Health promotion international
Volume number 28
Issue number 1
Start page 84
End page 94
Total pages 11
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2013-03
ISSN 1460-2245
Keyword(s) Food Supply
Health Policy
Health Priorities
Health Promotion
Motor Activity
New Zealand
Organizational Case Studies
Summary This paper reports on a complex environmental approach to addressing 'wicked' health promotion problems devised to inform policy for enhancing food security and physical activity among Māori, Pacific and low-income people in New Zealand. This multi-phase research utilized literature reviews, focus groups, stakeholder workshops and key informant interviews. Participants included members of affected communities, policy-makers and academics. Results suggest that food security and physical activity 'emerge' from complex systems. Key areas for intervention include availability of money within households; the cost of food; improvements in urban design and culturally specific physical activity programmes. Seventeen prioritized intervention areas were explored in-depth and recommendations for action identified. These include healthy food subsidies, increasing the statutory minimum wage rate and enhancing open space and connectivity in communities. This approach has moved away from seeking individual solutions to complex social problems. In doing so, it has enabled the mapping of the relevant systems and the identification of a range of interventions while taking account of the views of affected communities and the concerns of policy-makers. The complex environmental approach used in this research provides a method to identify how to intervene in complex systems that may be relevant to other 'wicked' health promotion problems.
Language eng
DOI 10.1093/heapro/das006
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1302 Curriculum And Pedagogy
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Oxford University Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081656

Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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