An analysis of local government health policy against state priorities and a social determinants framework

Abstract

ObjectiveVictorian local governments are required to develop Municipal Public Health and Wellbeing Plans that incorporate state‐level health planning priorities and address the social determinants of health. This paper describes a novel method for evaluating councils' performance against these requirements. MethodsDeductive content analysis was used to categorise all actions in 14 local government MPHWPs against Victorian state priorities as well as against social determinants of health policy areas. ResultsMore than 1,000 actions were identified. However, fewer than half directly addressed a state priority, with many actions addressing policy areas known to be broader determinants of health. In particular, there was a marked focus on leisure and culture, and on building social cohesion through changes to living and working conditions. ConclusionsCouncils are working beyond state priorities and there was a clear emphasis on addressing the diverse upstream ‘causes of the causes’ of health, rather than health promotion behaviour change programs. ImplicationsThe approach for data analysis and presentation provides a useful method for rapid appraisal of health and wellbeing actions relative to councils', and the State's, responsibility and efficacy in public health.