Abstract
As a group, newly arrived migrants in Sweden face inequities in health compared to the general population. Successful promotion of population health requires awareness of and focus on health from several sectors of society. In light of this, the aim was to study the views of local authority officials on collaboration in health promotion activities for newly arrived migrants. Data was collected through five focus group interviews with 23 local authority officials working with the integration of newly arrived migrants in the Establishment Program in a municipality or at the Employment Services in northern Sweden. An inductive qualitative latent content analysis was performed, and the analysis showed that the participating officials considered health promotion as desirable in the Establishment Program, but it also raised complex issues within the existing organisations. The officials described unclear roles, but also possible changes to the organisation that would improve the possibility of working to promote health. The present study adds to the relatively limited knowledge of health promotion in integration activities and offers clinical relevance for policymakers through the officials' suggestions for improvements in the Establishment Program. It also raises important questions for further research.
Highlights
Health inequities affecting migrants are created in a complex system of policy interaction and actions on social systems, where avoidable differences in economic, social and cultural status cause differences in health outcomes [1]
The officials described how an organisation that offers clearer roles and structures would improve collaboration, which in turn was raised as an important factor when working with Health promotion (HP), mainly so their clients would not lose time during the short EP
Roles and responsibilities in intersectoral collaboration in HP are important for successful health outcomes for the target population [10]
Summary
Health inequities affecting migrants are created in a complex system of policy interaction and actions on social systems, where avoidable differences in economic, social and cultural status cause differences in health outcomes [1]. To promote health, actions and considerations of the social determinants of health (SDH) are important [2]. SDH are aspects of society, such as education, economics, working conditions, unemployment, housing, culture and healthcare, that all affect health [3]. The populations’ health is affected by policies and action in different sectors of society [4, 5] and it is important that those sectors are aware of their effect on health as well as their need to take responsibility to promote health through governance, policy, and action [6].
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