How to Institutionalize Health Promotion Programs
- 1 March 1989
- journal article
- research article
- Published by SAGE Publications in American Journal of Health Promotion
- Vol. 3 (4) , 34-43
- https://doi.org/10.4278/0890-1171-3.4.34
Abstract
This article presents six implications for practice that suggest how to optimize the institutionalization of health promotion programs. These six implications were derived from a study of ten health promotion programs funded by the Virginia State Health Department and operated by local schools- and community health agencies. Institutionalization refers to the long-term survival of health promotion programs, i.e., survival well beyond an initial grant funding period. To generate the implications for practice, a multiple case design for cross-case comparisons was applied to the ten health promotion programs. In brief, the six practice implications are: 1) cultivating a “program champion”; 2) favoring organizations with mature “subsystems”; 3) favoring organizations in which health promotion “fits” with the organization's mission; 4) avoiding brokering relationships; 5) altering lengths of funding periods; and 6) funding existing worthy programs. The significance of these practice implications for both funding and implementing agencies is briefly discussed.Keywords
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- IMPLEMENTATION ANALYSIS AND ASSESSMENT**The chapter is revised from an earlier paper of the same title that appeared in Policy Analysis, Volume 1, No. 3, pp. 531–566 (Copyright by The Regents of the University of California), and the portions used from the earlier work are included with the permission of The Regents of the University of California. Work on the paper was supported by a grant from the National Science Foundation. A number of individuals commented on earlier drafts: Richard Elmore, Lucille Fuller, Eleanor Holmes, Laura Kemp, and Jeanette Veasey, all at the time at the University of Washington; Robert Levine, Congressional Budget Office, and Arnold J. Meltsner, University of California, Berkeley. The author, however, is solely responsible for the views expressed.Published by Elsevier ,1976