Université de Lorraine, EA4360 APEMAC, 54000 Nancy, France.
Université de Liège, APES-ULiège, 4000 Liège, Belgium.
Health Policy. 2019 Mar;123(3):327-332. doi: 10.1016/j.healthpol.2019.01.008. Epub 2019 Jan 24.
Despite evidence on the benefits of health enhancing physical activity (HEPA), only few countries have developed "health in all policies" and specifically integrated HEPA policies. Paucity of studies have questioned the role of public national actors in PA policies enactment and delivery, the barriers and levers for adopting cross-sectoral HEPA. The present work seeks at comparing France and Belgium in regard to their competencies of ministries promoting HEPA, the presence of leadership and coordination in HEPA policies implementation, their key public legal entities working on HEPA. Expert interviews and document analysis were realized to complete the HEPA policy audit tool in each country. Results have shown that HEPA cross-sectoral policies are at their early stage. A broad diversity of sectors was implicated in HEPA policies: sport, health, transport, environment, and education, but often with weak activity. No leadership or coordination exist to implement HEPA policies, although different public legal entities could work on this aim. Ministries relationships were principally coming from formal co-interventions mandated by national public plans in France, where in Belgium relationships were punctual. Lobbying within each sector and in key public legal entities to promote HEPA is needed, and the development of official national coordination is essential.
尽管有证据表明促进健康的身体活动（HEPA）有益，但只有少数国家制定了“全健康政策”，并特别将 HEPA 政策纳入其中。很少有研究质疑公共国家行为者在 PA 政策制定和实施中的作用、采取跨部门 HEPA 的障碍和推动因素。本研究旨在比较法国和比利时在促进 HEPA 的部委能力、HEPA 政策实施中的领导力和协调、从事 HEPA 的主要公共法律实体方面的情况。为了完成每个国家的 HEPA 政策审核工具，进行了专家访谈和文件分析。结果表明，跨部门的 HEPA 政策处于早期阶段。广泛的不同部门都参与了 HEPA 政策：体育、健康、交通、环境和教育，但通常活动较弱。没有领导力或协调来实施 HEPA 政策，尽管不同的公共法律实体可以为此目标而努力。法国的部委关系主要来自国家公共计划规定的正式共同干预，而在比利时，关系是偶然的。需要在每个部门和主要公共法律实体内部进行游说，以促进 HEPA，并制定正式的国家协调是至关重要的。
