Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre, PO Box 2040, 3000 CA, Rotterdam, the Netherlands; Dutch Research Institute for Transitions, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, the Netherlands.
Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Health Policy. 2021 Mar;125(3):385-392. doi: 10.1016/j.healthpol.2020.12.013. Epub 2020 Dec 26.
Health inequities are already present at birth and affect individuals' health and socioeconomic outcomes across the life course. Addressing these inequities requires a cross-sectoral approach, covering the first 1,000 days of life. We believe that - in the Dutch context - municipal governments can be the main responsible actor to drive such an approach, since they are primarily responsible for organising adequate public health. Therefore, we aim to identify and develop transformative change towards the implementation of perinatal health into municipal approaches and policies concerning health inequities.
A transition analysis will be combined with action research in six Dutch municipalities. Interviews and interactive group sessions with professionals and organisations that are relevant for the institutional embedding of perinatal health into approaches and policies regarding health inequities, will be organised in each municipality. As a follow-up, a questionnaire will be administered among all participants one year after completion of the group sessions.
We expect to gain insights into the role of municipalities in addressing perinatal health inequities, learn more about the interaction between different key stakeholders, and identify barriers and facilitators for a cross-sectoral approach to perinatal health. This knowledge will serve to inform the development of approaches to perinatal health inequities in areas with relatively poor perinatal health outcomes, both in the Netherlands and abroad.
健康不平等现象在出生时就已经存在，并影响个人在整个生命过程中的健康和社会经济结果。解决这些不平等问题需要采取跨部门的方法，涵盖生命最初的 1000 天。我们认为，在荷兰的背景下，市政府可以成为推动这种方法的主要责任方，因为它们主要负责组织适当的公共卫生。因此，我们的目标是确定并推动变革，将围产期健康纳入解决健康不平等问题的市政方法和政策。
将过渡分析与六家荷兰市政府的行动研究相结合。在每个市政府，将组织与围产期健康纳入解决健康不平等问题的方法和政策相关的专业人员和组织的访谈和互动小组会议。作为后续行动，将在小组会议结束一年后向所有参与者发放问卷。
我们预计将深入了解市政府在解决围产期健康不平等问题方面的作用，更多地了解不同关键利益相关者之间的相互作用，并确定围产期健康跨部门方法的障碍和促进因素。这些知识将有助于为荷兰和其他地区围产期健康结果相对较差的地区制定围产期健康不平等问题的方法提供信息。
