Coalition theory as a framework for understanding and implementing intersectoral health-related interventions
Source: Health Promotion International, Volume 12, Number 1, March 1997 , pp. 79-87(9)
Publisher: Oxford University Press
Although it is regarded as a central concept in the practice of health promotion, intersectoral health-related action (IHA) has, to date, failed more often than it has succeeded. In this paper we review relevant social scientific literature, offer a working definition of intersectoral action and explore the usefulness of coalition theory as a theoretical framework through which to understand IHA theoretically and practically. Coalition theory has been previously used to study political alliances but it encompasses a series of parameters pertinent to the analysis of IHA. These parameters are: the rewards people expect to gain from participation in a coalition; the political assets they have t bring to the coalition; the non-utilitarian preferences they develop; the coalition's rules for decision-making; and the organisational context in which the coalition operates. We used these five parameters to study three intersectoral endeavours in Quebec, one at the local level and two at the provincial level, including activities associated with the Healthy Cities movement. Coalition theory proved useful in unravelling the mechanisms for these endeavours and appears promising as a tool for studying and/or implementing intersectoral health-related interventions.
Document Type: Original Article
Affiliations: 1: Ecole des science informieres et groupe de recherche et d'intervention en promotion de la sante (GRIPSUL), Universite Laval, Quebec, Canada 2: Departement de Science politique and 3: Departement de Medecine sociale et preventive, Universite Laval, Quebec, Canada
Publication date: 1997-03-01
- Health Promotion International responds to the move for a new public health throughout the world and supports the development of action outlined in the Ottawa Charter for Health Promotion. The quarterly journal is is an Official Journal of the International Union for Health Promotion and Education, and is published in association with the World Health Organization. It contains refereed original articles, reviews and debate articles on major themes and innovations from various sectors including education, health services, employment, government, the media, industry, environmental agencies and community networks. The journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, social and environmental development. The articles contained in this journal reflect the views of the authors, and do not necessarily coincide with those of the Editor, Editorial Board, Oxford University Press or the organization to which the authors are affiliated. Adaptation and use of the Health Promotion International logo for the cover design kindly granted by the World Health Organization.