title: Intersectoral action for health: the experience of a Danish municipality.
abstract: BACKGROUND
  The aim was to build up evidence on intersectoral action for health at local government level by identifying both challenges and facilitating factors in collaboration between sectors when developing and implementing an intersectoral health policy in Varde, Denmark.
  
  
  METHODS
  The study was carried out in 2011 using the case-study method. Approximately 500 pages of documents from the period 2007-2011 were analysed, and semi-structured interviews were carried out with nine key informants.
  
  
  RESULTS
  The following challenges were identified: the policy was perceived as an additional task by employees outside the health sector; initially no direct funding was allocated to intersectoral projects; the level of ambition was not balanced between sectors; there was a lack of ownership of the policy; baseline measures were lacking and the policy had no clear objectives. Facilitating factors were considered to be: significant political support; public involvement; use of local media; establishment of a 'Fund for Health'; establishment of 'Health Networks' within sectors; and collaboration with a research group.
  
  
  CONCLUSIONS
  Important practical lessons can be drawn from this experience for other cities planning to introduce similar formal intersectoral health policies in order to increase the chance of successful intersectoral action in further development and implementation of the intersectoral health policy in varde in the future, the challenges and facilitating factors identified in this study should be considered more evidence is required on the long-term health impacts of such policies.
authors: Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark, Esbjerg, Denmark malarsen@health.sdu.dk.
authors: Maja
authors: M
authors: Larsen
authors: World Health Organization Centre for Health Development, Kobe, Japan.
authors: Riikka
authors: R
authors: Rantala
authors: Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark, Esbjerg, Denmark.
authors: Okje Anna
authors: OA
authors: Koudenburg
authors: Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark, Esbjerg, Denmark.
authors: Gabriel
authors: G
authors: Gulis
mesh_terms: D002947:Cities; D003299:Cooperative Behavior; D003718:Denmark; D006291:Health Policy; D006801:Humans; D009111:Local Government; D011050:Policy Making
keywords: Collaboration; health in all policies; health policy; health promotion; intersectoral action for health; municipality; public health