[Primary Prevention And Health Promotion in Bavaria: Taking Stock].
Background:Health promotion and prevention are key elements of Bavarian health policy and are currently being re-oriented along the framework of the "Bavarian Prevention Plan". In this context, a stock taking of prevention and health promotion in Bavaria was conducted with the aim to contribute to the continued strategic and quality-orientated development of this field.Methods:The investigation was restricted to activities of primary prevention and health promotion with a focus on the action areas of the Bavarian Prevention Plan. The prevention actors, not projects, were the smallest units that were surveyed. During the 3-month field phase in 2014/2015, 595 prevention players were contacted and asked to complete an online questionnaire on their activities and target groups as well as quality and structural aspects. In addition, 9 expert interviews were conducted in an urban and a rural area in order to explore the field of small commercial and civic prevention actors.Results:135 prevention players took part in the survey (return rate 23%). The most commonly cited themes of activities are health literacy (62% of players) and mental health (58%). The target groups are often broadly defined, gender specific measures and those for socially disadvantaged groups are comparatively rare. Provision of health-related information is the most commonly used approach (58-69% of players depending on the action area), least used are community work approaches (9-12%). 77% of the respondents state to use models of best practice and 55% scientific results in the development of measures; 43% conduct outcome evaluations and 80% take part in committee work and networks. The latter are mainly used to exchange information (90% of actors), 55 and 54% state to use them for joint planning and delivery of interventions, respectively.Conclusions:The most important prevention players took part in the survey. Methodologically it proved difficult to achieve a meaningful depiction of central aspects of the prevention scene via a quantitative survey approach. There is a lack of well-tried instruments and approaches for such cross-agency surveys. Nevertheless, the study allows trend statements on the spectrum, structure and quality of prevention in Bavaria. Thus, a starting line for the implementation of the Bavarian Prevention Plan as well as the basis of prevention reporting as intended by the new national prevention law could be established.
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim.
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V
Reisig
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim.
J
J
Kuhn
IGES Institut GmbH, Berlin.
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S
Loos
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim.
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U
Nennstiel-Ratzel
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim.
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M
Wildner
Bayerisches Staatsministerium für Gesundheit und Pflege, München.
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WH
Caselmann
D005858:Germany / Q000453:epidemiology; D057220:Health Literacy / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D008603:Mental Health; D017146:Models, Organizational; D009937:Organizational Objectives; D011322:Primary Prevention / Q000458:organization & administration*; D011640:Public Policy