Karin Fröding NHPRC2013workshop app partnership for urban health promotion june 2013 rev 2013 06-10

Academic-Practice-Policy Partnership for Urban Health

Promotion ResearchCharli Eriksson, Karin Fröding, Eva Järliden, Johnny Andersson

Development of knowledge for health promotion

needs a well-developed mechanism for collaboration between academics, practitioners and policymakers.

Objectives of the Workshop

This workshop will highlight necessary components for fostering a trustful partnership as well as the need for critical reflections and sustainable structures in urban settings.

The workshop procedures

1. Introduction: Partnership for Sustainable Welfare

Development and Healthy City Research Stakeholders perspective Sustainable structures Participatory research

2. Clarifying Questions: Converging and divergent perspectives on

urban health promotion research

3. Promoting factor and barrier: A trustful partnership for knowledge

development

Research & development in four municipalities

The PARTNERSHIP

Negotiations between four municipalities with four deprived neighborhoods are in focus.

Healthy Neighbourhoods – city networking in multilevel context

Including the municipal public housing companies (and Swedish Association of Municipal Housing, SABO)

Partnership also includes

Örebro University

Swedish National Institute of Public Health

Swedish Association of Local Authorities and Regions

Two periods 2004-6 and 2007-9

2012-06-08

Healthy Cities

•Includes social inclusion, •urban governance, and •sustainable welfare development

• potentials for urban planning and public health work

Healthy City – Social Integration, Urban Governance and Sustainable Welfare Development

Partnership 2003-2009

Research program 2003-

Potentials for urban planning and public health work

Two PhD students

Planning and organisation

Organisation at the University: Researchers and PhD-students (jointly Public Health Sciences, Center for Urban and Regional Studies)

Organisation of the Partnership:

Steering Group (politicians, practitioners, researchers), Coordinating committee, Working groups (strategic and operative levels),

Participatory approaches in research,

Annual conferences,

Webpage

Research assignments – part of the concept, right from the start

PERSPECTIVES OF STAKEHOLDERS

Politician: Johnny Andersson, Örebro

Public Health Coordinator: Eva Järliden, Örebro

Researcher: Charli Eriksson

PhD Student/PhD: Karin Fröding

1. What about sustainable structures for neighbourhood development in the Partnership for Sustainable Welfare Development?

2. What about components for fostering a trustful partnership in a local neighbourhood?

The Partnership from a research perspective

Analysis of the Partnership

This study analyses the development processes in these four partnership municipalities for achieving sustainable structures in area-based development programmes during and after the formal partnership period

Method

Using a case study database the study

includes nine in-depth studies with

interviews (n=68), participant

observations (n=125), a survey

(n=1,160) and documents

Result

Political support, Alliances and Citizen participation

are important building blocks in neighbourhood development work

However, when the partnership ended there was little left that could function as

a sustainable structure

Results

Political support Constant but shifted focus

Citizen participation Provided a foundation, despite reduced municipal support

AlliancesThe involvement of both the strategic and local level make

the best chances

Conclusions

Sustainable structure for neighbourhood development striving towards a more

equitable health can be created as a result of a partnership for sustainable welfare

development,

HOWEVER

A firm, long-term institutional commitment by the municipality is in this respect crucial

Participatory Research in Baronbackarna, Örebro

How was the participatory research process ?

Who participated?

6 persons; 3 women and 3 men

3 local citizens, 2 neighbourhood developer, 1 PhD student

Participatory Research

Planning: Research Ethical Review, Organisation of Working Group, Training, Development of Interview Guide, Sampling of participants, Scheduling of Interviews (one year)

Analysis,

Reporting,

and Feedback

Methods

Participatory observations, informal talks, telephone calls and visits

Field notes; official and private

Process lasted 2 years (2007 – 2009)

26 meetings in all 84 hours

Results

Results

In order to create an equal and trustful dialogue it was important to openly discuss the participants':

• individual situation• commitments• expectations

Results

In order to create an equal and trustful dialogue it was important to:

• Unmasking power and authority• Let the process take whatever time it

takes

Learnt lesson

Participatory research - One way to examine the conditions for a healthy and sustainable neighborhood

Participation from residents and local stakeholders is a prerequisite for the development of a practice-based research

Converging and Diverging Perspectives?

A TRUSTFULL PARTNERSHIP FOR KNOWLEDGE DEVELOPMENT

Promoting factors and barrier

Guidelines for APP Research

Develop a trustful academic-practice-policy partnership for research – it takes time

Fundamental are elements of communication, collaboration, and compromise

Genuine partnership require a willingness of all stakeholders to learn from one another

The knowledge and other products gained form research activities should benefit all partners

APP partnership requires a long-term commitment of partners

In conclusion - Lessons learned from the Partnership

• Partnership (legitimacy, cooperation, collaborative learning)

• Politics and Policy documents (legitimacy, pressure)• Local alliances (municipality and public housing

company)• Neighbourhood development (cooperation, participation,

long-term planning, economic resources)• Participation (important but… same people participate) • Participatory research and peer reviews (quality,

participation, knowledge development• Research (methodological support, knowledge

development but no ”quick-fix”)