Influences on the uptake of a population health approach to sexual health programs in Ontario public health units: a qualitative descriptive study.

Aim: Population-level prevention initiatives are the cornerstone of public health practice. However, despite this normative practice, sexual health programming within public health has not utilized this approach to the same extent as other public health programs. Understanding requirements to put a...

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Published in:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 31; no. 9; pp. 1443 - 1453
Main Authors: Frost, Linda, Valaitis, Ruta, Butt, Michelle, Jack, Susan M., Akhtar-Danesh, Noori
Format: Article
Published: Springer Nature Sep2023
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Sep2023
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      pub: Springer Nature
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        169944425
        10.1007/s10389-022-01715-1
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        atl: Influences on the uptake of a population health approach to sexual health programs in Ontario public health units: a qualitative descriptive study.
      aug:
        au:
          Frost, Linda
          Valaitis, Ruta
          Butt, Michelle
          Jack, Susan M.
          Akhtar-Danesh, Noori
        affil: School of Nursing – McMaster University, 1280 Main Street West, L8S4K1, Hamilton, Ontario, Canada
      su:
        Ontario
        Evaluation of human services programs
        Interviewing
        Qualitative research
        Human services programs
        Population health
        Sexual health
        Research methodology
        Public hospitals
        Descriptive statistics
        Data analysis software
      sug:
        subj:
          Evaluation of human services programs
          Interviewing
          Qualitative research
          Human services programs
          Population health
          Sexual health
          Ontario
          General Medical and Surgical Hospitals
          Research methodology
          Public hospitals
          Descriptive statistics
          Data analysis software
      keyword:
        Implementation science
        Public health
        Implementation science
        Public health
      ab: Aim: Population-level prevention initiatives are the cornerstone of public health practice. However, despite this normative practice, sexual health programming within public health has not utilized this approach to the same extent as other public health programs. Understanding requirements to put a population-level approach into practice is needed. The objective of this study was to explore the barriers and facilitators experienced by sexual health programs and services within public health when implementing a population health approach. Subject design and methods: The principles of qualitative description guided all sampling, data collection and analysis decisions. Data collection involved in-depth semi-structured interviews with 12 sexual health managers and/or supervisors from ten Ontario public health units. Directed content analysis was used to code and synthesize the data. Data collection and analysis was guided using constructs from the Consolidated Framework for Implementation Research. Results: Factors that served as either barriers and facilitators to implementing a population health approach, were mainly in the inner and outer setting domains of the Consolidated Framework for Implementation Research. Participants identified the presence of community partnerships, adequate staff training on population health, and access to data on population health served as facilitators. In comparison, barriers to implementation included a lack of resources (human, financial) and clinicians' value of and preferences for delivering services at the individual clinic level. Conclusion: Some clear barriers and facilitators influenced if staff in sexual health programs and services could implement a population health approach. Results indicate where public health resources need to be enhanced to move toward a population health approach and provide insight into what worked and should be considered by public health organizations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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