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  • 1.
    Auer, Anna
    et al.
    Karolinska Institutet, Institutionen för folkhälsovetenskap.
    Dobmeier, TM
    Community Integrated Health Services, Interior Health, Canada.
    Haglund, BJ
    Karolinska Institutet, Institutionen för folkhälsovetenskap.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    The relevance of WHO injury surveillance guidelines for evaluation: learning from the Aboriginal Community-Centered Injury Surveillance System (ACCISS)and two institution-based systems2011In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 11, no 744Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Over the past three decades, the capacity to develop and implement injury surveillance systems (ISS) has grown worldwide and is reflected by the diversity of data gathering environments in which ISS operate. The capacity to evaluate ISS, however, is less advanced and existing evaluation guidelines are ambiguous. Furthermore, the applied relevance of these guidelines to evaluate ISS operating in various settings is unclear. The aim of this paper was to examine how the World Health Organization (WHO) injury surveillance guidelines have been applied to evaluate systems operating in three different contexts.

    METHODS:

    The attributes of a good surveillance system as well as instructions for conducting evaluations, outlined in the WHO injury surveillance guidelines, were used to develop an analytical framework. Using this framework, a comparative analysis of the application of the guidelines was conducted using; the Aboriginal Community-Centered Injury Surveillance System (ACCISS) from Canada, the Shantou-Emergency Department Injury Surveillance Project (S-EDISP) from China, and the Yorkhill-Canadian Hospitals Injury Reporting and Prevention Program (Y-CHIRPP) imported from Canada and implemented in Scotland.

    RESULTS:

    The WHO guidelines provide only a basic platform for evaluation. The guidelines over emphasize epidemiologic attributes and methods and under emphasize public health and injury prevention perspectives requiring adaptation for context-based relevance. Evaluation elements related to the dissemination and use of knowledge, acceptability, and the sustainability of ISS are notably inadequate. From a public health perspective, alternative reference points are required for re-conceptualizing evaluation paradigms. This paper offers an ISS evaluation template that considers how the WHO guidelines could be adapted and applied.

    CONCLUSIONS:

    Findings suggest that attributes of a good surveillance system, when used as evaluation metrics, cannot be weighted equally across ISS. In addition, the attribute of acceptability likely holds more relevance than previously recognized and should be viewed as a critical underpinning attribute of ISS. Context-oriented evaluations sensitive to distinct operational environments are more likely to address knowledge gaps related to; understanding links between the production of injury data and its use, and the effectiveness, impact, and sustainability of ISS. Current frameworks are predisposed to disassociating epidemiologic approaches from subjective factors and social processes.

  • 2. Blom, H.
    et al.
    Haglund, B.J.A.
    Sjögren, K.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Tranquist, J.
    Sätt Bergslagen i rörelse –: Kommunenkäten 2001. Teknisk rapport med resultat.2004Report (Other academic)
  • 3. Carlsson, S.
    et al.
    Eriksson, L.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Haglund, BJA.
    Evaluation Issues on implementation of a Swedish National Tobacco Policy year 2002-2004.2006Conference paper (Refereed)
  • 4.
    Finer, David
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Tillgren, Per
    Mälardalen University, Department of Social Sciences. Karolinska Institutet, Stockholm, Sweden.
    Guldbrandssom, Karin
    Karolinska Institutet, Stockholm, Sweden.
    Haglund, Bo JA
    Karolinska Institutet, Stockholm, Sweden.
    Implementation of a Health Impact Assessment (HIA) tool in a regional organization in Sweden – a feasibility study.2005In: Health Promotion International, ISSN 0957-4824, Vol. 20, no 3, p. 277-284Article in journal (Refereed)
    Abstract [en]

    During the last decade, Health Impact Assessment (HIA) has been discussed worldwide as being an important tool for the development of healthy public policy. In Sweden, the Swedish Federation of County Councils and the Swedish Association of Local Authorities have taken the initiative to and are responsible for the development of an HIA tool concerning proposed policy decisions at local and regional levels. The HIA tool was developed as three different templates to be adapted to local conditions and needs: the Health Question, the Health Matrix and the Health Impact Analysis. In this paper we present a feasibility study of the experiences of implementing this HIA tool at regional level in a Health Care District (SWHCD) of Stockholm County Council, based on an inductive approach and on principles of data triangulation. The main findings include the need for continuous revision of the HIA templates during the pilot period. The following factors were instrumental in successfully using the HIA tool in local policy making and management: political consensus, agreement between politicians and public officials on political intentions, a clear-cut decision from management, and offering an opportunity for training. Respondents felt that all public officials should use the HIA as part of their normal work routines. In conclusion, the HIA tool has to be locally adapted and the implementation process has to include close collaboration between politicians and public officials and be followed by continuing education, providing possibilities for a dialogue around the HIA tool, in order to ensure the quality of the instrument. Implications of the study are that the process of developing the tool has worked well but that the possible impacts of its use in this case remain an open question. However, this was not the focus of our study.

  • 5. Haglund, Bo
    et al.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Forskning i hälsofrämjande arbete: ett interventivt forskningsområde med syfte att bidra till större social rättvisa2009In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 86, no 2, p. 128-138Article in journal (Refereed)
  • 6.
    Hildingsson, Ingegerd
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences. Mid Sweden University, Sundsvall, Sweden.
    Lindgren, Helena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Haglund, B
    National Board of Health and Welfare, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalen University, Department of Caring and Public Health Sciences.
    Characteristics of women giving birth at home in Sweden: a national register study2006In: American Journal of Obstetrics and Gynecology, ISSN 0002-9378, Vol. 195, no 5, p. 1366-1372Article in journal (Refereed)
    Abstract [en]

    Objective: The objective of the study was to estimate the proportion of planned home births in Sweden and to identify maternal characteristics of women giving birth at home. Study design: This case-control study included register data of births from 1992 to 2001 in 352 women giving birth at home and 1760 women giving birth in a hospital. Results: Four hundred thirty-nine out-of-hospital births were found during the study period, and the proportion of planned home births was less than 0.5/1000. Women with home birth were more likely to have 4 children or more (odds ratio 3.7 [1.4 to 9.9]), be born in a European country outside Sweden (odds ratio 3.5 [1.8 to 6.8]), have a family income below the median (odds ratio 2.9 [2.0 to 4.1% not work outside the home (odds ratio 2.4 [1.7 to 3.5]), have a high level of education (odds ratio 2.1 [1.5 to 3.0]), and be older than 35 years (odds ratio 1.7 [1.1 to 2.5]). Conclusion: Women with planned home births appear to be a group having a different lifestyle, compared with Swedish women in general.

  • 7.
    Ringsberg, Karin
    et al.
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden.
    Thorpenberg, Stefan
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden .
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden.
    Haglund, Bo
    Karolinska Institutet, Dept. Public Health Sciences, Sweden.
    Bovisen, Lene
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden .
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Differences and similarities between the Nordic countries regarding health promotion research: A literature review 1986-2008.2008Conference paper (Refereed)
  • 8. Sjögren ., K.
    et al.
    Haglund, B.J.A.
    Tillgren, Per
    Sätt Bergslagen i rörelse: en utvärdering av uppsatta mål och genomförandeprocessen för år 2001.2004Report (Other academic)
  • 9. Tillgren, Per
    et al.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare.
    Haglund, Bo JA
    Karolinska Institutet.
    A capacity building PBL-course module for health promotion strategies.2013Conference paper (Refereed)
  • 10.
    Tillgren, Per
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Zetterquist (Carlsson), Susanne
    Erikson, Lina
    Haglund, Bo JA
    Fördjupad metodutveckling av nationella tobaksförebyggande strategier: en metautvärdering av regeringens Tobaksuppdrag 2002-20052005Report (Other (popular science, discussion, etc.))
  • 11. Viljonen, C.T.
    et al.
    Kirsten, T.G.J.
    Haglund, B.J.A.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Towards the Development of Indicators for Health Promoting Schools.2006In: The Health Promoting School: International Advances in Theory, Evaluation and Practice., Danmarks Pedagogiske Universtitets Forlag, Copenhagen. , 2006, p. 75-86Chapter in book (Other academic)
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