Last month Thomas Frieden, Director for the Centres for Disease Control and Prevention, published an article that will be of interest to many Croakey readers in the American Journal of Public Health. Six Components Necessary for Effective Public Health Program Implementation collates what is known about effective public health program implementation and challenges to same.
- the contribution of innovation,
- the necessity for a technical package of a limited number of highly effective and scalable interventions,
- the challenge of managing performance of public health programs and the need for rigorous monitoring
- effective multi sectorial partnerships and their role in sustaining programs
- the components of effective communication including presenting, the human face of the impact, the threats being addressed and the business case
- harnessing political commitment – perhaps the biggest challenge
Diagrammatically these six components are presented in a wheel with innovation at it’s centre:
There is much in this paper that will resonate with those working in public health in Australia “Change is often controversial and the entities that implement public health programs……may have less ability to influence budget and policy decisions than other groups …”. Frieden suggests that the right combination of political, technical and managerial leadership can “increase the likelihood of implementation of programs that protect and improve the public’s health.” Well worth the read. Click here for the full article.