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Health Promotion International, Vol. 19, No. 1, 123-130, March 2004
© Oxford University Press 2004. All rights reserved


DEBATE

The sustainability of health promotion interventions for different levels of social organization

Hal Swerissen and Beth R. Crisp

Australian Institute for Primary Care, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia 3086

Address for correspondence: Associate Professor Hal Swerissen, Australian Institute for Primary Care, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia 3086, E-mail: h.swerissen{at}latrobe.edu.au

In health promotion, enthusiasm for sustainability has frequently overshadowed critical reflection with regard to whether this aim is warranted, let alone feasible. Consequently, the not insubstantial body of literature on sustainability in health promotion is not particularly helpful to decision makers. In this paper we seek to provide some guidance for the development of sustainability for health promotion interventions, arguing that it is necessary to be able to differentiate between (i) levels of social organization which are the focus of change, (ii) the programmes and agencies which are the means employed to achieve change, and (iii) the outcomes or effects that are achieved. Furthermore, funding allocations need to be congruent with programme characteristics if one is serious about achieving sustainability.

Key words: health promotion; policy development; sustainability


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