Program for Public Health

Program for Public Health Work in Trøndelag
Project period: 2020-2023 (to be continued in 2024-2027)
Funding: Trøndelag County Authority
Project owner: Trøndelag County Authority
Project partner: NTNU, Faculty of Medicine and Health Science, Department of Neuromedicine and Movement Science
Project Management at NTNU: Monica Lillefjell and Siren Hope
Summary
The Program for Public Health Work in Municipalities 2017-2027 is a ten-year national initiative established through collaboration between the municipal sector represented by KS (Association of Municipalities in Norway) and the state represented by the Ministry of Health and Care Services. The implementation and evaluation of the public health program are nationally entrusted to the Directorate of Health, KS, and the Norwegian Institute of Public Health. The program's focus is on mental health and substance abuse prevention among children and youth, aiming to enhance the quality of municipal services and ensure compliance with public health legislation.
The main strategy involves facilitating municipalities to develop and test new measures, methods, and approaches in collaboration with voluntary organizations and support from knowledge environments and county authorities. Local initiatives are intended to strengthen the mental health of children and youth and promote effective substance abuse prevention within the framework of systematic public health work as defined by public health legislation.
The Program for Public Health Work in Trøndelag 2017-2023 involves collaboration between Trøndelag County Municipality, municipalities, research and development (FoU) institutions, other public entities, private businesses, and voluntary organizations. The focus remains on the mental health of children and youth and substance abuse in alignment with the national theme. The initiative encourages municipalities to develop evidence-based measures, integrating mental health and substance abuse prevention into systematic and knowledge-based public health work. Addressing social inequalities in health, quality of life, and participation is central, alongside promoting collaboration among various stakeholders.
The program adopts a population-oriented perspective, aligning with municipal planning efforts, with children and youth as the target audience. The primary goals for the Trøndelag program include improving mental health and quality of life among children and youth, integrating mental health and substance abuse prevention into systematic public health work, and creating an environment where all children and youth experience mastery, cohesion, and participation.
Specific objectives involve the development, implementation, and evaluation of evidence-based measures, integration of mental health and substance abuse prevention into local and regional public health work, establishment of routines for systematic and knowledge-based public health work, and collaboration with various stakeholders, including research and development institutions. The Trøndelag model for public health work serves as the working method for the program.
The collaboration includes various partners, with the county municipality as the program owner, involving knowledge and competence actors, municipalities, regional government, businesses, and voluntary organizations. The Collaboration Body for Public Health, composed of political and community representatives, advises on the selection of measures and allocation of funds from the county municipality, considering factors such as the purpose, benefits, knowledge base, feasibility, and evaluability of the measures. The collaboration also extends to research and development institutions, contributing to the program's success.
NTNU research group
- Monica Lillefjell
- Siren Hope
- Ruca Maass
- Kirsti Sarheim Anthun
- Erik Sund
- Mari Sylte
- Bodil Elisabeth Valstad Aasan
Collaborating Partners
- Trøndelag County authority
- 32 municipalities in Trøndelag
- SINTEF-digital
- KORUS
- RKBU
- NTNU- Social Research
- Nord University
Project publication list (linked to the research council project, Evidence for action)
- Aasan, Bodil Elisabeth Valstad; Lillefjell, Monica; Krokstad, Steinar; Sylte, Mari; Sund, Erik Reidar. (2023) The Relative Importance of Family, School, and Leisure Activities for the Mental Wellbeing of Adolescents: The Young-HUNT Study in Norway. Societies
- Lillefjell, Monica; Hope, Siren; Anthun, Kirsti Sarheim ; Hermansen, Eirin; Vik, John Tore; Sund, Erik Reidar. (2023) Planning for Health Equity: How Municipal Strategic Documents and Project Plans Reflect Intentions Instructed by the Norwegian Public Health Act. Societies
- Sylte, Mari; Lillefjell, Monica; Aasan, Bodil Elisabeth Valstad; Anthun, Kirsti Sarheim. (2023) ‘Nothing Gets Realised Anyway’: Adolescents’ Experience of Co-Creating Health Promotion Measures in Municipalities in Norway. Societies
- Sylte, Mari; Lillefjell, Monica; Anthun, Kirsti Sarheim. (2023) Co-creating public health measures with adolescents in municipalities: municipal actors’ views on inhibitors and promoters for adolescent involvement. Scandinavian Journal of Public Health
- Aasan, Bodil Elisabeth Valstad; Lillefjell, Monica; Krokstad, Steinar; Sund, Erik Reidar. (2023) Trends in social inequality and how mental wellbeing vary and covary among Norwegian adolescents and their families: the Young-HUNT Study. Scandinavian Journal of Public Health
- Kirsti S. Anthun, Gudveig Gjøsund, Ruca E.K. Maass, Siren Hope , Martin I. Standal, Monica Lillefjell. ( KNOWLEDGE-BASED DECISION-MAKING IN PUBLIC HEALTH Investigating 12 Norwegian municipalities. Poster and oral presentation, European Public Health Conference, Berlin 2022.
- Sylte, Mari; Anthun, Kirsti Sarheim; Lillefjell, Monica. (2022) Public health workers’ experiences of co-creating health promoting measures with adolescents in five municipalities in Norway. Scandinavian Journal of Public Health
- Aasan, Bodil Elisabeth Valstad; Lillefjell, Monica; Krokstad, Steinar; Kvaløy, Kirsti; Sund, Erik. (2022) Social inequality and change in psychological distress during the Covid-19 pandemic in Norway. European Journal of Public Health
- Hope, Siren; Sødal, Siv Tove Elisabeth; Anthun, Kirsti Sarheim; Lillefjell, Monica. (2021) How to develop and implement “the best schoolyard in the world” - pupil participation and co-production. Scandinavian Journal of Public Health
- Lillefjell, Monica; Maass, Ruca Elisa Katrin. (2021) Involvement and Multi-Sectoral Collaboration: Applying Principles of Health Promotion during the Implementation of Local Policies and Measures—A Case Study. Societies
- Martinsen, Natasja Bjerre; Lillefjell, Monica; Magnus, Eva; Anthun, Kirsti Sarheim. (2020) Effective interventions targeting the mental health of children and young adults: A scoping review. Scandinavian Journal of Public Health

