Development of a Local Health-Enhancing Physical Activity Policy Analysis Tool in France: CAPLA-Santé.

The promotion of health-enhancing physical activity (HEPA) has become a key objective in public health policy. Therefore, based on the national HEPA Policy Audit Tool Version 2 (HEPA PAT v2) of the World Health Organization, a tool was designed to support local governments in assessing HEPA policies. This study aims to describe the adaptation and testing of the HEPA policy analysis tool (CAPLA-Santé) at the local level in France. The work was conducted in three stages: (1) an intersectoral group of experts was constituted, and the group adapted each item of the HEPA PAT v2 tool to the local level; (2) a testing phase with seven local governments helped to collect data and feedback on the tool; and (3) a final workshop was organized to adjust and finalize the tool. The final version of CAPLA-Santé contains 21 items divided into six major sections: overview of HEPA stakeholders in the local government area, policy documents, policy contents, funding and political engagement, studies and measures relating to physical activity in the local government area, and progress achieved and future challenges. CAPLA-Santé allows the collection and in-depth analysis of local level policies to assess the progress in promoting HEPA and intersectoral collaboration as well as identifying successful policy levers and remaining challenges.

[Implementing regional "Sport, health and well-being" plans A process of continuous adjustments]. / La mise en œuvre du plan « Sport, Santé, Bien-être ¼ en région.

INTRODUCTION: The regional health agencies (ARS) and the regional Directorates for Youth, Sports and social cohesion (DRJSCS) must collaborate to define, together, the modalities for the implementation of the “Sport, Health and Wellness” plan. Then based on these modalities the actors “providers of physical and sporting activities, (APS)” acting as close to the population (local authorities and their groupings, schools, health, Medical-social, health-sector associations, sports, professionals, etc.) are invited to mobilize themselves to concretely deploy the aims of this plan. METHOD: Based on a perspective of sociology of public action, the survey was built on an approach that helped to identify the different actors and their stance. 90 semi-directive interviews were conducted with the public and private actors involved in the implementation of this plan. This corpus was amended by a collection of sources targeted at the case studied and by a treatment of the literature in order to reinforce the results. RESULTS: Through the implementation of this plan, the central State promotes collaboration between public and private actors in different sectors. The plurality of interests at hand explains that the articulation of their ways of seeing and doing things remains a particularly complex operation.