Determinants of an integrated public health approach: the implementation process of Greenland’s second public health program

Table 3 The Adopter

Enabling determinants	Constraining determinants
• Adopters are greatly motivated to work with health promotion.	• Many CHWs feel alone and overwhelmed with their work tasks.
• Health consultants have relevant educational knowledge and experience.	• Health consultants lack expertise for evaluating initiatives.
	• As a newly employed health consultant it is challenging to acquire the necessary background knowledge of the program.
• CHWs use the knowledge resources available to them (e.g. LPC).	• CHW-managers typically focus on treatment instead of health promotion. Thereby guidance to CHWs can be confusing.
	• CHWs have in general a low level of education, which rarely relate to health promotion.

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