Table 1 Context of the three country cases
Case | The Netherlands | Denmark | Romania |
|---|---|---|---|
Size of the city | Average size municipality | Average size municipality | Highly populated municipality with a high student population |
Stage policy | New developed health policy, working towards an HEPA implementation plan. | New developed health policy, and needed an implementation plan, including HEPA | HEPA policy plan was in the development phase |
Focus policy | Mainly on physical activity promotion for youth | Mainly on physical activity promotion for youth and citizens with special needs and chronic diseases | The development of the local HEPA Strategy for 2014–2020, “Sport and Community” |
Responsible for the local policy | - Local administrative level of the municipality for the HEPA policy; - Regional Sport Service was assigned the development and implementation of the HEPA plan | - Local administrative level in the sector Health and Care for the health policy - The implementation of the policy was a common responsibility (across sectors in the municipality) | - Centralized administrative system -National ministries responsible for the policy development - None of the local/county stakeholders take responsibility for the lead in the implementation of the HEPA policy |
Entry point important for case to be represented in the game | - Representation of a specific neighborhood - Representation that makes involvement of new stakeholder possible | - Representation of the municipality - Representation of specific deprived community areas | - Representation was open, i.e. local participants from different stakeholder groups. - Representation of some members of the physical activity working group |
Group of key figures | Five representatives of the Dutch case: - One policy maker of the municipality, sector health and welfare - One policy advisor of the regional public health service - One policy advisor of the regional sport service - Two researchers of the Tilburg University | Five representatives of the Danish case: - Two policy makers from the Health sector, represented by a team coordinator and an administrative civil servant, - One policy maker from the Culture and Leisure sector - Two researcher of the Research Centre for Prevention and Health | Two representatives of the Romanian case - Two researchers of the Babes-Bolyai University, Cluj-Napoca - Interviewed several individual stakeholders along the waya |