Tackling-health-inequities-from-concepts-to-practice-The-experience-of-Vastra-Gotaland

nature of the measures and was also concerned that the researchers could beused as alibis to justify suggestions that they did not approve. Obviously therewas, to some extent, a lack of trust in the Commission, implying that theCommission was not successful in its dialogue at that time.Another difficulty was to find appropriate representation from the 49municipalities in the Region. Their socioeconomic context differs, as doestheir capacity to organize efficient welfare strategies, since the variation intheir economic structure differs.Overall, the way to create interest in the areas of social sustainability andhealth equity was by using incentives rather than coercion, especially sincethere was no overarching authority that could decide for all stakeholders.Instead what prevailed in interessement was the idea that the Action Planwould be of use for all stakeholders in some way.Enrolment and mobilization focus on the different functions among thestakeholders and the mechanisms that seem important for strengthening thenetwork. Besides the project group who carried the executive role and actedas an engine in this process, there are three arenas that are important. Firstly,the Steering Group functioned as an overarching assembly where strategiccrossroads were handled. It also played an important role for the politicalanchoring that later paved the way for approval by the Regional Council,even though the political road offered more obstacles than expected. Asecond arena was the workgroup who during the process had two majorfunctions: (1) to provide suggestions and, later on, to anchor the preliminaryplan; and (2) to play a significant role as spokespersons for implementation.The workgroup became the hub of the network. The third arena was theconferences and dialogue seminars that, in a general way, had the samefunctions as the workgroup.Generally the Commission managed to enrol and mobilize engagedstakeholders, but there were some politicians as well as officials that did notanchor the work in the network in their own organizations. One reason forthis could be inadequate mandates from their organizations, as well as lack ofinterest. Another reason might be that the enrolment in this joint process isbut one of the tasks that occupy the representatives in the workgroup.Section 4. Addressing health inequities in Västra Götaland27