How do government, non-government organisations and communities work in partnership to promote health and reduce inequities?
Examine the roles of government, non-government organisations and communities in health promotion and explain how partnerships improve health outcomes
A focused answer to the WACE Year 12 Health Studies Unit 3 content on who promotes health. Covers the roles of government, non-government organisations and communities, and explains how intersectoral partnerships improve outcomes and reduce inequities.
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What this dot point is asking
WACE expects you to know who does what and why they need each other. A strong answer describes the role of each player with an example, then explains how a partnership between them produces a better result than any one acting alone, especially for disadvantaged groups. Marks reward this connected, applied explanation rather than three separate lists.
The role of government
Government acts at federal, state and local levels and holds the most powerful health promotion levers. Federal and state governments build healthy public policy through laws, regulation and taxation, such as tobacco taxes, food labelling rules and mandatory vaccination requirements for some settings. They fund the health system, run population-wide campaigns, and collect the data that shows where inequities lie. Local government shapes the built environment through footpaths, parks, recreation facilities and food vending rules, making the healthy choice easier in everyday places.
Government's strength is scale and authority: only government can pass binding laws and fund universal services. Its limit is that it can be slow, politically constrained and distant from local needs, which is where other players become important.
The role of non-government organisations
Non-government organisations include charities, health-focused bodies and community groups. They run targeted programs, deliver services, raise awareness, conduct research and advocate to government for policy change. They often reach groups that mainstream services miss, such as people experiencing homelessness or specific cultural communities, because they are trusted and flexible. Their limit is that they usually depend on funding and have a narrower reach than government, so they work best alongside it.
The role of communities
Communities are not just recipients of health promotion; they are active partners. The Ottawa Charter action area strengthen community action recognises that communities know their own priorities, and that solutions they help design are more likely to be used and to last. Community participation builds capacity, ownership and trust, and it ensures programs fit the culture and circumstances of the group. A program imposed on a community without its input often fails, while one built with the community is far more durable.
How partnerships reduce inequities
Partnerships matter most for groups facing disadvantage, because reaching them requires both the scale of government and the trust of local and non-government players. Government can fund and legislate, a non-government organisation can deliver the program in a culturally safe way, and the community can shape it so it actually fits. This combination targets the determinants driving the inequity while ensuring the response is acceptable and sustained, which a single sector acting alone rarely achieves.
How this maps to the exam
Expect a stimulus describing a health issue or a program involving several organisations. Identify the role each player has, explain what each contributes, and show how their partnership improves the outcome, especially for the disadvantaged group. Link the coordination to the mediate strategy where relevant.
Exam-style practice questions
Practice questions written in the style of SCSA exam questions on this dot point, with worked answer explainers. The year tag is the paper they imitate, not the source.
WACE 20218 marksExamine the roles of government, non-government organisations and communities in health promotion, and explain how a partnership between them can improve outcomes for a disadvantaged group.Show worked answer →
An 8 mark response needs all three roles with examples, then an explained partnership.
- Government
- Sets healthy public policy, funds services, legislates and collects data (for example tobacco tax, food labelling, funding campaigns). Strength is scale and authority; limit is it can be slow and distant from local needs.
- Non-government organisations
- Run targeted programs, advocate and reach groups mainstream services miss because they are trusted and flexible (for example a charity working with people experiencing homelessness). Limit is funding dependence and narrower reach.
- Communities
- Identify local priorities and own solutions, which makes programs fit and last (strengthen community action).
- Explain the partnership
- For a disadvantaged group, government funds and legislates, a non-government organisation delivers in a culturally safe way, and the community shapes the design so it fits. This intersectoral action (coordinated by mediate) targets the determinants while staying acceptable and sustained, which no single sector achieves alone.
Markers reward all three roles with examples and an explained partnership, not three separate lists.
WACE 20234 marksExplain why intersectoral action is important in health promotion.Show worked answer →
A 4 mark response needs a definition and the reason it works.
Definition. Intersectoral action is different sectors (such as housing, education, transport and health) working together on health, coordinated by the Ottawa Charter strategy mediate.
Why important. Many determinants of health sit outside the health sector, so no single agency can address them alone. Each sector contributes what it does best, so the combined effort reaches further and lasts longer than one agency acting by itself.
Markers reward the definition and a clear link from out-of-sector determinants to the need for coordinated action.
