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Introduction. When it comes to physical activity, activities at the local government level are extremely important, including, among other things, investing in the development of recreational and sports infrastructure in municipalities and counties, as well as implementing and financing health programs aimed at promoting physical activity among the population. Also, activities at the central level, implemented by the ministries of education, health, or transportation, aiming to implement policies that encourage the public to move, have a significant impact on the level of physical activity among young people. Objective. The study aimed to assess the prevalence of implementation of public health tasks by local government units in Poland, with a particular focus on activities in the area of physical activity. Material and methods. The study was conducted from May 13, 2020, to October 31, 2021. (18 months) in electronic form. The research group consisted of 1,118 representatives of local government offices of two levels: municipal (962 offices; 91.9% of the total) and district (91 offices; 8.1% of the total). According to the state at the time of the survey (as of 01.01.2021), Poland is divided into 16 provinces, 314 counties 2,477 municipalities (302 urban including 66 cities with county rights, 652 urban-rural and 1,523 rural). The survey covered 41.5% of municipalities and 29% of districts in Poland. Results and conclusions. The vast majority of local governments declare that they undertake activities in the area of physical activity, and these activities are often undertaken in cooperation with other local governments. Local governments very rarely implement health policy programs that include interventions in the area of physical activity, and among the reasons for not implementing such activities they usually point to financial and staffing problems.

Chronic diseases of the osteoarticular and muscular system belong to a group of health problems that lead to a limitation of the organism's efficiency, making it difficult or impossible for individuals to function normally. Of the forms of treatment used for chronic diseases of the osteoarticular system, rehabilitation is by far the most common. These activities are mainly financed by the National Health Fund, as well as by social insurance. A complementary role is played by local governments that finance medical rehabilitation for their residents in the form of health policy programmes, implemented as public health tasks. An important argument in favour of rehabilitation at the self-governmental level is the long waiting time for medical rehabilitation services financed by the National Health Fund. The aim of the paper was to show the role of local government in increasing access to therapeutic rehabilitation services for patients with musculoskeletal diseases. The paper discusses such issues as the importance of musculoskeletal diseases for the efficiency of individuals, organization and financing of guaranteed services in curative rehabilitation, as well as increasing access to these services at the local government level.

Physical inactivity is a major public health issue. For the prevention and management of noncommunicable diseases (NCDs), such as cardiovascular disease, type-2 diabetes, and a number of malignancies, regular physical activity is a critical protective factor. Along with helping to maintain a healthy weight and overall wellbeing, physical activity has positive effects on mental health, including the avoidance of cognitive decline and the symptoms of despair and anxiety. Local governments all across the world have responded to this problem by launching population-level projects that give locals access to exercise opportunities. Local governments, through the implementation of their own tasks of health promotion and protection, carry out public health tasks as defined by the Law of 11 September 2015 on Public Health. These tasks include activities in the area of physical activity. The aim of the article was to show the role of local government in promoting physical activity among the local community. The article discusses such issues as WHO recommendations for physical activity as well as activities undertaken by local governments in the area of health promotion in the form of health policy programs and activities carried out in cooperation with NGOs.