Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
| Autor: | Kumanan Rasanathan, Charles Mwansambo, Sara Bennett, Agnes Soucat, Vincent Atkins |
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| Rok vydání: | 2018 |
| Předmět: |
Government
Civil society business.industry Corporate governance 030231 tropical medicine Public Health Environmental and Occupational Health government health policy Public relations multisectoral action 03 medical and health sciences 0302 clinical medicine Incentive Action (philosophy) 030212 general & internal medicine Implementation research Peer learning business Health policy Analysis |
| Zdroj: | BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | Drawing on experiences reviewed in the accompanying supplement and other literature, we present an agenda for the way forward for policy-makers, managers, civil society and development partners to govern multisectoral action for health in low-income and middle-income countries and consider how such an agenda might be realised. We propose the following key strategies: understand the key actors and political ecosystem, including type of multisectoral action required and mapping incentives, interests and hierarchies; frame the issue in the most strategic manner; define clear roles with specific sets of interventions according to sector; use existing structures unless there is a compelling reason not to do so; pay explicit attention to the roles of non-state sectors; address conflicts of interest and manage tradeoffs; distribute leadership; develop financing and monitoring systems to encourage collaboration; strengthen implementation processes and capacity; and support mutual learning and implementation research. To support countries to strengthen governance for multisectoral action, the global community can assist by further developing technical tools and convening peer learning by policy-makers (particularly from beyond the health sector), supporting knowledge management and sharing of experiences in multisectoral action beyond health, developing an agenda for and execution of implementation research and, finally, driving multilateral and bilateral development partners to transcend their own silos and work in a more multisectoral manner. |
| Databáze: | OpenAIRE |
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