دورية أكاديمية

Navigating intersectoral collaboration in nutrition programming: implementors' perspectives from Assam, India.

التفاصيل البيبلوغرافية
العنوان: Navigating intersectoral collaboration in nutrition programming: implementors' perspectives from Assam, India.
المؤلفون: Aivalli P; UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (UCD IRIS Centre), School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland. praveenkumar.aivalli@ucdconnect.ie.; School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland. praveenkumar.aivalli@ucdconnect.ie.; Guwahati, India. praveenkumar.aivalli@ucdconnect.ie., Gilmore B; UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (UCD IRIS Centre), School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.; School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland., Srinivas PN; Institute of Public Health Bangalore, Bangalore, India., De Brún A; UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (UCD IRIS Centre), School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.; School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
المصدر: Archives of public health = Archives belges de sante publique [Arch Public Health] 2024 Jun 07; Vol. 82 (1), pp. 82. Date of Electronic Publication: 2024 Jun 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 9208826 Publication Model: Electronic Cited Medium: Print ISSN: 0778-7367 (Print) Linking ISSN: 07787367 NLM ISO Abbreviation: Arch Public Health Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: <2011-> : London : BioMed Central
Original Publication: Brussels : "Archives belges de médecine sociale" asbl., [1990-
مستخلص: Background: There is a growing interest in the use of intersectoral collaborative (ISC) approaches to address complex health-related issues. However, relatively little empirical research exists on the challenges of implementing, fostering and sustaining these approaches. Our study explores the perceptions and experiences of programme implementers regarding the implementation of an ISC approach, focusing on a case study of nutrition programming in Assam, India.
Methods: We conducted qualitative semi-structured face-to-face in-depth interviews with eleven programme implementers from two selected districts of Assam, India. These participants were purposefully sampled to provide a comprehensive understanding of the experiences of implementing intersectoral collaboration. Following the interviews, an inductive thematic analysis was performed on the collected data.
Results: The study identified three main themes: operationalisation of ISC in daily practice, facilitators of ISC, and barriers to effective ISC. These were further broken down into six subthemes: defined sectoral mandates, leadership dynamics, interpersonal relationships and engagement, collective vision and oversight, resource allocation, and power dynamics. These findings highlight the complexity of ISC, focusing on the important structural and relational aspects at the macro, meso, and micro levels. Interpersonal relationships and power dynamics among stakeholders substantially influenced ISC formation in both the districts.
Conclusion: Despite challenges, there is ongoing interest in establishing ISC in nutrition programming, supported by political development agendas. Success relies on clarifying sectoral roles, addressing power dynamics, and engaging stakeholders systematically. Actionable plans with measurable targets are crucial for promoting and sustaining ISC, ensuring positive programme outcomes. The insights from our study provide valuable guidance for global health practitioners and policymakers dealing with similar challenges, emphasising the urgent need for comprehensive research given the lack of universally recognised policies in the realm of ISC in global health practice.
(© 2024. The Author(s).)
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معلومات مُعتمدة: R20721 UCD Ad Astra Academic scholarship programme at University College Dublin, Ireland. This research was conducted by Praveenkumar Aivalli, a PhD candidate and health systems researcher at University College Dublin (under the supervision of Dr Aoife De Brún).
فهرسة مساهمة: Keywords: Intersectoral collaboration; Nutrition; Policy implementation; Power dynamics
تواريخ الأحداث: Date Created: 20240607 Latest Revision: 20240610
رمز التحديث: 20240610
مُعرف محوري في PubMed: PMC11157891
DOI: 10.1186/s13690-024-01312-6
PMID: 38849925
قاعدة البيانات: MEDLINE
الوصف
تدمد:0778-7367
DOI:10.1186/s13690-024-01312-6