دورية أكاديمية
Navigating intersectoral collaboration in nutrition programming: implementors' perspectives from Assam, India.
العنوان: | Navigating intersectoral collaboration in nutrition programming: implementors' perspectives from Assam, India. |
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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).) |
References: | Cochrane Database Syst Rev. 2018 Aug 15;8:CD012233. (PMID: 30109701) BMC Public Health. 2021 Aug 6;21(1):1517. (PMID: 34362321) Cien Saude Colet. 2018 Jun;23(6):1829-1836. (PMID: 29972491) Food Nutr Bull. 2011 Jun;32(2 Suppl):S70-81. (PMID: 21916116) Int J Health Policy Manag. 2017 May 16;6(7):359-363. (PMID: 28812831) BMC Health Serv Res. 2020 Jun 29;20(1):591. (PMID: 32600396) BMJ. 2015 Sep 14;351:h4213. (PMID: 26371220) Lancet. 2013 Aug 10;382(9891):552-69. (PMID: 23746781) BMJ. 2018 Dec 7;363:k4771. (PMID: 30530519) Scand J Public Health. 2011 Mar;39(6 Suppl):11-8. (PMID: 20813799) Aust N Z J Public Health. 2014 Dec;38(6):553-9. (PMID: 25376925) J Adv Nurs. 2002 Apr;38(1):94-104. (PMID: 11895535) Health Promot Pract. 2006 Apr;7(2 Suppl):23S-33S. (PMID: 16636153) Health Policy Plan. 2012 Jan;27(1):19-31. (PMID: 21292709) Am J Lifestyle Med. 2020 Mar 19;14(5):495-499. (PMID: 32922234) BMJ Glob Health. 2018 Oct 10;3(Suppl 4):e000880. (PMID: 30364411) J Family Med Prim Care. 2021 Nov;10(11):3976-3982. (PMID: 35136755) BMJ Glob Health. 2018 Oct 10;3(Suppl 4):e000890. (PMID: 30364321) Health Policy Plan. 2021 May 17;36(4):552-571. (PMID: 33564855) BMJ. 2022 Jan 26;376:e068124. (PMID: 37462013) Global Health. 2020 Feb 20;16(1):15. (PMID: 32079530) J Community Psychol. 2019 May;47(4):856-868. (PMID: 30666671) J Dev Stud. 2020;56(5):907-928. (PMID: 32863425) Int J Environ Res Public Health. 2019 Aug 13;16(16):. (PMID: 31412530) Prev Chronic Dis. 2010 Nov;7(6):A116. (PMID: 20950523) Iran J Public Health. 2023 Nov;52(11):2299-2312. (PMID: 38106823) Food Nutr Bull. 2010 Mar;31(1):178-86. (PMID: 20461915) Nutrition. 2020 Jul - Aug;75-76:110768. (PMID: 32320941) Qual Health Res. 2016 Nov;26(13):1753-1760. (PMID: 26613970) BMC Public Health. 2017 Feb 2;17(1):161. (PMID: 28153041) Int J Public Health. 2022 May 16;67:1604351. (PMID: 35652124) JAMA. 2016 Feb 23;315(8):762-74. (PMID: 26903335) Health Res Policy Syst. 2022 Feb 15;20(1):21. (PMID: 35168597) Bull World Health Organ. 1996;74(2):223-9. (PMID: 8706239) Int J Health Policy Manag. 2021 Feb 01;10(2):67-76. (PMID: 32610746) |
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 |
تدمد: | 0778-7367 |
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DOI: | 10.1186/s13690-024-01312-6 |