Volume 26, Issue 3 (1-2024)
jha 2024, 26(3): 83-101 |
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najafi M, Mosadeghrad A M, Arab M. Facilitators and barriers of Intersectoral Collaboration in Health Program Implementation: A scoping review. jha 2024; 26 (3) :83-101
URL: http://jha.iums.ac.ir/article-1-4362-en.html
URL: http://jha.iums.ac.ir/article-1-4362-en.html
1- Researcher, Social Determinant of Health Research Center, Alborz University of Medical Science, Karaj
2- Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran
3- Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran ,arabmoha@tums.ac.ir
2- Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran
3- Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran ,
Abstract: (674 Views)
Introduction: Intersectoral collaboration (ISC) in health program implementation refers to coordinated efforts between the health system and other departments to enhance effective and efficient results. Different missions and goals of organizations make it challenging for their management to establish effective communication. This review was conducted to identify facilitators and barriers for intersectoral collaboration in health program implementation.
Methods: This scoping review was conducted using the Arksey & O'Malley framework. The search was conducted in PubMed, Scopus, Web of Science databases, and Google and Google Scholar search engines with related keywords without time limitation until April 2023. The data analysis was conducted using the framework analysis method.
Results: After the screening, 27 studies concerning the barriers and facilitator of ISC were chosen. Facilitators and barriers were classified into two categories: those within the healthcare system, including governance and leadership, financing, human resources, facilities and equipment, information systems, and health service delivery, and those outside of it, encompassing political, economic, social, technological, environmental, and legal factors.
Conclusion: Anticipating potential obstacles in interdepartmental cooperation can mitigate many challenges during program implementation. Strengthening ISC is anticipated to facilitate the implementation of health programs and the attainment of goals.
Methods: This scoping review was conducted using the Arksey & O'Malley framework. The search was conducted in PubMed, Scopus, Web of Science databases, and Google and Google Scholar search engines with related keywords without time limitation until April 2023. The data analysis was conducted using the framework analysis method.
Results: After the screening, 27 studies concerning the barriers and facilitator of ISC were chosen. Facilitators and barriers were classified into two categories: those within the healthcare system, including governance and leadership, financing, human resources, facilities and equipment, information systems, and health service delivery, and those outside of it, encompassing political, economic, social, technological, environmental, and legal factors.
Conclusion: Anticipating potential obstacles in interdepartmental cooperation can mitigate many challenges during program implementation. Strengthening ISC is anticipated to facilitate the implementation of health programs and the attainment of goals.
Type of Study: Review |
Subject:
Health Services Management
Received: 2023/06/23 | Accepted: 2023/09/20 | Published: 2024/06/19
Received: 2023/06/23 | Accepted: 2023/09/20 | Published: 2024/06/19
References
1. Mosadeghrad AM, Rahimi-Tabar P. Health system governance in Iran: a comparative study. Razi Journal of Medical Sciences. 2019; 26(9): 10-28.
2. Davies CA, Artigas L, Holloway J, McConway K, EA Newman J. Links between governance, incentives and outcomes: a review of the literature. Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO) [Internet]. London: NCCSDO; 2005 [Cited 2024 May 30]. Available from: https://www.researchgate.net/publication/42790580_Links_Between_Governance_Incentives_and_Outcomes_A_Review_of_the_Literature
3. Hall YN. Social determinants of health: addressing unmet needs in nephrology. Am J Kidney Dis. 2018; 72(4): 582-91. [DOI:10.1053/j.ajkd.2017.12.016]
4. Van Eyk H, Harris E, Baum F, Delany-Crowe T, Lawless A, MacDougall C. Health in all policies in south Australia-Did it promote and enact an equity perspective? Int J Environ Res Public Health. 2017; 14(11): 1288. [DOI:10.3390/ijerph14111288]
5. McCollum R, Taegtmeyer M, Otiso L, Tolhurst R, Mireku M, Martineau T, Karuga R, Theobald S. Applying an intersectionality lens to examine health for vulnerable individuals following devolution in Kenya. Int J Equity Health. 2019;18(1):24. doi: 10.1186/s12939-019-0917-2. [DOI:10.1186/s12939-019-0917-2]
6. World Helath Organization. Report of a conference on Intersectoral Action for Health : a cornerstone for health-for-all in the twenty-first century. Report number.:WHO/PPE/PAC/97.6. [Internet]. Canada: World Health Organization; 20-23 April 1997 [Cited 2024 May 30]. Available from: https://iris.who.int/handle/10665/63657
7. Owusu NO, Baffour-Awuah B, Johnson FA, Mohan J, Madise NJ. Examining intersectoral integration for malaria control programmes in an urban and a rural district in Ghana: a multinomial multilevel analysis. Int J Integr Care. 2013; 13: e029. [DOI:10.5334/ijic.1061]
8. Frank F, Smith A, King K. The partnership handbook [Internet]. Canada: Minister of Public Works and Government Services; 2000 [Cited 2024 May 30]. Available from: http://publications.gc.ca/collections/Collection/MP43-373-1-2000E.pdf
9. Del Busto S, Galindo I, Hernandez JJ, Camarelles F, Nieto E, Caballero Á, et al. Creating a collaborative platform for the development of community interventions to prevent non-Communicable diseases. Int J Environ Res Public Health. 2019; 16(5): 676. [DOI:10.3390/ijerph16050676]
10. Najafi M, Mosadeghrad AM, Arab M. Mechanisms of intersectoral collaboration in the health system: a scoping review. Iran J Public Health. 2023; 52(11): 2299-312. [DOI:10.18502/ijph.v52i11.14030]
11. Peters MD, Godfrey CM, Khalil H, et al. Guidance for conducting systematic scoping reviews. Int ـJ Evid Based Healthc. 2015; 13(3): 141-6. [DOI:10.1097/XEB.0000000000000050]
12. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005; 8(1): 19-32. [DOI:10.1080/1364557032000119616]
13. PRISMA Flow Diagram [Internet]. [Update 2024; Cited 2024 May 30] Available from: https://www.prisma-statement.org/prisma-2020-flow-diagram
14. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In Analyzing qualitative data. London: Routledge, 2002: 187-208. [DOI:10.4324/9780203413081-14]
15. World Health Organization. Everybody's business: strengthening health systems to improve health outcomes. WHO's framework for action. Geneva: World Health Organization; 2007.
16. Makos J. PESTEL Framework: The 6 Factors of PESTEL Analysis [Internet]. [Update 2024 Apr 13 Cited 2024 May 30]. Available from: https://pestleanalysis.com/pestel-framework/
17. Damari B, Rostamigooran N, Farshad AA. Challenges of memorandum of understanding as a tool for strengthening intersectoral collaboration in health system. SDH. 2019; 5(3): 170-6.
18. Kranzler Y, Davidovich N, Fleischman Y, Grotto I, Moran DS, Weinstein R. A health in all policies approach to promote active, healthy lifestyle in Israel. Isr J Health Policy Res. 2013; 2(1): 16. [DOI:10.1186/2045-4015-2-16]
19. Public Health Agency of Canada, World Health Organization. Health Equity through Intersectoral Action: An Analysis of 18 Country Case Studies [Internet]. Canada: Public Health Agency of Canada; 2008 [Cited 2024 May 30]. Available from: https://publications.gc.ca/collections/collection_2008/phac-aspc/HP5-67-2008E.pdf.
20. World Health Organization. Multisectoral and intersectoral action for improved health and well-being for all: mapping of the WHO European Region. Report number: WHO/EURO:2018-2667-42423-58849 [Internet]. Denmark: World Health Organization Regional Office for Europe; 2018 [Cited 2024 May 30].
21. Wakerman J, Mitchell J. Intersectoral collaboration: what are the factors that contribute to success? Report Number:01. 2005 [Internet]. Alice Springs: Centre for Remote Health & Desert Knowledge CRC; 2005 [Cited 30 May 2024]. Available from: https://www.nintione.com.au/?p=4887.
22. Rudolph L, Caplan J, Ben-Moshe K, Dillon L. Health in all policies. A guide for state and local governments Washington, DC: American Public Health Association and Public Health Institute; 2013.
23. Ho S, Javadi D, Causevic S, Langlois EV, Friberg P, Tomson G. Intersectoral and integrated approaches in achieving the right to health for refugees on resettlement: a scoping review. BMJ Open. 2019; 9(7): e029407. [DOI:10.1136/bmjopen-2019-029407]
24. Luis Marina VC. Innovative intersector partices for health and equity: The case study of Cotacachi Ecuador. Ecuador. Theoretical and Empirical Researches in Urban Management. 2023;18(3):66-87. Available from: http://um.ase.ro/v18i3/4.pdf
25. Anaf J, Baum F, Freeman T, Labonte R, Javanparast S, Jolley G, Lawless A, Bentley M. Factors shaping intersectoral action in primary health care services. Aust N Z J Public Health. 2014; 38(6): 553-9. [DOI:10.1111/1753-6405.12284]
26. Public Health Agency of Canada. Crossing sectors: Experiences in intersectoral action, public policy and health [Internat]. Ottawa: Public Health Agency of Canada; 2007 [Cited 2024 May 30].. Available from: http://www.phac-aspc.gc.ca/publicat/2007/cro-sec/index-eng.php
27. Leenaars K, Smit E, Wagemakers A, Molleman G, Koelen M. Facilitators and barriers in the collaboration between the primary care and the sport sector in order to promote physical activity: a systematic literature review. Prev Med. 2015; 81: 460-78. [DOI:10.1016/j.ypmed.2015.10.010]
28. McGuire F, Vijayasingham L, Vassall A, Small R, Webb D, Guthrie T, et al. Financing intersectoral action for health: a systematic review of co-financing models. Global Health. 2019; 15: 86. [DOI:10.1186/s12992-019-0513-7]
29. Backwith D, Mantle G. Inequalities in health and community-oriented social work: Lessons from Cuba? International Social Work. 2009; 52(4): 499-511. [DOI:10.1177/0020872809104253]
30. Spiegel J, Alegret M, Clair V, Pagliccia N, Martinez B, Bonet M, Yassi A. Intersectoral action for health at a municipal level in Cuba. Int J Public Health. 2012; 57(1): 15-23. [DOI:10.1007/s00038-011-0279-z]
31. World Health Organization. Regional Office for Europe, Center za zdravje in razvoj Murska Sobota, Centre for Health and Development Murska Sobota. Advocating intersectoral action for health equity and well-being: the importance of adapting communication to concept and audience [Internet]. Report Number: 9789289052290. Denmark: World Health Organization Regional Office for Europe; 2017. Available from: https://apps.who.int/iris/handle/10665/329507
32. Novillo-Ortiz D. Chapter 12 - Intergovernmental Collaboration in Global Health Informatics. Global Health Informatics: Elsevier; 2017. Ed(s), de Fátima Marin H, Massad E, Gutierrez MA, Rodrigues RJ, Sigulem D: Academic Press, pp. 264-287. [DOI:10.1016/B978-0-12-804591-6.00013-6]
33. Larsen M. Use of evidence and intersectoral collaboration in local public health work in Denmark. Int J Public Health. 2013; 57(3): 477-83. [DOI:10.1007/s00038-011-0324-y]
34. Miller DW, Paradis E. Making it real: the institutionalization of collaboration through formal structure. J Interpr of Care. 2020; 34(4): 528-36. [DOI:10.1080/13561820.2020.1714563]
35. Shankardass K, Solar O, Murphy K, Greaves L, O'Campo P. A scoping review of intersectoral action for health equity involving governments. Int J Public Health. 2012; 57(1): 25-33. [DOI:10.1007/s00038-011-0302-4]
36. Brooke-Sumner C, Lund C, Petersen I. Bridging the gap: investigating challenges and way forward for intersectoral provision of psychosocial rehabilitation in South Africa. Int J Ment Health Syst. 2016; 10: 21. [DOI:10.1186/s13033-016-0042-1]
37. Baugh Littlejohns LK, Willis CD. Collaborative value creation framework: the potential for strengthening intersectoral partnerships in chronic disease prevention. Prog Community Health Partnersh. 2018; 12(4): 463-72. [DOI:10.1353/cpr.2018.0071]
38. Kang E, Park HJ, Kim JE. Health impact assessment as a strategy for intersectoral collaboration. J Prev Med Public Health. 2011; 44(5): 201-9. [DOI:10.3961/jpmph.2011.44.5.201]
39. MacIntosh J, McCormack D. Partnerships identified within primary health care literature. Int J Nurs Stud. 2001; 38(5): 547-55. [DOI:10.1016/S0020-7489(00)00095-X]
40. WHO. Addressing and managing conflicts of interest in the planning and delivery of nutrition programmes at country level: report of a technical consultation convened in Geneva, Switzerland, on 8-9 October 2015. Geneva: World Health Organization; 2016.
41. De Maeseneer J, De Roo L, Art B, Willems S. Intersectoral action for health in Belgium: a multi-level contribution to equity, Crossing Sectors: Experiences in Intersectoral Action, Public Policy and Health [Internet].Ottawa: Public Health Agency of Canada and Health Systems Knowledge Network; 2007 [Cited 2024 May 30]. Available from: http://old.adapt.it/adapt-indice-a-z/wp-content/uploads/2014/04/maesenee_roo_2013.pdf
42. Taylor-Robinson DC, Lloyd-Williams F, Orton L, Moonan M, O'Flaherty M, Capewell S. Barriers to partnership working in public health: a qualitative study. PloS one. 2012; 7(1): e29536. [DOI:10.1371/journal.pone.0029536]
43. Mikkonen J. Intersectoral action for health: Challenges and opportunities in the WHO European Region. E Eur J Public Health. 2018; 28(4): cky213. 090. [DOI:10.1093/eurpub/cky212.090]
44. Schell SF, Luke DA, Schooley MW, Elliott MB, Herbers SH, Mueller NB, et al. Public health program capacity for sustainability: a new framework. Implementation Science. 2013; 8: 15. [DOI:10.1186/1748-5908-8-15]
45. Rantala R, Bortz M, Armada F. Intersectoral action: local governments promoting health. Health Promot Int. 2014; 29)1(: 92-102. [DOI:10.1093/heapro/dau047]
46. Burgess T, Braunack-Mayer A, Tooher R, Collins J, O'Keefe M, Skinner R, et al. Optimizing intersectoral collaboration between health and education: the health bridges study. J Public Health (Oxf). 2016; 38(4): e430- [DOI:10.1093/pubmed/fdv190]
47. Mikkonen J. Intersectoral action for health: Challenges and opportunities in the WHO european region. Eur J Public Health. 2018; 28(4): cky213. 090 [DOI:10.1093/eurpub/cky212.090]
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