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Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward

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...

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Autores principales: Rasanathan, Kumanan, Atkins, Vincent, Mwansambo, Charles, Soucat, Agnès, Bennett, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195143/
https://www.ncbi.nlm.nih.gov/pubmed/30364321
http://dx.doi.org/10.1136/bmjgh-2018-000890
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author Rasanathan, Kumanan
Atkins, Vincent
Mwansambo, Charles
Soucat, Agnès
Bennett, Sara
author_facet Rasanathan, Kumanan
Atkins, Vincent
Mwansambo, Charles
Soucat, Agnès
Bennett, Sara
author_sort Rasanathan, Kumanan
collection PubMed
description 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.
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spelling pubmed-61951432018-10-24 Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward Rasanathan, Kumanan Atkins, Vincent Mwansambo, Charles Soucat, Agnès Bennett, Sara BMJ Glob Health Analysis 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. BMJ Publishing Group 2018-10-10 /pmc/articles/PMC6195143/ /pubmed/30364321 http://dx.doi.org/10.1136/bmjgh-2018-000890 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Analysis
Rasanathan, Kumanan
Atkins, Vincent
Mwansambo, Charles
Soucat, Agnès
Bennett, Sara
Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
title Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
title_full Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
title_fullStr Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
title_full_unstemmed Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
title_short Governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
title_sort governing multisectoral action for health in low-income and middle-income countries: an agenda for the way forward
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195143/
https://www.ncbi.nlm.nih.gov/pubmed/30364321
http://dx.doi.org/10.1136/bmjgh-2018-000890
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