TY - JOUR
T1 - Governing multisectoral action for health in low-income and middleincome countries
T2 - An agenda for the way forward
AU - Rasanathan, Kumanan
AU - Atkins, Vincent
AU - Mwansambo, Charles
AU - Soucat, Agnès
AU - Bennett, Sara
N1 - Funding Information:
Acknowledgements We acknowledge Robert Beschel, Gabriel Carrasquilla, Jodi Charles, Rajib Dasgupta, Kirk Emerson, Douglas Glandon, Churnrurtai Kanchanachitra, Pete Kingsley, Don Matheson, Rees Murithi Mbabu, Michael Myers, Jeremias Paul Jr, Thulisile Radebe, James Smith, Orielle Solar, Aloysius Ssennyonjo, Matthias Wismar and Shehla Zaidi, who contributed to the Bellagio Center meeting on Governing Multisectoral Action for Health in Low-Income and Middle-Income Countries in June 2016 and shared experiences that informed this paper from Cambodia, Chile, Colombia, India, Kenya, Malawi, Pakistan, the Philippines, Thailand, Uganda, the Caribbean, the Pacific and the European region. We also acknowledge the support of The Rockefeller Foundation in the convening of the Bellagio meeting and in funding this supplement.
Publisher Copyright:
© 2018 BMJ Global Health. All Rights Reserved.
PY - 2018/10
Y1 - 2018/10
N2 - 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.
AB - 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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U2 - 10.1136/bmjgh-2018-000890
DO - 10.1136/bmjgh-2018-000890
M3 - Article
C2 - 30364321
AN - SCOPUS:85061769074
SN - 2059-7908
VL - 3
JO - BMJ Global Health
JF - BMJ Global Health
M1 - e000890
ER -