Mechanisms of Intersectoral Collaboration in the Health System: A Scoping Review
Background: The implementation of health interventions requires the collaboration of various sectors outside health due to the multidimensional nature of healthcare. Building effective partnerships demands the use of intersectoral mechanisms that facilitate the leadership and implementation of these programs. In this review, the mechanisms of intersectoral collaboration (ISC) and their results were identified.
Methods: This scoping review was conducted in 2020. Using relevant keywords, all documents related to ISC in the health system were identified by searching four databases (PubMed, Scopus, Science Direct, and Web of Science), Google, and Google scholar search engines. In the initial search, 2911 documents were extracted. Based on the selection criteria 52 documents were selected for content analysis.
Results: Five areas of ISC were identified, including funding (collection, pooling, and distribution of funds), governance and leadership (political commitment, rules and regulations, control and evaluation, and stakeholder engagement), structural mechanisms (interorganizational, government-based, and program-based structures), process tools (information tools, support tools, and resource and service sharing), and models and frameworks (general, national, and program-specific models).
Conclusion: An intersectoral framework or model be developed that considers the financial, structural, and leadership aspects as well as the necessary process tools required for each program. Moreover, it should be considered communication and human resources empowerment in each intervention.
2. Kickbusch I, Gleicher D (2012). Governance for health in the 21st century. World Health Organization. Regional Office for Europe. Available from: https://apps.who.int/iris/handle/10665/326429. Access date: 5/22/2022
3. National Association of Community Health Centers (2012). Powering Healthier Communities: Community Health Centers, Address the Social Determinants of Health. Issue Brief. Available from: https://stepup.ucsf.edu/sites/stepup.ucsf.edu/files/CHCs%20and%20the%20Social%20Determinants%20of%20Health_1.pdf. Access date: 5/22/2022
4. Senkubuge F, Modisenyane M, Bishaw T (2014). Strengthening health systems by health sector reforms. Glob Health Action, 7:23568.
5. Salunke S, Lal DK (2017). Multisectoral approach for promoting public health. Indian J Public Health, 61(3):163-168.
6. HosseiniShokouh SM, Arab M, Emamgholipour S, Rashidian A, Montazeri A, Zaboli R (2017). Conceptual Models of Social Determinants of Health: A Narrative Review. Iran J Public Health, 46(4):435-446.
7. World Health Organization (2014). Social determinants of noncommunicable diseases and other public health issues in Seychelles: evidence and implications. World Health Organization Regional Office for Africa, Brazzaville. PP.
8. Solar O, Irwin A (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice).
9. Brooke-Sumner C, Lund C, Petersen I (2016). Bridging the gap: investigating challenges and way forward for intersectoral provision of psychosocial rehabilitation in South Africa. Int J Ment Health Syst, 10:21.
10. Arora M, Chauhan K, John S, Mukhopadhyay A (2011). Multi-sectoral action for addressing social determinants of noncommunicable diseases and mainstreaming health promotion in national health programmes in India. Indian J Community Med, 36(Suppl 1):S43-9.
11. Rasanathan K, Krech R (2011). Action on social determinants of health is essential to tackle noncommunicable diseases. Bull World Health Organ, 89(10):775-776.
12. Hall YN (2018). Social Determinants of Health: Addressing Unmet Needs in Nephrology. Am J Kidney Dis, 72(4):582-591.
13. Le HT, Mai HT, Pham HQ, et al (2020). Feasibility of Intersectoral Collaboration in Epidemic Preparedness and Response at Grassroots Levels in the Threat of COVID-19 Pandemic in Vietnam. Front Public Health, 8:589437.
14. Sagar R, Sen MS (2020). Intersectoral activities in the time of COVID-19. Indian J Soc Psychiatry, 36:61.
15. Conference on Intersectoral Action for Health : a Cornerstone for Health-for-All in the Twenty-First Century. Conference (1997: Halifax, Canada) & World Health Organization. Office of Global and Integrated Environmental Health. (1997). Report of a conference on Intersectoral Action for Health : a cornerstone for health-for-all in the twenty-first century, 20-23 April 1997, Halifax, Nova Scotia, Canada. World Health Organization.Available from: https://apps.who.int/iris/handle/10665/63657. Access date: 5/22/2022
16. Kim SS, Avula R, Ved R,et al (2017). Understanding the role of intersectoral convergence in the delivery of essential maternal and child nutrition interventions in Odisha, India: a qualitative study. BMC Public Health, 17(1):161.
17. Owusu NO, Baffour-Awuah B, Johnson FA, Mohan J, Madise NJ (2013). Examining intersectoral integration for malaria control programmes in an urban and a rural district in Ghana: a multinomial multilevel analysis. Int J Integr Care, 13:e029.
18. Gostin LO, Magnusson RS, Krech R, et al (2017). Advancing the Right to Health-The Vital Role of Law. Am J Public Health, 107(11):1755-1756.
19. Del Busto S, Galindo I, Hernandez JJ, et al (2019). Creating a Collaborative Platform for the Development of Community Interventions to Prevent Non-Communicable Diseases. Int J Environ Res Public Health, 16(5):676.
20. Hussain S, Javadi D, Andrey J, Ghaffar A, Labonté R (2020). Health intersectoralism in the Sustainable Development Goal era: from theory to practice. Global Health, 16(1):15.
21. Taylor-Robinson DC, Lloyd-Williams F, Orton L, Moonan M, O'Flaherty M, Capewell S (2012). Barriers to partnership working in public health: a qualitative study. PLoS One, 7(1):e29536.
22. Liu C, Shao S, Liu C, Bennett GG, Prvu Bettger J, Yan LL (2019). Academia–industry digital health collaborations: A cross-cultural analysis of barriers and facilitators. Digit Health, 5:2055207619878627.
23. Wakerman J, Mitchell J (2005). Intersectoral collaboration: what are the factors that contribute to success?. Report No.: 1, Desert Knowledge Cooperative Research Centre, Alice Springs (AUST). Available from: https://www.nintione.com.au/?p=4887. Access date: 5/22/2022
24. Larsen M, Gulis G, Pedersen KM (2012). Use of evidence in local public health work in Denmark. Int J Public Health, 57(3):477-83.
25. Novillo-Ortiz D (2017). Intergovernmental Collaboration in Global Health Informatics. In: Global Health Informatics. Ed(s), de Fátima Marin H, Massad E, Gutierrez MA, Rodrigues RJ, Sigulem D: Academic Press, pp. 264-287.
26. Castell-Florit Serrate P, Lausanne RC, Jean-Claude MM, Espinoza CS, Gonzalez TC(2007). Study on Intersector Practices in Health in Cuba: Report to the Pan American Health Organisation: Stage One. Havana: Escuela Nacional de Salud Pública de la República de Cuba (ENCAMP). Available from: http://www.who.int/social_determinants/country_action/intersectorial_action/en/index.html. Access date: 5/22/2022
27. McGuire F, Vijayasingham L, Vassall A, et al(2019). Financing intersectoral action for health: a systematic review of co-financing models. Global Health, 15:86.
28. Frank F, Smith A, King K (2000). The partnership handbook. Minister of Public Works and Government Services, Canada. Available from: http://publications.gc.ca/collections/Collection/MP43-373-1-2000E.pdf. Access date: 5/22/2022
29. Kang E, Park HJ, Kim JE (2011). Health impact assessment as a strategy for intersectoral collaboration. J Prev Med Public Health, 44(5):201-9.
30. Public Health Agency of Canada, World Health Organization (2008). Health Equity Through Intersectoral Action: An Analysis of 18 Country Case Studies. Public Health Agency of Canada, Ottawa pp. 52. Available from: HP5-67-2008E.pdf. Access date: 5/22/2022
31. Jamison DT, Alwan A, Mock CN, et al (2018). Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition. The Lancet, 391:1108-1120.
32. Rantala R, Bortz M, Armada F (2014). Intersectoral action: local governments promoting health. Health Promot Int, 29 Suppl1:i92-i102.
33. Shankardass K, Solar O, Murphy K, Greaves L, O'Campo P (2012). A scoping review of intersectoral action for health equity involving governments. Int J Public Health, 57(1):25-33.
34. Chircop A, Bassett R, Taylor E (2015). Evidence on how to practice intersectoral collaboration for health equity: a scoping review. Crit Public Health, 25:178-191.
35. Armstrong R, Hall BJ, Doyle J, Waters E (2011). Cochrane Update. 'Scoping the scope' of a cochrane review. J Public Health (Oxf), 33(1):147-50.
36. Arksey H, O'Malley L (2005). Scoping studies: towards a methodological framework. Int J Soc Res Methodol, 8:19-32.
37. Braun V, Clarke V (2006). Using thematic analysis in psychology. Qual Res Psychol, 3:77-101.
38. Chomik T (2007). Lessons learned from Canadian experiences with intersectoral action to address the social determinants of health. Public Health Agency of Canada, Ottawa.
39. Public Health Agency of Canada (2007). Crossing sectors: Experiences in inter-sectoral action, public policy and health. Public Health Agency of Can-ada, Ottawa. Available from: http://www.phac-aspc.gc.ca/publicat/2007/cro-sec/index-eng.php Access date: 5/22/2022
40. Mah CL, Minaker LM, Jameson K, et al (2017). An introduction to the healthy corner store intervention model in Canada. Can J Public Health, 108(3):e320-e324.
41. World Health Organization Public Health Agency of Canada. Health Equi-ty through Intersectoral Action : An Analy-sis of 18 Country Case Studies. Ottawa: Public Health Agency of Canada; 2008. Available from: https://publications.gc.ca/collections/collection_2008/phac-aspc/HP5-67-2008E.pdf. Access date: 9/10/2023
42. World Health Organization (2012). Intersectoral governance for Health in All Policies: structures, actions and experiences. World Health Organization. Regional Office for Europe.Available from: https://apps.who.int/iris/handle/10665/326430. Access date: 5/22/2022
43. Lynch G, Mangan G, Ford G. Health in All Policies Collaboration. Submission to the Joint Select Committee inquiring and reporting on Preventative Health Care in Tasmania. 16 Feb 2016, Available from: https://resources.heartfoundation.org.au/images/uploads/publications/FINAL_DRAFT_2015_HiAP_Submission_to_Joint_Selet_Committee_Preventative_Health_Care.pdf. Access date: 9/10/2023
44. Larsen M, Rantala R, Koudenburg OA, Gulis G (2014). Intersectoral action for health: The experience of a Danish municipality. Scand J Public Health,42(7):649-657.
45. Afenyadu G (1995). An Appraisal of Intersec'oral Collaboration on Phc in the ASante-Akim North District. University of Ghana. Available from: https://ugspace.ug.edu.gh/handle/123456789/6377. Access date: 5/22/2022
46. 46. Damari B, Rostamigooran N, Farshad AA (2019). Challenges of Memorandum of Understanding as a tool for strengthening intersectoral collaboration in health system. Social Determinants of Health. 2019;5(3):170-176. DOI: https://doi.org/10.22037/sdh.v5i3.28431
47. Diminic S, Carstensen G, Harris MG, et al (2015). Intersectoral policy for severe and persistent mental illness: review of approaches in a sample of high-income countries. Glob Ment Health (Camb), 2:e18.
48. Jabbari R, Bakhshian F, Jabbari Beyrami H, Asadzadeh R, Khamnian Z (2011). Community Participation and Intersectoral Collaboration in the First Level of Health Care System before and after the Implementation of Family Physician Program in Tabriz District, North West of Iran. Depiction of Health, 2(3):1-6.
49. World Health Organization. Regional Office for Europe (2018). Multisectoral and intersectoral action for improved health and well-being for all: mapping of the WHO European Region. Governance for a sustainable future: improving health and well-being for all: final report. World Health Organization. Regional Office for Europe. Available from: https://apps.who.int/iris/handle/10665/341715. Access date: 5/22/2022
50. Kranzler Y, Davidovich N, Fleischman Y, Grotto I, Moran DS, Weinstein R (2013). A health in all policies approach to promote active, healthy lifestyle in Israel. Isr J Health Policy Res, 2:16.
51. Motevalian SA (2007). A case study on intersectoral action for health in IR of Iran: community based initiatives experience [Working Paper]. Iran University of Medical Sciences, Iran. Available from: https://catalog.ihsn.org/index.php/citations/57220. Access date: 5/22/2022
52. Gunatilleke G (2007). Intersectoral action for health the sri lankan case study. WHO, Intersectoral Linkages and Human Development. Available from: https://docplayer.net/21589030-Intersectoral-action-for-health-the-sri-lankan-case-study.html. Access date: 5/22/2022
53. Greer SL, Lillvis DF (2014). Beyond leadership: political strategies for coordination in health policies. Health Policy, 116:12-7.
54. Spiegel J, Alegret M, Clair V, et al (2012). Intersectoral action for health at a municipal level in Cuba. Int J Public Health, 57(1):15-23.
55. Mikkonen J (2018). Intersectoral action for health: Challenges and opportunities in the WHO European Region. Eur J Public Health, 28(4):cky213. 090.
56. Kolahi AA, Abachizadeh K, Gol-Mohammadi A, Izadi E, Farsar AR (2015). The Intercectoral Collaboration Document for Cancer Risk Factors Reducation: Method and Stakeholder Analysis. J Community Health, 1(2):137-143.
57. Ho S, Javadi D, Causevic S, Langlois EV, Friberg P, Tomson G (2019). Intersectoral and integrated approaches in achieving the right to health for refugees on resettlement: a scoping review. BMJ Open, 9(7):e029407.
58. de Leeuw E (2017). Engagement of sectors other than health in integrated health governance, policy, and action. Annu Rev Public Health, 38:329-349.
59. Van Herten L, Reijneveld S, Gunning-Schepers L (2001). Rationalising chances of success in intersectoral health policy making. J Epidemiol Community Health, 55(5):342-347.
60. Burgess T, Braunack-Mayer A, Tooher R, et al(2016). Optimizing intersectoral collaboration between health and education: the Health Bridges study. J Public Health (Oxf), 38(4):e430-e437.
61. Leenaars K, Smit E, Wagemakers A, Molleman G, Koelen M (2015). 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, 81:460-478.
62. World Health Organization (2010). Intersectoral action to tackle the social determinants of health and the role of evaluation : report of the first meeting of the WHO policy maker resource group on social determinants of health, Viña del Mar, Chile, 27-29 January 2010.Available from: https://apps.who.int/iris/handle/10665/70579. Access date: 5/22/2022
63. Mahmood S, Morreale S, Barry MM (2015). Developing a checklist for intersectoral partnerships for health promotion. HPRC, NUIGalway. Available from: http://hdl.handle.net/10379/5525. Access date: 9/10/2023
64. A shared approach to Wellbeing and Resilience in our region, Strategic Intersectoral Development, Wairarapa 2017. Available from: https://www.wairarapa.dhb.org.nz/news-and-publications/reports-and-publications/publications/intersectoral-strategic-development-2017.pdf Access date: 9/10/2023
65. Luis Marina VC (2007). Innovative intersector partices for health and equity: The case study of Cotacachi Ecuador. Ecuador. Available from: https://www.who.int/social_determinants/resources/isa_cotacachi_ecu.pdf. Access date: 5/22/2022
66. Public Health Agency of Canada: Crossing sectors - experiences in intersectoral action, public policy and health. 2007, Ottawa, ON: Public Health Agency of Canada. Available from: https://www.phac-aspc.gc.ca/publicat/2007/cro-sec/pdf/cro-sec_e.pdf. Access date: 9/10/2023
67. World Health Organization. Regional Office for Europe & Center za zdravje in razvoj Murska Sobota / Centre for Health and Development Murska Sobota (2017). Advocating intersectoral action for health equity and well-being: the importance of adapting communication to concept and audience. World Health Organization. Regional Office for Europe. Available from: https://apps.who.int/iris/handle/10665/329507. Access date: 2/22/2022
68. Ndumbe-Eyoh S, Moffatt H (2013). Intersectoral action for health equity: a rapid systematic review. BMC Public Health, 13:1056.
69. Yasobant S, Bruchhausen W, Saxena D, Falkenberg T (2019). One health collaboration for a resilient health system in India: Learnings from global initiatives. One Health, 8:100096.
70. Dubois A, St-Pierre L, Veras M (2015). A scoping review of definitions and frameworks of intersectoral action. Cien Saude Colet, 20(10):2933-42.
71. Baugh Littlejohns LK, Willis CD (2018). Collaborative Value Creation Framework: The Potential for Strengthening Intersectoral Partnerships in Chronic Disease Prevention. Prog Community Health Partnersh, 12(4):463-472.
72. MacIntosh J, McCormack D (2001). Partnerships identified within primary health care literature. Int J Nurs Stud, 38(5):547-555.
73. Corbin JH, Jones J, Barry MM (2018). What makes intersectoral partnerships for health promotion work? A review of the international literature. Health Promot Int, 33(1):4-26.
74. Corbin JH (2017). Health promotion, partnership and intersectoral action. Health Promot Int, 32(6):923-929.
75. AmirEsmaili MR, Damari B, Hajebi A, Rafiee N, Goudarzi R, Haghshenas A (2021). Basic Criteria, Models, and Indicators of Intersectoral Collabora-tion in Health Promotion: A Scoping Review. Iran J Public Health, 50(5):852-865.
76. Leurs MTW, Mur-Veeman IM, van der Sar R, Schaalma HP, de Vries NK (2008). Diagnosis of sustainable collaboration in health promotion – a case study. BMC Public Health, 8:382.
77. Sparkes SP, Bump JB, Özçelik EA, Kutzin J, Reich MR (2019). Political Economy Analysis for Health Financing Reform. Health Syst Reform,5(3):183-194.
78. Fan VY, Savedoff WD (2014). The health financing transition: a conceptual framework and empirical evidence. Soc Sci Med, 105:112-21.
79. Blas E, Gilson L, Kelly MP, et al (2008). Addressing social determinants of health inequities: what can the state and civil society do?. The Lancet, 372(9650):1684-1689.
80. Popescu S (2020). Roadblocks to Infection Prevention Efforts in Health Care: SARS-CoV-2/COVID-19 Response. Disaster Med Public Health Prep, 14(4):538-540.
81. Dhamanti I, Leggat SG, Barraclough S (2019). The Role of Governments in the Implementation of Patient Safety and Patient Safety Incident Reporting in Indonesia: A Qualitative Study. Healthcare (Basel), 7(2):64.
82. National Collaborating Centre for Determinants of Health (2012). Assessing the impact and effectiveness of intersectoral action on the social determinants of health and health equity: An expedited systematic review. Antigonish, NS: Author. Available from: https://nccdh.ca/images/uploads/ISA_Report_EN1.pdf. Access date: 2/22/2022
83. Kawonga M, Blaauw D, Fonn S (2016). The influence of health system organizational structure and culture on integration of health services: the example of HIV service monitoring in South Africa. Health Policy Plan, 31(9):1270-1280.
84. Liese BH, Sachdeva PS, Cochrane DG (1991). Organizing and managing tropical disease control program-lessons of succes. Rev Soc Bras Med Trop, 24(3):185-8.
85. Carroll JS, Rudolph JW (2006). Design of high reliability organizations in health care. Qual Saf Health Care, 15 Suppl 1(Suppl 1):i4-9.
86. Edmondson AC, Bohmer RM, Pisano GP (2001). Disrupted Routines: Team Learning and New Technology Implementation in Hospitals. Adm Sci Q, 46(4):685 - 716.
87. Axelsson R, Axelsson SB (2006). Integration and collaboration in public health: a conceptual framework. Int J Health Plann Manage, 21(1):75-88.
|Issue||Vol 52 No 11 (2023)|
|Collaboration Action Coordination Policy Mechanism Intersectoral Health System|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|