Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review

Cambridge Prisms Global Mental Health, Journal Year: 2023, Volume and Issue: 10

Published: Jan. 1, 2023

The needs of people with severe mental illness are complex and require a range services embedded in well-coordinated systems care to enable recovery, promote well-being optimise social integration. concept recovery is strongly rooted the centrality multi intersectoral care, and, while -intersectoral dimensions health have been highlighted analyses focusing on high-income regions, little has elaborated terms these approaches (SMI) low- middle-income countries (LMICs). aim this review was identify describe underpinning community-based SMI interventions LMICs. A scoping carried out following steps: (1) Objectives for were developed refined; (2) systematic search databases (EbscoHost, PubMed, Google Scholar) previous reviews undertaken from 2012 2022, where relevant papers identified; (3) Papers focus specific description an intervention, located LMICs, explicit linkages between sectors, published English, selected inclusion; (4) Data extracted charted (5) Findings analysed reported thematically. Thirty-six included analysis, 18 countries, including qualitative studies, trials, desktop secondary data case studies. Examples multi- action collaboration healthcare community support systems, providing supported housing supportive spaces biomedical spheres care. Barriers dominance professions delivering stigmatising attitudes towards SMI. Multi- requires investments financing, education coordination by governing body.

Language: Английский

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Tackling the politics of intersectoral action for the health of people and planet

BMJ, Journal Year: 2022, Volume and Issue: unknown, P. e068124 - e068124

Published: Jan. 26, 2022

Kent Buse and colleagues argue that unlocking the potential for intersectoral action on climate health requires thinking politically about its facilitators barriers Human activities are wreaking extensive damage natural systems of planet undermining prospects current future populations. The 2021 report Intergovernmental Panel Climate Change provided further evidence increasing urgency responding to threats posed by change—which UN secretary general labelled "a code red humanity."12 conference in Glasgow (COP26) laid bare highly political nature international cooperation change, futility failing recognise sustainability environment cornerstone equitable development.34 politics inherent may be less visible than COP26 but must addressed deliver goals Paris agreement (box 1).7 Box 1 ### emergency imperative action56RETURN TO TEXT

Language: Английский

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How can intersectoral collaboration and action help improve the education, recruitment, and retention of the health and care workforce? A scoping review

The International Journal of Health Planning and Management, Journal Year: 2024, Volume and Issue: 39(3), P. 757 - 780

Published: Feb. 6, 2024

Abstract Inadequate numbers, maldistribution, attrition, and inadequate skill‐mix are widespread health care workforce (HCWF) challenges. Intersectoral—inclusive of different government sectors, non‐state actors, the private sector—collaboration action foundational to development a responsive sustainable HCWF. This review presents evidence on how work across sectors educate, recruit, retain HCWF, highlighting examples benefits challenges intersectoral collaboration. We carried out scoping scientific grey literature with inclusion criteria around governance mechanisms for A framework analysis identify collate factors linked education, recruitment, retention HCWF was out. Fifty‐six documents were included. identified wide array recommendations activity support For education: formalise decision‐making bodies; align education population needs; expand training capacity; engage regulate sector training; seek international opportunities support; innovate in by leveraging digital technologies. recruitment: ensure there is clarity cooperation; bilateral agreements ethical; carry data‐informed recruitment; learn from COVID‐19 about mobilising domestic workforce. retention: available staff, especially where staff scarce; improve working employment conditions; sector. Political will commensurate investment must underscore any collaboration

Language: Английский

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Green dreams, local realities: Complexities of the European Union's energy transition to ensure local health and well-being in a fossil fuel-based industrial region

Environmental Impact Assessment Review, Journal Year: 2024, Volume and Issue: 106, P. 107520 - 107520

Published: May 1, 2024

European Union's Green Deal is a legal obligation to EU countries shift towards environment-friendly energy systems from fossil-fuel-based systems. This transition will bring significant global health benefits by combating climate change, but it crucial understand the so far understudied impacts on local communities' lives and, thus, their and well-being. The study proposes novel conceptual framework based socio-technical theory production of space identify interacting points between well-being in context. tested Estonia's transitioning fossil fuel oil-shale-based system four focus group discussions, ten expert interviews, document analysis. We innovatively pinpoint pathways, including feedback loops, through causal loop diagram (CLD) impacting inhabitants' interplay analysis indicates that protecting promoting has been challenge not only due disruption created process also accumulated problems regarding socioeconomic conditions, environmental impacts, at level. compound effects multiple existing emerging issues, divergent interpretations lack holistic support mechanisms for inhabitants navigate changes sociocultural economic space, can harm locals' developed provides an important theoretical background mental physical health, social well-being, living industrial area. CLD using this demonstrates avoid unintended consequences transition.

Language: Английский

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Public Policy for Human Capital: Fostering Sustainable Equity in Disadvantaged Communities

Sustainability, Journal Year: 2025, Volume and Issue: 17(2), P. 535 - 535

Published: Jan. 12, 2025

This study presents new empirical findings on the multidimensional barriers that disadvantaged communities must overcome to equitably access quality education and health services. Equitable services in requires comprehensive public policies address barriers. Through an innovative econometric analysis of primary data collected 50 rural communities, most influential factors hindering these basic are identified. article discusses effective policy strategies for improving outlines how implement them sustainably equitably. The results reveal a lack adequate infrastructure, shortage qualified personnel, socioeconomic cultural main obstacles. Based findings, intervention model is proposed, which simultaneously addresses interconnected These contribute directly Sustainable Development Goals (SDGs), particularly SDG 3 (Good Health Well-being) 4 (Quality Education), by addressing critical equitable essential marginalized communities. based theories highlight importance investing human economic development, support fact investments sectors boost productivity, income, well-being, equity. concludes with practical applicable recommendations policymakers, emphasizing adapting local context ensuring active participation beneficiary

Language: Английский

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Strengthening Food Systems Governance to Achieve Multiple Objectives: A Comparative Instrumentation Analysis of Food Systems Policies in Vanuatu and the Solomon Islands

Sustainability, Journal Year: 2022, Volume and Issue: 14(10), P. 6139 - 6139

Published: May 18, 2022

Political leaders from around the world are demonstrating interest in adopting food policies that account for economic, health, social and environmental dimensions of food. In Pacific Islands, decades experience implementing multisectoral NCD climate policy has indicated operationalising systems will be challenging. We aimed to identify opportunities sectors more strongly promote nutrition sustainability addition economic objectives. conducted a comparative documentary analysis 37 sector Vanuatu Solomon Islands. applied theories agenda- setting examine how frames employed by different sectors, evident content, shaped priorities activities. identified predominately framing issues affecting sectors. Though there were clear aims produce enough meet population dietary requirements an environmentally resilient supply, operationalised through content those increase contribution productive exports import substitution. Food Islands have nutritious systems, but instruments could reflect these aims.

Language: Английский

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Healthcare resilience: a meta-narrative systematic review and synthesis of reviews

BMJ Open, Journal Year: 2023, Volume and Issue: 13(9), P. e072136 - e072136

Published: Sept. 1, 2023

Objectives The COVID-19 pandemic has tested global healthcare resilience. Many countries previously considered ‘resilient’ have performed poorly. Available organisational and system frameworks tend to be context-dependent focus heavily on physical capacities. This study aims explore synthesise evidence about resilience present a unified framework for future resilience-building. Design Systematic review synthesis of reviews using meta-narrative approach. Setting Healthcare organisations systems. Primary secondary outcome measures Definitions, concepts We used thematic analysis across included summarise Results main paradigms within include health, disaster risk reduction, emergency management, patient safety public health. Definitions recognise various hierarchical levels: individual (micro), facility or organisation (meso), health (macro) planetary international (meta). There been shift from mainly disasters crises, an ‘all-hazards’ approach Attempts measure met with limited success. analysed key build containing pre-event, intra-event, post-event trans-event domains. Alongside, we definition which dovetails our framework. Conclusion Resilience increasingly takes all-hazards process-oriented perspective. is increasing recognition the relational aspects Few incorporate these, they are difficult capture measurement need understand how works levels, competing priorities may affect overall Understanding these will underpin interdisciplinary, cross-sectoral multi-level approaches future. PROSPERO registration number CRD42022314729.

Language: Английский

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Examining Intersectoral Action as an Approach to Implementing Multistakeholder Collaborations to Achieve the Sustainable Development Goals

International Journal of Public Health, Journal Year: 2022, Volume and Issue: 67

Published: May 16, 2022

Objectives: The Sustainable Development Goals (SDGs) re-orient action towards improving the social and ecological determinants of health equity. SDG 17 calls for enhanced policy institutional coherence strong multi-stakeholder partnerships. Intersectoral (IA) has a promising history in public health, including promotion global health. Some experts see IA as crucial to SDGs. Yet less is known about how conceptualized what models exist with relevance We sought investigate understood conceptually empirically. Methods: conducted narrative review political science literatures grey literature on SDGs identify theoretical models, case studies reviews research. Results: Multiple competing conceptualizations exist. Research focused high-income countries. More conceptual clarity, analyses applications LMICs, explorations factors affecting are needed, attention power dynamics between sectors. Conclusion: required collaborate address New successful implementation merit exploration.

Language: Английский

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Intersectorality in a conditional cash transfer programme: Actors, convergences and conflicts

Global Public Health, Journal Year: 2024, Volume and Issue: 19(1)

Published: Jan. 22, 2024

This study aimed to analyse intersectoral arrangements among the health, education and social assistance sectors in operationalization of Bolsa Família Program (BFP). A qualitative approach was carried out, a peripheral region large urban centre Southeast Brazil. Data content analysis performed on basis reference Actor–Network Theory (ANT) using statements by actors considering ideas dispute work processes geopolitical territorial context. Seventeen managers Municipal Secretariats Health, Education Social Assistance were interviewed, as basic education, primary health care professionals. One-off, episodic discontinuous actions identified, with limited integration sectors. Convergences conflicts found respect institutional BFP. The convergences referred conceptions shared about role collaboration, they recognize themselves providing same vulnerable population. Considering multiple vulnerabilities these families, convergence from different can impact factors that condition inequalities. related conditions, sectorized lack understanding professionals duties their respective

Language: Английский

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Learning from intersectoral initiatives to respond to the needs of refugees, asylum seekers, and migrants without status in the context of COVID-19 in Quebec and Ontario: a qualitative multiple case study protocol

Health Research Policy and Systems, Journal Year: 2023, Volume and Issue: 21(1)

Published: June 20, 2023

Refugees, asylum seekers, and migrants without status experience precarious living working conditions that disproportionately expose them to coronavirus disease 2019 (COVID-19). In the two most populous Canadian provinces (Quebec Ontario), reduce vulnerability factors experienced by marginalized migrants, public community sectors engage in joint coordination efforts called intersectoral collaboration. This collaboration ensures holistic care provisioning, inclusive of psychosocial support, assistance address food security, educational employment assistance. research project explores how collaborated on initiatives during COVID-19 pandemic support refugees, cities Montreal, Sherbrooke, Toronto, generates lessons for a sustainable response heterogeneous needs these migrants.This theory-informed participatory is co-created with socioculturally diverse partners (refugees, seekers status, employees organizations, organizations). We will utilize Mirzoev Kane's framework health systems' responsiveness guide four phases qualitative multiple case study (a being an initiative). These include (1) building inventory developed pandemic, (2) organizing deliberative workshop representatives population, community, sector respondents select validate initiatives, (3) interviews (n = 80) frontline workers managers, municipal/regional/provincial policymakers, philanthropic foundations, (4) focus groups status. Qualitative data be analyzed using thematic analysis. The findings used develop discussion forums spur cross-learning among service providers.This highlight experiences organizations their ability offer responsive services context pandemic. draw learnt from promising practices COVID-19, improve beyond times crisis. Lastly, we reflect upon our approach-particularly relation engagement refugees governance research.

Language: Английский

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