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Sahan, Tan Sri Datuk Abdul Khalid bin. "Intersectoral Coordination For Health." Asia Pacific Journal of Public Health 2, no. 3 (1988): 163–66. http://dx.doi.org/10.1177/101053958800200305.
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Graf, Lukas, Marcelo Marques, Tore Bernt Sorensen, and Xavier Dumay. "The emergence of European boundary-spanning policy regimes: analysing intersectoral policy coordination in education and employment." Journal of Education and Work 37 (November 3, 2023): 554–91. https://doi.org/10.1080/13639080.2023.2275778.
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While much attention has been paid to European policy arrangements in individual policy fields, European intersectoral policy coordination has been mostly an overlooked phenomenon, especially within the sectors of education and employment. Thus, in the introductory paper for this Special Issue, we offer a contemporary discussion of European intersectoral policy coordination. We firstly review the literature on intersectoral policy coordination, and secondly look at the application of concepts related to intersectoral policy coordination to supranational arrangements, especially the European Union. We then employ the concept of boundary-spanning policy regime and the related 'I' framework (<i>issues</i>, <i>ideas</i>, <i>interests</i>, and <i>institutions</i>) to discuss the individual pieces' contributions. This serves to explore the strength of the intersectoral perspective when analysing European policy coordination in education and employment. We conclude with a discussion of the strengths and limitations of this approach and offer a research agenda to study supranational intersectoral policy coordination (in education and employment).
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Karlsen, Tor-Ivar, Charlotte Kiland, Gro Kvåle, and Dag Olaf Torjesen. "‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study." Societies 12, no. 1 (2022): 11. http://dx.doi.org/10.3390/soc12010011.
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Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.
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Bergeron, Dave A., Lise R. Talbot, and Isabelle Gaboury. "Intersectoral oral health promotion interventions for schoolchildren living in remote rural Andean communities: a realist evaluation." Global Health Promotion 27, no. 3 (2019): 103–12. http://dx.doi.org/10.1177/1757975919870160.
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Background: Intersectoral oral health promotion entails the participation of local communities. IOHP interventions were introduced in Peru in primary schools in 2013 but oral health among schoolchildren living in rural Andean communities remains suboptimal. Objectives: To understand the contextual elements and the underlying mechanisms associated with intersectoral oral health promotion interventions’ current effects on schoolchildren living in remote rural Andean communities. Method: A realist evaluation was carried out in three rural Andean communities where intersectoral oral health promotion interventions aimed at schoolchildren have been implemented. Following an evaluation of the effects among schoolchildren, contextual elements and mechanisms were explored with various stakeholders involved in intersectoral oral health promotion through focus groups and semi-structured interviews. Subsequently, an iterative data analysis and a validation process resulted in the identification of context-mechanism configurations. Results: Previous positive experiences of collaboration, a focus on communication, feelings of being respected and considered, and development of leadership and trust among stakeholders involved in intersectoral oral health promotion were elements of configurations that positively influence intersectoral oral health promotion. On the other hand, unfavorable physical, social and political environments, previous negative health experiences, feelings of not being respected or considered, demotivation, development of mistrust and insufficient leadership were shown to negatively influence outcomes. Conclusion: This research highlights the complexity associated with the deployment of intersectoral oral health promotion interventions in rural communities. Local stakeholders should be further involved to build trust, to facilitate coordination processes among remote rural communities and oral health professionals, and to optimize deployment of intersectoral oral health promotion interventions.
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Tancred, Tara, Margaret Caffrey, Michelle Falkenbach, and Joanna Raven. "The pathway to health in all policies through intersectoral collaboration on the health workforce: a scoping review." Health Policy and Planning 39, Supplement_2 (2024): i54—i74. http://dx.doi.org/10.1093/heapol/czae046.
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Abstract The health workforce (HWF) is a critical component of the health sector. Intersectoral/multisectoral collaboration and action is foundational to strengthening the HWF, enabling responsiveness to dynamic population health demands and supporting broader goals around social and economic development—such development underpins the need for health in all policies (HiAP). To identify what can be learned from intersectoral/multisectoral activity for HWF strengthening to advance HiAP, we carried out a scoping review. Our review included both peer-reviewed and grey literature. Search terms encompassed terminology for the HWF, intersectoral/multisectoral activities and governance or management. We carried out a framework analysis, extracting data around different aspects of HiAP implementation. With the aim of supporting action to advance HiAP, our analysis identified core recommendations for intersectoral/multisectoral collaboration for the HWF, organized as a ‘pathway to HiAP’. We identified 93 documents—67 (72%) were journal articles and 26 (28%) were grey literature. Documents reflected a wide range of country and regional settings. The majority (80, 86%) were published within the past 10 years, reflecting a growing trend in publications on the topic of intersectoral/multisectoral activity for the HWF. From our review and analysis, we identified five areas in the ‘pathway to HiAP’: ensure robust coordination and leadership; strengthen governance and policy-making and implementation capacities; develop intersectoral/multisectoral strategies; build intersectoral/multisectoral information systems and identify transparent, resources financing and investment opportunities. Each has key practical and policy implications. Although we introduce a ‘pathway’, the relationship between the areas is not linear, rather, they both influence and are influenced by one another, reflecting their shared importance. Underscoring this ‘pathway’ is the shared recognition of the importance of intersectoral/multisectoral activity, shared vision and political will. Advancing health ‘for’ all policies—generating evidence about best practices to identify and maximize co-benefits across sectors—is a next milestone.
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Jørgensen, Kim, Tonie Rasmussen, Morten Hansen, Kate Andreasson, and Bengt Karlsson. "Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users." International Journal of Environmental Research and Public Health 17, no. 23 (2020): 8777. http://dx.doi.org/10.3390/ijerph17238777.
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This study aimed to explore how mental health professionals and users perceive recovery-oriented intersectoral care when comparing mental health hospitals and community mental healthcare. Methodological design: Five audio-recorded focus group interviews of nurses, other health professionals and users were explored using manifest and latent content analysis. Ethical issues and approval: The study was designed in accordance with the ethical principles of the Helsinki Declaration and Danish law. Each study participant in the two intersectoral sectors gave their informed consent after verbal and written information was provided. Findings: From the health professionals’ perspective, the main theme informed by subthemes and categories was formulated: ‘Recovery-oriented intersectoral care requires more coordination and desire for collaboration’. Two subthemes were subsequently formulated: ‘The users´ perspective of the centre’ and ‘Need for a common agenda and understanding of recovery-oriented intersectoral care’. From the users´ perspective, the main theme was formulated as: ‘Recovery-oriented intersectoral care in tension between medical- and holistically oriented care’. This theme was informed by two subthemes: ‘The users´ perspective is not in focus’ and ‘A trusting relationship and a holistic approach brings coherence’. Conclusions: This study reveals that health professionals want to work in a recovery-oriented manner in intersectoral care, but several challenges appear which make achieving this aim difficult. A common understanding of recovery and how it should be carried out in intersectoral care does not exist. Care decisions are primarily made paternalistically, where the users’ and relatives’ voices are ignored. In an attempt to create coherence across sectors, intersectoral network meetings have been established with health professionals from both sectors. However, the meetings are characterised by a lack of a clear purpose regarding the meeting structure and content, and users are only minimally involved. Our results can contribute to dealing with the challenges of incorporating recovery-oriented intersectoral care as an ideology in all psychiatric and municipal contexts and is, therefore, important for health professionals and users.
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HRANOVSKA, Viktoriia H., Viktoriia M. KRYKUNOVA, Olena S. MOROZOVA, Yana V. KATSEMIR, and Vladyslav V. VOLOSHCHUK. "DETERMINANTS OF THE DEVELOPMENT OF HOTEL AND RESTAURANT ENTERPRISES OF UKRAINE IN THE INTERSECTORAL INDUSTRY OF SERVICES." GeoJournal of Tourism and Geosites 35, no. 2 (2021): 537–47. http://dx.doi.org/10.30892/gtg.35235-682.
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In the context of globalization of markets, the innovative system of services of hotel and restaurant enterprises provides coordination of actions of all participants. The purpose of this article is to consider the determinants of the development of hotel and restaurant enterprises in the intersectoral industry of hospitality and innovative services. On the basis of multidimensional analysis, the methods of modeling the process of development of the subjects of the service sector according to the indicators-characteristics of the subjects of service activity are determined. The mathematical tools of taxonomic analysis are presented, which allows evaluating separately the indicators of the components of the intersectoral industry of hospitality and innovative services. An integrated assessment of the components of the intersectoral hospitality industry and innovative services of the hotel and restaurant industry of Ukraine and their competitive position in terms of the level of effective operation is determined. The efficiency of functioning of restaurant enterprises according to fractal levels of the hospitality industry and innovative services is calculated.
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Rochmayanto, Y., N. Sakuntaladewi, M. Iqbal, et al. "Institutional fragmentation of peat fire management in Indonesia: a knowledge management perspective." IOP Conference Series: Earth and Environmental Science 917, no. 1 (2021): 012028. http://dx.doi.org/10.1088/1755-1315/917/1/012028.
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Abstract The importance of intersectoral collaboration in policy implementation has been widely accepted. Concepts of intersectoral collaboration and policy coordination are theoretically appealing; however, it is challenging to implement in practice, including in forest fire management. This paper aims to map the institutions on forest fire management and analyze the rationality in using knowledge in their duties and authorities. Using stakeholder mapping combined with the Concern-Knowledge-Action approach, this study is conducted at the national level in Indonesia, and takes two sub-national levels, South Sumatera and Central Kalimantan, as the case study. There are many institutions involved in fire management in all governance levels, including at the provincial-district level, as well as at the sub-district-village level, but the institutional fragmentation in peat fire management is still found. In managing fire in South Sumatera and Central Kalimantan, it is not handled by a specific institution having the most influential and important positions. They have different authorities but the same potential power to prevent and combat fire. A complex interconnection among them indicates the need for effective institution integration. Less connectivity among the knowledge pool is also found, especially between private – community, NGO – academia, and government – community. Finally, knowledge improvement on fire prevention method especially in defining a community livelihood offset, as well as the ex-post fire management (measuring the level of fire impact and its recovery methods) is needed to fill the gap of knowledge. A stakeholder Forum is one of the options to improve intersectoral coordination in managing forest fire in peatland and enhance the effectiveness of knowledge sharing. At community level, conducting informal discussion and capacity-building programs would be feasible options for better coordination and improving knowledge.
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Peters, Dorothee T. J. M., Erik Hans Klijn, Karien Stronks, and Janneke Harting. "Policy coordination and integration, trust, management and performance in public health-related policy networks: a survey." International Review of Administrative Sciences 83, no. 1 (2016): 200–222. http://dx.doi.org/10.1177/0020852315585061.
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Intersectoral policy networks may be effective in dealing with complex public health problems. Their performance is assumed to depend on network management and trust, as well as on integrated public health policy (i.e. policy coordination and integration). We studied the role of network management and trust in the realization of integrated public health policy and network performance, as well as the relation between integrated public health policy and network performance. In 34 Dutch local policy networks, we measured the perceptions of 278 actors through a Web-based survey and used regression analyses to assess the relations between policy variables. Management and trust were positively related to perceived integrated public health policy and network performance, while integrated public health policy was also positively related to perceived network performance. In public health, the performance of intersectoral policy networks may be improved by adequate network management, the creation of trust and policy coordination and integration. Future research could further explore the role of specific characteristics of the network manager, like the manager’s background, relation to the other actors and leadership style. Points for practitioners Regarding inter-sectoral policy networks in public health: first, when aiming for the realization of policy coordination and integration, the employment of network management strategies and the creation of trust are of importance for the network manager; and, second, when also aiming for the realization of network performance, the creation of policy coordination and integration is of additional importance for the network manager.
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Kamionka, Stine Lundstroem, Morten Sodemann, Niels Bilenberg, and Niels Buus. "Writing practises in Danish intersectoral pathways for vulnerable persons – An institutional ethnographic text analysis." International Journal of Integrated Care 25 (April 9, 2025): 551. https://doi.org/10.5334/ijic.icic24509.
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Introduction: The necessity of intersectoral information exchange is well-establish, because the complexity in health-related issues are increasing world-wide, and solving complex problems is beyond the capacity of single sector or specialty. The exchange of written information is the most commonly used communication strategy to share information across specialties and care services. Problem: Written information exchange calls for caution, as texts can be read and interpreted differently across locations. Further, particular discourses shape a shared consciousness about a person, and it is known that stigmatising language may negatively influence professionals’ attitudes on a client/patient. Despite the importance and extend of intersectorally shared written information, little attention has been given to the writing practises that happens across sectors. More knowledge is therefore needed order to support intersectoral care. Context: Intersectoral care provision is a cornerstone in the Danish care systems,which is why the Danish system is a good case for exploring practises of written intersectoral information exchange. Aim: In this qualitative study, we identified textual and discursive practises of two forms used for the purpose of exchange information between social care and health care professionals (GPs) in pathways of clients from a job centre in a large city in Denmark in 2023. The research was aimed at professionals who participate in these practises. Involvement: The study design was decided in collaboration with researchers, healthcare professionals and social care professional. Social care decided the method of data collection, and they assisted and supported the concrete data collection. Further, the social workers acted as gatekeepers to the clients’/patients’ enrolment. Clients/patients collected themselves the part of their personal health journal that would be included as data. Methods: Data were collected from seven clients/patients unemployed ethnic minorities with complex problems. A critical text analysis was conducted to identify the linguistic elements. The textual practise was analysed in the frame of institutional ethnography using Dorothy E. Smith’s “text-reader-conversation” methodology. We analysed each forms separately, and then analysed the forms in pairs related to each of the seven pathway. Preliminary results: Our on-going analyses have revealed writing practices, which per see aimed at sharing intersectoral knowledge in complex cases. However, these practices followed an institutionalised course of action, and, at best, they functioned as written administrative processes to support a course of action, which have already been decided at a macro-level. Lessons learned: This study outlined that intersectoral information exchange is not equivalent to increased coordination in care. In fact, the findings in this study indicates that some written information exchange, as the forms scrutinised in this study, are so standardised that they become more a piece of one sector’s mandatory work rather than support intersectoral pathways. This is important knowledge to the international audience, because it can increase the attention towards better writing practices and better use of shared information. Next step: This study is a part of a PhD project, which aims at developing a prototype tool to assess the risk of complexity in intersectoral pathways for vulnerable persons. Thus, the modeling continues.
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Time, Martin Stangborli. "How temporal discretion supports interagency coordination: Sweden's intersectoral fight against antimicrobial resistance." Comparative European Politics 19, no. 3 (2021): 360–79. http://dx.doi.org/10.1057/s41295-021-00237-6.
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Ho, Shirley, Dena Javadi, Sara Causevic, Etienne V. Langlois, Peter Friberg, and Göran Tomson. "Intersectoral and integrated approaches in achieving the right to health for refugees on resettlement: a scoping review." BMJ Open 9, no. 7 (2019): e029407. http://dx.doi.org/10.1136/bmjopen-2019-029407.
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BackgroundBetter understanding, documentation and evaluation of different refugee health interventions and their means of health system integration and intersectoral collaboration are needed.ObjectivesExplore the barriers and facilitators to the integration of health services for refugees; the processes involved and the different stakeholders engaged in levaraging intersectoral approaches to protect refugees’ right to health on resettlement.DesignScoping review.MethodsA search of articles from 2000 onward was done in MEDLINE, Web of Science, Global Health and PsycINFO, Embase. Two frameworks were applied in our analysis, the ‘framework for analysing integration of targeted health interventions in systems’ and ‘Health in All Policies’ framework for country action. A comprehensive description of the methods is included in our published protocol.Results6117 papers were identified, only 18 studies met the inclusion criteria. Facilitators in implementation included: training for providers, colocation of services, transportation services to enhance access, clear role definitions and appropriate budget allocation and financing. Barriers included: lack of a participatory approach, insufficient resources for providers, absence of financing, unclear roles and insufficient coordination of interprofessional teams; low availability and use of data, and turf wars across governance stakeholders. Successful strategies to address refugee health included: networks of service delivery combining existing public and private services; system navigators; host community engagement to reduce stigma; translation services; legislative support and alternative models of care for women and children.ConclusionLimited evidence was found overall. Further research on intersectoral approaches is needed. Key policy insights gained from barriers and facilitators reported in available studies include: improving coordination between existing programmes; supporting colocation of services; establishing formal system navigator roles that connect relevant programmes; establishing formal translation services to improve access and establishing training and resources for providers.
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Pucher, K. K., M. J. J. M. Candel, N. M. W. M. Boot, A. J. A. van Raak, and N. K. de Vries. "A multiple-case study of intersectoral collaboration in comprehensive school health promotion using the DIagnosis of Sustainable Collaboration (DISC) model." Health Education 115, no. 3/4 (2015): 301–21. http://dx.doi.org/10.1108/he-03-2014-0027.
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Purpose – Intersectoral collaboration is often a prerequisite for effective interventions in public health. The purpose of this paper is to assess the facilitating and hindering conditions regarding intersectoral collaboration between health authorities, public health services (PHSs), public services stakeholders (PPSs) and the education sector in comprehensive school health promotion (CSHP) in the Netherlands. Design/methodology/approach – CSHP collaborations in five Dutch regions were studied using a questionnaire based on the DIagnosis of Sustainable Collaboration (DISC) model, focusing on: change management; perceptions, intentions and actions of collaborating parties; project organization; and factors in the wider context. Univariate and multivariate analyses with bootstrapping were applied to 106 respondents (62 percent response). Findings – A similar pattern of facilitating and hindering conditions emerged for the five regions, showing positive perceptions, but fewer positive intentions and actions. An overall favorable internal and external context for collaboration was found, but limited by bureaucratic procedures and prioritizing stakeholders’ own organizational goals. Change management was rarely applied. Some differences between sectors emerged, with greatest support for collaboration found among the coordinating organizations (PHSs) and least support among the financing organization (municipalities). Research limitations/implications – The generalization of the findings is limited to the initial formation stage of collaboration, and may be affected by selection bias, small sample size and possible impact of interdepartmental collaboration within organizations. Practical implications – The authors recommend establishing stronger change management to facilitate translation of positive perceptions into intentions and actions, and coordination of divergent organizational structures and orientations among collaborating parties. Originality/value – The results show that it is valuable for collaborating parties to conduct DISC analyses to improve intersectoral collaboration in CSHP.
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Pupo, Lígia Rivero, Tereza Etsuko da Costa Rosa, and Maria de Lima Salum e. Morais. "La Santé Mentale dans les Soins Primaires: l'intersectorialité dans les soins de santé mentale dans l'État de São Paulo." Revista Gestão & Políticas Públicas 13, no. 1 (2023): 22–38. http://dx.doi.org/10.11606/rgpp.v13i1.218893.
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This article aimed to analyze and discuss intersectoral articulations of primary health care services in the state of São Paulo, Brazil, in order to respond to needs linked to mental health promotion and to mental suffering care. With this purpose, a quantitative and descriptive cross-sectional study was carried out through a telephone survey in Primary Health Care (PC) services in the State. The data were analyzed according to the size of the municipality, types of primary care units, presence of a mental health professional in the unit and participation in Psychosocial Care Network meetings in their region. The results indicate that only 63.2% of basic care units have had some intersectoral coordination for the management of mental health situations. The most frequently mentioned articulation between units were with social assistance network equipments, followed by that with educational institutions. However, the nature of this articulation showed some fragility, insofar as it was more focused on referrals and guidance than on regular joint meetings. It is proposed the need for increase of more articulations with diversified equipment focused on psychosocial care, such as with sports units, culture and income generation groups. There is also a need for greater intentionality of management in the implementation of dialogical spaces between different sectors in order to achieve a more powerful and effective intersectoral articulation. Key words: Mental health. Primary care. Health services. Intersectoral collaboration. Health survey.
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Sanchez, L., D. Perez, T. Perez, et al. "Intersectoral coordination in Aedes aegypti control. A pilot project in Havana City, Cuba." Tropical Medicine and International Health 10, no. 1 (2005): 82–91. http://dx.doi.org/10.1111/j.1365-3156.2004.01347.x.
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Durankev, Boyan. "Growth and/or development; market and/or plan; foreign and/or national capital?" University Economic Bulletin, no. 53 (June 25, 2022): 94–98. http://dx.doi.org/10.31470/2306-546x-2022-53-94-98.
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From the management point of view, the economic system (in particular, Ukraine) is characterized (as well as from the structural point of view) by two coordinates: sectoral-transterritorial and territorial-intersectoral management subsystems. In this dichotomy, there are not two, but three subjects of management: transsectoral corporations as centers of management and realization of private interests in the national and transnational aspects; the national state as the center of management and implementation of public interests in the national and intersectoral aspect; The UN and the European Union (where Ukraine aspires) as a center of supranational management and coordination of intersectoral, national and transnational interests. The questions become very interesting: whether to pursue economic growth or economic development; how much to leave on the "market" and how much - on national plans and programs; should we count on foreign, national-private, or national-state capital in the future? Conclusion. As one can see, solving these issues is standing not only before Bulgaria and Ukraine, but also before most countries of the world; in general, the interests of these 7 billion people of the current 7.8 billion people in the world lie in this direction, so these are democratic approaches to socio-economic development.
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Arne, RUCKERT. "HEALTH GOVERNANCE PRINCIPLES FOR AMR SURVEILLANCE." International journal of Education, Humanities & Social Sciences I, no. 4 (2024): 3–11. https://doi.org/10.5281/zenodo.14238231.
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<em>Antimicrobial resistance (AMR) is a pressing global health issue with serious implications for health, food security, and livelihoods. Collective action, from local to global, that draws on the One Health (OH) approach to facilitate collaboration between the human, animal, and environmental sectors is required to inform initiatives to mitigate AMR. For AMR surveillance, this involves applying an intersectoral, multistakeholder perspective to guide the co-creation of knowledge and policy around the collection, analysis, and application of surveillance data to detect, monitor, and prevent AMR health threats. Currently, there is little available evidence on how to operationalize a OH approach to support integrated AMR surveillance systems, or on how the governance of such systems facilitates intersectoral action on AMR. We found that governance is a crucial component of the development of surveillance systems equipped to tackle complex, structural issues such as AMR. The governance domains identified include participation, coordination and collaboration, management, sustainability, accountability and transparency, and equity.</em>
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Verger, Sebastià, Francisca Negre, María Fernández-Hawrylak, and Berta Paz-Lourido. "The Impact of the Coordination between Healthcare and Educational Personnel on the Health and Inclusion of Children and Adolescents with Rare Diseases." International Journal of Environmental Research and Public Health 18, no. 12 (2021): 6538. http://dx.doi.org/10.3390/ijerph18126538.
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Rare diseases produce multiple impacts for the people who suffer from them, but they also have repercussions for their families, education and healthcare. The objective of this study is to analyze the coordination between healthcare and education professionals who intervene with children and adolescents with rare diseases. It is a qualitative study designed with a critical paradigm, and it was carried out through focus group discussions. A total of 50 people participated in the study, including healthcare professionals, teachers and families. The results suggest that poor communication and coordination negatively impact minors with rare diseases, placing an extra burden on their families, who take on an intermediary role in communication. Participants in the study recognized coordination as an area for improvement as it can compromise equitable social and health services and inclusive education. Other measures must also be put into action at the public administration level not only to establish protocols for intersectoral coordination, but also to increase the knowledge and awareness of staff involved in health and education interventions for children with rare diseases.
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Nafe, Miranda, Kristian Herberger, Barbara Wiesner, and Christian Grohé. "Intersektorale Konzepte zur außerklinischen Beatmung." DMW - Deutsche Medizinische Wochenschrift 142, no. 16 (2017): 1205–10. http://dx.doi.org/10.1055/s-0042-121789.
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AbstractThe care of patients with extraclinical mechanical ventilation has to be improved particularly with regard to their specialist care. One care option is the empowering of clinicians at the respiratory centers to enable ambulant care of patients and home visits. An intersectoral linkage in the form of transfer management is the basis for competent coordination. Aim is to ensure the necessary multidisciplinary collaboration in the outpatient care of multimorbid chronically ill patients. For the optimal care of chronically ill patients, sectoral limits should become more permeable.
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Lozan, Oleg, Valentin Mîţa, Daniela Demişcan, et al. "Assessing capacities to strengthen intersectoral collaboration in Territorial Public Health Councils in the Republic of Moldova." PLOS ONE 19, no. 5 (2024): e0303821. http://dx.doi.org/10.1371/journal.pone.0303821.
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Background The government of the Republic of Moldova, endorsed the principle of Health in All Policies (HiAP) through its health sector reforms to address the rising burden of non-communicable diseases and health inequalities. Territorial Public Health Councils (TPHCs) were created to ensure the coordination and management of the population’s health in their respective district. This study assessed the capacities of the TPHCs to identify areas in need of support for strengthening their intersectoral collaboration role in public health at local level. Methods A mixed-method approach, using qualitative and quantitative techniques, was used to compare the perceptions of all TPHC members (n = 112) and invitees (n = 53) to council meetings from 10 districts covering all geographical areas of Moldova. The quantitative information was obtained using a cross-sectional survey, while the qualitative aspects were assessed within focus group discussions (FGDs). Results Half of all TPHC members, including 75% from groups with a non-medical background, did not attend a public health course within the last three years. Overall, groups with a medical background were more aware of the legislation that governs TPHC activity and intersectoral collaboration compared with those with a non-medical background. The FGDs of TPHC meetings revealed that members had an insufficient level of understanding of intersectoral collaboration to solve public health issues and lacked clarity about their place and role within the TPHC. Conclusions HiAP implementation was found to be suboptimal with insufficient capacity at local level. TPHC members’ ability to deal with public health issues were severely impaired by a general lack of knowledge and understanding of how to utilize the TPHC platform for maximum benefit. Reforming TPHC regulation is required in addition to extensive capacity building for TPHC members to increase member understanding of their roles as intended by TPHC regulations, including the facilitation of intersectoral collaborations.
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Hakim, Amri, Alexander Yandra, M. Ichsan Kabullah, and Kenepri. "Constructing Theoretical Model of Triple Helix Institutionalization Effectivity in Global Value Chains Upgrading." JOELS: Journal of Election and Leadership 5, no. 2 (2024): 118–26. https://doi.org/10.31849/joels.v5i2.22427.
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Government collaboration with industry and university in innovation is a necessity to upgrade a country position in global value chains. This article aims to construct theoretical model of triple helix institutionalization effectivity. By using integrating theory method, it is modeled that the process, product, function and intersectoral upgrading determined by agent’s material capability, regime formation which create incentive structure, and trust for each parties. The quality of these independent variables produce the level collaborations as intermediate variable which consist of information and communication stream; coordination in planning and implementation; centrality of effectivity assesment.
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Rybachuk, Maksim A. "CROSS-LEVEL BALANCE OF MESOECONOMIC SYSTEMS." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 10/4, no. 130 (2022): 4–11. http://dx.doi.org/10.36871/ek.up.p.r.2022.10.04.001.
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The sanctions pressure under which the Russian economy has found itself at the moment has shown the urgent need for consolidation and coherence. In this regard, it is essential to increase coordination and ensure intra-level and cross-level system balance of sectoral and intersectoral complexes. The mesoeconomic level is considered in the paper, on the one hand, as a driver for activating economic growth from a strategic perspective, and on the other hand, as a platform for redistributing resources between the macroeconomic and microeconomic levels. Based on system economic theory, a methodology has been developed for quantitative assessment of the cross-level system balance of sectoral and intersectoral complexes of the meso- and microeconomic levels, taking into account the dynamics of object, environmental, process, and project factors. The mechanism of redistribution of system resources between levels is described in general terms, and formulas for calculating the interlevel balance index for the case of two and three levels are proposed. The developed methods can be used in strategic planning, tactical monitoring, and operational control of the industrial development of Russia.
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Holt, Ditte H., Gemma Carey, and Morten H. Rod. "Time to dismiss the idea of a structural fix within government? An analysis of intersectoral action for health in Danish municipalities." Scandinavian Journal of Public Health 46, no. 22_suppl (2018): 48–57. http://dx.doi.org/10.1177/1403494818765705.
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Aims: This paper examines the role of organizational structure within government(s) in attempts to implement intersectoral action for health in Danish municipalities. We discuss the implications of structural reorganization and the governance structures that are established in order to ensure coordination and integration between policy sectors. Methods: The paper is based on 49 interviews with civil servants from health and non-health sectors of 10 municipalities. Based on participants’ experiences, cases have been described and analyzed in an iterative process consulting the literature on Health in All Policies and joined-up government. Results: Continuous and frequent processes of reorganizing were widespread in the municipalities. However, they appeared to have little effect on policy change. The two most common governance structures established to transcend organizational boundaries were the central unit and the intersectoral committee. According to the experiences of participants, paradoxically both of these organizational solutions tend to reproduce the organizational problems they are intended to overcome. Even if structural reorganization may succeed in dissolving some sector boundaries, it will inevitably create new ones. Conclusions: It is time to dismiss the idea that intersectoral action for health can be achieved by means of a structural fix. Rather than rearranging organizational boundaries it may be more useful to seek to manage the silos which exist in any organization, e.g. by promoting awareness of their implications for public health action and by enhancing the boundary spanning skills of public health officers.
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Aguirre Hervís, Armando, Rosa María Azamar Arizmendi, Arnulfo Camacho Alcantar,, et al. "Red de Municipios Contra el Síndrome Metabólico." UVserva, no. 9 (April 25, 2020): 72–82. http://dx.doi.org/10.25009/uvs.v0i9.2695.
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Resumen: El presente artículo presenta una propuesta de intervención desde los municipios, la prevención y control del Síndrome Metabólico (SM), cuya detección utilizan criterios nacionales e internacionales; para su abordaje se adoptan los ejes esenciales de la Atención Primaria de Salud. Asimismo, se presentan avances en materia de coordinación intergubernamental, intersectorial e interinstitucional, entre los que destaca la constitución de la Red integrada, inicialmente, por Xalapa, Coatzacoalcos, Minatitlán, Jáltipan, Agua Dulce y Moloacán, municipios donde se estableció una Mesa Interinstitucional. A esta iniciativa, se han sumado instituciones gubernamentales, organizaciones no gubernamentales, representantes legislativos, sociedades de profesionistas y asociaciones civiles.Palabras clave: Municipios, Síndrome, Metabólico, Red, Atención, Primaria AbstractThis paper is a proposal for intervention from the municipalities, the prevention and control of Metabolic Syndrome (SM), the detection of which uses national and international criteria; For its approach, the essential axes of Primary Health Care are adopted. Likewise, progress is made in intergovernmental, intersectoral and inter-institutional coordination, among which the constitution of the Network stands out, initially made up of Xalapa, Coatzacoalcos, Minatitlan, Jáltipan, Agua Dulce and Moloacán, municipalities where an Inter-institutional Table was established. This initiative has been joined by government institutions, non-governmental organizations, legislative representatives, professional societies and civil associations.Keywords: Municipalities; Metabolic Syndrome; Network; Primary Health Care
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Aguirre Hervís, Armando, Rosa María Azamar Arizmendi, Arnulfo Camacho Alcantar,, et al. "Red de Municipios Contra el Síndrome Metabólico." UVserva, no. 9 (April 25, 2020): 72–82. http://dx.doi.org/10.25009/uvserva.v0i9.2695.
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Resumen: El presente artículo presenta una propuesta de intervención desde los municipios, la prevención y control del Síndrome Metabólico (SM), cuya detección utilizan criterios nacionales e internacionales; para su abordaje se adoptan los ejes esenciales de la Atención Primaria de Salud. Asimismo, se presentan avances en materia de coordinación intergubernamental, intersectorial e interinstitucional, entre los que destaca la constitución de la Red integrada, inicialmente, por Xalapa, Coatzacoalcos, Minatitlán, Jáltipan, Agua Dulce y Moloacán, municipios donde se estableció una Mesa Interinstitucional. A esta iniciativa, se han sumado instituciones gubernamentales, organizaciones no gubernamentales, representantes legislativos, sociedades de profesionistas y asociaciones civiles.Palabras clave: Municipios, Síndrome, Metabólico, Red, Atención, Primaria AbstractThis paper is a proposal for intervention from the municipalities, the prevention and control of Metabolic Syndrome (SM), the detection of which uses national and international criteria; For its approach, the essential axes of Primary Health Care are adopted. Likewise, progress is made in intergovernmental, intersectoral and inter-institutional coordination, among which the constitution of the Network stands out, initially made up of Xalapa, Coatzacoalcos, Minatitlan, Jáltipan, Agua Dulce and Moloacán, municipalities where an Inter-institutional Table was established. This initiative has been joined by government institutions, non-governmental organizations, legislative representatives, professional societies and civil associations.Keywords: Municipalities; Metabolic Syndrome; Network; Primary Health Care
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Mersini, Ehadu, Jolanda Hyska, and Genc Burazeri. "Evaluation of national food and nutrition policy in Albania." Slovenian Journal of Public Health 56, no. 2 (2017): 115–23. http://dx.doi.org/10.1515/sjph-2017-0015.
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Abstract Introduction The paper aims to describe the progress that has been made in the implementation of the Albanian food and nutrition policy since 2003, so as to consider its impacts to date, and to identify strategic priorities/critical areas and priorities for Albania’s future policy on improving the national food and nutrition situation. Methods In 2011-2012, an expert group applied an intersectoral participatory approach to evaluate the implementation of Food and Nutrition Action Plan 2003-08 in Albania. The experts employed the quantitative method, using a 9 question logical assessment matrix to measure the achievements of the individual goals of the Plan, and a qualitative tool for the interview of an interdisciplinary sample of 68-key informants-persons operating in public health nutrition, food safety and food availability related subfields, from a wide range of pertinent institutions and stakeholders. Results The quantitative and qualitative assessment revealed that the implementation process has faced serious barriers linked to the design of the plan, which did not accurately anticipate a theoretical framework, or structured methods for its implementation. Other impeding factors included the lack of institutional/infrastructure support, lack of intersectoral coordination and motivation, as well as insufficient capacities and know-how. Intersectoral response to the multifaceted nature of double burden of malnutrition is of key importance to improve nutritional wellbeing and health outcomes in Albania. Conclusions Participatory approaches that involve all relevant sectors and actors in the development, monitoring and evaluation of the implementation of public health policies based on comprehensive action-oriented assessments are promising and should be further supported.
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Razletovskaia, Viktoriya. "Environmental agenda and priorities for integration cooperation in the development of financial technologies at the global and national levels." E3S Web of Conferences 458 (2023): 05012. http://dx.doi.org/10.1051/e3sconf/202345805012.
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The active application of financial technologies in the processes of international financial integration actualises the search for the formation of national models of financial technology development, ensuring sovereignty with effective international cooperation. Considering the forms and directions of relations coordination at the level of emerging alliances of national models of fintech development, the article analyses the directions and forms of coordination in the sphere of financial technology development at the level of interstate unions, alliances and coalitions, and systematises the priorities of integration cooperation in the sphere of fintech. Based on the ways of participation in the processes of global financial integration, the study establishes strategic alternatives for the formation and development of national models, conditioned by approaches to the management of fintech development at the national level, on the basis of which the prospective priorities of the Russian segment of the development of financial technology are presented at the intersectoral and international levels.
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RAZLETOVSKAIA, V. V. "THE NEED FOR INTERNATIONAL COOPERATION IN THE FIELD OF FINTECH DEVELOPMENT." Economic Problems and Legal Practice 19, no. 4 (2023): 230–38. http://dx.doi.org/10.33693/2541-8025-2023-19-4-230-238.
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The main trend in the field of financial technologies (fintech) is their increasing influence on the global economic order, international relations, as well as changes in organizational and managerial decisions related to their development at the national level. The article proves that these processes are not just a «reassembly» of the financial system on a new technological basis2, but have all the signs and forms of regular international financial integration. The active introduction of financial technologies into the practice of financial integration justifies the need for international cooperation in this area at a qualitatively different level, taking into account the convergence of technologies and the specifics of national models of fintech development. The results of the study of trends in international relations and forms of their coordination in the field of fintech development are presented: from the formation of intersectoral and interregional ecosystems to international agreements, alliances and coalitions. The stages of international financial integration and their corresponding forms and areas of coordination are highlighted.
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Abdala, Ingrid Gomes, Sheila Giardini Murta, Jordana Calil Lopes de Menezes, et al. "Barriers and Facilitators in the Strengthening Families Program (SFP 10–14) Implementation Process in Northeast Brazil: A Retrospective Qualitative Study." International Journal of Environmental Research and Public Health 17, no. 19 (2020): 6979. http://dx.doi.org/10.3390/ijerph17196979.
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This study analyzed contextual barriers and facilitators in the implementation of Strengthening Families Program (SFP 10–14), Brazilian version, a family-based preventive program focused on the prevention of risk behaviors for adolescent health. SFP 10–14 was implemented between 2016 and 2017 for socioeconomically vulnerable families in four Northeast Brazilian states as a tool of the National Drug Policy. A retrospective qualitative study was carried out in which 26 implementation agents participated. Data from 16 individual interviews and two group interviews were analyzed through content analysis. The most recurrent barriers were the group facilitators’ working conditions, weak municipal administration, precarious infrastructure, inadequate group facilitator training methodologies, low adherence of managers and professionals, and funding scarcity. The conditions highlighted as favorable to the implementation were proper intersectoral coordination, engagement of involved actors, awareness of public agency administrators, municipal management efficacy, and efficient family recruitment strategies. Favorable political contexts, engagement of implementation agents, and intersectoral implementation strategies were identified as central to the success of the implementation of SFP 10–14, especially in the adoption of the intervention, community mobilization, and intervention delivery stages. Further studies should combine contexts, mechanisms, and results for a broad understanding of the effectiveness of this intervention in the public sector.
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Irwansyah, Muhamad, Bambang Supriyono, Sujarwoto Sujarwoto, and Mardiyono Mardiyono. "An agricultural development model to achieve food security in the government of Lamandau Regency, Central Kalimantan Province." Edelweiss Applied Science and Technology 9, no. 6 (2025): 2743–50. https://doi.org/10.55214/25768484.v9i6.8469.
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This study aims to formulate a decentralization-based agricultural development model to effectively achieve food security in Lamandau Regency, Central Kalimantan. A qualitative approach employing a case study method was used to explore the dynamics of policies, strategies, and agricultural development management practices at the local level. The findings reveal that while the agricultural sector plays a dominant role in the local economic structure, its implementation continues to face significant challenges, including land-use conversion, lack of integrated planning, low community participation, limited data availability, and weak intersectoral coordination. Although regional autonomy presents opportunities for local policy innovation, the study found that limited institutional capacity and suboptimal budget allocation hinder the effectiveness of agricultural development programs. This research proposes an integrated agricultural development model that emphasizes intersectoral synergy, institutional strengthening, optimization of local resources, and enhanced community participation in the planning and implementation of food security programs. The proposed model is designed to be adaptive to local challenges and climate change, while aligning with principles of sustainability. Theoretically, this study contributes to the discourse on development administration, particularly in the context of decentralization and food governance. Practically, the proposed model serves as a reference for formulating more responsive, inclusive, and evidence-based local policies aimed at achieving sustainable food security.
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Perveen, Shagufta, Zohra S. Lassi, Mohammad Afzal Mahmood, Henry B. Perry, and Caroline Laurence. "Application of primary healthcare principles in national community health worker programmes in low-income and middle-income countries: a scoping review." BMJ Open 12, no. 2 (2022): e051940. http://dx.doi.org/10.1136/bmjopen-2021-051940.
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ObjectiveTo identify which primary healthcare (PHC) principles are reflected in the implementation of national community health worker (CHW) programmes and how they may contribute to the outcomes of these programmes in the context of low-income and middle-income countries (LMICs).DesignScoping review.Data sourcesA systematic search was conducted through PubMed, CINAHL, EMBASE and Scopus databases.Eligibility criteriaThe review considered published primary studies on national programmes, projects or initiatives using the services of CHWs in LMICs focused on maternal and child health. We included only English language studies. Excluded were programmes operated by non-government organisations, study protocols, reviews, commentaries, opinion papers, editorials and conference proceedings.Data extraction and synthesisWe reviewed the application of four PHC principles (universal health coverage, community participation, intersectoral coordination and appropriateness) in the CHW programme’s objectives, implementation and stated outcomes. Data extraction was undertaken systematically in an excel spreadsheet while the findings were synthesised in a narrative manner. The quality appraisal of the selected studies was not performed in this scoping review.ResultsFrom 1280 papers published between 1983 and 2019, 26 met the inclusion criteria. These 26 papers included 14 CHW programmes from 13 LMICs. Universal health coverage and community participation were the two commonly reported PHC principles, while intersectoral coordination was generally missing. Similarly, the cultural acceptability aspect of the principle of appropriateness was present in all programmes as these programmes select CHWs from within the communities. Other aspects, particularly effectiveness, were not evident.ConclusionThe implementation of PHC principles across national CHW programmes in LMICs is patchy. For comprehensiveness and improved health outcomes, programmes need to incorporate all attributes of PHC principles. Future research may focus on how to incorporate more attributes of PHC principles while implementing national CHW programmes in LMICs. Better documentation and publications of CHW programme implementation are also needed.
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Burau, Viola, Line Hillersdal, Anne Tim, and Helle Terkildsen Maindal. "Intersectoral coordination of prevention over the life course: professionals and the making of diabetes prevention in Denmark." International Journal of Integrated Care 19, no. 4 (2019): 133. http://dx.doi.org/10.5334/ijic.s3133.
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Sanchez, L., D. Perez, G. Cruz, et al. "Intersectoral coordination, community empowerment and dengue prevention: six years of controlled interventions in Playa Municipality, Havana, Cuba." Tropical Medicine & International Health 14, no. 11 (2009): 1356–64. http://dx.doi.org/10.1111/j.1365-3156.2009.02379.x.
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Fehsenfeld, Michael. "How organization culture paves the way for intersectoral coordination: a case study of health promotion in Denmark." International Journal of Integrated Care 22, S3 (2022): 120. http://dx.doi.org/10.5334/ijic.icic22050.
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Mayorga, Fabricio Franco. "Coordination and Coherence Problems of the Public Policy for Modernization at the Executive Branch of Peru." Revista del CLAD Reforma y Democracia, no. 70 (January 1, 2018): 127–62. http://dx.doi.org/10.69733/clad.ryd.n70.a152.
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Since the 1990s, the structure of the Executive Branch in Peru tended to organize through the creation of specialized agencies in different sectors. This produced an organizational and functional fragmentation in the way public interventions are managed, substantially increasing the challenges of intra and intersectoral coordination and coherence in the management of public policies that political authorities must perform. This division of labor produces a management style that is unlikely to focus in an articulated way on the causes and solutions of public problems, particularly those that have a multi-causal dimension and require an intersectoral approach such as the policy of modernizing public management. This policy aims to introduce changes in the general rules that organize the management of public policies and organizations and has multiple actors involved in its design and execution. Some of them are ministerial divisions and agencies dependent on the Prime Minister’s Office and the Ministry of Finance, which are part of the center of government. To analyze the case of the modernization policy, semi-structured interviews were conducted to 13 managers and advisors in charge of directing, designing and implementing the respective policy, in addition to a review of the regulations and the different consultancy management reports. Most of the senior officials involved agreed that this policy has weak levels of coordination and limited coherence in the programs developed by the stakeholders of both sectors. This is reflected in the lack of a shared vision, the lack of mechanisms for exchanging information and rules of interaction between the stakeholders, and the diffuse awareness that the general objective of this public policy cannot be achieved if the institutional objectives of each actor are not aligned. The paradox is that these actors, as part of the center of government, have the coordination of priority public policies among their main functions. In this context, the agency model that promotes organizations mainly focused on an institutional objective, with greater administrative autonomy, seems to have contributed to a centrifugal logic in the development of this policy. The operation of these stakeholders is not aligned to the theoretical assumptions that support their prevalence in the current State structure.
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Gorbunova, Viktoriia, and Vitalii Klymchuk. "Universal mental health training: policy proposal for Ukraine." Open Research Europe 5 (May 6, 2025): 119. https://doi.org/10.12688/openreseurope.20116.1.
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This policy proposal outlines the challenges and relevant policy actions for scaling up Universal Mental Health Training (UMHT) in Ukraine. The UMHT is an educational program that aligns with Ukraine’s new Law on the Mental Health Care System adopted in 2025, and is supported by data from pilot research. It equips frontline professionals - those who work closely with clients and service users, including teachers, police officers, and social workers - with foundational skills to identify mental health concerns, provide initial support, and facilitate referrals to specialized services. The UMHT implementation has the potential to bridge the mental health treatment gap by creating a broad base of accessible community-level helpers. Key policy challenges include integrating mental health support into existing professional roles, ensuring sustainable financing beyond international grants, maintaining quality through ongoing supervision, and countering stigmas. To address this, the proposal advocates embedding the UMHT competencies in occupational standards, leveraging intersectoral coordination through the Coordination Center for Mental Health, shifting towards local budget allocations and academic partnerships, and pursuing continuous professional development.
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Bezerra, Lorenna Alves, and Paulo Navarro de Moraes. "ITINERÁRIO TERAPÊUTICO E CONSTRUÇÃO DE UM PROJETO TERAPÊUTICO SINGULAR EM REDE PARA UM CASO RARO DE SÍNDROME DE PRADER-WILLI: RELATO DE EXPERIÊNCIA." Revista ft 29, no. 144 (2025): 15–16. https://doi.org/10.69849/revistaft/pa10202503291515.
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This study examines the development of a Singular Therapeutic Project (PTS) for a rare case of Prader-Willi Syndrome (PWS) within Brazil’s Unified Health System (SUS), emphasizing intersectoral coordination among primary care, specialized services, and education. It is a qualitative experience report based on the follow-up of a 13-year-old adolescent with PWS, utilizing field diaries, multiprofessional meetings, and collaboration with genetics and the Child Psychosocial Care Center (CAPSi). Results revealed weaknesses in health regulation (delays in accessing geneticists), dysfunctional family dynamics (maternal permissiveness exacerbating obesity), and a late diagnosis after years of navigating multiple services. The PTS implementation addressed care fragmentation through school adaptations (specialized chair, monitor), psychological support for the family, and prioritizing informal contact-based workflows. The study concludes that the PTS, combined with a broadened clinical approach, effectively coordinates care networks for complex cases, reinforcing Primary Health Care (PHC) as the cornerstone of care coordination. It underscores the need for integrated information systems and training in public health. This work provides a practical model for humanizing care and advancing equity in SUS.
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Aas Aseni and Jumanah. "Stakeholder Collaboration in Handling Stunting and Malnutrition Cases in Mekarjaya Subdistrict, Pandeglang District." Neo Journal of economy and social humanities 4, no. 1 (2025): 179–90. https://doi.org/10.56403/nejesh.v4i1.303.
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Stunting and malnutrition remain significant public health issues in Pandeglang District, including in the Mekarjaya Subdistrict. Effective intervention requires cross-sectoral collaboration among stakeholders such as local government, health workers, communities, and other actors. This study aims to analyze the forms of stakeholder collaboration in addressing stunting and malnutrition cases, identify existing challenges, and formulate strategies to strengthen local-level cooperation. This research uses a qualitative approach with a case study method. Data were collected through in-depth interviews, observations, and documentation involving key informants such as the subdistrict head, head of the public health center, village heads, and posyandu (integrated health post) cadres. The findings show that the collaboration among stakeholders remains sectoral and lacks systematic integration. Weak coordination, the absence of local regulations, and underutilized local potential and wisdom are the main obstacles. However, there is potential for improvement through the establishment of intersectoral forums, capacity building for community health workers, and localized program adaptation. The study recommends developing collaborative local regulations and sustainable coordination mechanisms to accelerate the reduction of stunting and malnutrition in a holistic manner.
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Schultz, Rikke, Marius Brostrøm Kousgaard, Peter la Cour, and Annette Sofie Davidsen. "Between three chairs: Experiences of being a patient with chronic widespread pain in an intersectoral setting in Denmark." Health Psychology Open 6, no. 1 (2019): 205510291985250. http://dx.doi.org/10.1177/2055102919852500.
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This study explores how patients with chronic widespread pain experience their contacts with health and social services in Denmark, including general practice, hospitals, and municipality job centers. We analyzed interviews with 10 patients using interpretative phenomenological analysis and found the following four superordinate themes: meeting different attitudes, fragmentation of treatment, the importance of time, and feeling trapped. Findings show that when patients do not feel understood by professionals, they can resort to withdrawal strategies. On an organizational level, patients said that they needed sufficient time in meetings and better coordination of interventions in and between the health and social care sectors.
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Ariton, Lorina. "Cognitive Warfare in the Digital Age: Implications for EU Security Policy." International conference KNOWLEDGE-BASED ORGANIZATION 31, no. 1 (2025): 1–9. https://doi.org/10.2478/kbo-2025-0001.
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Abstract Cognitive warfare, understood as the deliberate deployment of informational and psychological operations to influence human perception and decision-making, has emerged as a threat within the European Union’s (EU) security environment. This article contributes to the conceptual clarity of Cognitive Warfare by analyzing how it is framed and addressed across EU policy frameworks and institutional narratives. Findings reveal increasing institutional awareness, as reflected in instruments like the Strategic Compass and the Digital Services Act. Yet, challenges persist, including fragmented responses, weak civil–military coordination, and vulnerability to AI-driven disinformation. The article advocates for an integrated cognitive security strategy built on democratic resilience, regulatory foresight, and intersectoral cooperation, emphasizing the need for continued research on ethical and anticipatory governance.
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Michel Sahagún, Cynthia Lorena, Guillermo Miguel Cejudo Ramírez, and Adriana Sofía Oseguera Gamba. "Los instrumentos integradores en los sistemas de cuidados en América Latina: una visión de política pública." Revista del CLAD Reforma y Democracia, no. 88 (October 23, 2024): 1–29. http://dx.doi.org/10.69733/clad.ryd.n88.a340.
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Some Latin American governments have developed systems that seek to comprehensively guarantee the right to provide and receive care. These initiatives aim to recognize, redistribute, or reduce caregiving work within households by coordinating a set of policies, implemented by different agencies, around the same individual. Achieving this requires overcoming the challenge of intersectoral coordination, based on management instruments that allow interventions to be articulated around the diverse care needs of the population. Based on the policy integration literature, we conduct a comparative analysis of four emblematic care systems in the region using official data and semi structured interviews. In contrast to recent research that analyzes programs, services, and target populations, we focus on how systems manage to operate in a coordinated manner. We argue that building care systems requires the construction of instruments that ensure the integrated operation of the system around a person or territory. We examine how the deployment of specific decisions to guide the operation of care systems address a key contemporary challenge in public policy and administration: the coordinated operation of policy sectors around complex problems and the construction of comprehensive responses to multidimensional challenges.
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Benson, Todd. "Cross-Sectoral Coordination Failure: How Significant a Constraint in National Efforts to Tackle Malnutrition in Africa?" Food and Nutrition Bulletin 28, no. 2_suppl2 (2007): S323—S330. http://dx.doi.org/10.1177/15648265070282s211.
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Background Malnutrition arises from multifaceted causes and requires action from multiple sectors to address. Consequently, oversight and direction are said to be required to ensure that public goods and services needed to reduce malnutrition are delivered by the sectors responsible in a coordinated fashion. To do so, many countries have established cross-sectoral national nutrition coordination agencies. Objective The performance of such agencies established recently in three African countries is evaluated to determine how critical their intersectoral coordination function is to national public efforts to reduce malnutrition. Methods This evaluation uses qualitative information on the national institutional frameworks within which nutrition activities are carried out in Mozambique, Nigeria, and Uganda, countries with such agencies, and in Ghana, which has none. Results None of the agencies has so far effectively carried out the three functions on which they were evaluated: cross-sectoral coordination, advocacy to sustain political commitment to address malnutrition, and resource mobilization. No cross-sectoral national nutrition initiatives are being implemented. Nutrition does not feature strategically in the master development frameworks in any country. No additional government resources have been mobilized, although international resources have been. Conclusions The agencies have proven of limited value to the malnourished in these countries. However, cross-sectoral barriers are not the primary reason for this ineffectiveness. Rather, inability to maintain continued political commitment for efforts to address malnutrition—in short, advocacy—is the principal deficiency in performance. Cross-sectoral coordination only becomes important if malnutrition itself is treated as a politically important problem, thereby stimulating action in various sectors.
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Wan Omar, WM, L. Subehi, AC Santos-Borja, et al. "Lake management in ASEAN countries: issues and challenges." IOP Conference Series: Earth and Environmental Science 1313, no. 1 (2024): 012017. http://dx.doi.org/10.1088/1755-1315/1313/1/012017.
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Abstract As human populations grow, societal demands led to aquatic ecosystems degradation and vulnerabilities. In this paper, we identified several drivers to the impairment of water bodies in ASEAN, which are partly influenced by socio-economic activities of the nations, the morphometry, and watershed of the selected lake basins. There are barriers in managing these ecosystems, including fragmented management and administration, a lack of intersectoral coordination and governance, insufficient enforcement measures, and limited resources. A multi-dimensional approach is required to achieve a balance between environment, economy, and social needs, so that a resilience water body could be conserved. To achieve this, it is imperative and timely for the governments to include the inland waters as a prominent resource in the national water agenda, considering the present Decade for Ecosystem Restoration.
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Ruthrakumar, R.1* Tamilarasu V2. "Role of Veterinarians in One Health." Science World a monthly e magazine 3, no. 2 (2023): 137–42. https://doi.org/10.5281/zenodo.7633527.
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One health is an approach of combining human, animal and environmental components to address global health challenges and maintain ecological sustainability. Zoonoses are diseases that are naturally transmitted between the vertebrate animals and humans. Zoonoses have affected human health time’s immortal, wildlife and domestic animals have always played a role for transmission of disease which is of public health threat worldwide. Veterinarians have major role in enhancing public health, by control and prevention of zoonotic diseases, ensuring supply of safe food particularly of animal origin and water quality, promoting wildlife and ecosystem health. So, success in preventing and controlling of major public health issues depend on the capability to mobilize resources from allied sectors with effective coordination by intersectoral approaches, especially, between national veterinary and public health services.
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Ruthrakumar, R.1* Tamilarasu V2 M.Selvaraju3. "Role of Veterinarians in One Health." Science World a monthly e magazine 3, no. 2 (2023): 152–57. https://doi.org/10.5281/zenodo.7669026.
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One health is an approach of combining human, animal and environmental components to address global health challenges and maintain ecological sustainability. Zoonoses are diseases that are naturally transmitted between the vertebrate animals and humans. Zoonoses have affected human health time’s immortal, wildlife and domestic animals have always played a role for transmission of disease which is of public health threat worldwide. Veterinarians have major role in enhancing public health, by control and prevention of zoonotic diseases, ensuring supply of safe food particularly of animal origin and water quality, promoting wildlife and ecosystem health. So, success in preventing and controlling of major public health issues depend on the capability to mobilize resources from allied sectors with effective coordination by intersectoral approaches, especially, between national veterinary and public health services.
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Singh, Ruchi, Veenu Gupta, Bharti Malhotra, et al. "Cluster containment strategy: addressing Zika virus outbreak in Rajasthan, India." BMJ Global Health 4, no. 5 (2019): e001383. http://dx.doi.org/10.1136/bmjgh-2018-001383.
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India is at risk of Zika virus transmission due to high prevalence of its vector Aedes aegypti. Rajasthan, a state in the north-west region of India, has also high prevalence of Aedes mosquito. First laboratory confirmed case of Zika virus disease in Rajasthan was reported on 21 September 2018 in Jaipur. The Government of Rajasthan quickly implemented a containment strategy to contain the outbreak and prevent further spread of this disease. Strategy included active human and mosquito surveillance, laboratory testing and sequencing of the virus, integrated vector control measures, intersectoral coordination, risk communication and social mobilisation, all in a predefined geographic area around the epicentre. Timely action with appropriate coordination at all levels with multiple stakeholders contained the outbreak successfully. In all, 159 confirmed cases were reported from in and around the 3 km containment zone in Shastri Nagar area of Jaipur City and routine surveillance. Following this, a specially developed laboratory-based surveillance strategy was put in place to ensure that the disease does not spread beyond the containment zone. No fresh case was reported subsequently within or beyond the containment zone.
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Heriyanto, Heriyanto, Iir Nikmatul Fathonah, Harisal Harisal, Yunika Depri Litstiana, and Alfiana Damasinta. "Implementation of Border Tourism Development Policy: Analysis of the Dynamics of Policy Content and Implementation Context." Journal of Government Science Studies 4, no. 1 (2025): 50–60. https://doi.org/10.30598/jgssvol4issue1page50-60.
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Border regions play a crucial role in strengthening national sovereignty and supporting development based on local potential. Sambas Regency, West Kalimantan, which borders Sarawak, Malaysia, prioritizes the tourism sector in its development plans. However, implementing tourism policies in this region has not been optimal. This study aims to analyze the implementation of tourism development policies in border areas using Merilee S. Grindle's policy implementation theory, which examines two main aspects: policy content and implementation context. The research approach used is qualitative with a case study, through in-depth interviews and document analysis. The research findings show that although the existing policies align with the direction of border area development, several issues have emerged in their implementation. There are gaps in the distribution of benefits, a lack of involvement from local stakeholders, and a mismatch between policy content and the implementation context. The main constraints identified are weak intersectoral coordination, low community participation, and limited institutional capacity. These findings suggest that successfully implementing border tourism policies requires governance based on collaboration and participation. Therefore, it is recommended to strengthen coordination among relevant sectors, enhance local community participation, and improve institutional capacity to support more effective policies.
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Kaur, Navreet, Ravneet Kaur, and Lhoukhoka Sithlou. "An Assessment of Access to Health Services for Children and Intersectoral Coordination in National Rural Health Mission in Punjab." Indian Journal of Public Administration 62, no. 2 (2016): 282–93. http://dx.doi.org/10.1177/0019556120160206.
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Yubero, Claudia, and Pascal Chevalier. "The Illusion of Proximity in Territorial Construction. An Approach to Tourism Development Via Social Networks in Sierra De Albarracín (Spain)." European Countryside 10, no. 3 (2018): 442–61. http://dx.doi.org/10.2478/euco-2018-0025.
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Abstract Tourism development has been a particularly intense area of negotiation in the Spanish countryside since the 1990s because of its major role in public policies for the economic restructuring, the regionalisation of policy instruments and its own intersectoral nature. This leads us to examine how the coordination takes place within the actors engaged in the tourist development of Sierra de Albarracín. This research adopts an inductive approach to the social relations that underlie the construction of a tourism project territory. From the meeting between the methodology of the social network analysis and the analytical framework of the School of Proximity, the procedure presented here helps to understand the logics of territorial construction. Cooperation appears more fictitious than the policy instruments of governance envisage. Questioning both cooperative and conflictive proximities offers new clues for the evaluation of public policy instruments.
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Singha, Harisankar, Karuppusamy Shanmugasundaram, Sheetal Saini, and Bhupendra Nath Tripathi. "Serological Survey of Humans Exposed to Burkholderia mallei–Infected Equids: A Public Health Approach." Asia Pacific Journal of Public Health 32, no. 5 (2020): 274–77. http://dx.doi.org/10.1177/1010539520930500.
Full textAbstract:
Glanders is a fatal bacterial infection of equids caused by Burkholderia mallei. The infection can be transmitted to humans through prolonged direct contact with glanderous equids. Recently, reemergence of equine glanders has been reported in many countries. To investigate zoonotic transmission of B mallei infection, sera were collected from 538 humans including equine handlers and veterinary professionals exposed to glanderous equids. Samples were tested by ELISA (enzyme-linked immunosorbent assay) and complement fixation test and found negative for B mallei–specific antibodies. Even though there was no incidence of human glanders during this survey period, occupational exposure will continue to remain a serious concern and a key risk factor. Therefore, we emphasize the need for intersectoral collaboration and coordination among veterinary, human, and public health authorities for continuous surveillance and monitoring of human glanders under one health concept.