Crossing Sectors - Experiences in Intersectoral Action, Public Policy and Health

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Prepared by the Public Health Agency of Canada in collaboration with the Health Systems Knowledge Network of the World Health Organisation's Commission on Social Determinants of Health and the Regional Network for Equity in Health in East and Southern Africa (EQUINET).

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Table of Contents

• Acknowledgements
• Preface
• Executive Summary

1. Introduction
2. Defining Key Terms and Describing the Methodology
   • Definitions
   • Methodology
3. Intersectoral Action for Health: A Broad Spectrum of Approaches
   • Intersectoral action at different levels of decision-making
   • Working between levels
   • Problems addressed through IA: Framing public policy issues
4. Intersectoral Action: Navigating Barriers and Enablers
   • Drivers of intersectoral action
   • Conditions for success
5. Approaches to Facilitate Joint Action
   • Supports for intersectoral action
     • Information tools
     • Institutional arrangements
     • Financial mechanisms
     • Legislation and regulations
     • Accountability frameworks
     • Planning and priority-setting
   • Intersectoral action approaches
     • Place-based or settings approaches
     • Staged approaches
     • Targeted approaches
     • Population-based
     • Disease or risk factor-specific
   • Broad policy frameworks
   • Combining approaches
6. Roles and Responsibilities
   • Departments and sectors traditionally involved in IA
   • Political partners
   • The health sector as leader, partner, supporter and defender
   • Other government actors
     • Line departments
     • Central agencies
   • Non-government actors
   • Private sector organisations
   • Media
7. Issues Arising from Intersectoral Action
   • Achieving policy coherence
   • Focusing intersectoral efforts
   • Sustaining commitment
   • Strengthening capacity
   • Balancing competing objectives and interests
   • Accounting for results
8. Spotlight on the Future
   • Remaining questions
   • Conclusion

• Appendix A: Glossary of Terms and Abbreviations
• Appendix B: The World Health Organisation Commission on the Social Determinants of Health
• Appendix C: The Health Systems Knowledge Network
• Abbreviations
• Sources

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