Health Equity Through Intersectoral Action: An Analysis of 18 Country Case Studies

PDF Format
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Cat.: HP5-67/2008E
ISBN: 978-0-662-48827-9

Cat.: HP5-67/2008E-PDF
ISBN: 978-0-662-48828-6

CONTRIBUTIONS

This case study synthesis is a product of a larger collaborative undertaking of the World Health Organization (WHO) and the Public Health Agency of Canada (PHAC), and was contracted and funded by PHAC. Case studies, apart from the Canadian study, were contracted for by WHO, with the exception of those produced ad honorem (Australia, Belgium, New Zealand, Norway, Sweden, UK).

The drafting of this report benefited from editorial guidance of a project “editorial committee”, whose members consisted of Robert Geneau, Candace Smith, Mana Herel, Heather Fraser, and Sharon Peake from the Public Health Agency of Canada, and Orielle Solar and Nicole Valentine from the World Health Organization. This team consulted several times with the main writing team to provide comments on the content and structure of the report. In addition, helpful comments were received from several of the case study authors.

Project teams:

PHAC:
Sharon Peake (lead: July 2007-April 2008)
Gerry Gallagher (lead: November 2006-June 2007)
Robert Geneau
Candace Smith
Mana Herel
Heather Fraser

WHO:
Nicole Valentine (lead)
Orielle Solar
Lexi Bambas

Initial draft written by:
Victoria Barr, MHSc
Steve Pedersen, MPH
Mike Pennock, MASc
Irv Rootman, PhD

Public Health Association of BC

TABLE OF CONTENTS

• Executive Summary
• 1 Introduction
  • 1.1 Key Definitions Used in This Analysis
• 2 Methodology
  • 2.1 Limitations of This Analysis
• 3 Key General Categories of Intersectoral Action for Health and the Importance of Context
  • 3.1 Framing of the Issue – Primary Goals of Intersectoral Action
  • 3.2 Intersectoral Action at Different Levels of Decision-Making
    • 3.2.1 Regional/Provincial and National Initiatives
    • 3.2.2 Local-Level Initiatives
    • 3.2.3 Crisis-Oriented Initiatives
    • 3.2.4 Working Across and Between Sectors
• 4 Key Mechanisms and Tools to Support Intersectoral Action for Health and Health Equity
  • 4.1 Building the Case for Intersectoral Work
  • 4.2 Engaging Other Sectors
  • 4.3 The Role of Civil Society, Multi-laterals and Public Participation
  • 4.4 Building on Working Together – Developing Effective Partnerships
  • 4.5 Models and Frameworks Used to Organize Intersectoral Work
  • 4.6 Structures to Organize Planning and Implementation
  • 4.7 Monitoring Process and Outcomes of Intersectoral Work
  • 4.8 Ensuring Sustainability of Intersectoral Efforts
• 5 The Role of the Health Sector
• 6 Innovative Practices
• 7 Discussion: Summary of Key Findings and Questions that Remain
  • 7.1 Questions That Remain
• 8 Conclusion
• 9 References
• 10 Appendix A:TOR for the development of country case studies on intersectoral action for health (IAH)
• 11 Appendix B: Brief Summaries of Case studies
• 12 Appendix C:Template Used for Analysis of Case studies
• 13 Appendix D: Models Used by New Zealand and Norway as Frameworks for Intersectoral Action to Reduce Health Inequities