scholarly journals Healthy housing: A case study of intersectoral collaboration for better health

2018 ◽  
Vol 32 (1) ◽  
pp. 377-380 ◽  
Author(s):  
Behzad Damari ◽  
Kamel Shadpour ◽  
Narges Rostamigooran
Author(s):  
Rayanne de Sales Lima ◽  
Andréa Borghi Moreira Jacinto ◽  
Rodrigo Arthuso Arantes Faria

Backround: An inter-institutional task force was brought together in 2018 to evaluate the irregular institutionalisation of Guarani and Kaiowá Indigenous children with disabilities in Dourados, in central-western Brazil.Aims and objectives: We draw on this case study to undertake a ‘situational analysis’ on the existence/absence and the use/non-use of evidence in the evaluation of public policies regarding Indigenous children with disabilities. By critically analysing concrete practices in the context of multilevel intersectoral dialogue and joint action of state bodies and civil society, we aim to highlight the effective and potential gains from using Culturally Appropriate Evidence (CAE) at the intersection of policies on children, Indigenous peoples and people with disabilities.Methods: We used a case study approach to analyse the precedents, development and ramifications of the task force, examine the legal framework regulating the rights of Indigenous children with disabilities, and describe the process of institutionalisation of Indigenous children in the Dourados region in the first two decades of the 21st century.Findings: We identified that inter-institutional and intersectoral collaboration enhances the development of CAE and the instrumentalisation of intersectoral alternatives.Discussion and conclusions: Although entrenched institutional bureaucratic culture, and the absence of mechanisms for participation and consultation with Indigenous peoples, can create obstacles to the formulation and use of these kinds of evidence in public policies, the production of evidence through the articulated and collaborative effort of agents can offer, when there are political conditions for it, the necessary conditions to develop culturally appropriate solutions for complex scenarios.<br />Key messages<br /><ul><li>The participation of policy beneficiaries is a necessary condition for the production of culturally qualified evidence;</li><br /><li>Institutional racism is an obstacle to the formulation and implementation of public policies based on culturally appropriate evidence;</li><br /><li>Intersector and inter-institutional links help to improve public service delivery and public policy implementation.</li></ul>


2019 ◽  
Vol 11 (16) ◽  
pp. 4442
Author(s):  
Ma ◽  
Chang

To address the increasing impact of global warming, Taiwan has devised a variety of activities to promote energy savings and carbon reduction. Although the city of Tainan was the first in Asia to enforce an anti-idling policy, the intersection between public value creation and local sustainable development has not yet been analyzed. Hence, this article explores the anti-idling policy in Tainan through the lens of social judgment theory (SJT). It also considers criteria related to the core values of environmental, economic, and social sustainability to understand the public values held by stakeholders in Tainan. The results of this article illustrate and dismantle the differences between several groups’ understanding of public value as it relates to local sustainable development, and suggest the establishment of intersectoral collaboration and community participation regarding value perception. Although the case is specific to Taiwan, its characteristics are typical of local sustainable development globally, especially in Asia.


2020 ◽  
Author(s):  
Natalia Botero-Tovar ◽  
Gina Paola Arocha Zuluaga ◽  
Andrea Ramírez Varela

Abstract Background Intersectoral actions (ISA) are a recognized relationship between the health sector and other sectors to improve health outcomes. Although a frequent topic in public health, evidence for systematic evaluation of implementation of ISA is scarce. An intersectoral health intervention for infants under one-year-old with, and at risk of, stunting (low height-for-age) was developed by a public-private partnership in Bogotá, Colombia, during 2018 and 2019. Here we report a case study conducted in parallel to the intervention designed to assess factors that influenced implementation of the ISA. Methods The case study was developed using a concurrent mixed-methods design, with the qualitative component giving context to the quantitative results. The qualitative component was obtained from four workshops, three focal groups, and 17 semi-structured interviews with actors involved in the intersectoral intervention. The quantitative component was obtained with two questionnaires that evaluated perceptions on improvement and partnership functioning of the ISA. Results This study collected information from 122 participants. The intervention demanded intersectoral collaboration. Political will, motivated human resources, and recognition that health results from collaboration facilitated intersectoral actions. Intersectoral actions were limited by difficulties in engaging the health sector, communication challenges related to local health service decentralization, and administrative barriers. Conclusions Intersectoral actions have been recently discussed in the literature due to challenges on implementation, idealization, inconsistent demands, and doubts about economic outcomes. The implementation of intersectoral public health interventions can be jeopardized by a lack of coordination and management skills.


2021 ◽  
Author(s):  
◽  
Maxwell F Reid

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>


2021 ◽  
Author(s):  
◽  
Maxwell F Reid

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>


2022 ◽  
Vol 2022 ◽  
pp. 1-10
Author(s):  
Yalalem Assefa

Integration of indigenous knowledge into adult education recognizes collaboration based on indigenous frameworks and methodologies and gives more attention to people’s history, politics, cultural beliefs, and philosophical views. The most important beginning phases and tasks in promoting indigenous-based learning are establishing a responsive organizational structure that helps to identify and agree on what roles and responsibilities are played by each concerned stakeholder. Considering this in mind, this study aimed to explore intersectoral coordination and their participation in the integration of indigenous knowledge into adult education. In doing so, a qualitative research approach and a case-study design were employed. The study sample was composed of adult education experts and coordinators. Data was obtained through interviews, FGD, and document analysis. Furthermore, thematic analysis was the centre of this study data analysis. As a result, the study finding revealed that stakeholders’ coordinated effort has been observed that lacks consistency in supporting indigenous-based adult education programs due to their deprived collaboration and the presence of not functional administrative structure. This makes the provision and the integration of indigenous-based knowledge systems into adult education sporadic in its coverage of indigenous learning contents and experiences.


2020 ◽  
Author(s):  
Natalia Botero-Tovar ◽  
Gina Paola Arocha Zuluaga ◽  
Andrea Ramírez Varela

Abstract Background Intersectoral actions (ISA) are a recognized relationship between the health sector and other sectors to improve health outcomes. Although a frequent topic in public health, evidence for systematic evaluation of implementation of ISA is scarce. An intersectoral health intervention for infants under one-year-old with, and at risk of, stunting (low height-for-age) was developed by a public-private partnership in Bogotá, Colombia, during 2018 and 2019. Here we report a case study conducted in parallel to the intervention designed to assess factors that influenced implementation of the ISA. Methods The case study was developed using a concurrent mixed-methods design, with the qualitative component giving context to the quantitative results. The qualitative component was obtained from four workshops, three focal groups, and 17 semi-structured interviews with actors involved in the intersectoral intervention. The quantitative component was obtained with two questionnaires that evaluated perceptions on improvement and partnership functioning of the ISA. Results This study collected information from 122 participants. The intervention demanded intersectoral collaboration. Political will, motivated human resources, and recognition that health results from collaboration facilitated intersectoral actions. Intersectoral actions were limited by difficulties in engaging the health sector, communication challenges related to local health service decentralization, and administrative barriers. Conclusions Intersectoral actions have been recently discussed in the literature due to challenges on implementation, idealization, inconsistent demands, and doubts about economic outcomes. The implementation of intersectoral public health interventions can be jeopardized by a lack of coordination and management skills.


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