Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study
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 studies, evidence for systematic evaluation of implementation of ISA is scarce. An intersectoral health int...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09057-x |
| _version_ | 1818493236371521536 |
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| author | Natalia Botero-Tovar Gina Paola Arocha Zuluaga Andrea Ramírez Varela |
| author_facet | Natalia Botero-Tovar Gina Paola Arocha Zuluaga Andrea Ramírez Varela |
| author_sort | Natalia Botero-Tovar |
| collection | DOAJ |
| description | 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 studies, 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 focus 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 improvement results from collaboration, were factors that 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 recently been discussed in the literature due to challenges in implementation and doubts regarding economic outcomes. The implementation of intersectoral public health interventions can be jeopardized by a lack of coordination and management skills. |
| first_indexed | 2024-12-10T17:52:10Z |
| format | Article |
| id | doaj.art-556bb54414934db6be3d50fa182d5edc |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-10T17:52:10Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-556bb54414934db6be3d50fa182d5edc2022-12-22T01:39:02ZengBMCBMC Public Health1471-24582020-06-0120111210.1186/s12889-020-09057-xFactors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case studyNatalia Botero-Tovar0Gina Paola Arocha Zuluaga1Andrea Ramírez Varela2Population Health Division, Fundación Santa Fe de BogotáPopulation Health Division, Fundación Santa Fe de BogotáUniversidad de los Andes School of MedicineAbstract 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 studies, 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 focus 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 improvement results from collaboration, were factors that 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 recently been discussed in the literature due to challenges in implementation and doubts regarding economic outcomes. The implementation of intersectoral public health interventions can be jeopardized by a lack of coordination and management skills.http://link.springer.com/article/10.1186/s12889-020-09057-xIntersectoral actionsPublic-private partnershipsNutritionStuntingPublic health |
| spellingShingle | Natalia Botero-Tovar Gina Paola Arocha Zuluaga Andrea Ramírez Varela Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study BMC Public Health Intersectoral actions Public-private partnerships Nutrition Stunting Public health |
| title | Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study |
| title_full | Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study |
| title_fullStr | Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study |
| title_full_unstemmed | Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study |
| title_short | Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study |
| title_sort | factors influencing delivery of intersectoral actions to address infant stunting in bogota colombia a mixed methods case study |
| topic | Intersectoral actions Public-private partnerships Nutrition Stunting Public health |
| url | http://link.springer.com/article/10.1186/s12889-020-09057-x |
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