The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province
Abstract Background While intersectoral collaboration is considered valuable and important for achieving health outcomes, there are few examples of successes. The literature on intersectoral collaboration suggests that success relies on a shared understanding of what can be achieved collectively and...
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | Health Research Policy and Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12961-019-0508-0 |
| _version_ | 1818590759414136832 |
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| author | Ida Okeyo Uta Lehmann Helen Schneider |
| author_facet | Ida Okeyo Uta Lehmann Helen Schneider |
| author_sort | Ida Okeyo |
| collection | DOAJ |
| description | Abstract Background While intersectoral collaboration is considered valuable and important for achieving health outcomes, there are few examples of successes. The literature on intersectoral collaboration suggests that success relies on a shared understanding of what can be achieved collectively and whether stakeholders can agree on mutual goals or acceptable trade-offs. When health systems are faced with negotiating intersectoral responses to complex issues, achieving consensus across sectors can be a challenging and uncertain process. Stakeholders may present divergent framings of the problem based on their disciplinary background, interests and institutional mandates. This raises an important question about how different frames of problems and solutions affect the potential to work across sectors during the initiating phases of the policy process. Methods In this paper, this question was addressed through an analysis of the case of the First 1000 Days (FTD) Initiative, an intersectoral approach targeting early childhood in the Western Cape Province of South Africa. We conducted a documentary analysis of 34 policy and other documents on FTD (spanning global, national and subnational spheres) using Schmidt’s conceptualisation of policy ideas in order to elicit framings of the policy problem and solutions. Results We identified three main frames, associated with different sectoral positionings — a biomedical frame, a nurturing care frame and a socioeconomic frame. Anchored in these different frames, ideas of the problem (definition) and appropriate policy solutions engaged with FTD and the task of intersectoral collaboration at different levels, with a variety of (sometimes cross) purposes. Conclusions The paper concludes on the importance of principled engagement processes at the beginning of collaborative processes to ensure that different framings are revealed, reflected upon and negotiated in order to arrive at a joint determination of common goals. |
| first_indexed | 2024-12-16T10:01:39Z |
| format | Article |
| id | doaj.art-f58c5e9d92654c7eb3609870b2dbc153 |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-12-16T10:01:39Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-f58c5e9d92654c7eb3609870b2dbc1532022-12-21T22:35:47ZengBMCHealth Research Policy and Systems1478-45052020-01-0118111410.1186/s12961-019-0508-0The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape ProvinceIda Okeyo0Uta Lehmann1Helen Schneider2School of Public Health, University of the Western CapeSchool of Public Health, University of the Western CapeSchool of Public Health and UWC/SAMRC Health Services to Systems Research Unit, University of the Western CapeAbstract Background While intersectoral collaboration is considered valuable and important for achieving health outcomes, there are few examples of successes. The literature on intersectoral collaboration suggests that success relies on a shared understanding of what can be achieved collectively and whether stakeholders can agree on mutual goals or acceptable trade-offs. When health systems are faced with negotiating intersectoral responses to complex issues, achieving consensus across sectors can be a challenging and uncertain process. Stakeholders may present divergent framings of the problem based on their disciplinary background, interests and institutional mandates. This raises an important question about how different frames of problems and solutions affect the potential to work across sectors during the initiating phases of the policy process. Methods In this paper, this question was addressed through an analysis of the case of the First 1000 Days (FTD) Initiative, an intersectoral approach targeting early childhood in the Western Cape Province of South Africa. We conducted a documentary analysis of 34 policy and other documents on FTD (spanning global, national and subnational spheres) using Schmidt’s conceptualisation of policy ideas in order to elicit framings of the policy problem and solutions. Results We identified three main frames, associated with different sectoral positionings — a biomedical frame, a nurturing care frame and a socioeconomic frame. Anchored in these different frames, ideas of the problem (definition) and appropriate policy solutions engaged with FTD and the task of intersectoral collaboration at different levels, with a variety of (sometimes cross) purposes. Conclusions The paper concludes on the importance of principled engagement processes at the beginning of collaborative processes to ensure that different framings are revealed, reflected upon and negotiated in order to arrive at a joint determination of common goals.https://doi.org/10.1186/s12961-019-0508-0Western Cape ProvinceSouth AfricaIntersectoral collaborationFramesPolicy ideasPolicy formulation |
| spellingShingle | Ida Okeyo Uta Lehmann Helen Schneider The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province Health Research Policy and Systems Western Cape Province South Africa Intersectoral collaboration Frames Policy ideas Policy formulation |
| title | The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province |
| title_full | The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province |
| title_fullStr | The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province |
| title_full_unstemmed | The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province |
| title_short | The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province |
| title_sort | impact of differing frames on early stages of intersectoral collaboration the case of the first 1000 days initiative in the western cape province |
| topic | Western Cape Province South Africa Intersectoral collaboration Frames Policy ideas Policy formulation |
| url | https://doi.org/10.1186/s12961-019-0508-0 |
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