The Experts below are selected from a list of 2103 Experts worldwide ranked by ideXlab platform
N.k. De Vries - One of the best experts on this subject based on the ideXlab platform.
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perspectives of fijian policymakers on the obesity prevention policy landscape
BioMed Research International, 2015Co-Authors: Annamarie Hendriks, N.k. De Vries, Jessica S Gubbels, Stef P J Kremers, Mere Y Delai, Anne Marie Thow, Maria JansenAbstract:In Fiji and other Pacific Island countries, obesity has rapidly increased in the past decade. Therefore, several obesity prevention policies have been developed. Studies show that their development has been hampered by factors within Fiji's policy landscape such as pressure from industry. Since policymakers in the Fijian national government are primarily responsible for the development of obesity policies, it is important to understand their perspectives; we therefore interviewed 15 policymakers from nine Fijian ministries. By applying the "attractor landscape" metaphor from dynamic systems theory, we captured perceived barriers and facilitators in the policy landscape. A poor economic situation, low food self-sufficiency, power inequalities, inappropriate framing of obesity, limited policy evidence, and limited resource sharing hamper obesity policy developments in Fiji. Facilitators include policy entrepreneurs and policy brokers who were active when a window of opportunity opened and who strengthened Intersectoral Collaboration. Fiji's policy landscape can become more conducive to obesity policies if power inequalities are reduced. In Fiji and other Pacific Island countries, this may be achievable through increased food self-sufficiency, strengthened Intersectoral Collaboration, and the establishment of an explicit functional focal unit within government to monitor and forecast the health impact of policy changes in non-health sectors.
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Effectiveness of a systematic approach to promote Intersectoral Collaboration in comprehensive school health promotion-a multiple-case study using quantitative and qualitative data
BMC public health, 2015Co-Authors: K.k. Pucher, Math J. J. M. Candel, Nicole M.w.m. Boot, Anja Krumeich, N.k. De VriesAbstract:Background We report on the longitudinal quantitative and qualitative data resulting from a two-year trajectory (2008–2011) based on the DIagnosis of Sustainable Collaboration (DISC) model. This trajectory aimed to support regional coordinators of comprehensive school health promotion (CSHP) in systematically developing change management and project management to establish Intersectoral Collaboration.
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A multiple-case study of Intersectoral Collaboration in comprehensive school health promotion using the DIagnosis of Sustainable Collaboration (DISC) model
Health Education, 2015Co-Authors: K.k. Pucher, Math J. J. M. Candel, Nicole M.w.m. Boot, A.j.a. Van Raak, N.k. De VriesAbstract:Purpose – Intersectoral Collaboration is often a prerequisite for effective interventions in public health. The purpose of this paper is to assess the facilitating and hindering conditions regarding Intersectoral Collaboration between health authorities, public health services (PHSs), public services stakeholders (PPSs) and the education sector in comprehensive school health promotion (CSHP) in the Netherlands. Design/methodology/approach – CSHP Collaborations in five Dutch regions were studied using a questionnaire based on the DIagnosis of Sustainable Collaboration (DISC) model, focusing on: change management; perceptions, intentions and actions of collaborating parties; project organization; and factors in the wider context. Univariate and multivariate analyses with bootstrapping were applied to 106 respondents (62 percent response). Findings – A similar pattern of facilitating and hindering conditions emerged for the five regions, showing positive perceptions, but fewer positive intentions and actions...
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local government officials views on Intersectoral Collaboration within their organization a qualitative exploration
Health policy and technology, 2015Co-Authors: Annamarie Hendriks, N.k. De Vries, Maria Jansen, Jessica S Gubbels, G R M Molleman, Stef P J KremersAbstract:Abstract Objectives Intersectoral Collaboration (ISC) is defined as Collaboration between health and non-health local government officials and is a prerequisite for the development of integrated policies that address wicked public health problems. In practice, ISC has proven to be problematic, which might be related to differing views on ISC across various policy sectors. Therefore, our objective was to explore local officials׳ views on ISC. Methods We interviewed 19 officials responsible for 10 different policy sectors within two small-sized municipal governments within one Dutch region. We asked interviewees about ISC facilitators and barriers and categorized them in the theory-based concepts of capability, opportunity and motivation. Results Capability was found to be determined by the ability to share policy goals, and was more likely to increase when officials had greater motivation to continue learning. Interviewees in both municipalities expected that flatter organizational structures and coaching of officials by managers could improve ISC opportunities. When the perceived feasibility of ISC and professional autonomy was low, motivation to learn new ISC skills was low. Conclusion In the view of government officials, ISC is an appropriate tool to address wicked public health problems, but implementing ISC requires flatter organizational structures, merging of departmental cultures and leadership by heads of departments and town clerks in order to decrease officials׳ fears of losing professional autonomy. Public Health Service officials can play a more active role in merging cultures by increasing understanding about the multi-dimensionality of public health and reframing health goals in the terminology of the non-health sector.
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Towards health in all policies for childhood obesity prevention.
Journal of obesity, 2013Co-Authors: Annamarie Hendriks, N.k. De Vries, Jessica S Gubbels, Stef P J Kremers, Hein Raat, Maria JansenAbstract:The childhood obesity epidemic can be best tackled by means of an integrated approach, which is enabled by integrated public health policies, or Health in All Policies. Integrated policies are developed through Intersectoral Collaboration between local government policy makers from health and nonhealth sectors. Such Intersectoral Collaboration has been proved to be difficult. In this study, we investigated which resources influence Intersectoral Collaboration. The behavior change wheel framework was used to categorize motivation-, capability-, and opportunity-related resources for Intersectoral Collaboration. In-depth interviews were held with eight officials representing 10 non-health policy sectors within a local government. Results showed that health and non-health policy sectors did not share policy goals, which decreased motivation for Intersectoral Collaboration. Awareness of the linkage between health and nonhealth policy sectors was limited, and management was not involved in creating such awareness, which reduced the capability for Intersectoral Collaboration. Insufficient organizational resources and structures reduced opportunities for Intersectoral Collaboration. To stimulate Intersectoral Collaboration to prevent childhood obesity, we recommend that public health professionals should reframe health goals in the terminology of nonhealth policy sectors, that municipal department managers should increase awareness of public health in non-health policy sectors, and that flatter organizational structures should be established.
Helen Schneider - One of the best experts on this subject based on the ideXlab platform.
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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, 2020Co-Authors: Ida Okeyo, Uta Lehmann, Helen SchneiderAbstract: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. 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. 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. 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.
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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, 2020Co-Authors: Ida Okeyo, Uta Lehmann, Helen SchneiderAbstract: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.
Evalyn A Roxas - One of the best experts on this subject based on the ideXlab platform.
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Recommendations for Intersectoral Collaboration for the Prevention and Control of Vector-Borne Diseases: Results From a Modified Delphi Process.
The Journal of infectious diseases, 2020Co-Authors: Carl Abelardo T. Antonio, Amiel Nazer C. Bermudez, Kim L. Cochon, Ma. Sophia Graciela L. Reyes, Chelseah Denise H. Torres, Sophia Anne S.p. Liao, Dorothy Jean N. Ortega, Abegail Visia Marie C. Silang, Deinzel R. Uezono, Evalyn A RoxasAbstract:Background Intersectoral Collaboration in the context of the prevention and control of vector-borne diseases has been broadly described in both the literature and the current global strategy by the World Health Organization. Our aim was to develop a framework that will distill the currently known multiple models of Collaboration. Methods Qualitative content analysis and logic modeling of data abstracted from 69 studies included in a scoping review done by the authors were used to develop 9 recommendation statements that summarized the composition and attributes of multisectoral approaches, which were then subjected to a modified Delphi process with 6 experts in the fields of health policy and infectious diseases. Results Consensus for all statements was achieved during the first round. The recommendation statements were on (1-3) sectoral engagement to supplement government efforts and augment public financing; (4) development of interventions for most systems levels; (5-6) investment in human resource, including training; (7-8) Intersectoral action to implement strategies and ensure sustainability of initiatives; and (9) research to support prevention and control efforts. Conclusions The core of Intersectoral action to prevent vector-borne diseases is Collaboration among multiple stakeholders to develop, implement, and evaluate initiatives at multiple levels of intervention.
K.k. Pucher - One of the best experts on this subject based on the ideXlab platform.
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Effectiveness of a systematic approach to promote Intersectoral Collaboration in comprehensive school health promotion-a multiple-case study using quantitative and qualitative data
BMC public health, 2015Co-Authors: K.k. Pucher, Math J. J. M. Candel, Nicole M.w.m. Boot, Anja Krumeich, N.k. De VriesAbstract:Background We report on the longitudinal quantitative and qualitative data resulting from a two-year trajectory (2008–2011) based on the DIagnosis of Sustainable Collaboration (DISC) model. This trajectory aimed to support regional coordinators of comprehensive school health promotion (CSHP) in systematically developing change management and project management to establish Intersectoral Collaboration.
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A multiple-case study of Intersectoral Collaboration in comprehensive school health promotion using the DIagnosis of Sustainable Collaboration (DISC) model
Health Education, 2015Co-Authors: K.k. Pucher, Math J. J. M. Candel, Nicole M.w.m. Boot, A.j.a. Van Raak, N.k. De VriesAbstract:Purpose – Intersectoral Collaboration is often a prerequisite for effective interventions in public health. The purpose of this paper is to assess the facilitating and hindering conditions regarding Intersectoral Collaboration between health authorities, public health services (PHSs), public services stakeholders (PPSs) and the education sector in comprehensive school health promotion (CSHP) in the Netherlands. Design/methodology/approach – CSHP Collaborations in five Dutch regions were studied using a questionnaire based on the DIagnosis of Sustainable Collaboration (DISC) model, focusing on: change management; perceptions, intentions and actions of collaborating parties; project organization; and factors in the wider context. Univariate and multivariate analyses with bootstrapping were applied to 106 respondents (62 percent response). Findings – A similar pattern of facilitating and hindering conditions emerged for the five regions, showing positive perceptions, but fewer positive intentions and actions...
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Optimizing Intersectoral Collaboration in school health promotion : creating win-win situations and a systematic implementation based on the diagnosis of sustainable Collaboration model
2015Co-Authors: K.k. PucherAbstract:The first aim of this dissertation was to evaluate the possible gains that can be made by implementing health promotion in schools for the educational sector. We found promising but limited evidence for the relationship between interventions targeting energy balance and academic performance. The evidence for mechanisms explaining this relationship was limited to hypothetical assumptions from other studies. The second aim of this dissertation was to study the systematic development of Intersectoral Collaboration as part of a broader advisory trajectory designed for health professionals engaged in CSHP Collaborations. This was examined using the DIagnosis of Sustainable Collaboration (DISC) model. This research yields a strong message, namely that a systematic approach to Intersectoral Collaboration in CSHP seems effective and that the DISC model is an appropriate tool for this purpose.
Ida Okeyo - One of the best experts on this subject based on the ideXlab platform.
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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, 2020Co-Authors: Ida Okeyo, Uta Lehmann, Helen SchneiderAbstract: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. 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. 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. 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.
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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, 2020Co-Authors: Ida Okeyo, Uta Lehmann, Helen SchneiderAbstract: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.
