A scoping review of intersectoral action for health equity involving governments
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We carried out a scoping review to identify and describe scholarly and grey literature referring to global cases of intersectoral action for health equity featuring a central role for governments.
The scoping review process systematically identified articles describing one or more cases of intersectoral action. Each article was then described in terms of the context of initiation, as well as the strategies, actors, tools and structures used to implement these initiatives.
128 unique articles were found describing intersectoral action across 43 countries. A majority of the cases appear to have initiated in the last decade. A variety of approaches were used to carry out intersectoral action, but articles varied in the richness of information included to describe different aspects of these initiatives.
With this examination of cases across multiple countries and contexts, we can begin to clarify how intersectoral approaches to health equity have been used; however, the description of these complex, multi-actor processes in the published documents was generally superficial and sometimes entirely absent and improvements in such documentation in future publications is warranted. Richer sources of information such as interviews may facilitate a more comprehensive understanding from the perspective of multiple sectors involved.
KeywordsHealth equity Intersectoral action Government Scoping review
We would like to acknowledge Alix Freiler, Sireesha Bobbili, Dr. Lauren Bialystok, Laure Perrier, Dr. Andreas Laupacis and Dr. Irfan Dhalla for their important contributions to this work. Authors from the Centre for Research on Inner City Health gratefully acknowledge the support of the Ontario Ministry of Health and Long-Term Care. Patricia O’Campo was supported by the Alma and Baxter Ricard Chair in Inner City Health. The authors’ work was independent of the funders. The views expressed in this article are those of the authors and do not necessarily reflect the views of the above named organizations or of the institutions with which they are affiliated.
- Bierman AS (ed) (2009) Project for an Ontario Women’s Health Evidence-Based Report, Toronto, vol 1. http://www.powerstudy.ca. Accessed 15 Mar 2010
- Bierman AS (ed) (2010) Project for an Ontario Women’s Health Evidence-Based Report, vol 2. http://www.powerstudy.ca. Accessed 15 Mar 2010
- Canadian Agency for Drugs and Technologies in Health (2006) Guidelines for the economic evaluation of health technologies: Canada. CADTH, OttawaGoogle Scholar
- Castell-Florit Serrate P (2007) Comprensión conceptual y factores que intervienen en el desarrollo de la intersectorialidad. Rev Cub Salud Pública 33(2). doi: 10.1590/S0864-34662007000200009
- Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health, Final report of the commission on social determinants of health. World Health Organization, GenevaGoogle Scholar
- Department of Health (2010) The South Australian approach to Health in all policies: background and practical guide. Government of South Australia, Rundle MallGoogle Scholar
- Gold MR, Seigel JE, Russell LB, Weinstein MC (1996) Cost-effectiveness in health and medicine. Oxford University Press, New YorkGoogle Scholar
- Harris E, Wise M, Hawe P, Finlay P, Nutbeam D (1995) Working together: intersectoral action for health. Australian Government Publishing Service, CanberraGoogle Scholar
- Health Council of Canada (2010) Stepping it up: moving the focus from health care in Canada to a healthier Canada. Health Council of Canada, TorontoGoogle Scholar
- Health Impact Assessment Coordinating Unit (2010) Thailand’s rules and procedures for the health impact assessment of public policies. National Health Commission Office, NonthaburiGoogle Scholar
- International Society for Pharmacoeconomics and Outcomes Research (2010) Pharmacoeconomic guidelines around the world. ISPOR. http://www.ispor.org/peguidelines/index.asp. Accessed 12 Dec 2010
- Jaafar S, Suhaili MR, Mohd Noh K, Ehsan FZ, Lee FS (2007) Malaysia: Primary health care key to intersectoral action for health and equity. World Health Organization and Public Health Agency of Canada. http://www.who.int/entity/social_determinants/resources/isa_primary_care_mys.pdf. Accessed 15 Mar 2010
- Kingdon JW (1984) Agendas, alternatives, and public policies. Little, Brown & Co., BostonGoogle Scholar
- Mkandawire T (2005) Targeting and universalism in poverty reduction. Social policy and development programme paper no. 23. United Nations Research Institute for Social Development, SwitzerlandGoogle Scholar
- Motevalian S (2007) A case study on intersectoral action for health in I.R. of Iran: community based initiatives experience. World Health Organization–Public Health Agency of Canada, TehranGoogle Scholar
- Pawson R (2006) Evidence-based policy: a realist perspective. Sage Publications Ltd., LondonGoogle Scholar
- Public Health Agency of Canada (2007) Crossing sectors: experiences in intersectoral action, public policy and health. Public Health Agency of Canada, OttawaGoogle Scholar
- Public Health Agency of Canada, World Health Organization (2008) Health equity through intersectoral action: an analysis of 18 country case studies. Minister of Health of Canada, OttawaGoogle Scholar
- Shankardass K, Solar O, Murphy K, Freiler A, Bobbili S, Bayoumi A, O’Campo P (2011) Health in all policies: results of a realist-informed scoping review of the literature. In: Getting started with health in all policies: a report to the Ontario Ministry of health and long term care. Centre for Research on Inner City Health, Toronto, Ontario. http://www.stmichaelshospital.com/knowledgeinstitute/search/details.php?id=18218&page=1. Accessed 1 Apr 2011
- Solar O, Irwin A (2007) A conceptual framework for action on the social determinants of health: discussion paper for the commission on social determinants of health. World Health Organization, GenevaGoogle Scholar
- Solar O, Valentine N, Albrech D, Rice M (2009) Moving forward to Equity in Health: what kind of intersectoral action is needed? An approach to an intersectoral typology. In: 7th Global Conference For Health Promotion, Nairobi, KenyaGoogle Scholar
- Ståhl T, Wismar M, Ollila E, Lahtinen E, Leppo K (eds) (2006) Health in all policies: prospects and potentials. Ministry of Social Affairs and Health, FinlandGoogle Scholar
- St. Pierre L (2009) Governance tools and framework for Health in all policies. National Collaborating Centre for Healthy Public Policy, International Union for Health Promotion and Education and European Observatory on Health Systems and Policies, Quebec CityGoogle Scholar
- Torgersen TP, Giæver Ø, Stigen OT (2007) Developing an intersectoral national strategy to reduce social inequalities in health—the Norwegian case. World Health Organization. http://www.who.int/social_determinants/resources/isa_national_strategy_nor.pdf. Accessed 12 Dec 2010
- Whitehead M, Dahlgren G (2006) Levelling up (part 1): a discussion paper on concept and principles for tackling social inequities in health. Studies on social and economic determinants of population health, No.2. WHO Regional Office for Europe, CopenhagenGoogle Scholar
- WHO, Government of South Australia (2010) Adelaide Statement on Health in all policies, AdelaideGoogle Scholar