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Yapi SM, Boudrias M, Tremblay A, Belanger G, Sourial N, Boivin A, Sasseville M, Côté A, Gartner JB, Taleb N, Lavoie ME, Trépanier E, Vachon B, Labelle M, Layani G. Intersectoral health interventions to improve the well-being of people living with type 2 diabetes: a scoping review protocol. BMJ Open 2024; 14:e080659. [PMID: 38772897 PMCID: PMC11110582 DOI: 10.1136/bmjopen-2023-080659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 05/07/2024] [Indexed: 05/23/2024] Open
Abstract
INTRODUCTION Intersectoral collaboration is a collaborative approach between the health sectors and other sectors to address the interdependent nature of the social determinants of health associated with chronic diseases such as diabetes. This scoping review aims to identify intersectoral health interventions implemented in primary care and community settings to improve the well-being and health of people living with type 2 diabetes. METHODS AND ANALYSIS This protocol is developed by the Arksey and O'Malley (2005) framework for scoping reviews and the Levac et al methodological enhancement. MEDLINE, Embase, CINAHL, grey literature and the reference list of key studies will be searched to identify any study, published between 2000 and 2023, related to the concepts of intersectorality, diabetes and primary/community care. Two reviewers will independently screen all titles/abstracts, full-text studies and grey literature for inclusion and extract data. Eligible interventions will be classified by sector of action proposed by the Social Determinants of Health Map and the conceptual framework for people-centred and integrated health services and further sorted according to the actors involved. This work started in September 2023 and will take approximately 10 months to be completed. ETHICS AND DISSEMINATION This review does not require ethical approval. The results will be disseminated through a peer-reviewed publication and presentations to stakeholders.
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Affiliation(s)
- Sopie Marielle Yapi
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | - Marguerite Boudrias
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | - Alexandre Tremblay
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | - Gabrielle Belanger
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | - Nadia Sourial
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- Department of Health Management, Evaluation & Policy, Université de Montréal, Montreal, Quebec, Canada
| | - Antoine Boivin
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- Department of Family and Emergency Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
| | - Maxime Sasseville
- Université Laval, Quebec, Quebec, Canada
- VITAM Centre de Recherche en Santé Durable, Quebec, Quebec, Canada
| | - André Côté
- VITAM Centre de Recherche en Santé Durable, Quebec, Quebec, Canada
- Département de management, Université Laval, Quebec, Quebec, Canada
- Centre de recherche en gestion des services de santé, Université Laval, Quebec, Quebec, Canada
| | - Jean-Baptiste Gartner
- VITAM Centre de Recherche en Santé Durable, Quebec, Quebec, Canada
- Département de management, Université Laval, Quebec, Quebec, Canada
- Centre de recherche en gestion des services de santé, Université Laval, Quebec City, Quebec, Canada
| | - Nadine Taleb
- Institut de recherches cliniques de Montreal, Montreal, Quebec, Canada
- Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- Universite de Montreal, Montreal, Quebec, Canada
| | - Marie-Eve Lavoie
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | - Emmanuelle Trépanier
- Department of Family and Emergency Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
| | | | - Marcel Labelle
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | - Géraldine Layani
- Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
- Department of Family and Emergency Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
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Vasan A, McRae MT, Counts NZ. A Public Health Approach to New York City's Mental Health Crisis. JAMA HEALTH FORUM 2023; 4:e234460. [PMID: 38100093 DOI: 10.1001/jamahealthforum.2023.4460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Abstract
This Viewpoint shares New York City’s rationale, process, and challenges in addressing mental health, focusing on 1 of 3 pillars of the plan—overdose—as a case study to inform the work of other governments across the nation.
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Affiliation(s)
- Ashwin Vasan
- Department of Health and Mental Hygiene, City of New York, Long Island City, New York
| | - Michael T McRae
- Department of Health and Mental Hygiene, City of New York, Long Island City, New York
- Now with START Treatment and Recovery Centers, Brooklyn, New York
| | - Nathaniel Z Counts
- Department of Health and Mental Hygiene, City of New York, Long Island City, New York
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Amri M, Sam O, Anye M, Zibwowa Z, Karamagi H, Nabyonga-Orem J. Assessing the governance environment for private sector engagement in health in Africa: Results from a multi-country survey. J Glob Health 2023; 13:04113. [PMID: 37800302 PMCID: PMC10556972 DOI: 10.7189/jogh.13.04113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/07/2023] Open
Abstract
Background The role of the private sector in health is clear in many countries but engagement can be improved. The World Health Organization (WHO) developed a global strategy in 2020 focused on engaging the private sector in health service delivery through governance in mixed health systems and detailed six governance behaviours to guide its Member States. To operationalise these global ideas into practice, the Regional Office for Africa conducted a multi-country study to understand perceptions around the six governance behaviours. This article examines the perceptions of respondents from 13 African countries on the governance environment for private sector engagement in health. Methods Data were collected through an online survey that was distributed to individuals from ministries of health and their partner organisations, private sector institutions and initiatives in countries and development organisations (n = 81) across 13 countries. The survey was based on the following six governance behaviours: build understanding, enable stakeholders, nurture trust, foster relations, align structures and deliver strategy. Results Results showed that respondents had mixed perceptions of the governance environment for private sector engagement in health in their respective countries. Although 88% of respondents (n = 63/72) were familiar with the general inclusion of the private sector in national health sector plans, 63% of respondents (n = 45/71) noted there was limited or no integration of the private sector in the health system, and further, 28% of respondents noted there was no private sector reporting in health information systems (n = 19/69). Key opportunities presented in more than one governance behaviour include: (i) increasing private sector engagement in public sector activities, (ii) establishing clear roles and responsibilities through formal partnership agreements, (iii) improving data sharing through shared health information systems, (iv) incentives and subsidies, (v) capacity building, (vi) creating norms, guidelines, and regulations and (vii) conducting joint monitoring and evaluation. Many of these outlined overlapping concepts are not exclusive to one behaviour, thus, it is evident that when targeted, there is the potential to improve numerous governance behaviours. This further reiterates the view that the governance behaviours should be understood as connected and not unrelated areas. Conclusions The study provides insight into the perceptions of respondents from select African countries on the governance environment for private sector engagement in health. These findings can inform the development of strategies and interventions to support and enhance private sector engagement in health in the region.
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Affiliation(s)
- Michelle Amri
- World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo
- Takemi Program in International Health, Harvard School of Public Health, Harvard University, Boston, Massachusetts, USA
| | - Omar Sam
- World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo
| | - Muriel Anye
- World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo
| | - Zandile Zibwowa
- World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo
| | - Humphrey Karamagi
- World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo
| | - Juliet Nabyonga-Orem
- World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
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Naem M, Amri M, O'Campo P. Health Equity Cannot Be Sought Without the Consideration of Racism In Equity-Focused Urban Health Initiatives. J Urban Health 2023; 100:834-838. [PMID: 37580547 PMCID: PMC10447814 DOI: 10.1007/s11524-023-00770-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/13/2023] [Indexed: 08/16/2023]
Abstract
Given that racism is present worldwide, we believe it is imperative to address racism in the pursuit of health equity in cities. Despite the strengths of global urban health efforts in improving health equity, these initiatives can be furthered by explicitly considering systemic racism. Because racism is a major contributor to health issues, utilizing critical race theory (CRT) and taking an anti-racist perspective can help key players understand how racial health differences are initiated and sustained, which will subsequently inform solutions in seeking to address urban health inequities. Applying CRT within policymaking can happen in a variety of ways that are explored in this article. Ultimately, by acknowledging and responding to the effect of racism on groups within cities and the increased difficulties racialized minorities face, international players may use their power to transfer data and resources to cities that could benefit from specialized support.
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Affiliation(s)
- Mariem Naem
- Department of Health and Society, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON, M1C 1A4, Canada
| | - Michelle Amri
- Takemi Program in International Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Bldg. 1, Boston, MA, 02115-6021, USA.
- School of Public Policy, Simon Fraser University, 515 West Hastings Street, Vancouver, BC, V6B 4N6, Canada.
| | - Patricia O'Campo
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 1P8, Canada
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada
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Amri M, Bump JB. Where Is Equity in HiAP? Comment on "A Realist Explanatory Case Study Investigating How Common Goals, Leadership, and Committed Staff Facilitate Health in All Policies Implementation in the Municipality of Kuopio, Finland". Int J Health Policy Manag 2023; 12:7611. [PMID: 37579409 PMCID: PMC10461894 DOI: 10.34172/ijhpm.2023.7611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 03/18/2023] [Indexed: 08/16/2023] Open
Abstract
Health equity is no longer a central feature of Health in All Policies (HiAP) approaches despite its presence in select definitions of HiAP. In other words, HiAP is not just about considering health, but also health equity. But as HiAP has become more mainstream, its success around health equity has been muted and largely non-existent. Given the normative underpinning and centrality of equity in HiAP, equity should be better considered in HiAP and particularly when considering what 'successful' implementation may look like. Raising health on the radar of policy-makers is not mutually exclusive from considering equity. Taking an incremental approach to considering equity in HiAP can yield positive results. This article discusses these ideas and presents potential actions to restore HiAP's once central equity objectives, which include: seeking synergies focused on health equity with those who hold different convictions, both in terms of goals and measures of success; considering the conditions that allow HiAP to be fostered, such as good governance; and drawing on research on HiAP and other multisectoral approaches.
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Affiliation(s)
- Michelle Amri
- Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Jesse B. Bump
- Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Bergen Centre for Ethics and Priority Setting, University of Bergen, Bergen, Norway
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