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Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia - a mixed methods case study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Intersectoral Collaboration* ; Public-Private Sector Partnerships*; Delivery of Health Care/*organization & administration ; Delivery of Health Care/*statistics & numerical data ; Growth Disorders/*epidemiology ; Growth Disorders/*prevention & control ; Growth Disorders/*therapy; Colombia/epidemiology ; Female ; Focus Groups ; Humans ; Infant ; Infant, Newborn ; Male ; Prevalence
    • 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.
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    • Contributed Indexing:
      Keywords: Intersectoral actions; Nutrition; Public health; Public-private partnerships; Stunting
    • Publication Date:
      Date Created: 20200615 Date Completed: 20201109 Latest Revision: 20201109
    • Publication Date:
      20240105
    • Accession Number:
      PMC7293129
    • Accession Number:
      10.1186/s12889-020-09057-x
    • Accession Number:
      32534569