Intersectorality and health: a glossary

Leeuw, Evelyne de

doi:10.1136/jech-2021-217647

Cited by 23 publications

(16 citation statements)

References 25 publications

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“…The need for intersectoral collaboration and cooperation is accepted internationally as a critical principle for advancing population health and health equity goals [ 33 ]. Our analysis underscored that actions for health workforce strengthening and equity cannot be achieved within the health sector alone.…”

Section: Discussionmentioning

confidence: 99%

“…Our analysis underscored that actions for health workforce strengthening and equity cannot be achieved within the health sector alone. Sectors are largely social constructs, and calls for policy integration are increasing [ 33 ]. Alignment of labour market approaches should be considered necessary to improve and sustain the efficiency, effectiveness, and inclusiveness of work conditions among women and men with policy research expertise in the health sector and across interdependent sectors.…”

Section: Discussionmentioning

confidence: 99%

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Gender composition and wage gaps in the Canadian health policy research workforce in comparative perspective

2022

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Background Gendered challenges have been shown to persist among health practitioners in countries at all levels of development. Less is known about non-clinical professionals, that is, those who do not deliver services directly but are essential to health systems performance, such as health policy researchers. This national observational study examined gender occupational segregation and wage gaps in the Canadian health policy research workforce using a cross-domain comparative labour market analysis approach. Methods Sourcing data from the 2016 population census, we applied linear regression and Oaxaca–Blinder decomposition techniques to assess wage differentials by sex, traditional human capital measures (e.g., age, education, place of work), and social identity variables intersecting with gender (household head, childcare, migrant status) among health policy researchers aged 25–54. We compared the gender composition and wage gap with seven non-health policy and programme domains, as mapped under the national occupational classification by similarity in the types of work performed. Results The health policy research workforce (N = 19 955) was characterized by gender segregation: 74% women, compared with 58% women among non-health policy research occupations (N = 102 555). Women health policy researchers earned on average 4.8% (95% CI 1.5‒8.0%) less than men after adjusting for other professional and personal variables. This gap was wider than among education policy researchers with similar gender composition (75% women; adjusted wage gap of 2.6%). Wages among health policy researchers were 21.1% (95% CI 19.4‒22.8%) lower than their counterparts in the male-dominated economics policy domain, all else being equal. Overall, women’s earnings averaged 3.2% lower than men’s due to factors that remained unexplained by policy domain or other measured predictors. Conclusions This investigation found that the gender inequalities already widely seen among clinical practitioners are replicated among health policy researchers, potentially hindering the competitiveness of the health sector for attracting and retaining talent. Our findings suggest intersectoral actions are necessary to tackle wage gaps and devaluation of female-dominated health professions. Accountability for gender equity in health must extend to the professionals tasked with conducting equity-informative health policy research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gender composition and wage gaps in the Canadian health policy research workforce in comparative perspective

2022

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“…It suggests that improving population health requires the collaboration (i.e., coordinated efforts) of different sectors of society (e.g., communities, local governments, etc.) [12,13]. Crucially, intersectorality requires a re-framing of values away from health as a superseding goal towards promoting equity as an overarching goal.…”

Section: The Value Of Intersectoral Collaborationmentioning

confidence: 99%

Learning from intersectoral initiatives to respond to the needs of refugees, asylum seekers, and migrants without status in the context of COVID-19 in Quebec and Ontario: A qualitative multiple case study protocol

Gautier

Ruggiero

Jackson

et al. 2022

Preprint

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Background Refugees, asylum seekers, and migrants without status experience precarious living and working conditions which disproportionately expose them to COVID-19. In the two most populous Canadian provinces (Quebec and Ontario), to reduce the vulnerability factors experienced by the most marginalized migrants, the public and community sectors engage in joint coordination efforts called intersectoral collaboration. This collaboration ensures holistic care provisioning, inclusive of psychosocial support, assistance to address food security, as well as educational and employment assistance. This research project explores how community and public sectors collaborated on intersectoral initiatives during the COVID-19 pandemic to support refugees, asylum seekers, and migrants without status in cities of Montreal, Sherbrooke, and Toronto, and generates lessons for a sustainable response to the heterogeneous needs of these migrants. Methods This theory-informed participatory research is co-created with socio-culturally diverse research partners (refugees, asylum seekers and migrants without status, employees of community organizations, and employees of public organizations). We will utilize Mirzoev and Kane’s framework on health systems’ responsiveness to guide the 4-phases of a qualitative multiple case study (a case being an intersectoral initiative). These phases will include, 1) building an inventory of intersectoral initiatives developed during the pandemic, 2) organizing a deliberative workshop with representatives of the study population, community and public sectors respondents to select and validate the intersectoral initiatives, 3) interviews (n = 80) with community and public sector frontline workers and managers, municipal/regional/provincial policymakers and employees of philanthropic foundations 4) focus groups (n = 80) with refugees, asylum seekers, and migrants without status. Qualitative data will be analyzed using thematic analysis. The findings will be used to develop discussion forums to spur cross-learning among service providers. Discussion This research will highlight the experiences of community and public organizations in their ability to offer responsive services for refugees, asylum seekers, and migrants without status in the context of a pandemic. We will draw lessons learnt from the promising practices developed in the context of COVID-19, to improve services beyond times of crisis. Lastly, we will reflect upon our participatory approach – particularly in relation to the engagement of refugees and asylum seekers in the governance of our research.

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“…and water management specialists(de Leeuw, 2022), intersectoral action has gained traction in global health discourse, though this has not been robustly translated to services supporting SMI recovery. Our review highlights several areas where multi-and intersectoral collaboration has been demonstrated in LMICs with respect to community support for people living with SMI, particularly in the areas of housing support, the development and sustainment of protective spaces where recovery can take place, and linkages between health facilities and community resources.The Integrated Recovery Model posits that each individual has subjective recovery needs, centred around basic needs such as accommodation and employment, as well as less tangible needs such as coping skills and hope.…”

mentioning

confidence: 99%

Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review

Rensburg¹,

Brooke-Sumner²

2023

Camb. prisms Glob. ment. health

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Impact statementDespite a large body of work on recovery for people living with severe mental illness, and its implicit embeddedness in collaboration across sectors, little systematic description has been undertaken of its implementation in low-and middle-income countries. Our review fills this gap by providing a synopsis of how multi-and intersectoral collaboration in supporting recovery occur in these contexts. It highlights examples that involve collaboration between healthcare and community support systems, collaboration in providing supported housing and supportive community spaces for recovery, and linkages between biomedical and social spheres of care. There are, however, barriers to collaborating across sectors, including the

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Intersectorality and health: a glossary

Cited by 23 publications

References 25 publications

Gender composition and wage gaps in the Canadian health policy research workforce in comparative perspective

Gender composition and wage gaps in the Canadian health policy research workforce in comparative perspective

Learning from intersectoral initiatives to respond to the needs of refugees, asylum seekers, and migrants without status in the context of COVID-19 in Quebec and Ontario: A qualitative multiple case study protocol

Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review

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