Muddling through the middle ground: theoretical concerns in intersectoral collaboration and health promotion

Delaney, Faith G.

doi:10.1093/heapro/9.3.217

Cited by 31 publications

(23 citation statements)

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“…This paper has proposed a model for joint working that takes into account the multitude of partnership dimensions cited earlier, and discussed its strengths, limitations and applications.With a high desirability for some form of collaborative activity becoming a sine qua non of effective practice, but with remarkably little knowledge about how it works, collaboration is a paradoxical concept (Delaney & Moran, 1991;Delaney, 1994). As alliances and coalitions have been advocated as means of solving problems in society (Stoner, 1982), and there is evidence in support of their impact on policy (Goldston, 1991), robust models are necessary that could improve our understanding as well as act as a guide for evaluators (El Ansari & Phillips, 2001).…”

Section: Resultsmentioning

confidence: 99%

Empowering healthcare workers in Africa: Partnerships in health—beyond the rhetoric towards a model

Ansari¹,

Phillips²

2001

Critical Public Health

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AB S T R A C T In most African nations, the trumpet has sounded for joint-working, inter-agency working and multi-sectoral working. However, there are a number of lessons to be learned from collaborative schemes and initiatives that have been undertaken. In particular, attention needs to be drawn to the 'black box' where interactions between the diverse partners take place, irrespective of the 'package' the stakeholders hope to deliver to the targeted bene ciary population. The analysis of collaboration as a 'process' then becomes imperative. This paper describes collaboration and partnerships: their strategic levels, organization and structure, stage of development, membership capacities and effectiveness. Drawing on two examples of collaborative initiatives from South Africa, it identi es and analyses the challenges that face administrators and professionals involved in joint working efforts. Given the multiple facets that collectively contribute to a 'successful' collaboration, the paper suggests a framework for understanding partnership work. If health partnership schemes in Africa are to go beyond the rhetoric, many skills and diverse expertise need to be invested in multiple aspects of the efforts. The paper concludes that the presence, development and transfer of the necessary skills are needed for successful joint delivery of programmes.

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Section: Resultsmentioning

confidence: 99%

Empowering healthcare workers in Africa: Partnerships in health—beyond the rhetoric towards a model

Ansari¹,

Phillips²

2001

Critical Public Health

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“…In reality, the models often overlap. Literature suggests several preconditions for successful interorganizational co-operation such as clear goals, shared vision, space for innovation and user involvement (Delaney, 1994). On the other hand, modern management techniques that are based on team work, facilitation and mediation mean absence of authority and accountability, resulting in superficial content (Sennett, 1998, pp.…”

Section: Introductionmentioning

confidence: 99%

Drug prevention as co-ordination: the vicious circle of devolving responsibility in primary prevention

Rantala

2004

Drugs: Education, Prevention and Policy

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Due to ongoing managerial and decentralizing trends in public policy, responsibility for drug prevention is continuously being devolved from one level to another, from the European Union all the way down to the civil society. In this paper, a drug prevention program in Helsinki represents a realization of the EU drugs strategy due to similar rhetoric and goals: co-ordinating multi-agency co-operation. An analysis of contradictions inherent in this setting is based on interviews of the program workers as well as representatives of governmental and national drug-prevention agencies. The analysis results show that 'almost anything goes' because no single body has the legitimacy to prioritize any particular approach over any other. The situation easily results in either ineffective indecision or overdoing preventive enthusiasm that simplifies the drugs issue. This vicious circle is difficult to break. In order to provide more realistic prevention, a systematic increase in the knowledge base of the practitioners in the drug field is needed. Simultaneously, the issue becomes political, requiring authority and agreement on concrete guidelines at a national level-issues that prevailing public policy tries to evade.

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“…Kellogg Foundation (EL Ansari, 1994) are sponsoring local coalitions for community health planning and implementation, and community projects that build community capacity through coalitions and partnerships. Community health projects that rely on coalitions represent considerable investment (Butterfoss et al, 1993), the concept of collaborative working between professionals has gained wide support (Rawson, 1994;Casto, 1994;Delaney, 1994;Mackay et al, 1995), and the notion of community involvement in health has found wide acceptance (Madan, 1987).…”

Section: Introductionmentioning

confidence: 99%

Partnerships, community participation and intersectoral collaboration in South Africa

Ansari

Phillips

2001

Journal of Interprofessional Care

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Five community partnerships (CP) were initiated in South Africa as demonstration projects aimed at the re-orientation of health professionals' education (HPE) to be more community responsive and interprofessional. A cluster evaluation of these partnerships has demonstrated that, in addition to motivating all stakeholders to forge closer working relationships, it is necessary for partnerships to pay close attention to a variety of structural and operational dimensions, the lack of which could prove to be major constraints to effective partnership functioning. This study critically reviews the challenges to collaborative working as experienced by the South African cluster. Within the context of the post-apartheid restructuring and development, the discussion highlights the insights that partnerships offer to clarify the extent to which potential barriers could affect the stakeholder groups. The paper identifies potential impediments, and makes explicit how they impact on partnership fostering. Evidence is also presented for their early detection and possible solutions are identified. The lessons learnt from these South African cases are that wide representation, commitment and a sense of ownership, sound leadership skills, regular and effective communication, reliable member expertise and capabilities and attention to power issues are crucial elements in the partnership equation. The paper concludes with an invitation to health administrators and partnership executives to devote attention to the array of interacting components that, collectively, could impinge on the effectiveness of the multifaceted nature of interprofessional joint working arrangements.

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Muddling through the middle ground: theoretical concerns in intersectoral collaboration and health promotion

Cited by 31 publications

References 0 publications

Empowering healthcare workers in Africa: Partnerships in health—beyond the rhetoric towards a model

Empowering healthcare workers in Africa: Partnerships in health—beyond the rhetoric towards a model

Drug prevention as co-ordination: the vicious circle of devolving responsibility in primary prevention

Partnerships, community participation and intersectoral collaboration in South Africa

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