Artículos de revistas: "Intersectoral policy"

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Hendriks, Anna-Marie, Stef P. J. Kremers, Jessica S. Gubbels, Hein Raat, Nanne K. de Vries y Maria W. J. Jansen. "Towards Health in All Policies for Childhood Obesity Prevention". Journal of Obesity 2013 (2013): 1–12. http://dx.doi.org/10.1155/2013/632540.

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The childhood obesity epidemic can be best tackled by means of an integrated approach, which is enabled by integrated public health policies, orHealth in All Policies. Integrated policies are developed through intersectoral collaboration between local government policy makers from health and nonhealth sectors. Suchintersectoral collaborationhas been proved to be difficult. In this study, we investigated which resources influence intersectoral collaboration. Thebehavior change wheelframework was used to categorize motivation-, capability-, and opportunity-related resources for intersectoral collaboration. In-depth interviews were held with eight officials representing 10 non-health policy sectors within a local government. Results showed that health and non-health policy sectors did not share policy goals, which decreased motivation for intersectoral collaboration. Awareness of the linkage between health and nonhealth policy sectors was limited, and management was not involved in creating such awareness, which reduced the capability for intersectoral collaboration. Insufficient organizational resources and structures reduced opportunities for intersectoral collaboration. To stimulate intersectoral collaboration to prevent childhood obesity, we recommend that public health professionals should reframe health goals in the terminology of nonhealth policy sectors, that municipal department managers should increase awareness of public health in non-health policy sectors, and that flatter organizational structures should be established.

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Mooy, Johanna M. y Louise J. Gunning-Schepers. "Computer-assisted health impact assessment for intersectoral health policy". Health Policy 57, n.º 3 (septiembre de 2001): 169–77. http://dx.doi.org/10.1016/s0168-8510(00)00134-2.

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van Herten, L. M. "Rationalising chances of success in intersectoral health policy making". Journal of Epidemiology & Community Health 55, n.º 5 (1 de mayo de 2001): 342–47. http://dx.doi.org/10.1136/jech.55.5.342.

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Choi, Eun Jin. "Intersectoral Collaboration for Tobacco Policy: Focusing on WHO FCTC". Korean Journal of Health Education and Promotion 30, n.º 4 (1 de octubre de 2013): 9–16. http://dx.doi.org/10.14367/kjhep.2013.30.4.009.

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Toroptsev, E. L., A. S. Marakhovskii y R. R. Duszynski. "Intersectoral modeling of transients". Economic Analysis: Theory and Practice 19, n.º 3 (30 de marzo de 2020): 564–85. http://dx.doi.org/10.24891/ea.19.3.564.

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Subject. The article considers structural transition processes in macroeconomics. Objectives. The aim is to present our own concept and mathematical tools to study structural transitions in macroeconomics. Dynamic inter-industry balance enables to formalize the problem in the form of a Koshi task for ordinary differential equations. Methods. The methodology components include the basics of inter-industry and numerical analysis and modeling of linear or linearized dynamic systems, integral criteria of system dynamics, stability and quality of transitional processes. We also apply a technique for analyzing the own dynamic properties of economic systems that solve the same sustainability-related challenges, but on the basis of algebraic methods and criteria. Results. We offer methods and mathematical tools for numerical study of sustainability and structural dynamics of macroeconomics. These methods are focused on integrating high-dimensional balance models and integral criteria for the quality of transition periods in the economy. The paper unveils advantages of calculating the matrix exponential and its integral in tasks involving analysis and forecasting, over other numerical methods. The proposed method permits to effectively build a difference scheme to integrate with any step of observation of the solution. In this case, the work step of integration is generated in the algorithm automatically, depending on changes in gross output. Conclusions. The paper presents a unique option to analyze transitional processes in macroeconomics. It is designed to develop and evaluate the results of pursued economic policy.

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Drost, Ruben, Aggie Paulus, Dirk Ruwaard y Silvia Evers. "PP35 Valuing Intersectoral Costs And Benefits Of Interventions". International Journal of Technology Assessment in Health Care 35, S1 (2019): 43–44. http://dx.doi.org/10.1017/s0266462319001983.

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IntroductionThere is a lack of knowledge about methods for valuing health intervention-related costs and monetary benefits in the education and criminal justice sectors, also known as ‘inter-sectoral costs and benefits’ (ICBs). The objective of this study was to develop methods for obtaining unit prices for the valuation of ICBs.MethodsBy conducting an exploratory literature study and expert interviews, several generic methods were developed. The methods' feasibility was assessed through application in the Netherlands. Results were validated in an expert meeting, which was attended by policy makers, public health experts, health economists and Health Technology Assessment (HTA) experts, and discussed at several international conferences and symposia.ResultsThe study resulted in four methods, including the opportunity cost method and valuation using available unit prices, self-constructed unit prices or hourly labor costs.ConclusionsThe methods developed can be used internationally and are valuable for the broad international field of HTA.

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Mersini, Ehadu, Jolanda Hyska y Genc Burazeri. "Evaluation of national food and nutrition policy in Albania". Slovenian Journal of Public Health 56, n.º 2 (1 de junio de 2017): 115–23. http://dx.doi.org/10.1515/sjph-2017-0015.

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Abstract Introduction The paper aims to describe the progress that has been made in the implementation of the Albanian food and nutrition policy since 2003, so as to consider its impacts to date, and to identify strategic priorities/critical areas and priorities for Albania’s future policy on improving the national food and nutrition situation. Methods In 2011-2012, an expert group applied an intersectoral participatory approach to evaluate the implementation of Food and Nutrition Action Plan 2003-08 in Albania. The experts employed the quantitative method, using a 9 question logical assessment matrix to measure the achievements of the individual goals of the Plan, and a qualitative tool for the interview of an interdisciplinary sample of 68-key informants-persons operating in public health nutrition, food safety and food availability related subfields, from a wide range of pertinent institutions and stakeholders. Results The quantitative and qualitative assessment revealed that the implementation process has faced serious barriers linked to the design of the plan, which did not accurately anticipate a theoretical framework, or structured methods for its implementation. Other impeding factors included the lack of institutional/infrastructure support, lack of intersectoral coordination and motivation, as well as insufficient capacities and know-how. Intersectoral response to the multifaceted nature of double burden of malnutrition is of key importance to improve nutritional wellbeing and health outcomes in Albania. Conclusions Participatory approaches that involve all relevant sectors and actors in the development, monitoring and evaluation of the implementation of public health policies based on comprehensive action-oriented assessments are promising and should be further supported.

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Fisher, Matthew, Frances E. Baum, Colin MacDougall, Lareen Newman, Dennis McDermott y Clare Phillips. "Intersectoral action on SDH and equity in Australian health policy". Health Promotion International 32, n.º 6 (7 de mayo de 2016): 953–63. http://dx.doi.org/10.1093/heapro/daw035.

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Quilling, Eike, Stefanie Kruse, Maja Kuchler, Janna Leimann y Ulla Walter. "Models of Intersectoral Cooperation in Municipal Health Promotion and Prevention: Findings from a Scoping Review". Sustainability 12, n.º 16 (13 de agosto de 2020): 6544. http://dx.doi.org/10.3390/su12166544.

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Intersectoral cooperation is regarded as a promising strategy in setting-oriented prevention and health promotion for interdepartmental, joint efforts towards improved health equity. This paper deals with models of intersectoral cooperation in municipal health promotion. It frames the methodology and the central results of a literature and database search (on behalf of the Federal Centre for Health Education, BZgA) and presents the partial results regarding the models of intersectoral cooperation. Of 48 publications analyzed for the review, nine publications each present different models of intersectoral cooperation. The models describe typical processes in the context of the joint work as detailed step sequences and formulate general recommendations as success factors of intersectoral cooperation. With reference to the findings of the review, it can be concluded that models for intersectoral cooperation have not yet been systematized and consequently have not been researched for transferability into specific fields of practice.

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Chatterjee, Santanu y Azer Mursagulov. "FISCAL POLICY AND THE REAL EXCHANGE RATE". Macroeconomic Dynamics 20, n.º 7 (11 de mayo de 2016): 1742–70. http://dx.doi.org/10.1017/s1365100515000048.

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This paper examines the mechanisms through which government spending affects the dynamics of the real exchange rate. Using a two-sector dependent open economy model with intersectoral mobility costs for private capital, we show that public investment generates (i) a nonmonotonic U-shaped adjustment path for the real exchange rate with sharp intertemporal trade-offs and (ii) a crowding-in of private consumption, consistent with stylized facts. The effects of public consumption, however, are in sharp contrast to those of public investment. The effect of government spending on the real exchange rate depends critically on (i) the sectoral composition of public spending, (ii) the underlying financing policy, (iii) the sectoral intensity of private capital in production, (iv) the relative sectoral productivity of public infrastructure, (v) the elasticity of substitution in production, and (vi) intersectoral mobility costs for capital. In deriving these results, we identify conditions under which the predictions of the neoclassical open economy model can be reconciled with empirical regularities. Our results underscore the importance of decoupling the effects of government investment from those of government consumption in understanding the relationship between fiscal policy and the real exchange rate.

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Drost, Ruben, Inge van der Putten, Dirk Ruwaard, Silvia Evers y Aggie Paulus. "PP194 Intersectoral Costs And Benefits In The Societal Perspective". International Journal of Technology Assessment in Health Care 35, S1 (2019): 74. http://dx.doi.org/10.1017/s0266462319002794.

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IntroductionMany health care interventions have costs and benefits that spill over to sectors outside the healthcare sector. Little is known about these inter-sectoral costs and benefits (ICBs). However, to achieve an efficient allocation of scarce resources, insights on ICBs are indispensable. The main objective of this study was to identify the ICBs related to health care and provide a sector-specific classification scheme for these ICBs. For this sector-specific classification scheme mental disorders were taken as an example, as we expect that this is the sector with the most ICBs.MethodsUsing PubMed, a literature search was conducted for ICBs of mental disorders and related (psycho)social effects. A policy perspective was used to build the scheme's structure, which was adapted to the outcomes of the literature search. In order to validate the scheme's international applicability inside and outside the mental health domain, semi-structured interviews were conducted with (inter)national experts in the broad fields of health care.ResultsThe searched-for items appeared in a total of fifty-two studies. The ICBs found were classified in one of four sectors: “Education”, “Labor and Social Security”, “Household and Leisure” or “Criminal Justice System”. Psycho(social) effects were placed in a separate section under “Individual and Family”. Based on interviews, the scheme remained unadjusted, apart from adding a population-based dimension.ConclusionsThis is the first study which offers a sector-specific classification of ICBs. Given the explorative nature of the study, no guidelines on sector-specific classification of ICBs were available. Nevertheless, the classification scheme was acknowledged by an international audience and could therefore provide added value to researchers and policymakers in the field of health technology assessment. The identification and classification of ICBs offers decision makers supporting information on how to optimally allocate scarce resources. By exploring a new area of research, which has remained largely unexplored until now, the current study has an added value as it may form the basis for the development of a tool which can be used to calculate the ICBs of health care interventions.

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Axelsson, Runo y Susanna Bihari-Axelsson. "Intersectoral problems in the Russian organisation of public health". Health Policy 73, n.º 3 (septiembre de 2005): 285–93. http://dx.doi.org/10.1016/j.healthpol.2004.11.020.

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Bilquees, Faiz. "Trends in Intersectoral Wages in Pakistan". Pakistan Development Review 31, n.º 4II (1 de diciembre de 1992): 1243–53. http://dx.doi.org/10.30541/v31i4iipp.1243-1253.

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In Pakistan intersectoral wage trends have been analysed by Guisinger and Hicks (1978); Irfan (1982) and Irfan and Ahmed (1985). The studies show that over the period 1970 to 1984 real wages of the large-scale manufacturing, construction and agriculture sectors increased while that of the government employees declined significantly. The study shows international migration to be one of the major determinants of the rise in real wages, in addition to important policy interventions. The present study is an extension of Irfan and Ahmed's work. It has been undertaken for two reasons. First there is great scarcity of empirical evidence on this very important issue. Second, the more important factor is the sharp reversal in one of the major variables - out migration. Since 1981 there has been net return migration. This phenomenon a priori is expected to upset the labour market and the wage rates in the opposite direction. The study is planned as follows: Section II describes the trends in real wages between the formal and informal sectors.! Section III describes the factors behind the observed trends in real wages, and finally Section IV gives the conclusions of the study.

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Andryushin, S. y V. Kuznetsova. "Macroprudential Policy Instruments of Central Banks". Voprosy Ekonomiki, n.º 8 (20 de agosto de 2012): 32–47. http://dx.doi.org/10.32609/0042-8736-2012-8-32-47.

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The paper analyzes central banks macroprudencial policy and its instruments. The issues of their classification, option, design and adjustment are connected with financial stability of overall financial system and its specific institutions. The macroprudencial instruments effectiveness is evaluated from the two points: how they mitigate temporal and intersectoral systemic risk development (market, credit, and operational). The future macroprudentional policy studies directions are noted to identify the instruments, which can be used to limit the financial systemdevelopment procyclicality, mitigate the credit and financial cycles volatility.

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Peters, Dorothee T. J. M., Erik Hans Klijn, Karien Stronks y Janneke Harting. "Policy coordination and integration, trust, management and performance in public health-related policy networks: a survey". International Review of Administrative Sciences 83, n.º 1 (10 de julio de 2016): 200–222. http://dx.doi.org/10.1177/0020852315585061.

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Intersectoral policy networks may be effective in dealing with complex public health problems. Their performance is assumed to depend on network management and trust, as well as on integrated public health policy (i.e. policy coordination and integration). We studied the role of network management and trust in the realization of integrated public health policy and network performance, as well as the relation between integrated public health policy and network performance. In 34 Dutch local policy networks, we measured the perceptions of 278 actors through a Web-based survey and used regression analyses to assess the relations between policy variables. Management and trust were positively related to perceived integrated public health policy and network performance, while integrated public health policy was also positively related to perceived network performance. In public health, the performance of intersectoral policy networks may be improved by adequate network management, the creation of trust and policy coordination and integration. Future research could further explore the role of specific characteristics of the network manager, like the manager’s background, relation to the other actors and leadership style. Points for practitioners Regarding inter-sectoral policy networks in public health: first, when aiming for the realization of policy coordination and integration, the employment of network management strategies and the creation of trust are of importance for the network manager; and, second, when also aiming for the realization of network performance, the creation of policy coordination and integration is of additional importance for the network manager.

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Karp, Larry y Thierry Paul. "Intersectoral Adjustment and Policy Intervention: the Importance of General-Equilibrium Effects*". Review of International Economics 13, n.º 2 (mayo de 2005): 330–55. http://dx.doi.org/10.1111/j.1467-9396.2005.00507.x.

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EKLUNDH, BENCT y BO PETTERSSON. "Health promotion policy in Sweden: Means and methods in intersectoral action". Health Promotion International 2, n.º 2 (1987): 177–94. http://dx.doi.org/10.1093/heapro/2.2.177.

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Whiteford, Harvey. "Intersectoral policy reform is critical to the National Mental Health Strategy". Australian Journal of Public Health 18, n.º 3 (12 de febrero de 2010): 342–44. http://dx.doi.org/10.1111/j.1753-6405.1994.tb00258.x.

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Bindon, Jeni. "Documentation and Discussion of the Process of a Successful Partnership Using an Intersectoral Action Framework: Marrickville Walk Wise Project". Australian Journal of Primary Health 8, n.º 2 (2002): 88. http://dx.doi.org/10.1071/py02033.

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Working in partnership has been recommended as a way to achieve health promotion outcomes. This paper uses an intersectoral action framework to document and discuss the partnership process of a local government walking program. Implementation of the Marrickville Walk Wise Project (MWWP) used a partnership strategy between health promotion and a local Council, drawing from diverse campaigns, programs and funding bodies. Results include an audit, modification and signage of walking routes, and establishment of walking groups among resident migrant populations. An inter-sectoral action framework provided a useful method for documentation and would be an effective planning tool. The concept of 'Capacity Building' is a framework for the development of sustainable organisational structures, resources and commitment to health improvement. Partnerships are a key element of this. An intersectoral action framework of necessity, opportunity, capacity, relationship, action and sustainable outcomes facilitated the effective documentation and discussion of the partnership process. This framework could be equally useful as a planning and evaluation tool. An intersectoral action framework provided an effective means to document the process of implementing partnership work of the MWWP. In retrospect, it was recognised that the intersectoral action framework could have been applied to the planning and evaluation process as well. The intersectoral action framework is an effective tool to plan, document and evaluate and can act as a guide for working in partnership with other sectors on health promotion programs. It is particularly useful in further understanding the processes behind such programs.

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Hendriks, Anna-Marie, Mere Y. Delai, Anne-Marie Thow, Jessica S. Gubbels, Nanne K. De Vries, Stef P. J. Kremers y Maria W. J. Jansen. "Perspectives of Fijian Policymakers on the Obesity Prevention Policy Landscape". BioMed Research International 2015 (2015): 1–10. http://dx.doi.org/10.1155/2015/926159.

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In Fiji and other Pacific Island countries, obesity has rapidly increased in the past decade. Therefore, several obesity prevention policies have been developed. Studies show that their development has been hampered by factors within Fiji’s policy landscape such as pressure from industry. Since policymakers in the Fijian national government are primarily responsible for the development of obesity policies, it is important to understand their perspectives; we therefore interviewed 15 policymakers from nine Fijian ministries. By applying the “attractor landscape” metaphor from dynamic systems theory, we captured perceived barriers and facilitators in the policy landscape. A poor economic situation, low food self-sufficiency, power inequalities, inappropriate framing of obesity, limited policy evidence, and limited resource sharing hamper obesity policy developments in Fiji. Facilitators include policy entrepreneurs and policy brokers who were active when a window of opportunity opened and who strengthened intersectoral collaboration. Fiji’s policy landscape can become more conducive to obesity policies if power inequalities are reduced. In Fiji and other Pacific Island countries, this may be achievable through increased food self-sufficiency, strengthened intersectoral collaboration, and the establishment of an explicit functional focal unit within government to monitor and forecast the health impact of policy changes in non-health sectors.

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Britto, Ana Lucia Nogueira de Paiva, Sonaly Cristina Rezende Borges de Lima, Léo Heller y Berenice De Souza Cordeiro. "Da fragmentação à articulação: a política nacional de saneamento e seu legado histórico". Revista Brasileira de Estudos Urbanos e Regionais 14, n.º 1 (31 de mayo de 2012): 65. http://dx.doi.org/10.22296/2317-1529.2012v14n1p65.

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O setor de saneamento no Brasil tem sido palco hegemônico de abordagens tecnocêntricas, restringindo visões globalizantes que vislumbrem a multidimensionalidade do tema e a necessidade de articulações intersetoriais. Parte-se da premissa de que essas dificuldades encontram raízes na história do setor, que impõe seu legado por meio da sua inércia e resiliência. Para desenvolver o argumento, é conceituada a multidimensionalidade do saneamento, como área de conhecimento e setor das políticas públicas. Em seguida, analisa-se o processo de construção da política pública de saneamento do período Lula (2003-2010), buscando uma visão histórica de estruturas e instituições, com base nos processos de negociação relacionados a essa política setorial. Analisa-se o Plano Nacional de Saneamento Básico, como oportunidade para um novo patamar da política setorial, a partir da perspectiva da intersetorialidade. O artigo conclui-se com a tentativa de identificar os principais desafios para uma nova política, em que a intersetorialidade seja seu marco referencial. Palavras-chave: saneamento; intersetorialidade; plano nacional; água; esgotos; política pública. Abstract: Hegemonic techno-centric approaches dominate the water and sanitation sector in Brazil, restricting globalizing visions, the understanding of it multidimensionality and the need for intersectoral links. The premise that these difficulties are rooted in the history of the sector, imposing a legacy through inertia and resilience, guides the analysis performed in the article. To develop the argument, we conceptualize the multidimensionality of water and sanitation subject as an area of knowledge and a sector of the public policies. Then, we analyze the policy reform in the Lula period (2003-2010), based on a historical overview of structures and institutions as well as on negotiation processes related to the sector´s policies. We analyze the Plano Nacional de Saneamento Básico (National Plan of Basic Sanitation) as an opportunity for a higher standard of water and sanitation policy, from the perspective of intersectoral articulations. The article concludes with an attempt to identify the main challenges for a new policy, in which intersectoral articulations would be the main framework. Keywords: intersectoral linkages; national plan; water; sanitation; public policy.

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Crase, Lin, Brian Dollery y Joel Byrnes. "An intersectoral comparison of Australian water reforms". Water Policy 10, n.º 1 (1 de octubre de 2007): 43–56. http://dx.doi.org/10.2166/wp.2007.031.

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Reformation of the policies for allocating Australia's water resources has now assumed profound political, economic and social significance. However, there are marked contrasts between urban and agricultural sectors, in the approach to policy reform. Whereas governments have embarked on a range of mandated initiatives to alter or constrain the behaviour of urban dwellers, the approach adopted for irrigated agriculture has been characterised by an emphasis on markets and private property rights. This paper explores the extent of these disparate and potentially incongruous policies by focussing primarily on the states with the largest irrigation sectors, New South Wales and Victoria. Whilst acknowledging the high transaction costs of individual households engaging in a water market, the paper argues for more liberal market participation by urban water authorities on behalf of their constituents. The paper also calls for more rigorous economic assessment of the plethora of water-saving and demand-management strategies being proposed in the urban water setting.

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Owusu, Victor, K. Yerfi Fosu y Kees Burger. "Intersectoral labor mobility and deforestation in Ghana". Environment and Development Economics 17, n.º 6 (6 de septiembre de 2012): 741–62. http://dx.doi.org/10.1017/s1355770x12000253.

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AbstractThis paper quantifies the effects of the determinants of intersectoral labor mobility and the effect of intersectoral labor mobility on deforestation in Ghana over the period 1970–2008. A cointegration and error correction modeling approach is employed. The empirical results show that labor mobility from the agricultural to the non-agricultural sector exerts negative effects on deforestation in Ghana in the long run and short run. Relative agricultural income exerts a significant negative effect on intersectoral labor mobility in the long run. Deforestation is influenced positively by population pressure, the price of fertilizer and rainfall, whereas access to irrigation infrastructure exerts a negative effect in the long run. In the short run, real producer prices of cocoa and maize exert significant positive effects on deforestation whereas access to irrigation infrastructure exerts a negative significant effect. Fruitful policy recommendations based on the empirical magnitudes and directions of these effects are made in this paper.

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Saad, Megan, Joseph Friedman Burley, Melissa Miljanovski, Sheila Macdonald, Chett Bradley y Janice Du Mont. "Planning an intersectoral network of healthcare and community leaders to advance trans-affirming care for sexual assault survivors". Healthcare Management Forum 33, n.º 2 (24 de febrero de 2020): 65–69. http://dx.doi.org/10.1177/0840470419883661.

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Sexual assault against transgender (trans) persons is a complex public health issue requiring the coordinated effort of multiple sectors to address. In response to a global call to improve health equity for persons of diverse gender identities, leaders across health and social service sectors need to enhance collaboration to champion trans-affirming care for sexual assault survivors. In collaboration with Egale Canada Human Rights Trust and the Ontario Network of Sexual Assault/Domestic Violence Treatment Centres, we have undertaken the development of an intersectoral network to connect trans-positive community organizations with hospital-based violence treatment centres to improve support services for trans survivors across Ontario. Guided by the Lifecycle Model for network development outlined by the National Collaborating Centre for Methods and Tools, we describe our approach to planning the intersectoral network, including key insights learned thus far and the potential of the network moving forward.

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van Dale, Djoeke, Lidwien Lemmens, Marieke Hendriksen, Nella Savolainen, Péter Nagy, Edit Marosi, Michela Eigenmann, Ingrid Stegemann y Heather L. Rogers. "Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities". International Journal of Environmental Research and Public Health 17, n.º 18 (5 de septiembre de 2020): 6474. http://dx.doi.org/10.3390/ijerph17186474.

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The burden of chronic disease in Europe continues to grow. A major challenge facing national governments is how to tackle the risk factors of sedentary lifestyle, alcohol abuse, smoking, and unhealthy diet. These factors are complex and necessitate intersectoral collaboration to strengthen health promotion, counter-act the social determinants of health, and reduce the prevalence of chronic disease. European countries have diverse intersectoral collaboration to encourage health promotion activities. In the Joint Action CHRODIS-PLUS success factors for intersectoral collaboration within and outside healthcare which strengthen health promotion activities were identified with a mixed method design via a survey of 22 project partners in 14 countries and 2 workshops. In six semi-structured interviews, the mechanisms underlying these success factors were examined. These mechanisms can be very context-specific but do give more insight into how they can be replicated. In this paper, 20 health promotion interventions from national programs in CHRODIS PLUS are explored. This includes community interventions, policy actions, integrated approaches, capacity building, and training activities. The interventions involved collaboration across three to more than six sectors. The conclusion is a set of seven recommendations that are considered to be essential for fostering intersectoral collaboration to improve health-promoting activities.

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Hawe, P. y E. K. Stickney. "Developing the effectiveness of an intersectoral food policy coalition through formative evaluation". Health Education Research 12, n.º 2 (1 de junio de 1997): 213–25. http://dx.doi.org/10.1093/her/12.2.213.

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Younès, Dima. "Why is Intersectoral Cooperation Difficult to Maintain? Insights from French Cluster Policy". Environment and Planning C: Government and Policy 30, n.º 5 (enero de 2012): 835–47. http://dx.doi.org/10.1068/c1181.

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Schärer, Werner. "Waldpolitik des Bundes – Ein neuer Prozess ist gestartet | Federal forest policy – the start of a new process". Schweizerische Zeitschrift fur Forstwesen 152, n.º 12 (1 de diciembre de 2001): 531–33. http://dx.doi.org/10.3188/szf.2001.0531.

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Modern forest policy must take the following two conditions into account:1. Forest policy is an intersectoral policy involving elements of regional policy, nature conservation and landscape protection policy, as well as agricultural, clean-air, climate and economic policies.2. It is the joint task of the federal authorities, cantons, municipalities,relevant organisations and forest owners. Over the next few years, Buwal will develop a forestry programme for Switzerland together with all the relevant actors,which will fulfil both current and forthcoming forest policy requirements at both national and international levels.

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Geneau, R., B. Legowski y S. Stachenko. "An intersectoral network for chronic disease prevention: the case of the Alberta Healthy Living Network". Chronic Diseases in Canada 29, n.º 4 (octubre de 2009): 153–61. http://dx.doi.org/10.24095/hpcdp.29.4.02.

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Chronic Diseases (CDs) are the leading causes of death and disability worldwide. CD experts have long promoted the use of integrated and intersectoral approaches to strengthen CD prevention efforts. This qualitative case study examined the perceived benefits and challenges associated with implementing an intersectoral network dedicated to CD prevention. Through interviewing key members of the Alberta Healthy Living Network (AHLN, or the Network), two overarching themes emerged from the data. The first relates to contrasting views on the role of the AHLN in relation to its actions and outcomes, especially concerning policy advocacy. The second focuses on the benefits and contributions of the AHLN and the challenge of demonstrating non-quantifiable outcomes. While the respondents agreed that the AHLN has contributed to intersectoral work in CD prevention in Alberta and to collaboration among Network members, several did not view this achievement as an end in itself and appealed to the Network to engage more in change-oriented activities. Managing contrasting expectations has had a significant impact on the functioning of the Network.

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Strizhkova, L. A. y G. O. Kuranov. "Potentials and Limitations of “Input-Output” Analysis (To the 60th Anniversary of Statistical Work in the Field of Intersectoral Research in the CIS Countries)". World of new economy 15, n.º 1 (25 de marzo de 2021): 60–74. http://dx.doi.org/10.26794/2220-6469-2021-15-1-60-74.

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The article reveals the possibilities of using the Russian system of input-output tables and intersectoral models for analytical and forecasting purposes and substantiate managerial decisions in the fild of economic policy. It is shown how the input-output method’s capabilities were implemented at three stages of the development of intersectoral research in Russia, taking into account the specifis of the problems being solved and the development of the statistical base. The primary attention authors paid to the current stage of developing the method and its use directions. A characteristic is given of the constraints objectively inherent in this method and the input-output tables’ information system (IOT). The authors’ position regarding their signifiance is expressed. A new direction in using data from the IOT system is considered — the analysis of the fial product’s cost as accumulated value-added, which implies a full use of the analytical potential of modern input-output tables. Proposals are given for improving the intersectoral toolkit based on taking into account the links between production, the need for investment and the state of the production and technical base.

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Johns, Susan. "Early childhood service development and intersectoral collaboration in rural Australia". Australian Journal of Primary Health 16, n.º 1 (2010): 40. http://dx.doi.org/10.1071/py09050.

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There is a paucity of research into the development of intersectoral collaborations designed to support early childhood development in rural communities. Drawing on findings from a qualitative study conducted in three small rural communities in Tasmania, this paper will examine community-based intersectoral collaborations involving government and non-government organisations from the health and allied health, education and community service sectors. The paper analyses the process of developing intersectoral collaborations from the perspective of early childhood health and wellbeing. The specific focus is on collaborations that build family and community capacity. Findings indicate that three groups of factors operate interdependently to influence collaborations: social capital, leadership and environmental factors. Each community has different leadership sources, structures and processes, shaped by levels of community social capital, and by environmental factors such as policy and resources. Effective models of early childhood development require strong local and external leadership. Rural communities that are able to identify and harness the skills, knowledge and resources of internal and external leaders are well positioned to take greater ownership of their own health and wellbeing. The paper provides guidelines for developing and enhancing the capacity of rural communities at different stages of collaborative readiness.

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Holt, Ditte H., Gemma Carey y Morten H. Rod. "Time to dismiss the idea of a structural fix within government? An analysis of intersectoral action for health in Danish municipalities". Scandinavian Journal of Public Health 46, n.º 22_suppl (junio de 2018): 48–57. http://dx.doi.org/10.1177/1403494818765705.

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Aims: This paper examines the role of organizational structure within government(s) in attempts to implement intersectoral action for health in Danish municipalities. We discuss the implications of structural reorganization and the governance structures that are established in order to ensure coordination and integration between policy sectors. Methods: The paper is based on 49 interviews with civil servants from health and non-health sectors of 10 municipalities. Based on participants’ experiences, cases have been described and analyzed in an iterative process consulting the literature on Health in All Policies and joined-up government. Results: Continuous and frequent processes of reorganizing were widespread in the municipalities. However, they appeared to have little effect on policy change. The two most common governance structures established to transcend organizational boundaries were the central unit and the intersectoral committee. According to the experiences of participants, paradoxically both of these organizational solutions tend to reproduce the organizational problems they are intended to overcome. Even if structural reorganization may succeed in dissolving some sector boundaries, it will inevitably create new ones. Conclusions: It is time to dismiss the idea that intersectoral action for health can be achieved by means of a structural fix. Rather than rearranging organizational boundaries it may be more useful to seek to manage the silos which exist in any organization, e.g. by promoting awareness of their implications for public health action and by enhancing the boundary spanning skills of public health officers.

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Hendriks, Anna-Marie, Jolanda M. Habraken, Stef P. J. Kremers, Maria W. J. Jansen, Hans van Oers y Albertine J. Schuit. "Obstacles and Enablers on the Way towards Integrated Physical Activity Policies for Childhood Obesity Prevention: An Exploration of Local Policy Officials’ Views". BioMed Research International 2016 (2016): 1–10. http://dx.doi.org/10.1155/2016/5739025.

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Background. Limited physical activity (PA) is a risk factor for childhood obesity. In Netherlands, as in many other countries worldwide, local policy officials bear responsibility for integrated PA policies, involving both health and nonhealth domains. In practice, its development seems hampered. We explore which obstacles local policy officials perceive in their effort.Methods. Fifteen semistructured interviews were held with policy officials from health and nonhealth policy domains, working at strategic, tactic, and operational level, in three relatively large municipalities. Questions focused on exploring perceived barriers for integrated PA policies. The interviews were deductively coded by applying the Behavior Change Ball framework.Findings. Childhood obesity prevention appeared on the governmental agenda and all officials understood the multicausal nature. However, operational officials had not yet developed a tradition to develop integrated PA policies due to insufficient boundary-spanning skills and structural and cultural differences between the domains. Tactical level officials did not sufficiently support intersectoral collaboration and strategic level officials mainly focused on public-private partnerships.Conclusion. Developing integrated PA policies is a bottom-up innovation process that needs to be supported by governmental leaders through better guidingorganizational processesleading to such policies. Operational level officials can assist in this by making progress in intersectoral collaboration visible.

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Duarte Branco, Larissa, Ana Laura Salomé, Leonardo Jayme Correia Rocha, Elaine Costa Braga y Debora De Souza Santos. "Health promotion education for children: an intersectoral project". International Journal of Integrated Care 19, n.º 4 (8 de agosto de 2019): 596. http://dx.doi.org/10.5334/ijic.s3596.

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Delgado, Christopher, Peter Hazell, Jane Hopkins y Valerie Kelly. "Promoting Intersectoral Growth Linkages in Rural Africa Through Agricultural Technology and Policy Reform". American Journal of Agricultural Economics 76, n.º 5 (diciembre de 1994): 1166–71. http://dx.doi.org/10.2307/1243411.

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Anam, Mahmudul. "On the Policy Intervention in the Harris-Todaro Model with Intersectoral Capital Mobility". Economica 55, n.º 219 (agosto de 1988): 403. http://dx.doi.org/10.2307/2554017.

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Dawson, Jon, Suvi Huikuri y Francisco Armada. "Liverpool Active City 2005–2010: Increasing Population Physical Activity Levels Through Intersectoral Action". Journal of Physical Activity and Health 12, n.º 6 (junio de 2015): 749–55. http://dx.doi.org/10.1123/jpah.2013-0397.

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Background:The process of working together across sectors to improve health and to influence its determinants is often referred to as intersectoral action for health. The Liverpool Active City strategy and action plan were launched in 2005, bringing together partners from diverse sectors such as education, transport, and civil society to boost levels of physical activity among the city’s residents.Methods:The research material was based on semistructured interviews with key stakeholders and on review and analysis of gray literature and media reports. A case-study method was used to analyze the experience.Results:The results show that Liverpool Active City succeeded in boosting levels of physical activity among the city’s residents and demonstrate how intersectoral action benefited the goals of the program and promoted common aims.Conclusions:Important lessons can be drawn from the experience of Liverpool Active City for public health professionals and policy makers. Success factors include the involvement of a broad range of agencies from a variety of sectors, which reinforced the sense of partnership in the physical activity agenda and supported the implementation of activities. The experience also demonstrated how intersectoral action brought benefits to the physical activity goals of Liverpool Active City.

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Tarancón, Miguel Ángel y Pablo del Río. "CO2 emissions and intersectoral linkages. The case of Spain". Energy Policy 35, n.º 2 (febrero de 2007): 1100–1116. http://dx.doi.org/10.1016/j.enpol.2006.01.018.

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Fang, Xiangming, Terry L. Roe y Rodney B. W. Smith. "Water shortages, intersectoral water allocation and economic growth: the case of China". China Agricultural Economic Review 7, n.º 1 (2 de febrero de 2015): 2–26. http://dx.doi.org/10.1108/caer-02-2014-0014.

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Purpose – The purpose of this paper is to investigate the economic impacts of intra- and inter-regional water reallocation on sectoral transformation and economic growth. Design/methodology/approach – A multi-sector, Ramsey-type growth model is fit to Chinese data and used to perform policy experiments. Findings – An intra-regional water reallocation increases per capita gross domestic product (GDP) by about 1.5 percent per year over the period 2000-2060. The aggregate potential welfare gain due to this reallocation is 1002.51 billion RMB. Transferring water from southern to northern China via the South-North Water Transfer Project, on average, has a negligible impact on per capita GDP over the period 2000-2060, but aggregate welfare increases by 557.23 billion RMB. Combining intra-regional and inter-regional water reallocations, on average, increases per capita GDP by 0.38 percent per year over the period and the aggregate welfare gain from this combination is 1148.06 billion RMB. Each policy scenario has implications for long-run regional production patterns: In an intra-regional reallocation scenario, Southern China produces almost 70 percent of aggregate GDP, in the inter-regional transfer it produces 58 percent of aggregate GDP, while in a combined intra/inter-regional reallocation it produces 55 percent of aggregate GDP. Originality/value – This analysis can serve as a template for developing a useful planning tool that one can fit to national or regional data and use to examine a variety of policy relevant questions.

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Boydell, Leslie, Paul Hoggett, Jorun Rugkåsa y Anne-Marie Cummins. "Intersectoral partnerships, the knowledge economy and intangible assets". Policy & Politics 36, n.º 2 (1 de abril de 2008): 209–24. http://dx.doi.org/10.1332/030557308783995035.

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Bascolo, Ernesto, Natalia Houghton, Amalia del Riego y James Fitzgerald. "A renewed framework for the essential public health functions in the Americas". Revista Panamericana de Salud Pública 44 (20 de octubre de 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.119.

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This report presents the results of a consensus decision making process conducted to elaborate a renewed conceptual framework of the essential public health functions for the Americas. The emerging framework consists of four pillars encompassing action-oriented components relating to the new scope and concerns of public health. The four pillars call for adopting a human rights approach to public health, addressing the social determinants of health, ensuring access to both individuals and population-based services, and expanding the stewardship role of health authorities through a collaborative implementation of public health functions. Public health functions were conceptualized as a set of capacities that are part of an integrated policy cycle the encompasses four stages: assessment, policy development, allocation of resources, and access. The framework provides a road map for evaluation and development by health authorities of integrated enabling public health policies through intersectoral collaboration. The application of the framework would require engaging countries working to improve public health through national assessments and systematic incorporation of these findings into quality improvement efforts and sectoral and intersectoral decision-making processes around policy and investments priorities promoted by governments. Work is ongoing in the definition of a list of public health functions that gives operational clarity to each dimension of this framework and guides performance evaluation.

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McDonald, John, Angela Murphy y Warren Payne. "Ballarat Health Consortium: A Case Study of Influential Factors in the Development and Maintenance of a Health Partnership". Australian Journal of Primary Health 7, n.º 2 (2001): 75. http://dx.doi.org/10.1071/py01037.

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Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed in response to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.

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Antonio, Carl Abelardo T., Amiel Nazer C. Bermudez, Kim L. Cochon, Ma Sophia Graciela L. Reyes, Chelseah Denise H. Torres, Sophia Anne S. P. Liao, Dorothy Jean N. Ortega et al. "Recommendations for Intersectoral Collaboration for the Prevention and Control of Vector-Borne Diseases: Results From a Modified Delphi Process". Journal of Infectious Diseases 222, Supplement_8 (29 de octubre de 2020): S726—S731. http://dx.doi.org/10.1093/infdis/jiaa404.

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Abstract Background Intersectoral collaboration in the context of the prevention and control of vector-borne diseases has been broadly described in both the literature and the current global strategy by the World Health Organization. Our aim was to develop a framework that will distill the currently known multiple models of collaboration. Methods Qualitative content analysis and logic modeling of data abstracted from 69 studies included in a scoping review done by the authors were used to develop 9 recommendation statements that summarized the composition and attributes of multisectoral approaches, which were then subjected to a modified Delphi process with 6 experts in the fields of health policy and infectious diseases. Results Consensus for all statements was achieved during the first round. The recommendation statements were on (1–3) sectoral engagement to supplement government efforts and augment public financing; (4) development of interventions for most systems levels; (5–6) investment in human resource, including training; (7–8) intersectoral action to implement strategies and ensure sustainability of initiatives; and (9) research to support prevention and control efforts. Conclusions The core of intersectoral action to prevent vector-borne diseases is collaboration among multiple stakeholders to develop, implement, and evaluate initiatives at multiple levels of intervention.

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van Rinsum, Celeste E., Sanne M. P. L. Gerards, Geert M. Rutten, Ien A. M. van de Goor y Stef P. J. Kremers. "Health Brokers: How Can They Help Deal with the Wickedness of Public Health Problems?" BioMed Research International 2017 (2017): 1–10. http://dx.doi.org/10.1155/2017/1979153.

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Background. The role of health broker is a relatively new one in public health. Health brokers aim to create support for efforts to optimise health promotion in complex or even “wicked” public health contexts by facilitating intersectoral collaborations and by exchanging knowledge with different stakeholders. The current study aimed to explore the role of health brokers, by examining the motivational, contextual, and behaviour-related factors they have to deal with. Methods. Fifteen professionals from various backgrounds and from various policy and practice organisations were recruited for a semistructured interview. To structure the interviews, we developed the “Health Broker Wheel” (HBW), a framework we then specified with more details derived from the interviews. Results. We identified seven primary types of behaviour that health brokers need to engage in: recognizing opportunities, agenda setting, implementing, network formation, intersectoral collaboration, adaptive managing, and leadership. Determinants of health brokers’ behaviours were identified and categorised as capability, opportunities, motivation, and local or national contextual factors. Conclusion. The health brokers’ role can be seen as an operational approach and is visualised in the HBW. This framework can assist further research to monitor and evaluate this role, and health promotion practitioners can use it as a tool to implement the health brokers’ role and to facilitate intersectoral collaboration.

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Webb, Karen, Penelope Hawe y Michelle Noort. "Collaborative Intersectoral Approaches to Nutrition in a Community on the Urban Fringe". Health Education & Behavior 28, n.º 3 (junio de 2001): 306–19. http://dx.doi.org/10.1177/109019810102800305.

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A case study is presented that describes the 10-year evolution of a local intersectoral project aimed at improving components of a community’s food system as an approach to improving nutrition. Aspects of innovation and good contemporary practice in collaborating for health promotion are illustrated. Key initiators of the project were a university public health department, a community health service, and a local government authority. Players brought into the process included the agricultural sector and food retailers. Several strategies have contributed to the success and institutionalization of the project. These include a specific focus on organizational development and capacity building among the key intersectoral partners and the use of formative evaluation methods to hasten the natural phases of collaborative problem solving. The project achieved many policy- and system-level changes. The impact on food consumption patterns is still to be evaluated.

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Gali, Yarden y Chen Schechter. "NGO involvement in education policy: principals' voices". International Journal of Educational Management 34, n.º 10 (24 de julio de 2020): 1509–25. http://dx.doi.org/10.1108/ijem-02-2020-0115.

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PurposeNon-governmental organizations (NGOs) have been involved in academic programs in many Western countries, actively participating and reshaping policy implementation. This tremendous growth in external voluntary and philanthropic organizations in schools is associated with a global trend toward decentralization, commodification, privatization, neoliberalism and governmental budget cuts. NGOs have become very popular partners in attempts to meet education goals set by the government and are increasingly involved both in policy formation and implementation. And arise questions regarding the special challenges facing school principals. This study explored the perceptions of school principals regarding the NGO involvement in designing and implementing education policy in Israel.Design/methodology/approachThe authors applied a qualitative research method, conducting in-depth interviews with primary school principals of schools with low socioeconomic student populations, where NGOs operate at the national level to promote educational achievement programs. This research approach acknowledges the existence of structured, fluid, subjective, flexible and dynamic realities that are attributed different meanings and interpretations and are shaped within political, cultural and social contexts. Thus, this study aims to reflect the perceptions of school principals regarding the involvement of NGOs in design and implementation of education policies. The authors utilized an inductive process of condensing, encoding, categorizing, and theorizing to analyze the data.FindingsData analysis revealed the following three major themes evident in the perceptions of school principals: intersectoral partnership policies in education; a policy of re-examining mutual responsibility for education; and the benefit of NGO engagement in education. Inter-sectoral partnership policy is the emergence of alternative models, defined as different political and institutional ways of organizing collective action is an effective way to organize and benefit, and is a way of introducing new ideas, actors and resources into public education systems. However, this new model is a complex, ongoing and dynamic process with school principals at the helm of these new relationships.Research limitations/implicationsThis study includes new information on how school principals see NGOs involvement in planning and implementation of education policy. However, it was conducted with various limitations. First, participants and their input all relate specifically to education in Israel. Any generalizations that may be drawn from them to shed light on similar processes around the world would require the study also be conducted in diverse sociocultural contexts. Second, interviews with principals were held through the 2016–2017 school year. A longitudinal study would be required to examine whether and how principals feel after years of working with NGOs on various projects. Finally, this study only focused on the opinions of principals, representing only one involved party. This cannot be a comprehensive perspective on the partnership and collaboration between formal education systems and NGOs. Thus, further research is necessary to examine the perceptions of NGOs managers, policymakers, supervisors, teachers, pupils and parents. Based on the authors’ study's findings, they recommend investigating whether, how, and under what conditions principals can nurture partnerships with NGOs as a platform for initiative, particularly the vigorous leadership needed to carry out the policy.Practical implicationsThe establishment and support of intersectoral partnerships between the Education Ministry and NGOs is a complex, ongoing and dynamic process with school principals at the helm of these new relationships. Principals have been given more independence, autonomy and clout as they maintain the external networks now contributing to improved outcomes and addressing unique community needs. Consequently, the more external factors become involved in education, the more principals are required to manage and implement the partnership. As such, policymakers (main office and district supervisors), implementers (NGO managers, school principals, teachers) and recipients (parents and teachers) must stay attentive to each other, adjust expectations as to the limits of responsibility, and primary to recognize the needs to keep making improvements to the partnership that are based on reciprocal assessment. More, all involved parties must continue to be active in developing, deepening and maintaining the employed mechanisms, normalizing them to become the standard in intersectoral partnerships in education.Originality/valueThis study provides theoretical contributions and practical implications of NGO involvement in designing and implementing education policies from the perspective and function of school principals in this era of ever-changing economic and social reality. Establishment and support of intersectoral partnerships between the Education Ministry and NGOs is a complex ongoing and dynamic process with school principals at the helm of these new relationships. The principals have been given more independence autonomy and clout as they maintain the external networks now contributing to improved outcomes and addressing unique community needs and more principals are required to manage and implement the partnership.

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Castiglioni, Rossana. "Explaining Uneven Social Policy Expansion in Democratic Chile". Latin American Politics and Society 60, n.º 3 (21 de mayo de 2018): 54–76. http://dx.doi.org/10.1017/lap.2018.24.

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AbstractThis article analyzes the uneven expansion of social policy, using evidence from Chile. It explicates the Chilean case to understand differences between two specific areas of social policy: pensions and healthcare. Most macroexplanatory factors, which the literature proves are crucial for cross-country analysis, are left constant. Instead, it focuses on accounting for differences in the scope of expansion across sectors. It carries out a hypothesis-generating type of case study and relies on inductive process tracing. The goal is to generate hypotheses that may be useful for theory building in the realm of intersectoral dynamics of social policy expansion. The findings suggest that three explanatory factors combine to account for such differences: policymakers’ perceptions of the budgetary constraints and fiscal costs of producing (or failing to produce) a reform; the composition, cohesion, and ideas of technical teams; and the relative power of nongovernmental, prowelfare actors in relation to market stakeholders.

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Almudi, Isabel, Francisco Fatas-Villafranca, Carlos M. Fernández-Márquez, Jason Potts y Francisco J. Vazquez. "Absorptive capacity in a two-sector neo-Schumpeterian model: a new role for innovation policy". Industrial and Corporate Change 29, n.º 2 (19 de octubre de 2019): 507–31. http://dx.doi.org/10.1093/icc/dtz052.

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Abstract We propose a new co-evolutionary computational two-sector approach to the design of national innovation policy that recognizes the importance of intersectoral absorptive capacity constraints in innovation linkages between sectors in an economy. We show how the innovative capacity of an upstream producer sector can be constrained by the absorptive capacity of the downstream-user sector. This suggests that the low productivity performance of modern innovation policy might in part be understood as a consequence of sectorally unbalanced knowledge evolution, where the problem lies in underinvestment in innovative capabilities in the downstream sector. Our computational two-sector model suggests an important role for innovation policy to create a balanced, sectorally targeted approach.

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Sidaner, Emilie, Daniel Balaban y Luciene Burlandy. "The Brazilian school feeding programme: an example of an integrated programme in support of food and nutrition security". Public Health Nutrition 16, n.º 6 (6 de diciembre de 2012): 989–94. http://dx.doi.org/10.1017/s1368980012005101.

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AbstractObjectiveThe present paper analyses the advances and challenges of the school feeding programme in Brazil (PNAE), as part of the Brazilian experience building up an integrated food and nutrition security national system. It explores the role of policy and regulatory frameworks in constructing quality service delivery and intersectoral integration.DesignReview of PNAE and federal government technical documents and studies, legislation, minutes of meetings and official documents of the National Council of Food and Nutrition Security from 2003 to 2011.SettingFood insecurity has decreased significantly in Brazil in the last decade, indicating that appropriate choices were made in terms of public policies and institutional arrangements, which other countries can learn from.SubjectsBrazil food and nutrition security system; school feeding; school food.ResultsBrazil's integrated food and nutrition security policy approach promoted intersectorality in the food system, articulating actions to guarantee access to healthy food and to strengthen family farming. The quality of school meals has progressively improved; in particular, the availability of fruits and vegetables increased. However, national standards regarding menu composition have not yet been met. Regulations were an important factor, along with the policy approach linking food production, nutrition, health and education. Challenges are related to conflict of interests and to farmers’ insufficient capacity to meet supply requirements and comply with technical procedures.ConclusionsLocal food production, school meals and nutrition education can be linked through integrated programmes and policies, improving access to healthier foods. Government leadership, strong legislation, civil society participation and intersectoral decision making are determinant.

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Mannheimer, L. N., J. Lehto y P. Ostlin. "Window of opportunity for intersectoral health policy in Sweden open, half-open or half-shut?" Health Promotion International 22, n.º 4 (17 de octubre de 2007): 307–15. http://dx.doi.org/10.1093/heapro/dam028.

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