Multisectoral partnerships for health improvement

Description

Multisectoral partnerships are recognized as an important element for improving population health outcomes. This method provides key dimensions of effective multisectoral partnerships to influence population and public health.

This resource acknowledges that there is limited evidence of the effectiveness of multisectoral partnerships on health related outcomes. To address this evidence gap, a framework for developing multisectoral collaborations was adapted from the Institute of Medicine framework for collaborative public health action (Fawcett et al., 2010). This framework outlines 12 steps through which multisectoral partnerships may improve population health related outcomes. A recent review found inconclusive evidence on the effectiveness of intersectoral collaboration on health improvement, due to weak primary studies and incomplete implementation of initiatives (Hayes et al., 2012). Conducting more rigourous evaluation of multisectoral partnerships may improve the evidence base.

This article provides:

• A rationale for multisectoral partnerships;
• Key organizational and contextual factors associated with effective multisectoral partnerships; and
• The limited evidence available regarding the impact of multisectoral partnerships on population health outcomes.

For additional resources on developing multisectoral partnerships, see:

• Partnership development tools
• The Community Tool Box - Developing Multisector Collaborations

Steps for Using Method/Tool

The authors identified seven key components of effective multisectoral partnerships for population and public health improvement.

• Partnership resources

Includes resources such as expertise, information, connections, money and skills. Resources alone do not guarantee success, but they can play a key role in the functioning of collaborations.

• Shared vision for partnership

Multisectoral partnerships bring diverse groups and organizations together. It is key that there be a common vision for the partnership's projects, goals and outcomes.

• Leadership

While the style of leadership may vary, it is essential that it inspires participants, encourages commitment and action and sustains the shared vision.

• Organizational structure

May vary between partnerships, however essential components include clear structure, sufficient staffing, sufficient core resources and open processes.

• Membership

Membership should be broad and culturally diverse, and should represent the community that the partnership serves.

• Relationship quality

Good relationships within partnerships build on effective communication, transparent decision making processes and use of clear, accessible language.

• External factors

Community readiness should be examined, as it is positively related to the perceived success of coalitions.