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      Towards a framework for multisector and multilevel collaboration: case of HIV and AIDS governance in South Africa

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          ABSTRACT

          Background: While multisectoral action (MSA) is advocated as one of the strategies to address complex health and development challenges, there is limited clarity about the process of multisector collaboration in practice.

          Objectives: Informed by the findings of the research on implementation of the multisectoral response to HIV in South Africa, and drawing from the existing literature; we propose a framework for multisector and multilevel collaboration. The framework describes key components of the process of multisector collaboration, and aims to inform policy and practice.

          Methods: An integrative review and synthesis of existing frameworks, models and approaches on multisectoral action in public health, governance and health, and in public administration was conducted to inform the development of the proposed framework.

          Results: There are seven key components that are critical in the process of multisector collaboration namely: preconditions; key drivers; structure; mechanisms; administration; execution and evaluation. Multisector collaboration is presented as an iterative process that allow for improvement and learning. The framework is presented through a visual representation which shows how the seven elements are connected, and how learning happens through-out the multisector collaboration process. Structure and mechanisms are the two central and interrelated elements of the proposed framework.

          Conclusion: The framework does not suggest that multisector collaboration is a panacea, but that MSA remains critical to address complex health and development issues. Focus should be on finding innovative ways to inform and strengthen its implementation in practice. The framework can be used by practitioners and policy makers to inform design, implementation, and evaluation of multisector collaborations. It reflects on complexities of MSA, and brings to the fore critical information to assess readiness and to inform the decision whether to engage in MSA or not.

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          Most cited references38

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          The Design and Implementation of Cross-Sector Collaborations: Propositions from the Literature

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            Analysing and Assessing Accountability: A Conceptual Framework

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              Designing and Implementing Cross-Sector Collaborations: NeededandChallenging

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                Author and article information

                Journal
                Glob Health Action
                Glob Health Action
                ZGHA
                zgha20
                Global Health Action
                Taylor & Francis
                1654-9716
                1654-9880
                2019
                03 June 2019
                : 12
                : 1
                : 1617393
                Affiliations
                [a ]Gender and Health Research Unit, South African Medical Research Council , Cape Town, South Africa
                [b ]School of Public Health, Faculty of Health Sciences, University of Witwatersrand , Johannesburg, South Africa
                [c ]African Centre for Migration & Society, School of Social Sciences, University of Witwatersrand , Johannesburg, South Africa
                Author notes
                CONTACT Pinky Mahlangu pinky.mahlangu@ 123456mrc.ac.za Private Bag X385, Pretoria, Gauteng, 0001, South Africa
                Author information
                http://orcid.org/0000-0002-2094-942X
                http://orcid.org/0000-0002-6636-1322
                Article
                1617393
                10.1080/16549716.2019.1617393
                6566940
                31154917
                478f5f21-7616-4df9-864c-b82c53a2b43e
                © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 05 December 2018
                : 01 May 2019
                Page count
                Figures: 2, Tables: 3, References: 62, Pages: 16
                Funding
                Funded by: SARChi Chair in Health Policy and Systems Research, Centre for Health Policy, School of Public Health
                Award ID: NA
                Funded by: South African Medical Research Council (SA MRC) 10.13039/501100001322
                Award ID: NA
                The PhD is funded by the South African Medical Research Council (SA MRC) and the SARChi Chair in Health Policy and Systems Research, Centre for Health Policy, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand. Data collection was funded by the African Population Health Research Center (APHRC) for the African Doctoral Dissertation Research Fellowship (ADDRF) in partnership with the International Development Research Centre (IDRC).
                Categories
                Review Article

                Health & Social care
                multisectoral action,hiv response,framework,collaboration,south africa
                Health & Social care
                multisectoral action, hiv response, framework, collaboration, south africa

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