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Building Cross-sectoral Collaborations to Address Perinatal Health Inequities: Insights From the Dutch Healthy
Leonie A Daalderop1,2, Lisa S Barsties1,2, Frank van Steenbergen2
1Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
International Journal of Health Policy and Management
|August 5, 2024
Summary
Effective cross-sectoral collaboration is key to reducing perinatal health inequities. Action research can help overcome structural, cultural, and practical barriers by fostering networks, shared visions, and efficient communication.
Area of Science:
- Public Health
- Health Services Research
- Sociology of Health
Background:
- Addressing perinatal health inequities requires collaboration across local government, medical, social, and public health sectors.
- Cross-sectoral collaboration faces significant structural, cultural, and practical challenges.
- A systemic transition is essential for successful inter-sectoral partnerships in perinatal health.
Purpose of the Study:
- To investigate facilitators and barriers for cross-sectoral collaborations addressing perinatal health inequities in the Netherlands.
- To explore how action research can facilitate these collaborations.
Main Methods:
- Utilized interview and questionnaire data from the Healthy Pregnancy 4 All-3 (HP4All-3) action research program in six Dutch municipalities.
- Coded interview data for structural, cultural, and practical facilitators and barriers.
- Quantitatively analyzed questionnaire responses.
Main Results:
- Key facilitators identified: strong networks, a joint vision/goal, and clear communication channels.
- Structural, cultural, and practical barriers were confirmed as significant impediments.
- The HP4All-3 program demonstrated added value in building cross-sectoral collaborations, with positive feedback from over 80% of participants.
Conclusions:
- Cross-sectoral collaborations for perinatal health are hindered by identifiable structural, cultural, and practical barriers.
- Analyzing these barriers is crucial for identifying and resolving bottlenecks.
- Action research provides a valuable framework for facilitating collaboration by creating reflective spaces and promoting urgency.
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