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Health inequalities tackled through intersectoral collaboration: longitudinal process issues and insights
James Woodall1, Paige Davies1, Jenny Woodward1
1School of Health, Leeds Beckett University, Portland Way, Leeds LS1 3HE, United Kingdom.
Health Promotion International
|January 14, 2026
Summary
Intersectoral collaboration can address health inequalities, but faces barriers. A UK Health Determinants Research Collaboration (HDRC) showed a shared vision and skills, yet tensions emerged, requiring careful management for success.
Area of Science:
- Public Health
- Health Policy
- Community Health
Background:
- The Ottawa Charter emphasizes intersectoral collaboration for health.
- Persistent health inequalities necessitate innovative approaches.
- Diverse sector collaborations face political, organizational, and cultural barriers.
Purpose of the Study:
- To explore the formation and sustainability of a multi-sector collaboration.
- To understand how intersectoral collaboration can address health inequalities.
- To examine challenges and facilitators in a Health Determinants Research Collaboration (HDRC).
Main Methods:
- Longitudinal qualitative study design.
- Two-time point interviews with collaboration constituents (12 months apart).
- Exploration of collaboration dynamics in a UK geographic area.
Main Results:
- A clear, shared vision and complementary skill-sets (community brokerage, academic rigor, statutory legitimacy) were identified.
- Early-stage collaborations experienced cultural and practical tensions.
- Issues included trust, pace of work, and differing philosophies.
Conclusions:
- Intersectoral collaborations show promise for tackling health inequalities.
- Effective collaboration requires careful monitoring to navigate emerging tensions.
- Sustainability depends on addressing challenges in ways of working and philosophy.
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