Table 1 Major elements of the case studies
Regional public health networks in South-East Asia | Citizen panels in Uganda | Regional capacity-building in West Africa | Multilateral collaboration for One Health in Africa | |
|---|---|---|---|---|
Focus | Cross-border collaboration in infectious disease control | Voice and accountability in public policy | Maternal, newborn & child health policy | Intersectoral coordination for animal, environmental and human health |
Locus | Mekong Basin | Uganda | ECOWAS region | WHO African Region |
Scope | Regional public health cooperation | Reform of teachers’ professional code of conduct | Use of evidence in MNCH policy-making | Intersectoral surveillance, preparedness and response |
Stakeholders | National governments, health sector managers and workers, communities, international organizations | Education Service Commission and educationists | ECOWAS Member State ministries of health, health researchers, international partners | WHO/African Region Member States’ ministries |
Brokers | ADB, ASEAN, Rockefeller Foundation, WHO SEARO, WHO WPRO | ACRES | WAHO | United Kingdom FCDO |
Primary intervention | Support to cross-border cooperation for infectious disease prevention and control | Empowering grassroots stakeholders to enable participation in high-level policy-making processes | Coordination and coproduction of tailored knowledge transfer strategies in each Member State (e.g. training, norm shifting, networking, top-down changes to organizational procedures) | Sensitization of stakeholders and training on priority competencies related to One Health |
Major insights | International brokering institutions can facilitate the sharing of public health data and information across borders to address common health issues | Citizen panels are a pathway that creates trust enough for citizens’ direct input into a high-level policy process | Effectiveness of individual and organizational capacity-building for EIPM is limited in the absence of enabling institutional and political environments | Institutional as well as capacity and interpersonal considerations inform development of priorities in each country |
Major challenges | Interoperability, regulatory barriers, sustainability & capacity constraints, | Sustaining these pathways as a more regular approach to public policy engagement | Technical capacity, political leadership and durability of organizational evidence “cultures” | Technical & governance capacity, divergent sectoral priorities |