Evidence on financing and budgeting mechanisms to support intersectoral actions between health, education, social welfare and labour sectors
AbstractIntersectoral collaboration between health and the social welfare, education or labour sectors can help to influence social determinants of health. Funding of such collaborations can be problematic as these sectors may be subject to very different regulatory structures, incentives and goals. This review found 51 documents on the use of different financial mechanisms to facilitate intersectoral collaboration for health promotion, involving at least two of these sectors. A systematic search of the evidence identified approaches used, including discretionary earmarked funding, recurring delegated financing allocated to independent bodies and mechanisms for joint budgeting between two or more sectors. Many of these examples are implemented at a regional or local, rather than national, level and their success is influenced by factors including organizational structures, management, culture and trust. Potential facilitators include regulatory and legislative frameworks providing incentives, clear accountability for actions and the identification of specific benefits to all participating sectors.
McDaid, D; Park, A-La. (2016). Evidence on financing and budgeting mechanisms to support intersectoral actions between health, education, social welfare and labour sectors. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/326309
Health Evidence Network Synthesis Report;48
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Havriliuc, Christian; World Health Organization. Regional Office for Europe (Copenhagen : WHO Regional Office for Europe, 1995)