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Alejandra Dubois

Studying intersectoral processes as a strategy to influence the determinants of health: A regional nested case-study

Date: September 26, 2013
Times: 13h00 to 14h15 Eastern Time (Montréal)
Presenter: Alejandra Dubois

Since the social determinants of health lie outside the conventional institutional sector of health, intersectoral collaboration appears to be the strategy of choice to act on these determinants (WHO, 2010). As indicated by Jackson et al. (2006), intersectoral collaboration and interagency partnerships are cross-cutting actions that must occur at structural levels, social and personal services, which must be embedded in all strategies of health promotion put forward by the Charter of Ottawa (WHO, 1986). But what does intersectoral collaboration mean, and how these processes can be successful?
The main objective of my research was to propose a conceptual framework developed from the available literature and empirically validated by nested case studies within a region of Quebec. In addition, through these case studies, I aimed to assess the legitimacy and capacity of an intra-sectoral provincial initiative, known as the IPCDC (Initiative de partage de connaissances et développement des compétences), to act as a catalyst for intersectoral collaboration. Indeed, since 2006 the IPCDC promotes intersectoral collaboration as a key strategy for the Quebec health and social services sector to achieve its population-based responsibility mandate.
In this presentation, I will (A) outline my theoretical framework for conceptualizing the process of intersectoral action in population health; (B) discuss to what extent the experience of Quebec, on the basis of intersectoral initiatives developed in a particular region, corresponds to this theoretical framework and how this experience can inform the development of a theoretical framework; and (C) describe the role of a province wide intervention led by the health sector (the IPCDC) in promoting intersectorality. A particular emphasis will be given to the conditions fostering intersectoral processes.
Questions: Is intersectoral action the panacea to intervene on complex issues? What is the legitimacy of the health sector to drive intersectoral interventions?