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. 2024 Dec 18;22(1):169.
doi: 10.1186/s12961-024-01262-z.

Enhancing multi-sectoral collaborations for the prevention and control of NCDs in Thailand with a new approach

Bundit Sornpaisarn  1   2 , Somsak Chunharas  3 , Sarnti Sornpaisarn  4 , Pairoj Saonuam  5 , Rifat Farzan Nipun  6 , Chaniphun Butryee  7 , Bhubate Samutachak  8 , Maneekwan Chandarasorn  9 , Nattapon Supadulya  9 , Suttikarn Chunsuttiwat  3 , Sumonmarn Singha  3 , Wiwat Rojanapithayakorn  10 , Kumnuan Ungchusak  11 , Jürgen Rehm  12   6
Affiliations

Enhancing multi-sectoral collaborations for the prevention and control of NCDs in Thailand with a new approach

Bundit Sornpaisarn et al. Health Res Policy Syst. .

Abstract

Background: To achieve the Sustainable Development Goals (SDGs) by 2030, Thailand must engage in effective multi-sectoral collaboration (MSC). However, implementing MSC in Thailand presents significant challenges. Although Thailand had a 2011-2020 MSC strategic plan for the control of non-communicable diseases (NCDs) with the prime minister taking the lead, joined by many non-health ministers, not a single meeting was called over those 10 years. This paper describes the development of a new tool created to enhance MSC between health and non-health sectors in controlling NCDs in Thailand. Stakeholder-engaged research will be used to implement and evaluate this tool. This paper also describes the research planned to test the new approach.

Methods: The authors used two main methods: (1) a narrative review on MSC enhancement and (2) a series of four consultation meetings with key stakeholders - in the health, non-health and academic sectors - to develop a research study to implement and evaluate the new approach.

Results: To address previous MSC implementation problems, the proposed novel MSC enhancement approach emphasizes three principles: (1) pursuit of committed-stakeholder involvement at the middle-management level, instead of relying on the top-management level, an approach which has never been successful; (2) production of knowledge to support specific, achievable target policies; and (3) use of a comprehensive set of knowledge-translation activities and knowledge brokers to solve the problem of ineffective routine official communications between members of the MSC. Using participatory consultations during the research proposal development, middle-level officials from three non-health ministries (the Ministries of Agriculture, Finance and Education) agreed to join the MSC to work together to solve specific problems regarding the control of NCDs. A target-advocated policy for each ministry was formulated and agreed upon by both non-health-sector and health-sector stakeholders.

Conclusions: This new approach (middle-management oriented), if implemented, may encourage more commitment from the Ministries' representatives, policy-relevant knowledge generation and effective communications between ministries involved in an MSC. Ideally, it would complement the conventional approach (top-management oriented) in enhancing the MSC for controlling NCDs, and thereby bring hope for achieving the NCD-related SDGs for Thailand and possibly other countries as well.

Keywords: Knowledge broker; Knowledge generation and dissemination; Knowledge translation; Multi-sectoral collaboration (MSC); Non-communicable diseases (NCDs); Stakeholder involvement; Sustainable Development Goals (SDGs).

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This article discussed the results of a research proposal development process. As it was not a research study, it did not require ethics approval. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Conceptual framework of the processes and outputs in developing the concept of and a research proposal to implement and test the novel MSC enhancement approach. MoPH, Ministry of Public Health; MSC, multi-sectoral collaboration; NCD-RFs, non-communicable diseases risk factors; UCIKT, user-oriented comprehensive integrated knowledge translation. aDetails are in Table 1. bDetails are in Table 2
Fig. 2
Fig. 2
Conceptual framework of the User-oriented Comprehensive Integrated Knowledge Translation (UCIKT). KB, knowledge broker; KT, knowledge translation; UCIKT, User-oriented Comprehensive Integrated Knowledge Translation
See this image and copyright information in PMC

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