2013年-WEF世界经济论坛_Multistakeholder_Collaboration_for_Healthy_-_Living_Toolkit_for_Joint_Action_75页_1mb

Summary of Toolkit for Joint Action: Multistakeholder Collaboration for Healthy Living

Core Content

This document, Toolkit for Joint Action: Multistakeholder Collaboration for Healthy Living, is a collaborative effort by the World Economic Forum's Healthy Living Initiative, the Pan American Health Organization, and Bain & Company, published in March 2013. It serves as a practical guide for implementing multistakeholder action at local, national, or global levels to promote healthy living and combat the global non-communicable disease (NCD) epidemic.

The toolkit is structured as a living document, meaning it will be continuously refined and updated based on ongoing experience and feedback. It is designed to help stakeholders plan, manage, and sustain joint initiatives, and includes project management tools tailored for multistakeholder settings in the context of NCD prevention and control.

The main goal is to support a system-wide return on investment (ROI) for Healthy Living interventions, ensuring that actions are efficient, impactful, and culturally relevant. It emphasizes the importance of collaboration across sectors—public, private, and civil society—to create environments that support healthy choices.

Main Views and Key Information

Why Multistakeholder Collaboration is Needed

• NCDs are the leading cause of death globally and threaten socio-economic development.
• Healthy Living is influenced by a range of social, environmental, and behavioral factors, requiring a multi-dimensional approach.
• Single-sector actions are insufficient to address the complexity of Healthy Living; joint efforts are essential to create comprehensive impact.
• Multistakeholder collaboration maximizes impact, efficiency, and innovation by leveraging diverse expertise and resources.

The Six Building Blocks of Multistakeholder Collaboration

The toolkit outlines six critical building blocks that form the basis of successful multistakeholder initiatives:

1. Understand – Conduct a situational analysis to identify local challenges, assess healthcare infrastructure, and map existing interventions.
2. Align and Design – Define a clear concept, identify key stakeholders, and articulate the rationale for collaboration.
3. Mobilize – Set up a working group, define a shared vision, and select the most appropriate stakeholders.
4. Build and Train – Establish governance structures, leadership, agreements, and training programs.
5. Deliver – Implement a milestone-based approach, manage work and progress, and maintain internal communication.
6. Evaluate and Sustain – Define metrics, manage risks, assess the health of the collaboration, and ensure long-term sustainability.

Each building block includes key takeaways, tools, and case studies to guide stakeholders in their implementation.

Key Takeaways per Building Block

1. Understand

• Assess local Healthy Living challenges and risk factors (e.g., unhealthy diet, physical inactivity, tobacco use).
• Evaluate healthcare infrastructure for NCD prevention and management.
• Map the current intervention landscape and learn from others.
• Identify priority areas based on unmet needs and potential impact.

2. Align and Design

• Develop a simple, strong, and culturally adapted concept.
• Identify and engage stakeholders to test the concept.
• Articulate the rationale for collaboration to ensure alignment and shared goals.

3. Mobilize

• Form an initial working group with diverse representation.
• Define a compelling vision and shared values.
• Frame the joint action and establish clear success criteria.
• Select stakeholders based on relevance and capacity.

4. Build and Train

• Establish a governance structure with defined roles and responsibilities.
• Build a champion spine to drive the collaboration.
• Create collaboration agreements to ensure accountability and cooperation.
• Define resource mechanisms and benefit-sharing frameworks.
• Manage conflicts of interest effectively.
• Develop a training plan to build capacity among stakeholders.

5. Deliver

• Implement a milestone-based approach to ensure progress tracking.
• Make go/no-go decisions based on data and stakeholder feedback.
• Coordinate work and track progress using project management tools.
• Maintain a decision-driven approach to avoid delays.
• Ensure internal communication is active and transparent.

6. Evaluate and Sustain

• Define metrics and track them consistently.
• Identify and manage implementation risks.
• Assess the health of the collaboration through regular reviews.
• Communicate with the community and broader stakeholders.
• Sustain the collaboration through ongoing engagement and learning.
• Capture learnings for future initiatives.

Case Example: UK Salt Reduction Initiative

• Objective: Reduce salt consumption to lower the risk of NCDs like hypertension and cardiovascular disease.
• Approach:
  • Conducted a baseline analysis of salt intake using public health and sociological data.
  • Identified key gatekeepers (e.g., food industry, household decision-makers).
  • Engaged the food industry to reformulate products and reduce sodium content.
  • Launched an eight-year awareness campaign to educate the public.
• Results:
  • Salt intake reduced from 9.5 g/day to 8.1 g/day between 2000 and 2011.
  • 43% of the population was aware of the salt reduction target by 2009.
  • One-third of consumers reported trying to cut down on salt.
• Success Factors:
  • Strong evidence-based planning.
  • Cross-sector collaboration.
  • Segmentation of the population and targeting of key gatekeepers.

Conclusion

The toolkit emphasizes that multistakeholder collaboration is essential for addressing the complex challenge of Healthy Living. It provides a comprehensive framework and practical tools to guide stakeholders through the process of planning, executing, and sustaining joint action. The document encourages a systemic, data-driven, and culturally sensitive approach, with the ultimate goal of reducing NCD-related mortality by 25% by 2025.