Collaboration among Health & Non-health organisations

Group 4 Members Raymond Bondo-ou Jimmy Elliot Sudarshan Giri Florence Kerry Joy Manda McKay Venkata Rajashekhara Jaswinder Kaur

Assessment Question Question # 7

Health organisations in any sector need to put importance on the ability to work collaboratively with other health and non-health organisations. In your presentation develop an argument on what would be the best practices and behaviours of leaders in these organisations to achieve this important goal.

Presentation Outline COLLABORATIVE LEADERSHIP COLLABORATION BENEFITS OF COLLABORATION AND LEADERSHIP BARRIERS OF COLLABORATION AND LEADERSHIP SOLUTIONS: BEST PRACTICES AND BEHAVIOURS CASE STUDY AND COLLABORATIVE LEADERSHIP

ObjectiveWhat is & Why collaborate?Identify the collaborative processes Who collaborates with who?Conditions for collaborating Practices and behaviours for

collaborative leaders

Which image perfectly depicts a Collaboration

Google images, 2015

A? B? C?

Q: Why is collaboration important?A:In collaboration, there is an increase in the understanding of diverse perspectives with the development of higher-level thinking as one of the important results. The coordinated efforts of many can accomplish more than the efforts of one or a few separately.

Source: http://www.ask.com

Diverse Perspectives of Higher Level thinking at all levels of structure

Global level – transcontinental/Global

Micro level - Communities & Persons

=

Collaborative leadership

Google images, 2015

Meso Level – Intersectoral

Example: Domestic or National level (Public-Private model)

Example: Primary Health Care/Health Promotion

Example: World Health Organisation, UN etc.)

These levels of governance enhances the potential of achieving a common goal in a shared but structured way

The Power of Collaboration

The Collaborative environment

Shared Goals : Team including patients , family members and others supportive persons work to established shared goals that reflects patient and family priorities .

Mutual Trust : Partner organisation members should earns each others trust ,creating strong norms and greater opportunities for shared achievement .

Effective communication : Teams working together should have regular flow of information and continuously refines its communication skills. Consistent channels for candid and complete communication , which are assed and used by all team members across all setting.( Mitchell et al 212)

Principles of Collaboration

BENEFITS OR OUTCOMES OF EFFECTIVE COLLABORATION

OPPORTUNITIES

TO EXPAND

TIME EFFICIENCY AND COST SHARING

PROGRAM

SUSTAINABILIT

Y

ACCESS TO

RESOURCES

A WIDER SCOPE/INFORMATION POOL

TRUST BUILD

INGACHIEVING WIDER PARTICIPATION

BARRIERS IN COLLABORATION Interpersonal conflicts & Conflict within the

Group Possible Ambiguity in Roles and Responsibility

Lack of communication & coordinationCultural differences

Barriers in Collaborative Leadership Practice Lack of Transparent Decision Making Lack of Honesty and Trust Lack of Motivation and Vision Dominance (value one group over another)

How can be Solve the barriers in collaboration ?

Well define role and responsibilities

Strong communication channel Conflict resolution mechanism

Understand the values of different cultures

Participative leadership

Proper representation of every group

Transparent decision process

Appropriate motivation and vision

Solution of Barriers in Leadership

Collaboration of Health Organisations with other Health and Non-health organisations

Collaboration of Health & Non-health Organisations

Determinants of health – social, economic, demographic, geographic, politics

Most health determinants lie outside scope of health sector, esp. social & economic

Inter-sectoral action → improved health equity Inters-sectoral action – within and between sectors at

local, regional, provincial, national and global levels Collaboration – creates a supportive environment and

enhance access to marginalised populations Not a new concept in health

(Ndumne-Eyoh and Moffatt, 2013)

Alma Ata Declaration – Inter-sectoral Collaboration (ISC)

Section VII (4) - PHC- involves, in addition to the health

sector, all related aspects of national and community development, in particular, agriculture, animal husbandry, food, industry, education, housing, public works, communication and other sectors,

- demands the coordinated efforts of all these sectors

Section VIII- All government should formulate

national policies, strategies and plans of action to launch and sustain PHC as part of a comprehensive national health system and in coordination with others sectors. To this end, it will be necessary to exercise political will, to mobilise the countries resources and to use available external resources rationally.

(Adeleye and Ofili, 2010)

Millennium Development Goals (MDG)

Indicators closely relate to PHC tenets, esp. maternal & child health, water & environment and poverty reduction

However, ISC not formally presented as a MDG strategy

ICS required – achievement of MDG outcomes is dependent on inputs from other sectors

Inter-sectoral Action for Health (IAH) WHO defined IAH as:- “A recognised relationship between part or parts of the

health sector with parts of another sector which has been formed to take action on an issue to achieve health outcomes (or intermediate outcomes) in a way that is more effective, efficient or sustainable than could be achieved by the health sector acting alone”

- Involvement of parts of sector → structural, functional or conceptual in nature

- Aim → relationship formed will achieve improved effectiveness, efficiency & sustainability

Best Practice & Behaviour in leading ISC/IAH

Applied at political level down to community level Current HC environment & reforms → transform HC delivery, both

culturally and structurally Creative thinking and adaptive leadership ensure HC orgs. & networks

formed are sustainable – achieve health outcomes Competencies required of leaders & other orgs must continue to evolve Change is inevitable and requires a collaborative interdependent culture

and solutions that cut across function, region and profession Leaders must move towards models that leverages cross-boundry

groups and teams and span sectors, disciplines, levels, functions, generations and professions

(Browning et. al., 2011)

Examples1. Education - School Health Programs2. Provision of basic infrastructure – Electricity

Conclusion Effective collaboration among health and non-health organisations in

the public, private and NGO sector can positively impact determinants of health and lead to achievement of health outcomes especially in PHC

Collaborative leadership is essential in setting the direction for the desired outcomes and the mobilisation of required resources

Challenge - neglect of ISC:o non-health PHC strategies, out of health sector controlo PHC not an agenda for non-health sectorso Lack of practical initiatives from health sector towards ISC

References Brownlee, T, (2014). Multicultural Collaboration. Retrieved from: http://ctb.ku.edu/en/table-of-

contents/culture/cultural-competence/multicultural-collaboration/main Holmes& Leonard, (2010). Dominance of Management: A Participatory Critique. Retrieved from:

http://site.ebrary.com.libraryproxy.griffith.edu.au/lib/griffith/detail.action?docID=10400549 George N. Root III, (2015). The Advantages of Participative Leadership. Retrieved from:

http://smallbusiness.chron.com/advantages-participative-leadership-17629.html Thomas-Kilmann, (2014). Conflict Mode Instrument (TKI). Retrieved from:

http://www.usgs.gov/humancapital/ecd/ecd_thomaskilmann.ht W. Roger Miller and Jeffrey P. Miller (1996). Leadership Styles for Success in Collaborative Work.

Retrieved from http://www.leadershipeducators.org/resources/documents/conferences/fortworth/miller.pdf

 Roussos, S. T., & Fawcett, S. B. (2000). A review of collaborative partnerships as a strategy for improving community health. Annual review of public health,21(1), 369-402.

Community toolbox. (2014). Section 11: Collaborative Leadership, Retrieved from http://ctb.ku.edu/en/table-of-contents/leadership/leadership-ideas/collaborative-leadership/main