Caribbean Centre for Health Systems Research and Development, The University of the West Indies, 25A Warner Street, St. Augustine, Trinidad and Tobago.
Independent Researcher, Lima, Peru.
Int J Equity Health. 2024 Aug 6;23(1):154. doi: 10.1186/s12939-024-02233-0.
World Health Organization (WHO) / Pan American Health Organization (PAHO) encouraged the utilization of whole-of-society and whole-of-government strategic approaches to increase countries' resilience towards mitigating the impact of the COVID-19 pandemic. Strategies included the implementation of multi-sectoral, multi-partner and multi-stakeholder planning, coordination, consultation, and action. We reviewed the experiences of three Latin American and Caribbean countries, related to the implementation of collaborative strategies in tackling COVID-19, specifically the nature of the collaboration, the dynamics and the stakeholders involved.A systematic literature review identified relevant publications and content analysis was conducted to determine the collaborative strategies. Colombia, Costa Rica, and Trinidad and Tobago were selected as case studies since they were from different LAC subregions and because of the accessibility of relevant literature.In the three countries, the pandemic response was coordinated by a national executive committee, led by the Ministry of Health. Intersectoral collaboration was evident in each, with the key stakeholders being public sector agencies, the private/corporate sector, private/non-profit, academic institutions, and international agencies. It was used primarily to facilitate data-driven, evidenced-informed decision-making and guidelines; to expand clinical care capacity and strengthen the national medical response; and to provide support for the most vulnerable populations.While the institutionalization of intersectoral collaboration can be recommended for the health sector beyond the pandemic, research is needed to evaluate the impact of specific collaborative strategies as well as barriers and facilitators.
世界卫生组织（WHO）/泛美卫生组织（PAHO）鼓励利用全社会和全政府的战略方法来提高各国减轻 COVID-19 大流行影响的韧性。这些策略包括实施多部门、多伙伴和多利益攸关方的规划、协调、协商和行动。我们回顾了三个拉丁美洲和加勒比国家在实施应对 COVID-19 的合作策略方面的经验，特别是合作的性质、动态和涉及的利益攸关方。系统文献回顾确定了相关出版物，并进行了内容分析以确定合作策略。选择哥伦比亚、哥斯达黎加和特立尼达和多巴哥作为案例研究，因为它们来自不同的 LAC 次区域，并且可以获得相关文献。在这三个国家，国家执行委员会协调大流行应对工作，由卫生部领导。每个国家都存在部门间合作，主要利益攸关方是公共部门机构、私营/企业部门、私营/非营利部门、学术机构和国际机构。它主要用于促进基于数据的循证决策和指南；扩大临床护理能力并加强国家医疗应对；并为最脆弱人群提供支持。虽然可以建议在大流行之外将部门间合作制度化，但需要研究评估特定合作策略的影响以及障碍和促进因素。
