Pan American Health Organization, Georgetown, Guyana.
Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Front Public Health. 2024 Sep 25;12:1369710. doi: 10.3389/fpubh.2024.1369710. eCollection 2024.
Countries of the Caribbean Community signed the Declaration of Port of Spain in 2007 with the vision to stop the epidemic of non-communicable diseases (NCDs). The adoption of the Declaration by member states represented a regional effort, challenging governments, the private sector, and civil society to act together. Multisectoral actions in Guyana aimed at achieving this goal are the focus of this article, demonstrating the work of different actors in addressing the burden of NCDs in the country.
To analyze multisectoral actions developed among five ministries for the implementation of the Declaration of Port of Spain 2007 in Guyana.
This qualitative study was guided by the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist and conducted in five ministries (Agriculture, Education, Finance, Health, and Trade) in Georgetown, Guyana. The thematic analysis was guided by a framework consisting of four elements: context (why the policy is needed), content (what the policy is mainly about), process (how the policy was brought forward and implemented), and actors (who participates in and influences the formulation and implementation of the policy). The framework considers how these elements interconnect to shape policy development and implementation processes.
Data analysis provided the researchers with insights into possible topic areas and codes for consideration during the analysis, hence a deductive approach to data analysis was used. The results highlighted the importance of coordination among government entities, national and international agencies, private actors, industry players, and civil society. Participants did not mention the use of responsibility metrics but cited mechanisms that facilitated collaboration.
The results showed limitations in transforming multisectoral initiatives into intersectoral collaboration to achieve real integration among the different actors involved, considering the actual context and content. Actions could be more effectively implemented with significant outcomes for NCD control in Guyana.
加勒比共同体国家于 2007 年签署了《西班牙港宣言》，旨在阻止非传染性疾病（NCDs）的流行。成员国通过该宣言代表了区域努力，挑战政府、私营部门和民间社会共同行动。本文重点介绍了圭亚那为实现这一目标而采取的多部门行动，展示了不同行为者在解决该国 NCD 负担方面的工作。
分析圭亚那五个部委为实施 2007 年《西班牙港宣言》而开展的多部门行动。
本定性研究遵循《定性研究报告统一标准》（COREQ）清单，并在圭亚那乔治敦的五个部委（农业、教育、财政、卫生和贸易）进行。主题分析以一个由四个要素组成的框架为指导：背景（为什么需要政策）、内容（政策主要涉及什么）、过程（政策是如何提出和实施的）和行为者（谁参与并影响政策的制定和实施）。该框架考虑了这些要素如何相互关联，以塑造政策制定和实施过程。
数据分析为研究人员提供了对可能的主题领域和考虑因素的见解，因此采用了演绎式数据分析方法。结果强调了政府实体、国家和国际机构、私营行为者、行业参与者和民间社会之间协调的重要性。参与者没有提到使用责任指标，但提到了促进合作的机制。
结果表明，在将多部门倡议转化为部门间合作方面存在局限性，无法实现涉及的不同行为者之间的真正融合，考虑到实际背景和内容。如果采取行动，可以更有效地实施行动，为圭亚那的非传染性疾病控制带来重大成果。
