Coordination of Multisectoral Action for Health in Uganda: Mechanisms, Actor Experiences, Motivations and Implications for Policy and Practice

  • Ssennyonjo, Aloysius (PhD Student)
  • Marchal, Bruno (Promotor)
  • Criel, Bart (Promotor)
  • Van Belle, Sara (Copromotor)
  • Titeca, Kristof (Promotor)
  • Ssengooba, Freddie (Promotor)

Project Details


Background and objectives: The Sustainable Development Goals (SDG) agenda underscores development challenges (such as urbanization, food insecurity, socio-economic disparities and climate change) that have far reaching health effects. Responsibilitiesto solve such global “wicked”– socially complex problems are never within the remit of one single organisation or sector and require mechanisms to facilitate coordinated and interdependent multisectoral actions to achieve coherence in policy and practice. Current evidence shows that coordination within the Ugandan central government is sub-optimal. This study aims at explore how and why actors (such as top managers and program managers) in the Ministry of Health coordinate (or not) with actors in different government ministries, departments and agencies to advance health objectives in Uganda. Methodology: A Multi-phased study approach will be used. Phase I will use a cross-sectional design and is exploratory and descriptive in nature focusing on the description of coordination mechanisms established to manage sectoral interdependences in Uganda. Phase II will use a comparative design with a multiple-case study approach to explore the evolution of two selected coordination mechanisms. Theoretical perspectives from political economy, organisation theory and transaction cost economics will be use to explain the observed evolutionary pathways. Phase III will use participatory deliberative approach through stakeholder engagements to validate study recommendations and implications for their feasibility in the Ugandan context. The study will use majorly qualitative research strategy. The main sources of data will include document review, key informant interviews and in-depth interviews. Qualitative data will be analysed using thematic and content analysis employing available software where appropriate for coding and analysis. Ethical considerations will include obtaining ethical clearances from relevant institutional review boards, obtaining access from relevant administrative offices and obtained informed consent from the participants. Expected results: This work is expected to contribute to policy, practice and research on how multisectoral actions at central governments can be coordinated to advance health and development objectives. The study findings will be disseminated at national and international fora such as symposia and conferences. Findings will be published in peer reviewed journals for wider dissemination.
Effective start/end date1/01/1925/03/24

IWETO expertise domain

  • B680-public-health


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