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. 2017 Oct 10;33(1):e293–e319. doi: 10.1002/hpm.2468
Scaling Up Nutrition (SUN) Strategy and Roadmap 2016‐2020 (http://scalingupnutrition.org) Health System Governance38 Collective Impact39 Collaborative Governance (Meta‐Framework)
Strategic objectives:
1. Enabling political environment, with strong leadership, multistakeholder platforms to align activities and take joint responsibility
Strategic vision: leaders with a broad and long‐term perspective and strategic directions Common agenda and shared vision for change, including common understanding of the problem and a joint approach to solving it through agreed‐upon actions System context: resources, policy and legal frameworks, history with the issue, political dynamics, power relations, network connectedness, conflict/trust, diversity
2. Follow best practice for scaling up proven interventions, including the adoption of effective laws and policies Participation and consensus orientation: inclusion of diverse voices and interests towards the common good Continuous communication to build trust and assure mutual objectives and common motivations Drivers: leadership, incentives, interdependence, uncertainty
3. Aligned actions with high‐quality and well‐costed country plans, with an agreed results framework, tracking, and mutual accountability Rule of law: legal health frameworks, fairly and impartially enforced Effective coordination, including dedicated staff with specific soft skills Quality of engagement: discovering interests, problem framing, deliberation, decisions
4. Increase resources, directed towards coherent, aligned approaches Responsiveness: to the diverse needs of the population Mutually reinforcing activities, coordinated via a mutually reinforcing plan of action Shared motivation: trust, understanding, legitimacy, commitments
Engagement principles: transparent, inclusive, mutual accountability, consensus oriented, continuous communication, learning and adapting, cost‐effective, rights based Accountability: government, private sector, and civil society are accountable to the public and institutional stakeholders Shared measurement system, across all participants to ensure efforts remain aligned and participants hold each other accountable Capacity for joint action: procedural/institutional arrangements, leadership, knowledge, resources
Intelligence and information to support informed decisions Proximate outputs: improved policy, resources, staffing, management practices, monitoring, enforcement
Equity, inclusiveness, effectiveness, efficiency, ethics System impacts: changes in aspects of the system context (above), collaboration dynamics and governance quality