Scaling Up Nutrition (SUN) Strategy and Roadmap 2016‐2020 (http://scalingupnutrition.org) | Health System Governance38 | Collective Impact39 | Collaborative Governance (Meta‐Framework) |
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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 |