Browsing by Author "Okeyo, Ida"

Now showing 1 - 6 of 6
  • Thumbnail Image
    Item
    The first thousand days within the Western Cape whole of society approach: Lessons for the collaborative governance of intersectoral action for health
    (Researchgate, 2020-11) Okeyo, Ida; Lehmann, Uta; Schneider, Helen
    This report is a case study of the Western Cape’s Whole of Society Approach (WoSA) through the lens of the First Thousand Days (FTD) of childhood initiative, focusing in particular on its implementation in Saldanha Bay and to a limited extent the Drakenstein municipal areas/sub-districts. The case study reports on data collected by Ida Okeyo as part of her PhD, which has examined the emergence and implementation of FTD in the Province as a whole over the last 3-4 years. Experiences in Saldanha Bay and Drakenstein stand in contrast to elsewhere in the Province, where, despite original intentions, the FTD strategy has failed to take root as a cohesive intersectoral response to this critical moment in the lifecourse. This case study examines how WoSA (and the Better Spaces initiative before that), created an enabling context for intersectoral action within which FTD found a natural home. We spell out the elements of this enabling environment using a framework of ‘collaborative governance’, concluding that these elements are the necessary pre-conditions for advancing any intersectoral initiative more widely in the Western Cape Province and elsewhere. In this way, we aim to document and affirm lessons learnt through WoSA, and provide the case for its further development and institutionalisation in the Province.
  • Thumbnail Image
    Item
    Intersectoral collaboration before and during the COVID-19 pandemic in the Western Cape: implications for future whole-of-society approaches to health and wellbeing
    (Health System Trust, 2022) Schneider, Helen; Okeyo, Ida; du Toit, Alheit; Engelbrecht, Beth
    The profound health, social and economic impacts generated by the COVID-19 pandemic have necessitated collaboration among societal actors in an unprecedented fashion, elevating the status of the health sector and positioning it to advance intersectoral action on health. This chapter reflects on intersectoral collaboration in the Western Cape prior to and during the COVID-19 pandemic. We describe forms of intersectoral collaboration that emerged in response to COVID-19; how these drew from a prior formative initiative in the province, referred to as WoSA (whole-of-society approach); and the lessons and opportunities these experiences offer for future intersectoral collaboration for health and wellbeing.
  • Thumbnail Image
    Item
    Intersectoral collaboration during policy formulation and early implementation: The case of the first 1,000 days initiative in the western cape province, South Africa
    (University of Western Cape, 2021) Okeyo, Ida; Schneider, Helen
    Intersectoral collaboration for health is widely recognised as a critical component of interventions to address complex public health issues. However, there is limited research that has examined how intersectoral approaches are formulated and implemented, especially in low- and middle-income countries. As a result, although the literature is populated with calls for action, little exists that can inform the evidence on how to sustain intersectoral action for health. This thesis is a case study of intersectoral action in the Western Cape Province of South Africa, examining the unfolding policy formulation and implementation processes of an initiative referred to as First 1,000 Days, in the period 2016 to 2019. Within early childhood, the First 1,000 Days (FTD) period presents a favourable window for intersectoral interventions that can ensure positive outcomes from early years of life to adulthood. The FTD initiative emerged in the Western Cape Province of South Africa in response to the growing number of children exposed to the social challenges of violence and of alcohol and drug abuse.
  • Thumbnail Image
    Item
    Methodological gaps and opportunities for studying multisectoral collaboration for health in low- and middle-income countries
    (Oxford Academic, 2019) Okeyo, Ida
    The current body of research into multisectoral collaborations (MSCs) for health raises more questions than it answers, both in terms of how to implement MSCs and how to study them. This article reflects on current methodological gaps and opportunities for advancing MSC research, based on a targeted review of existing literature and qualitative input from researchers and practitioners at the 2018 Health Systems Research (HSR) Symposium in Liverpool. Through framework analysis of 205 MSC research papers referenced in a separately published MSC ‘overview of reviews’ paper, this article identifies six broad MSC question domains (‘meta questions’) and applies content analysis to estimate the relative frequency with which these meta questions and the research method(s) used to answer them are present in the literature.
  • Thumbnail Image
    Item
    Policy adoption and the implementation woes of the intersectoral first 1000 days of childhood initiative, in the Western Cape province of South Africa
    (Kerman University of Medical Sciences, 2021) Okeyo, Ida; Lehmann, Uta; Schneider, Helen
    There is a growing interest in implementing intersectoral approaches to address social determinants especially within the Sustainable Development Goals (SDGs) era. However, there is limited research that uses policy analysis approaches to understand the barriers to adoption and implementation of intersectoral approaches. In this paper we apply a policy analysis lens in examining implementation of the first thousand days (FTD) of childhood initiative in the Western Cape province of South Africa. This initiative aims to improve child outcomes through a holistic intersectoral approach, referred to as nurturing care.
  • Thumbnail Image
    Item
    Whole-of-community interventions that address alcohol-related harms: Protocol for a scoping review
    (BMC, 2022) Okeyo, Ida; Walmisley, Ulla; De Jong, Michelle
    Alcohol-related harm is a rising global concern particularly in low-income and middle-income countries where alcohol use fuels the high rates of violence, road traffic accidents and is a risk factor for communicable diseases such as HIV/AIDS and tuberculosis. Existing evidence to address alcohol-related harm recommends the use of intersectoral approaches, however, previous efforts have largely focused on addressing individual behaviour with limited attention to whole-of-community approaches. Whole-of-community approaches are defined as intersectoral interventions that are systematically coordinated and implemented across the whole community. The objective of this scoping review is to synthesise the existing literature on multisectoral, whole-of-community interventions which have been used to modify or prevent alcohol-related harms.