Abstract:Nutrition issues are increasingly being addressed through global partnerships and multi‐sectoral initiatives. Ensuring effective governance of these initiatives is instrumental for achieving large‐scale impact. The Collective Impact (CI) approach is an insightful framework that can be used to guide and assess the effectiveness of this governance. Despite the utility and widespread use of this approach, two gaps are identified: a limited understanding of the implications of expansion for an initiative operating… Show more
“…Collective leadership has been documented to be effective at achieving meaningful change at the healthcare provision level and in developing policies where there are multiple stakeholders. 16,17 Our research also highlights the role of differing types of organizations, and their centrality to the delivery of assistive technology. We were interested to see that International NGOs, while playing a critical role in the funding and delivery of assistive technology, are not as central to the network as those organizations which represent people with disabilities, service delivery organizations, and ministries.…”
Background Assistive technologies promote participation and quality of life for people with disabilities and other functional limitations. There is a global call to develop and implement policies to improve access to assistive technologies. In response, a stakeholder led initiative in Malawi is working towards the development of such a policy. The objective of this study was to assess the existing network of stakeholders, and the strength of relationship between organizations who deliver assistive products and related services. We conducted a survey-based network analysis of assistive technology stakeholder organizations in Malawi.Results Stakeholders (n = 19) reported a range of connections, from no awareness to collaboration with organizations within the assistive technology network. No single organization or government ministry was most central to the network. International NGOs were less central to the network than local organizations for disabled people, service providers, and ministries.Conclusions The assistive technology stakeholder network in Malawi is distributed, with a range of responsibility across a variety of stakeholders, including three government ministries. An effective assistive technology policy must engage all stakeholders and may benefit from a collective leadership approach that spans the inter-sectoral need for a cohesive assistive technology system.
“…Collective leadership has been documented to be effective at achieving meaningful change at the healthcare provision level and in developing policies where there are multiple stakeholders. 16,17 Our research also highlights the role of differing types of organizations, and their centrality to the delivery of assistive technology. We were interested to see that International NGOs, while playing a critical role in the funding and delivery of assistive technology, are not as central to the network as those organizations which represent people with disabilities, service delivery organizations, and ministries.…”
Background Assistive technologies promote participation and quality of life for people with disabilities and other functional limitations. There is a global call to develop and implement policies to improve access to assistive technologies. In response, a stakeholder led initiative in Malawi is working towards the development of such a policy. The objective of this study was to assess the existing network of stakeholders, and the strength of relationship between organizations who deliver assistive products and related services. We conducted a survey-based network analysis of assistive technology stakeholder organizations in Malawi.Results Stakeholders (n = 19) reported a range of connections, from no awareness to collaboration with organizations within the assistive technology network. No single organization or government ministry was most central to the network. International NGOs were less central to the network than local organizations for disabled people, service providers, and ministries.Conclusions The assistive technology stakeholder network in Malawi is distributed, with a range of responsibility across a variety of stakeholders, including three government ministries. An effective assistive technology policy must engage all stakeholders and may benefit from a collective leadership approach that spans the inter-sectoral need for a cohesive assistive technology system.
“…The Alive and Thrive CI initiative was established with a focus on enhancing the feeding policies of seven countries in Southeast Asia. The partnerships involved A&T and UNICEF as well as national partners in each country (Michaud-Létourneau et al 2019). The national partners were sought and incorporated into the CI initiative by using a stepwise process to initially form a national layer of partnerships.…”
Section: International Partnerships and Their Their Backbone Structurmentioning
In this entry, the question of partnership is approached from a perspective centered around the creation of a common agenda based on trust and from the children's point of view. Partnership and collaboration have traditionally been viewed as mechanisms to create bridges between organizations and institutions from the private, public, and nongovernmental sectors in order to enhance funder collaboratives, public-private partnerships, multistakeholder initiatives, social sector networks, and collective impact initiatives. It was not however until Kania and Kramer's (2011) seminal work on collective impact when this subject came to be viewed as a developmental process aiming at the creation of a common agenda and mutually agreed activities and consisting of five integral parts: a common agenda, shared measurement systems, mutually reinforcing activities, continuous communication, and backbone support organizations. This entry, based on a systematic review of the topic, maintains that partnershipapproached from the point of view of children and through the lens of collective impactconstitutes a crucial mechanism in the creation of safe and comprehensive wellbeing for children. Thus, this entryusing Kania and Kramer's (2011) definition of collective impact and focusing on the structure of partnerships and the nature of trust in organizations as the prerequisite for partnershipadvocates the importance of the UN SDG17 principle as the bringer of inclusive society built upon principles and values, a shared vision, and shared goals that place people at the center of human endeavor.
“…28 Also, Michaud-Létourneau et al suggest that the approach is useful for changing policy where many stakeholders exist. 29 We will strive to minimise power imbalances and the pitfalls of collective leadership by continuous learning and knowledge sharing to coconstruct what works for everyone through reflective dialogues. 31 The specific research methods described later are tactical and will be decided with the ARG in an iterative process through a series of five phases, each comprised action research cycles.…”
IntroductionAssistive technology (AT) is important for the achievement of the sustainable development goals (SDGs) for persons with disabilities (PWD). Increasingly, studies suggest a significant gap between the need for and demand for and provisions of AT for PWD in low-income and middle-income settings. Evidence from high income countries highlights the importance of robust AT policies to the achievement of the recommendations of the World Health Assembly on AT. In Malawi, there is no standalone AT policy. The objectives of the Assistive Product List Implementation Creating Enablement of inclusive SDGs (APPLICABLE) project, are to propose and facilitate the development of a framework for creating effective national AT policy and specify a system capable of implementing such policies in low-income countries such as Malawi.Method and analysisWe propose an action research process with stakeholders in AT in Malawi. APPLICABLE will adopt an action research paradigm, through developing a shared research agenda with stakeholders and including users of AT. This involves the formation of an Action Research Group that will specify the priorities for practice—and policy-based evidence, in order to facilitate the development of contextually realistic and achievable policy aspirations on AT in Malawi and provide system strengthening recommendations that will ensure that the policy is implementable for their realisation. We will undertake an evaluation of this policy by measuring supply and support for specific AT prior to, and following the implementation of the policy recommendations.Ethics and disseminationThe study protocol was approved by Maynooth University Research Ethics Committee (SRESC-2019-2378566) and University of Malawi Research Ethics Committee (P.01/20/10). Findings from the study will be disseminated by publication in peer-reviewed journals, presentations to stakeholders in Malawi, Ireland and international audiences at international conferences.
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