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There is a need for a paradigm shift beyond simple curative interventions to encompass long-term regular support, community outreach and domiciliary care, family involvement and multisectoral working.
These include the need to augment the capacity of secretariats of both national and subnational coordination structures through financial and technical support, and to carefully consider how best to position a national coordination structure within the public administration system in order to boost its authority and ability to promote multisectoral working.
In a situational analysis of the challenges and opportunities at the district level of five LAMICs implementing integrated mental health care, it was reported that across all sites, community mental health literacy was low and there were no models of multisectoral working or collaborations with traditional or religious healers (30).
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Areas of convergence across the perspectives included: low capacity and skills that limit the work; the agency in charge of coordination (SETSAN) should exercise an increased leadership to facilitate the multisectoral work; and SETSAN should advocate to mobilize politicians and donors for resources.
Stakeholders value multisectoral work but recognize that much still needs to be defined [ 21].
UNICEF used the findings of this report to contribute to the Strategy for Diminishing of Drug Misuse prepared by the multisectoral state working group.
Nutritional interventions should be considered alongside longer term, multisectoral interventions that work to improve food security and living conditions.
It requires a range of multisectoral agencies to work together and could be linked to the issues of women's empowerment, to reproductive health, to communicable disease prevention and to the Millennium Development Goals 4 and 5.
Still, when you are working with large multisectoral, multidisciplinary and multicultural projects, you have to learn to sometimes count to 1000, not 100, before exploding!
The study reveals the significant challenges of working successfully on issues that are multisectoral and multinational.
WHO is working with countries to develop national multisectoral plans to cut the rate of people dying too young from conditions like breast cancer.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com