Some of the major barriers to effective cross-sector collaboration are a result of a lack of mutual respect and a general misunderstanding of the accountabilities, governance, values and objectives of other sectors, and different cultures.
Trying to improve the performance of the health sector, one of the objectives of health sector reform, has been a slow process because the savings from reducing the size of the workforce are often not enough to raise salaries for the remaining staff.
These imbalances prove to be major limiting factors to achieving the objectives of health sector reforms or to implementing health policy.
The actual methods used to manage human resources in health care may in themselves be a major constraint or facilitator in achieving the objectives of health sector reform [ 5, 6].
Such arrangements need to ensure the objectives of the private sector and the public sector service delivery are aligned to produce high quality performance.
Those were the objectives of Nelly Otieno, sector manager at CARE Kenya, when she rolled out GS&L in 2004 – to great opposition from donors, officials and locals, who didn't understand how it could be relevant for very poor people.
Third, the model must be designed to highlight the public interest in efficiency and equity, the two main objectives of normative public sector theory.
It has also included prevention and control of NCDs as strategic objectives of the health sector (7).
In addition, the health service managers should ensure that the individual performance of health care workers is aligned to the mission and objectives of the health sector.
The objectives of the health sector of the program are to assess the risk to health posed by airborne pollutants which are subjected to long-range transport and to monitor the influence of abatement programs.
