Exploring multisectoral collaboration in implementing comprehensive sexuality education framework at the provincial level in Zambia: a qualitative study.
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| Názov: | Exploring multisectoral collaboration in implementing comprehensive sexuality education framework at the provincial level in Zambia: a qualitative study. |
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| Autori: | Chavula MP; Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden.; Department of Community and Family Medicine, School of Public Health, University of Zambia, Lusaka, Zambia., Zulu JM; Department of Health and Policy Management, School of Public Health, The University of Zambia, Lusaka, Zambia., Goicolea I; Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden., Hurtig AK; Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden. |
| Zdroj: | Global health action [Glob Health Action] 2025 Dec; Vol. 18 (1), pp. 2547436. Date of Electronic Publication: 2025 Aug 29. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101496665 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1654-9880 (Electronic) Linking ISSN: 16549880 NLM ISO Abbreviation: Glob Health Action Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2016- > : Philadelphia, PA : Taylor & Francis Original Publication: Häggeby : Co-Action Publishing |
| Výrazy zo slovníka MeSH: | Sex Education*/organization & administration , Intersectoral Collaboration*, Zambia ; Humans ; Qualitative Research ; Interviews as Topic ; Cooperative Behavior ; Stakeholder Participation |
| Abstrakt: | Background: In 2014, the Zambian government introduced the Comprehensive Sexuality Education (CSE) framework, decentralising its implementation from the national to the provincial administration. The provincial structures of the Ministries of Health and Education play an important role in providing technical, policy direction and coordination support. However, little research has focused on the role of CSE collaboration at the provincial level. Objectives: This study sought to explore multisectoral collaboration dynamics influencing the implementation of the CSE framework at the provincial level in Zambia. Methods: This qualitative study involved 29 interviews with diverse stakeholders at the provincial level such as government departments (health, education, etc.), private sector, religious and traditional leaders involved in CSE implementation. We used reflexive thematic analysis, guided by an integrative collaborative governance framework. Results: The findings were grouped under collaboration dynamics domains: principled engagement, shared motivation, and capacity for joint action. Barriers to principled engagement included provincial structures and their mandate, exclusion or sidelining of certain actors, inadequate financial transparency, and weak formal relations. Shared motivation included collective understanding of the purpose, a supportive policy environment and consensus in adapting the CSE framework. Capacity for joint action efforts included collaborative training of teachers, joint monitoring, and collaborative to address SRHR challenges. Conclusion: This study highlights challenges limiting meaningful engagement, exclusion of some actors, financial constraints, and weak coordination, which hinder collaboration. There is need for enhancing provincial leadership capacity to effectively coordinate stakeholders through enforcement of transparent resource management, collective planning, implementation and monitoring for effective CSE delivery. |
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| Contributed Indexing: | Keywords: Capacity for joint action; Zambia; collaborative governance; comprehensive sexuality education; principled engagement; sexual reproductive health rights; shared motivation Local Abstract: [plain-language-summary] Main findings: Provincial structures and their mandate were key aspects that facilitated principled engagement. However, barriers such as exclusion or sidelining of certain actors, inadequate financial transparency, and weak formal relations limited meaningful engagement. Added knowledge: This study highlights key factors influencing collaboration dynamics in the delivery of CSE, focusing consisting of open collaboration, collective commitment, and collaborative effort in Zambia. Global health impact for policy and action: There is greater need in Zambia to strengthen the provincial leadership capacity and power in the enforcement of transparent resource management, collective planning, equitable resource allocation, implementation and monitoring of CSE programmes. |
| Entry Date(s): | Date Created: 20250829 Date Completed: 20250829 Latest Revision: 20250904 |
| Update Code: | 20250904 |
| PubMed Central ID: | PMC12404052 |
| DOI: | 10.1080/16549716.2025.2547436 |
| PMID: | 40878752 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background: In 2014, the Zambian government introduced the Comprehensive Sexuality Education (CSE) framework, decentralising its implementation from the national to the provincial administration. The provincial structures of the Ministries of Health and Education play an important role in providing technical, policy direction and coordination support. However, little research has focused on the role of CSE collaboration at the provincial level.<br />Objectives: This study sought to explore multisectoral collaboration dynamics influencing the implementation of the CSE framework at the provincial level in Zambia.<br />Methods: This qualitative study involved 29 interviews with diverse stakeholders at the provincial level such as government departments (health, education, etc.), private sector, religious and traditional leaders involved in CSE implementation. We used reflexive thematic analysis, guided by an integrative collaborative governance framework.<br />Results: The findings were grouped under collaboration dynamics domains: principled engagement, shared motivation, and capacity for joint action. Barriers to principled engagement included provincial structures and their mandate, exclusion or sidelining of certain actors, inadequate financial transparency, and weak formal relations. Shared motivation included collective understanding of the purpose, a supportive policy environment and consensus in adapting the CSE framework. Capacity for joint action efforts included collaborative training of teachers, joint monitoring, and collaborative to address SRHR challenges.<br />Conclusion: This study highlights challenges limiting meaningful engagement, exclusion of some actors, financial constraints, and weak coordination, which hinder collaboration. There is need for enhancing provincial leadership capacity to effectively coordinate stakeholders through enforcement of transparent resource management, collective planning, implementation and monitoring for effective CSE delivery. |
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| ISSN: | 1654-9880 |
| DOI: | 10.1080/16549716.2025.2547436 |