Evaluating intersectoral collaboration in health promotion: development of a conceptual framework

Abstract Issue In Québec, Canada, public health authorities position intersectoral collaboration as a core element of its professional practice in face of the increasing complexity of public health challenges. However, several obstacles to effective collaboration may arise and a structured analysis of the health impact of the collaborative spaces is required to ensure good allocation of resources. Practice description The aim was to develop a framework for the evaluation and prioritization of intersectoral collaborative spaces. Specifically, we aimed to identify key criteria for 1) effectiveness; 2) feasibility and 3) prioritizing of collaborative spaces. The framework was developed and validated using existing evaluation tools identified through a rapid review of literature, combined with a qualitative, consensus-based research method with seven experts in health promotion. Results The final framework comprises 15 criteria covering four essential domains: (1) relevance of the collaboration; (2) magnitude of the health issues; (3) potential influence of the collaboration on these issues; and (4) feasibility of the collaborative process. The framework was used by different regional public health authorities and supported more strategic prioritization of resource allocation. It also enhanced the potential health impact of selected collaborations, while increasing intersectoral partners’ commitment into the collaboration process. Lessons Using the framework showed that scores should not be viewed as an absolute, but rather be interpreted alongside qualitative insights to support the prioritization of collaborative efforts. Our innovative approach highlights the critical need for rigorous and reproducible analysis of intersectoral collaborations to ensure their effectiveness and impact. Key messages • Intersectoral collaboration is key in health promotion. • Rigorous, reproducible evaluation helps ensure its effectiveness and strengthens the credibility of public health action.