Online participatory workshops were conducted with stakeholders with expertise in UCIs. A systems map, depicting five pathways to UCI influence, and the Action Scales Model were used to help participants identify interventions and guide discussions. Codebook thematic analysis was used to analyse the data.
Fifty-two stakeholders participated in 23 workshops. Participants identified 27 diverse, interconnected and interdependent interventions corresponding to the systems map\'s pathways that reduce the ability of UCIs to influence policy. These include, for example, reform policy financing; regulate public-private partnerships (PPPs); reform science governance and funding; frame and reframe the narrative, challenge neoliberalism and gross domestic product (GDP) growth; leverage human rights; change practices on multistakeholder governance; and reform policy consultation and deliberation processes. Participants also identified four potential key challenges to interventions (ie, difficult to implement or achieve; partially formulated; exploited or misused; requires tailoring for context), and four key actions to help support intervention delivery (ie, coordinate and cooperate with stakeholders; invest in civil society; create a social movement; nurture leadership).
A systems thinking lens revealed the theoretical interdependence between disparate and heterogenous interventions. This suggests that to be effective, interventions need to align, work collectively, and be applied synchronously to different parts of the system, including multiple levels of governance. Importantly, these interventions need to be supported by intermediary actions to be achieved. Urgent action is now required to strengthen healthy alliances and implement interventions.
方法:在线参与式研讨会与具有UCI专业知识的利益相关者一起进行。系统地图,描绘了UCI影响的五种途径,和行动量表模型用于帮助参与者识别干预措施并指导讨论。使用码本主题分析来分析数据。
结果:52个利益攸关方参加了23个研讨会。参与者确定了27个不同的,与系统相对应的相互关联和相互依赖的干预映射了降低UCI影响政策能力的途径。这些包括,例如,改革政策融资;规范公私伙伴关系(PPP);改革科学治理和资金;框架和重新框架叙述,挑战新自由主义和国内生产总值(GDP)增长;利用人权;改变多利益攸关方治理的做法;改革政策咨询和审议过程。与会者还确定了干预措施的四个潜在关键挑战(即,难以实施或实现;部分制定;被利用或滥用;需要根据上下文进行调整),以及帮助支持干预交付的四个关键行动(即,与利益相关者协调和合作;投资于民间社会;创建社会运动;培养领导力)。
结论:系统思维透镜揭示了不同干预和异质干预之间的理论相互依存关系。这表明要有效,干预措施需要保持一致,集体工作,并同步应用于系统的不同部分,包括多层次的治理。重要的是,这些干预措施需要得到中介行动的支持。现在需要采取紧急行动,以加强健康的联盟并实施干预措施。