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Implementation Science
Published in: Implementation Science 1/2010

Open Access 01-12-2010 | Debate

Unpacking vertical and horizontal integration: childhood overweight/obesity programs and planning, a Canadian perspective

Authors: Lynne M MacLean, Kathryn Clinton, Nancy Edwards, Michael Garrard, Lisa Ashley, Patti Hansen-Ketchum, Audrey Walsh

Published in: Implementation Science | Issue 1/2010

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Abstract

Background

Increasingly, multiple intervention programming is being understood and implemented as a key approach to developing public health initiatives and strategies. Using socio-ecological and population health perspectives, multiple intervention programming approaches are aimed at providing coordinated and strategic comprehensive programs operating over system levels and across sectors, allowing practitioners and decision makers to take advantage of synergistic effects. These approaches also require vertical and horizontal (v/h) integration of policy and practice in order to be maximally effective.

Discussion

This paper examines v/h integration of interventions for childhood overweight/obesity prevention and reduction from a Canadian perspective. It describes the implications of v/h integration for childhood overweight and obesity prevention, with examples of interventions where v/h integration has been implemented. An application of a conceptual framework for structuring v/h integration of an overweight/obesity prevention initiative is presented. The paper concludes with a discussion of the implications of vertical/horizontal integration for policy, research, and practice related to childhood overweight and obesity prevention multiple intervention programs.

Summary

Both v/h integration across sectors and over system levels are needed to fully support multiple intervention programs of the complexity and scope required by obesity issues. V/h integration requires attention to system structures and processes. A conceptual framework is needed to support policy alignment, multi-level evaluation, and ongoing coordination of people at the front lines of practice. Using such tools to achieve integration may enhance sustainability, increase effectiveness of prevention and reduction efforts, decrease stigmatization, and lead to new ways to relate the environment to people and people to the environment for better health for children.
Appendix
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Metadata
Title
Unpacking vertical and horizontal integration: childhood overweight/obesity programs and planning, a Canadian perspective
Authors
Lynne M MacLean
Kathryn Clinton
Nancy Edwards
Michael Garrard
Lisa Ashley
Patti Hansen-Ketchum
Audrey Walsh
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2010
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-5-36

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