A Complexity Case Study : The Implementation of an Interministerial Policy
Table 3 . Summary of data collection
Principle Subprinciple Subprinciple
Dialogic principle ( A )
Recursive principle ( B )
Hologrammatic principle ( C )
Adaptation Thoughts about moving from HIA to integrated impact assessments
HIA on regional project development
Research funds and scientific production targeted to current topics of political interest and upcoming trends
Creation of a communication road to ease dialogue with MCE
Adapted discourse from public health actors
Producer Individual sensitivity to public health issues and determinants
For some ministries and MCE , acquired automatism to consult ministry of health Some organizations change their reports ( e . g ., scientific leaflets )
Whole in parts Limited consideration for public health from public interventions of some ministries R54
The presence of health representatives inside different ministries as a translation of the importance of health for the population
Horizontal governance not a frontline concern
Reproduction of identity Presentations to executive council office ( MCE ), jurists , ministries
Standardizing tools for HIA
Training sessions on how to use the HIA guide
Receiver Request for comments
Acknowledgement of partner ministries ’ realities
Ease of interacting with different ministries whose sectorial mission relates to a single determinant
Parts in a whole Public health either absent or a peripheral addition rather than a part of integrated policies Health barely included in ministerial plans .
Little ultimate influence of data related to public health issues
North Development ( Plan Nord ) integrates HIA upon suggestions from the ministry of health .
Launch of discussions on integrated impact assessment
Formal and informal occasions for exchanges on health
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