A Complexity Case Study : The Implementation of an Interministerial Policy
ad hoc tools ( e . g . interactions between transportation and health ), daring to connect outside borders ( e . g . interaction with executive council office ), and the adoption of external considerations ( e . g . modifications to accommodate agricultural industry realities ). Such capacities can be followed up by indicators such as the percentage of sector-based adapted tools over newly developed tools .
Results on the Recursive Principle : HiAP as Producing and Receiving
Recursive subprinciples . In general terms , the recursive principle refers to systems that both generate ( producing ) and get impacted ( receiving ), being respectively a means or an end . In a producing mode , HiAP is creating some concerns for health in some policies , activities , and reports . In a receiving mode , HiAP is itself reformatted according to sectorial needs and vocabulary . Both loops are challenging an administration ’ s capacity of internal cross-influence .
Recursive loops . The loop for HiAP as a producer is summarized below , answering the question “ How does HiAP produce more actions and impact ?”
1 . Distributing more lay information and evidence on health , increases awareness of health issues among the public , professionals , and decision makers .
2 . More awareness favors more shaping of decisions and agendas that take health into account .
3 . More shaping favors more acceptability for giving resources for transversal actions that include health .
The Ministry of Health and its scientific partners use soft / influential power ( e . g . agreement to produce a determined number of studies on health issues ) and knowledge-based influences ( e . g . lay documents on healthy habits , international scientific dissemination streams ) to convince civil servants and citizens of the importance of public action on health issues ( e . g . attention called to the absence of significant health impacts on new projects ). Such a wide target audience increases acceptability for giving resources for transversal actions ( e . g . scientists received dedicated funds ) and for the integration of health concerns ( e . g . the executive council office asks for the inclusion of health impacts in sectorial ministry proposals sent to it , some civil servants in other ministries are now providing more details about potential health impacts than before ). These actions aim , in the long run , to shift the norms and create greater interest among civil servants and citizens ( including politicians ) in public choices that might impact health .
The loop for HiAP as a receiver can be summarized as follows , answering the question “ How do HiAP get shaped ?”
1 . Pushing for inclusion of health in sectorial strategies favors contacts between other ministries and the Ministry of Health .
2 . Contacts bring opportunities to develop collaborations .
75