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September 8, 2026Health Policy and PlanningOpen Access

Multi-sectoral governance for health: a scoping review and typology development

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Authors

MAMatthew AvisoHLHarvy Joy LiwanagALAmanda Low

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Overview

Scoping review reveals single-lead and distributed models of health governance across diverse sectors, highlighting distinct organizational structures for collaborative public health policy.

Key Points

  • To examine the representation and operational attributes of multi-sectoral governance for health in peer-reviewed literature and establish a descriptive typology.
  • Conducted a scoping literature review using Arksey & O'Malley's methodological framework.
  • Identified and analyzed 34 peer-reviewed articles, with 77% published between 2020 and 2025 and 68% using qualitative research methods across global settings.
  • Classified multi-sectoral governance into two primary structural forms: single-lead governance and distributed governance.
  • Categorized single-lead governance as deliberate (pre-assigned mandate) or organic (emergent leadership), and distributed governance as committed (sustained shared interest), flexible (shifting involvement), or fragile (insufficient commitment leading to sub-optimal collaboration).

Cite This Study

Aviso et al. (2026) studied this question.

synapsesocial.com/papers/6aa0091858e84d0ff5b47c77https://doi.org/10.1093/heapol/czag106
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Also Consider

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  1. 1A scoping review of current trends of multisectoral collaborations for health within the education, agriculture, and environment sectors in Anglophone Africa2025
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  3. 3Governance, Leadership, and Decision-Making Structures in Distributed Academic Health Systems: A Scoping Review Protocol v12025
  4. 4From Ground Realities to Policy: A Framework for Assessing Multipolar Health System Governance in Conflict-Affected and High-Risk Areas2025
  5. 5Mapping the Network: A Systematic Review of Social and Institutional Factors Influencing Multisectoral Coordination in One Health Outbreak Response2026