How policymakers and other leaders can build a more sustainable post-COVID-19 'normal'

Breaking Down Silos in the Workplace: A Framework to Foster Collaboration

INTRODUCTION

Employees are often placed within an organization based on their respective roles or duties, which can lead to vertical and horizontal organizational silos. Organizational silos may restrict information, resources, and stymie progress and innovation. This analysis presents a framework to mitigate silos and overcome communication barriers within an organization by increasing collaboration.

METHODS

The project team examined results from the Centers for Disease Control and Prevention (CDC), the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) 2020 Employee Viewpoint Survey Results and conducted 19 key informant discussions with NCCDPHP employees. Participants were asked to provide feedback on (1) understanding silos in the workplace and (2) best practices for reducing silos and fostering collaboration. A thematic analysis was conducted to understand organizational silos, the motivation to reduce silos, and identify best practices and strategies.

RESULTS

Respondents felt that siloing exists at the division and branch levels; however, 95% of respondents were motivated to reduce silos. Fifty-eight percent of respondents identified that institutional factors such as the organizational structure (n = 8) and red tape/bureaucracy (n = 3) contribute to siloing. Additional behaviors and actions that perpetuate silos were identified, and efforts to reduce silos were categorized to propose a model: Framework to Foster Collaboration for improving organizational collaborative efforts.

DISCUSSION AND CONCLUSION

Key themes included inclusion, shared goals and vision, bi-directional communication, and relationship building and developing trust as critical elements for improving collaboration and creating synergy across teams in efforts to reduce silos in the workplace.

From agenda to action: JBI Evidence Synthesis and the United Nations Sustainable Development Goals

OBJECTIVE

This pilot study sought to map the alignment of publications in JBI Evidence Synthesis to the United Nations Sustainable Development Goal (SDG) 3 (global health and well-being) and to understand JBI authors' awareness of and engagement with the goals. This will contribute to a larger-scale analysis to assist the JBI Collaboration in engaging with and working toward achieving the SDGs.

INTRODUCTION

In 2015, the United Nations agreed on 17 SDGs as the central framework for sustainable development worldwide. However, in the wake of the global pandemic, the 2030 SDG agenda is in jeopardy due to multiple cascading and intersecting crises. The Global Commission on Evidence has urged the evidence community to consider how it might more meaningfully contribute to the evidence architecture. As we pass the midway point to the SDG 2030 target date, it is timely to reflect on the contribution of those in the evidence synthesis community to achieving these important global objectives.

METHODS

A 2-phase study was conducted utilizing desktop audit methods. SDG 3 targets were mapped across systematic and scoping reviews published in JBI Evidence Synthesis using established key terms, followed by a brief author survey and thematic analysis.

RESULTS

The results of this pilot study indicate that 28.5% of syntheses published in JBI Evidence Synthesis address 11 of the 13 targets of SDG 3. SDGs are not currently a priority consideration for most JBI Evidence Synthesis authors, but there is a desire to learn more and integrate the goals into their prioritization processes.

CONCLUSIONS

While this was only a small pilot study, it is indicative of a need to reset and recommit to mutual global agendas to transform the evidence ecosystem, and to maximize the limited resources available in order to truly have a global impact on health outcomes.

Characteristics of successful government-led interventions to support healthier populations: a starting portfolio of positive outlier examples

Despite progress on the Millennium and Sustainable Development Goals, significant public health challenges remain to address communicable and non-communicable diseases and health inequities. The Healthier Societies for Healthy Populations initiative convened by WHO's Alliance for Health Policy and Systems Research; the Government of Sweden; and the Wellcome Trust aims to address these complex challenges. One starting point is to build understanding of the characteristics of successful government-led interventions to support healthier populations. To this end, this project explored five purposefully sampled, successful public health initiatives: front-of-package warnings on food labels containing high sugar, sodium or saturated fat (Chile); healthy food initiatives (trans fats, calorie labelling, cap on beverage size; New York); the alcohol sales and transport ban during COVID-19 (South Africa); the Vision Zero road safety initiative (Sweden) and establishment of the Thai Health Promotion Foundation. For each initiative a qualitative, semistructured one-on-one interview with a key leader was conducted, supplemented by a rapid literature scan with input from an information specialist. Thematic analysis of the five interviews and 169 relevant studies across the five examples identified facilitators of success including political leadership, public education, multifaceted approaches, stable funding and planning for opposition. Barriers included industry opposition, the complex nature of public health challenges and poor interagency and multisector co-ordination. Further examples building on this global portfolio will deepen understanding of success factors or failures over time in this critical area.

Global tourism, climate change and energy sustainability: assessing carbon reduction mitigating measures from the aviation industry

As many business activities-especially those associated with the energy-intensive industries-continue to be major sources of greenhouse gas emissions, and hence significantly contributing to global warming, there is a perceived need to identify ways to make business activities eventually carbon neutral. This paper explores the implications of a changing climate for the global tourism business and its intertwining global aviation industry that operates in a self-regulatory environment. Adopting a bibliometric analysis of the literature in the domain of global tourism and climate change (772 articles), the paper reveals the underlying sustainability issues that entail unsustainable energy consumption. The aviation industry as a significant source of carbon emission within the sector is then examined by analyzing the top 20 largest commercial airlines in the world with respect to its ongoing mitigating measures in meeting the Paris Agreement targets. While self-regulatory initiatives are taken to adopt Sustainable Aviation Fuels (SAF) as alternative fuel production and consumption for drastically reducing carbon emission, voluntary alignment and commitment to long-term targets remain inconsistent. A concerted strategic approach to building up complementary sustainable infrastructures among the global network of airports based in various international tourist destination cities to enable a measurable reduction in carbon emission is necessary to achieve a transformational adaptation of a business sector that is of essence to the recovery of the global economy while attempting to tackle climate change in a post-COVID-19 era.

Trading-off privacy and utility: the Washington State experience assessing the performance of a public health digital exposure notification system for coronavirus disease 2019

OBJECTIVE

Digital exposure notifications (DEN) systems were an emergency response to the coronavirus disease 2019 (COVID-19) pandemic, harnessing smartphone-based technology to enhance conventional pandemic response strategies such as contact tracing. We identify and describe performance measurement constructs relevant to the implementation of DEN tools: (1) reach (number of users enrolled in the intervention); (2) engagement (utilization of the intervention); and (3) effectiveness in preventing transmissions of COVID-19 (impact of the intervention). We also describe WA State's experience utilizing these constructs to design data-driven evaluation approaches.

METHODS

We conducted an environmental scan of DEN documentation and relevant publications. Participation in multidisciplinary collaborative environments facilitated shared learning. Compilation of available data sources and their relevance to implementation and operation workflows were synthesized to develop implementation evaluation constructs.

RESULTS

We identified 8 useful performance indicators within reach, engagement, and effectiveness constructs.

DISCUSSION

We use implementation science to frame the evaluation of DEN tools by linking the theoretical constructs with the metrics available in the underlying disparate, deidentified, and aggregate data infrastructure. Our challenges in developing meaningful metrics include limited data science competencies in public health, validation of analytic methodologies in the complex and evolving pandemic environment, and the lack of integration with the public health infrastructure.

CONCLUSION

Continued collaboration and multidisciplinary consensus activities can improve the utility of DEN tools for future public health emergencies.