Community gardening: metaphorical reconstruction of transformative health governance

Abstract

Abstract Transdisciplinary working has been defined by the inclusion of non-academic stakeholders in the process of knowledge production. While theoretical, phenomenological and experimental dimensions have been described in the literature, Rigolot proposes transdisciplinarity as a ‘way of being’ that stretches beyond professional life. The promise of transdisciplinarity however does not always meet the expectations in practice. How to get started, maintain and overcome barriers requires guidance. In an action-oriented evaluation research study we explored this dimension in the Dutch All about Health collaborative platform, which since 2014 facilitates a continuous development of bottom up health initiatives, networks, alliances and other forms of collaboration and learning. From our case studies we developed the Transformative Health Governance model. The model shows the ongoing and reciprocal connections between the actions, the context and intermediate results that were verified in a survey among 103 platform participants. Five types of returns are also building blocks that increase the chance of real (yet hardly measurable) increasing health benefits. They reinforce each other in a continuous process of ideation, integrative approach, innovation, implementation, and impact. The context provides for acceleration or deceleration of that process. With the help of a cartoonist we translated our model into an ongoing cycle of community gardening and maintenance. This metaphor makes the intangible of underlying social processes more tangible, providing a bit more grip on the building blocks, timing and time aspects, as well as deeper understanding the role and necessity of conflict and explicit conflict engagement rather than management. Moreover the cartoon elicits recognition, acknowledgement and spirit to continue their rowing against the systems-invoked tide for better health. It serves as a concrete aid to transdisciplinary working towards planetary health.