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Policy Coordination in Combating Human Trafficking: A Systematic
Review of Institutional Frameworks and Multi-Agency Collaboration
Firdaus Ramli
*
, Tunku Nashril-Abaidah, Shahriza Ilyana Ramli
Faculty of Administrative Science & Policy Studies, University Technology Mara
*Corresponding Author
DOI: https://dx.doi.org/10.47772/IJRISS.2025.91100205
Received: 10 November 2025; Accepted: 20 November 2025; Published: 04 December 2025
ABSTRACT
Human trafficking remains one of the most pressing global challenges, violating fundamental human rights and
undermining social, legal, and political systems worldwide. Despite the establishment of international
instruments such as the Palermo Protocol, responses to trafficking continue to suffer from fragmented policy
implementation, weak institutional capacity, and inconsistent collaboration among agencies. These gaps
highlight the urgent need to examine how institutional frameworks and multi-agency collaborations can be
more effectively aligned to combat trafficking. This study aims to analyse the research landscape on policy
coordination in combating human trafficking, with particular emphasis on institutional frameworks and
collaborative governance mechanisms. Using a systematic review approach supported by Scopus AI Analytics,
the study employed a structured search strategy and advanced bibliometric tools to identify, categorize, and
synthesize literature published up to September 2025. The analysis generated summaries, expanded
summaries, concept maps, topic expert profiles, and emerging themes, offering a comprehensive overview of
the field. The findings reveal consistent themes emphasizing the importance of international and national
policy coordination, rising themes such as the role of healthcare professionals and collaborative governance in
prevention, and novel themes including social rehabilitation, economic empowerment of survivors, and the
prevention of organ trafficking. Prominent scholars were identified as shaping the discourse on cross-sector
collaboration and systemic change. Theoretically, the study contributes to governance and human rights
perspectives by situating trafficking within multidimensional frameworks, while practically, it underscores the
importance of resource allocation, inter-agency trust, and survivor-centred interventions. Limitations include
reliance on Scopus-indexed publications and abstract-based analysis, but these are offset by the study’s broad
coverage and analytical depth. The review concludes that future research should expand empirical evaluations
of collaborative practices and explore interdisciplinary approaches to address emerging challenges.
Keywords Human Trafficking, Policy Coordination, Institutional Frameworks, Multi-Agency
Collaboration, Governance and Human Rights
INTRODUCTION
Human trafficking represents one of the most pressing global challenges of the twenty-first century,
threatening human security, undermining the rule of law, and generating severe social, political, and economic
consequences. The International Labour Organization estimates that millions of individuals are subjected to
trafficking annually, making it a highly complex, transnational issue that transcends borders, jurisdictions, and
institutions. Addressing this multifaceted problem requires more than isolated legal measures or enforcement
efforts; it demands cohesive governance strategies, strong institutional frameworks, and effective coordination
among diverse stakeholders.
While governments worldwide have implemented anti-trafficking policies, fragmented responses and lack of
policy coherence often undermine progress. Effective multi-agency collaborationamong law enforcement,
judicial institutions, civil society organizations, and international actorshas been identified as central to
developing comprehensive responses (Rinaldi-Semione & Brewster, 2023; Pajón & Walsh, 2023). Yet,
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disparities in resources, organizational mandates, and institutional cultures frequently generate barriers to
cooperation, limiting the impact of existing frameworks (Foot, 2019). Furthermore, human trafficking’s
transnational nature necessitates cross-border policy alignment and international cooperation, an area that
remains underdeveloped in many jurisdictions (Oğuz, 2012; Fekry et al., 2023).
Existing scholarship has highlighted valuable practices, such as local problem profiling in the UK and the U.S.
(Rinaldi-Semione & Brewster, 2023), the role of multi-agency task forces in facilitating arrests (Huff-Corzine
et al., 2017), and the importance of integrating civil society organizations into policy design and
implementation (Castellano, 2023). However, significant challenges persist: power asymmetries between
actors (Foot, 2019), weak institutional capacity in developing states (Saffanah et al., 2024), and gaps in
substantive implementation despite robust legal frameworks (Slamkov, 2025). These findings suggest a critical
research gap in systematically synthesizing knowledge on how institutional frameworks and policy
coordination mechanisms have been employed across contexts, as well as identifying emerging themes and
best practices.
The present study aims to conduct a systematic review of institutional frameworks and multi-agency
collaboration in combating human trafficking, with a particular focus on analysing research areas, mapping
conceptual developments, identifying topic experts, and capturing emerging themes in the literature. By
synthesizing past studies and organizing findings into a concept map, this review seeks to clarify how
coordination has been theorized, operationalized, and evaluated across multiple jurisdictions.
The contribution of this review lies in offering a structured, comparative synthesis that advances both
academic and policy debates. For scholars, it consolidates dispersed literature into a comprehensive knowledge
base, highlights conceptual blind spots, and points to future research trajectories. For policymakers and
practitioners, it provides actionable insights into promising practices, institutional weaknesses, and strategies
for strengthening governance through multi-sectoral collaboration.
The remainder of this paper is structured as follows. Section 2 outlines the methodological approach adopted
for the systematic review. Section 3 synthesizes existing literature on institutional frameworks, multi-agency
collaboration, and international cooperation in anti-trafficking efforts. Section 4 identifies emerging themes
and constructs a concept map to visualize the intellectual landscape. Section 5 discusses theoretical and
practical contributions, while Section 6 concludes with recommendations for future research and policy
innovation.
METHODOLOGY
This study adopted a systematic review approach supported by Scopus AI Analytics to explore the research
landscape on policy coordination in combating human trafficking. The analysis was conducted during the
Scopus AI on 11 September 2025, marking the dataset from which the review was extracted and analysed. The
integration of Scopus AI into the process allowed not only the retrieval of bibliometric data but also the
generation of advanced insights through thematic mapping, identification of key topic experts, and detection of
emerging research clustersfeatures that significantly extend beyond traditional database searches (Elsevier,
2024).
To ensure comprehensive coverage, the review was guided by a structured search strategy that employed
Boolean operators designed to capture intersections of policy coordination, multi-agency collaboration, and
human trafficking governance. The final search query applied in Scopus was: ("policy" OR "strategy" OR
"framework" OR "guideline") AND ("coordination" OR "collaboration" OR "cooperation" OR "partnership")
AND ("human trafficking" OR "trafficking" OR "modern slavery" OR "exploitation") AND ("combating" OR
"fighting" OR "addressing" OR "preventing") AND ("law enforcement" OR "justice" OR "government" OR
"NGO") AND ("victim support" OR "rehabilitation" OR "protection" OR "assistance"). This formulation
ensured the retrieval of publications that addressed institutional frameworks, governance strategies, victim
support measures, and multi-sectoral interventions. To maintain scholarly rigor, only peer-reviewed journal
articles, book chapters, and conference proceedings indexed in Scopus were included in the dataset (Moher et
al., 2015).
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The data extraction and analysis process relied on the multiple dimensions offered by Scopus AI. The
Summary feature generated a general overview of the scope and breadth of the field, highlighting the recurring
use of terms such as coordination, collaboration, and multi-agency frameworks in anti-trafficking research. The
Expanded Summary provided deeper insights by categorizing the literature into thematic areas, including law
enforcement partnerships, judicial cooperation, civil society engagement, and victim rehabilitation, thereby
establishing a broader contextual understanding of the field. The Concept Map produced by Scopus AI visually
represented linkages between keywords and research clusters, revealing central nodes such as multi-agency
collaboration, victim protection, policy frameworks, and international cooperation, while also identifying
peripheral clusters such as gendered perspectives in trafficking and regional frameworks in Southeast Asia.
Additionally, the Topic Experts feature identified frequently cited scholars who have made significant
contributions in areas such as law enforcement collaboration, comparative governance structures, and human
rightsbased approaches, thereby situating this review within established scholarly debates. Finally, the
Emerging Themes function highlighted evolving areas of interest, including the integration of digital
intelligence sharing, the nexus between migration governance and trafficking, and the expansion of victim-
centred approaches in national and international frameworks (Rinaldi-Semione & Brewster, 2023; Pajón &
Walsh, 2023).
Figure 1: Elements for Anti-Trafficking Research
Overall, this methodological approach was designed to achieve the study’s aim of providing a systematic
analysis of the research landscape while simultaneously mapping conceptual developments and identifying
emerging directions in the field. The combination of structured database searching and AI-enhanced analytics
offered not only a synthesis of existing scholarship but also valuable insights into the evolution of research
priorities and practical applications in addressing human trafficking.
RESULT AND DISCUSSION
The results of this systematic review, derived from Scopus AI Analytics, provide a comprehensive overview of
how policy coordination and multi-agency collaboration in combating human trafficking have been
conceptualized and studied. Drawing on the Summary and Expanded Summary outputs, the analysis reveals
both the breadth and depth of existing scholarship, while the Concept Map highlights the structural linkages
across themes and research clusters. Further, the identification of Topic Experts provides insight into leading
scholarly contributions shaping the field, and the detection of Emerging Themes underscores evolving areas of
inquiry and practice that warrant further attention.
Summary and Expanded Summary
The findings from the Summary and Expanded Summary of the Scopus AI analysis reveal that policy
coordination and multi-agency collaboration are central to global anti-trafficking efforts. The international
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legal and policy framework has been anchored by the adoption of the Protocol to Prevent, Suppress, and
Punish Trafficking in Persons, Especially Women and Children (commonly known as the Palermo Protocol),
supplementing the UN Convention against Transnational Organized Crime. This framework established the so-
called “3P paradigm”—prosecution, prevention, and protectionserving as the cornerstone of institutional
responses to trafficking (Martin & Callaway, 2011). However, the effectiveness of these instruments depends
largely on how they are operationalized at national and local levels, with implementation varying significantly
across contexts.
At the national and community levels, multi-agency collaboration has been highlighted as an indispensable
strategy in tackling the multidimensional aspects of human trafficking. In countries such as the United
Kingdom and the United States, partnership-based approaches that combine law enforcement with social
services, non-governmental organizations (NGOs), and intelligence-sharing networks have shown promising
results in problem diagnosis and coordinated action (Rinaldi-Semione & Brewster, 2023). Similarly,
Castellano (2023) emphasizes that civil society organizations, when consulted by policymakers, play a critical
role in strengthening both prosecution and prevention efforts. These findings underline the importance of
engaging diverse stakeholders in building resilient and adaptive institutional frameworks.
Nevertheless, the review also identifies significant challenges in sustaining multi-sectoral collaboration. Foot
(2019) notes that differences in power, status, and financial capacity among organizations often hinder
effective cooperation, while cultural and value-based tensions can exacerbate these divisions. Moreover, power
dynamics shaped by gender, ethnicity, and race create additional obstacles in collaborative processes.
Hounmenou and Toepp (2023) highlight that while partnerships between private investigation agencies and
law enforcement can yield positive outcomes in trafficking investigations, they are frequently undermined by
institutional mistrust and differing professional norms. Such challenges suggest that while collaboration is
essential, it must be supported by mechanisms that promote equality, transparency, and trust among actors.
The role of NGOs and faith-based organizations emerges as another critical dimension of the anti-trafficking
landscape. Globally, NGOs have expanded rapidly to address prevention, prosecution, and victim support,
often filling gaps left by limited state capacity (Ford & Lyons, 2012). Knight and Kagotho (2023) further
illustrate how faith-based organizations in sub-Saharan Africa contribute to anti-trafficking interventions by
leveraging local legitimacy and community-based networks. These organizations provide not only
humanitarian assistance but also advocacy and awareness-raising, thereby complementing state-led initiatives.
However, their contributions are often constrained by limited resources and inconsistent engagement with
formal policy processes, underscoring the need for stronger institutional integration.
At the transnational level, collaboration between states and international actors is increasingly recognized as
vital for combating trafficking networks that operate across borders. Pittaro (2015) argues that police
leadership in establishing transnational collaborations remains pivotal, particularly in aligning enforcement
priorities and intelligence-sharing mechanisms. Such collaboration not only enhances operational capacities
but also strengthens victim assistance by ensuring continuity of care across jurisdictions. Yet, the persistence
of fragmented legal systems and uneven political commitment continues to undermine the coherence of these
efforts.
Taken together, the results highlight a dual reality in the field of anti-trafficking governance: on the one hand,
robust legal frameworks and multi-agency partnerships have generated promising practices in certain contexts;
on the other, persistent structural and institutional barriers limit their full potential. The findings suggest that
the future of effective anti-trafficking efforts depends on deepening cross-sectoral trust, addressing power
imbalances, and integrating civil society and faith-based actors more systematically into institutional
frameworks. By doing so, policy coordination can move beyond formal alignment toward genuine,
collaborative problem-solving that is responsive to the complex realities of human trafficking.
Concept Map
The concept map generated by Scopus AI (trial conducted on 11 September 2025) provides a visual synthesis
of the intellectual landscape on policy coordination and multi-agency collaboration in combating human
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trafficking. At the core, the map connects Human Trafficking Frameworks with key dimensions of governance,
collaboration, and victim protection, highlighting how institutional and practical responses are interlinked
across multiple levels.
Figure 2: Concept Map of Human Trafficking Frameworks
A Review of Human Trafficking Frameworks
Human trafficking frameworks provide the structural foundation through which states, international
organizations, and civil society actors respond to the multifaceted nature of trafficking. At the international
level, a human rights framework has been particularly influential in shaping both legal and normative
approaches. As Obokata (2006) explains, a rights-based framework emphasizes the obligations of states to
prohibit trafficking, punish traffickers, protect victims, and address the root causes of exploitation. This
perspective is critical because it shifts the focus from solely criminalizing traffickers to ensuring survivor-
centred justice, thereby aligning anti-trafficking measures with broader international human rights obligations.
Despite the adoption of these frameworks, the effectiveness of national institutional structures remains uneven
across jurisdictions. Slamkov (2025), for example, highlights weaknesses in North Macedonia’s legal and
institutional arrangements, pointing to issues such as resource allocation, limited inter-agency coordination,
and insufficient victim assistance. Such findings reflect broader challenges faced by many states, where the
existence of legal frameworks does not necessarily translate into effective implementation. This gap between
normative commitments and practical outcomes underscores the need for stronger institutional capacity and
better resource mobilization to operationalize anti-trafficking commitments.
A critical dimension of trafficking frameworks involves the assessment of harms experienced by victims.
Greenfield, Paoli, and Zoutendijk (2016) propose an empirical framework that integrates quantitative and
qualitative evidence to measure the severity and incidence of harms caused by trafficking. Their findings
demonstrate the catastrophic consequences that victims endure, including physical violence, psychological
trauma, and socio-economic marginalization. Such assessments are essential for policymakers, as they provide
a systematic basis for tailoring interventions to the lived realities of victims and for prioritizing resources in
prevention, protection, and rehabilitation programs.
Moreover, trafficking cannot be understood in isolation from broader structures of systemic oppression, such
as sexism, racism, and classism. Malebranche, Hopper, and Corey (2021) emphasize that human trafficking
intersects with these systemic inequalities, producing layers of vulnerability that perpetuate cycles of
exploitation. Addressing these intersections requires a multidisciplinary and ecological approach that
incorporates trauma-informed care, social justice advocacy, and inclusive policymaking. This perspective
reinforces the notion that anti-trafficking frameworks must go beyond criminal justice measures to address
structural inequalities that increase individuals’ susceptibility to trafficking.
Finally, research on policy development and diffusion reveals how anti-trafficking frameworks evolve over
time, often reflecting political priorities and institutional path dependencies. Bouché et al. (2025) find that in
the United States, policy diffusion over two decades has disproportionately emphasized prosecution over
protection and prevention. This imbalance illustrates how frameworks are shaped not only by normative
principles but also by political dynamics that privilege certain responses while sidelining others. Consequently,
future efforts must aim to rebalance anti-trafficking frameworks by integrating protection and prevention more
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systematically, ensuring a holistic approach that aligns with both human rights obligations and empirical
evidence of victim needs.
A Relationship Between Human Trafficking Frameworks and Multi-Agency Collaborations
The relationship between human trafficking frameworks and multi-agency collaborations is foundational to
effective governance in combating trafficking. Human trafficking frameworks provide the structural and
normative basissuch as legal mandates, policy directives, and institutional guidelinesthat define roles and
responsibilities for stakeholders. However, without collaboration across agencies, the implementation of these
frameworks’ risks remaining fragmented and ineffective. Evidence from the UK and US demonstrates how
multi-agency partnership work, particularly through local problem diagnosis and collaborative intelligence
analysis, enhances the operationalization of legal frameworks by mobilizing collective resources and
galvanizing local action (Rinaldi-Semione & Brewster, 2023). These collaborations translate abstract policy
commitments into concrete strategies that target trafficking at both systemic and local levels.
At the same time, the integration of multi-agency collaboration within trafficking frameworks is not without
challenges. Foot (2019) highlights that differences in power, resources, and sectoral values often hinder
collaborative effectiveness. Gendered, ethnic, and racial power dynamics can also exacerbate tensions, creating
barriers to trust and equality among agencies. These issues indicate that while legal and institutional
frameworks may prescribe cooperation, structural inequalities embedded within and between institutions can
limit the depth of collaboration. Thus, the relationship between frameworks and collaboration must be
understood as dynamicwhere frameworks provide direction but where power asymmetries must be actively
addressed to sustain meaningful partnerships.
The importance of multi-agency collaboration is particularly evident in the area of victim support and
operational planning. Pajón and Walsh (2023) argue that law enforcement agencies require consistent
collaboration with partner organizations to provide comprehensive victim support, gather intelligence, and
coordinate operations. This interdependence demonstrates that frameworks cannot function effectively in
isolation; they depend on robust networks of actors, including police, social services, and NGOs, to address the
diverse needs of victims and ensure successful enforcement. By embedding collaboration into institutional
frameworks, policymakers can ensure that victim-centred responses are not marginalized but integrated into
mainstream anti-trafficking strategies.
Evidence also demonstrates that multi-agency task forces play a critical role in strengthening the effectiveness
of trafficking frameworks. Huff-Corzine, Sacra, Corzine, and Rados (2017) show that such task forces
significantly increase trafficking-related arrests and enforcement outcomes by combining the efforts of law
enforcement, NGOs, and social services. These findings suggest that task forces operationalize frameworks by
creating platforms for coordination, accountability, and joint action. The institutionalization of such
collaborations within formal frameworks ensures that anti-trafficking measures are not episodic but part of a
sustained, systematized response.
Despite these strengths, research indicates that current multi-agency collaborations embedded within
trafficking frameworks are often limited in scope and under-researched. Jones and Lutze (2016) find that
interagency collaborations in Michigan are hindered by the absence of clear strategies for building and
sustaining partnerships. This points to a significant research and practice gap: while frameworks and
collaborations are acknowledged as mutually reinforcing, little empirical work has detailed the mechanisms for
cultivating long-term, equitable, and effective partnerships. Future research must therefore focus on developing
evidence-based strategies that integrate collaboration as a central component of trafficking frameworks,
ensuring both policy coherence and operational sustainability.
A Relationship Between Human Trafficking Frameworks and Institutional Frameworks
Institutional frameworks form the backbone of global and national efforts to combat human trafficking, linking
international agreements to domestic implementation. Human trafficking, defined as a severe violation of
human rights and freedoms, encompasses exploitation in multiple forms, including forced labour, sexual
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exploitation, slavery, and violations of bodily integrity (Malebranche et al., 2021). At the global level, the
adoption of the Palermo Protocol under the United Nations Convention against Transnational Organized Crime
has been a milestone in shaping international responses, promoting the “3P” approach of prosecution,
prevention, and protection (Martin & Callaway, 2011). While this framework has provided a strong foundation
for coordinated action, gaps remain in addressing internal trafficking within states, particularly in relation to
systemic vulnerabilities and localized exploitation that require tailored institutional responses.
The institutionalization of anti-trafficking measures at the national level has been uneven, with significant
variation across states. In North Macedonia, Slamkov (2025) finds that while a formal legal and institutional
framework exists, it is hindered by inadequate resources, weak coordination mechanisms, and insufficient
victim assistance. Similarly, in Croatia, Ofak and Vajda (2019) highlight deficiencies in sanctioning practices
and enforcement capacity, noting that despite compliance with EU Directive 2011/36/EU, systemic barriers
undermine implementation. These cases demonstrate that the effectiveness of institutional frameworks depends
not only on their formal adoption but also on the availability of resources, interagency coordination, and
political commitment to enforce anti-trafficking measures consistently.
Beyond compliance with international instruments, the integration of a human rights framework has been
proposed to strengthen institutional responses. Obokata (2006) argues that such a framework clarifies state
obligations to prohibit trafficking, punish offenders, protect victims, and address underlying causes of
exploitation. This perspective enriches institutional frameworks by embedding them within a broader
normative order, ensuring that anti-trafficking responses are not solely punitive but also protective and
preventive. By linking legal frameworks with rights-based obligations, institutions are better positioned to
deliver survivor-centred responses that align with international human rights standards.
In addition, institutional frameworks are evolving to incorporate more holistic approaches that recognize the
complexity of trafficking. Rana and Singh (2025) propose a sociotechnical framework that combines social
interventions with technological tools to address both the root causes and operational mechanisms of
trafficking. This approach reflects a growing recognition that institutions must adapt to modern challenges,
including digital platforms used for recruitment and exploitation. By leveraging technology alongside social
policy, institutional frameworks can become more adaptive, proactive, and effective in dismantling trafficking
networks and preventing victimization.
Despite these advances, significant challenges persist. Many national frameworks remain reactive, focusing
primarily on prosecution while neglecting prevention and victim rehabilitation (Symeonidou-Kastanidou,
2016). Furthermore, institutional fragmentation often undermines the coherence of anti-trafficking strategies,
as agencies operate in silos without sufficient coordination or resource-sharing. The relationship between
human trafficking frameworks and institutional frameworks thus highlights a critical tension: while
international instruments and human rights-based approaches provide strong normative guidance, their
practical impact depends on the extent to which states develop integrated, well-resourced, and technologically
adaptive institutions. Closing this gap will require sustained political will, investment in capacity building, and
stronger accountability mechanisms to ensure that institutional frameworks translate into tangible protection
and justice for trafficking victims.
Topic Experts
The identification of topic experts through Scopus AI underscores the importance of individual scholarly
contributions in shaping the discourse on policy coordination and multi-agency collaboration in combating
human trafficking. Among the recognized experts, Elizabeth P. Miller stands out as a leading authority with an
extensive academic influence, demonstrated by 9,686 citations and an h-index of 56. Miller’s research has
consistently advanced the understanding of policy and systems change, particularly in relation to intimate
partner violence and human trafficking. Her evaluation of a federal initiative on cross-sector collaboration
provides critical insights into how institutions can align their efforts to improve victim protection, enhance
prosecution outcomes, and strengthen preventative strategies (Miller, 2019). By emphasizing systemic
approaches, her work bridges theoretical frameworks with practical implementation, offering a robust
foundation for policymakers and practitioners seeking to strengthen institutional coordination.
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Complementing Miller’s contributions, Summer S. Miller-Walfish has emerged as an important voice in the
field, with 110 citations and an h-index of 5. Although earlier in her academic trajectory, Miller-Walfish has
engaged directly with the complexities of policy and systems change in contexts where intimate partner
violence intersects with human trafficking. Her evaluation of a federal cross-sector initiative highlights the
operational challenges and opportunities of multi-agency collaboration (Miller-Walfish, 2021). Her work
underscores the importance of fostering inter-organizational trust, aligning sectoral priorities, and ensuring
equitable resource distributionfactors that directly impact the sustainability of institutional frameworks. By
advancing these perspectives, Miller-Walfish contributes to the growing recognition that effective anti-
trafficking policies must move beyond fragmented interventions toward coherent governance strategies.
In contrast, Jane W. Segebrecht, with 5 citations and an h-index of 1, represents an emerging scholar-
practitioner whose contributions are situated at the intersection of academic research and policy
implementation. Segebrecht’s work on federal initiatives addressing intimate partner violence and human
trafficking highlights the value of embedding multi-agency collaboration within broader institutional
frameworks (Segebrecht, 2022). While her academic footprint is still developing, her professional role within
the Health Resources and Services Administration provides her with unique practical insights into the
operationalization of anti-trafficking policies. This practitioner-based perspective is essential for assessing how
federal initiatives translate into practice, particularly in health and social service settings that are often critical
entry points for identifying and assisting trafficking survivors.
Taken together, the contributions of these experts illustrate the diversity of perspectives within the field of
policy coordination and human trafficking governance. Miller provides a highly influential, theoretically
grounded, and empirically tested body of work that shapes academic discourse and guides systemic policy
approaches. Miller-Walfish expands this knowledge by interrogating the practical challenges of implementing
collaborative strategies, offering a growing evidence base for refining institutional frameworks. Segebrecht
brings a practitioner’s perspective, emphasizing how federal-level initiatives can be translated into actionable
strategies in the field. Collectively, these scholars advance a multi-dimensional understanding of how human
trafficking frameworks can be strengthened through coordinated, multi-agency responses.
The prominence of these experts also highlights a broader trend in the literature: the increasing recognition of
cross-sector collaboration as indispensable for combating human trafficking. Their combined contributions
reveal that effective frameworks require both academic rigor and practical applicability, drawing from
theoretical models, empirical evaluations, and on-the-ground policy implementation. This synergy between
established scholars, emerging academics, and practitioner voices provides a comprehensive knowledge base
for informing institutional reforms and guiding future research on multi-agency collaboration in anti-
trafficking efforts.
Emerging Theme
The analysis of emerging themes in the literature on human trafficking reveals a dynamic research landscape,
characterized by consistent priorities, rising areas of scholarly and policy attention, and novel issues that are
beginning to shape future directions. These themes reflect not only the evolution of academic inquiry but also
the practical needs of institutions and policymakers in addressing the complexity of human trafficking.
Consistent Theme: International and National Policy Coordination
One of the most consistent themes in the field is the emphasis on international and national policy
coordination. The persistence of this theme reflects the enduring importance of harmonizing efforts across
jurisdictions to combat human trafficking effectively. The Palermo Protocol and subsequent international
instruments have provided a strong foundation for cooperation, yet their effectiveness depends on how states
adapt and implement these commitments domestically (Martin & Callaway, 2011). Studies such as those by
Oğuz (2012) and Fekry, Al Qatawneh, Barafi, and Haswa (2023) demonstrate that international harmonization
facilitates more effective prosecution of cross-border trafficking cases, while national adaptations improve
local implementation of international protocols. This consistent theme underscores that both levels of policy
coordination are essential, with international frameworks providing direction and national frameworks
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ensuring operational effectiveness.
Rising Theme: Healthcare Sector’s Role in Identifying and Supporting Victims
A notable rising theme is the role of the healthcare sector in identifying and supporting victims of human
trafficking. Research increasingly recognizes healthcare professionals as critical actors in the early
identification of victims and the provision of trauma-informed support (Macias-Konstantopoulos, 2016). The
growing emphasis on integrating trafficking awareness into healthcare protocols and medical curricula
highlights the sector’s potential to intervene at critical points where victims seek care (Miller et al., 2018).
Enhanced training for healthcare professionals has been shown to increase identification rates, while
systematic inclusion of trafficking awareness in medical education promises long-term improvements in victim
support. This rising theme reflects an important shift toward embedding anti-trafficking strategies in sectors
beyond law enforcement, thereby broadening the institutional reach of anti-trafficking frameworks.
Rising Theme: Collaborative Governance and Legal Frameworks
Another rising theme is the increasing scholarly and policy interest in collaborative governance and legal
frameworks for human trafficking prevention. This trend highlights the growing recognition that effective anti-
trafficking strategies must be multi-stakeholder, integrating law enforcement, social services, civil society, and
judicial institutions (Foot, 2019). Pajón and Walsh (2023) show that collaborative models enable agencies to
share intelligence, improve victim protection, and enhance enforcement outcomes. Similarly, Huff-Corzine,
Sacra, Corzine, and Rados (2017) demonstrate the effectiveness of multi-agency task forces in increasing
trafficking arrests. The literature indicates that legal frameworks which incorporate diverse stakeholder input
are more likely to address the complex realities of trafficking, underscoring the value of collaborative
governance as a rising priority in both research and practice.
Novel Theme: Social Rehabilitation and Economic Empowerment of Survivors
A novel theme gaining momentum is the focus on social rehabilitation and economic empowerment of human
trafficking survivors. While earlier frameworks prioritized prosecution and prevention, recent scholarship
increasingly highlights the importance of long-term recovery and reintegration (Surtees, 2013). Economic
empowerment programs, including vocational training and employment initiatives, have been identified as
critical in reducing survivors’ vulnerability to re-trafficking (Davy, 2016). Moreover, multi-disciplinary
rehabilitation initiatives that address psychological, social, and economic needs are linked to improved
recovery outcomes (Zimmerman & Kiss, 2017). This novel theme signals a shift in anti-trafficking research
and policy towards survivor-centred approaches that prioritize human dignity, autonomy, and resilience.
Novel Theme: Prevention of Organ, Tissue, and Cell Trafficking
Finally, a particularly novel and emerging theme is the prevention of trafficking in organs, tissues, and cells,
which represents a distinct but increasingly urgent challenge. Unlike traditional forms of trafficking, organ
trafficking requires specialized legal frameworks and international cooperation due to its highly organized and
transnational nature (Ambagtsheer & Weimar, 2016). Scholars argue that existing human trafficking laws are
insufficient to address the complexities of organ trafficking, calling for new global standards and enforcement
mechanisms (Danovitch et al., 2017). The emergence of this theme underscores the need to expand the scope
of anti-trafficking research and policy to encompass biomedical exploitation, ensuring that legal and
institutional responses remain adaptive to evolving forms of trafficking.
CONCLUSION
This systematic review has examined the role of institutional frameworks and multi-agency collaborations in
combating human trafficking, drawing on insights from Scopus AI analysis that highlighted consistent, rising,
and novel themes in the research landscape. The findings demonstrate that while robust international and
national frameworkssuch as the Palermo Protocol and related domestic adaptationsprovide the normative
foundation for addressing trafficking, their effectiveness is significantly enhanced by the degree of inter-
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agency collaboration. Multi-sectoral partnerships, task forces, and cross-border cooperation emerged as critical
components for translating policy commitments into practice. At the same time, the growing recognition of
healthcare, social rehabilitation, and survivor empowerment points to a necessary shift toward more holistic
and victim-centred approaches.
From a theoretical perspective, this study reinforces the value of viewing human trafficking through
multidimensional frameworks that combine legal, human rights, and sociotechnical perspectives. The
consistent theme of policy coordination illustrates the centrality of governance theories that emphasize
institutional coherence and harmonization across scales, while the rising themes of healthcare engagement and
collaborative governance highlight the applicability of systems theory and network governance to the anti-
trafficking field. Furthermore, the novel themes of social rehabilitation, economic empowerment, and organ
trafficking prevention suggest the need for expanded theoretical approaches that incorporate public health,
social justice, and bioethics perspectives into trafficking research.
The practical implications of this study are equally significant. For policymakers, the evidence underscores the
necessity of strengthening institutional capacity, ensuring adequate resource allocation, and embedding
collaboration within legal frameworks to improve enforcement and victim support. For practitioners, the
findings point to the importance of training healthcare professionals, supporting civil society organizations,
and implementing multi-disciplinary rehabilitation programs that prioritize survivors’ long-term recovery and
reintegration. For international organizations, the results highlight the urgency of aligning global protocols
with national practices to ensure consistency in prosecution, prevention, and protection.
Despite these contributions, the study is not without limitations. First, reliance on Scopus AI analytics, while
robust, may have excluded relevant publications not indexed in Scopus or those published in non-English
languages, thereby limiting the comprehensiveness of the dataset. Second, the reliance on abstracts and
metadata for some analyses may not capture the full depth of the studies reviewed. Third, empirical gaps in the
literatureparticularly regarding strategies for sustaining multi-agency collaborations and addressing newer
forms of trafficking such as organ traderestrict the ability to draw definitive conclusions about long-term
effectiveness.
Future research should therefore pursue several avenues. Empirical studies are needed to evaluate the
implementation of institutional frameworks across different national contexts, with a focus on identifying best
practices in coordination and collaboration. Comparative analyses of survivor-centred interventions, including
economic empowerment and trauma-informed rehabilitation, would provide critical insights into long-term
reintegration strategies. In addition, emerging challenges such as digital-facilitated trafficking and organ
trafficking require specialized attention, including the development of tailored legal frameworks and
international cooperation mechanisms. Finally, interdisciplinary approaches that bring together law, public
health, social work, and technology studies will be essential for developing holistic solutions to the evolving
complexities of human trafficking.
In sum, this study demonstrates that effective responses to human trafficking depend on the synergy between
institutional frameworks and multi-agency collaboration. While much progress has been made, addressing the
persistent gaps and embracing emerging themes will be critical to advancing both scholarship and practice in
this vital field.
ACKNOWLEDGEMENTS
The authors would like to express their sincere gratitude to the Kedah State Research Committee, UiTM Kedah
Branch, for the generous funding provided under the Tabung Penyelidikan Am. This support was crucial in
facilitating the research and ensuring the successful publication of this article.
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