A Case of Weak Architecture: The French Ministry of Health

Briatte, François

doi:10.1111/j.1467-9515.2009.00706.x

Cited by 17 publications

(6 citation statements)

References 25 publications

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“…As a result, capacity assessments often respond to the needs of individual projects and do not address wider organizational issues, fail to address the unique institutional opportunities and constraints that universities face, and focus on ‘capacity needs’ with less attention to existing strengths or ‘capacity assets’. While studies exist considering the capacity of ministries of health and independent entities ( Briatte 2010 ; Greer 2010 ; Bennett et al 2012b ), work has only recently begun to explore the HPSR+A capacity of universities, typically within regional networks such as ASPHA (Association of Schools of Public Health in Africa). The existing work in Africa appears also to focus on research capacities ( Simba 2012 ), and we found no assessments of universities’ capacity related to HPSR+A teaching and networking.…”

Section: Introductionmentioning

confidence: 99%

Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities: results from the CHEPSAA project

Mirzoev

Lê

Green

et al. 2013

Health Policy and Planning

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The importance of health policy and systems research and analysis (HPSR+A) is widely recognized. Universities are central to strengthening and sustaining the HPSR+A capacity as they teach the next generation of decision-makers and health professionals. However, little is known about the capacity of universities, specifically, to develop the field. In this article, we report results of capacity self- assessments by seven universities within five African countries, conducted through the Consortium for Health Policy and Systems Analysis in Africa (CHEPSAA). The capacity assessments focused on both capacity ‘assets’ and ‘needs’, and covered the wider context, as well as organizational and individual capacity levels. Six thematic areas of capacity were examined: leadership and governance, organizations’ resources, scope of HPSR+A teaching and research, communication, networking and getting research into policy and practice (GRIPP), demand for HPRS+A and resource environment. The self-assessments by each university used combinations of document reviews, semi-structured interviews and staff surveys, followed by comparative analysis. A framework approach, guided by the six thematic areas, was used to analyse data. We found that HPSR+A is an international priority, and an existing activity in Africa, though still neglected field with challenges including its reliance on unpredictable international funding. All universities have capacity assets, such as ongoing HPSR+A teaching and research. There are, however, varying levels of assets (such as differences in staff numbers, group sizes and amount of HPSR+A teaching and research), which, combined with different capacity needs at all three levels (such as individual training, improvement in systems for quality assurance and fostering demand for HPSR+A work), can shape a future agenda for HPSR+A capacity strengthening. Capacity assets and needs at different levels appear related. Possible integrated strategies for strengthening universities’ capacity include: refining HPSR+A vision, mainstreaming the subject into under- and post-graduate teaching, developing emerging leaders and aligning HPSR+A capacity strengthening within the wider organizational development.

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Section: Introductionmentioning

confidence: 99%

Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities: results from the CHEPSAA project

Mirzoev

Lê

Green

et al. 2013

Health Policy and Planning

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show abstract

“…Because of the pioneering nature of our study, we cannot compare our findings with similar research in developing countries. However, the complexity of applying MOH capacity to health policy processes is shown in some European contexts (Mätzke, , Briatte, , Greer, ).…”

Section: Discussionmentioning

confidence: 99%

“…Attempts have been made to apply the notion of capacity in relation to strengthening health systems (LaFond et al ., , Pappaioanou et al ., ) or conducting health systems and policy research (Bennett et al ., , Gonzalez Block and Mills, ) and to better understand the role of health ministries in health policy processes in some European contexts (Briatte, , Mätzke, , Greer, ). However, we found no frameworks that focus on capacity to conduct health policy processes in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Framework for assessing the capacity of a health ministry to conduct health policy processes-a case study from Tajikistan

Mirzoev

Green

Kalliecharan

2013

Int J Health Plann Mgmt

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Summary An adequate capacity of ministries of health (MOH) to develop and implement policies is essential. However, no frameworks were found assessing MOH capacity to conduct health policy processes within developing countries. This paper presents a conceptual framework for assessing MOH capacity to conduct policy processes based on a study from Tajikistan, a former Soviet republic where independence highlighted capacity challenges. The data collection for this qualitative study included in‐depth interviews, document reviews and observations of policy events. Framework approach for analysis was used. The conceptual framework was informed by existing literature, guided the data collection and analysis, and was subsequently refined following insights from the study. The Tajik MOH capacity, while gradually improving, remains weak. There is poor recognition of wider contextual influences, ineffective leadership and governance as reflected in centralised decision‐making, limited use of evidence, inadequate actors' participation and ineffective use of resources to conduct policy processes. However, the question is whether this is a reflection of lack of MOH ability or evidence of constraining environment or both. The conceptual framework identifies five determinants of robust policy processes, each with specific capacity needs: policy context, MOH leadership and governance, involvement of policy actors, the role of evidence and effective resource use for policy processes. Three underlying considerations are important for applying the capacity to policy processes: the need for clear focus, recognition of capacity levels and elements, and both ability and enabling environment. The proposed framework can be used in assessing and strengthening of the capacity of different policy actors. Copyright © 2013 John Wiley & Sons, Ltd.

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“…In the same way, vertical policy -i.e., European Court of Justice decisions -paved the way for a horizontal policy that made policy more coherent by giving the EU institutions a greater warrant to intervene in health care services policy, among other things (Hervey and Vanhercke 2010). (Radin 2010), other US agencies (Roberts 2006), or the health ministry of an EU member state (Mätzke 2010;Briatte 2010).…”

Section: Policymentioning

confidence: 99%

The European Centre for Disease Prevention and Control: Hub or Hollow Core?

Greer

2012

Journal of Health Politics, Policy and Law

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The European Centre for Disease Prevention and Control (ECDC) is the small agency established by the European Union (EU) to act as a hub for disease control, drawing on networks across the continent to achieve what other political systems do with large agencies. Despite this important task, the agency is largely unstudied. This article examines the ECDC from different angles, focusing on whether it can become the center of the networks that monitor, control, and prevent contagious diseases in Europe. The essay first retraces the events that led up to the ECDC's creation, focusing on the combination of policy debates about EU actions, political initiatives, and crises such as SARS that led to its creation. It then presents an overview of ECDC activities. The article concludes by examining the ECDC's prospects in light of its ability to secure its future through multiple political connections and a reputation for unique and useful advice. Insofar as it can do that, it will be able to contribute to the development of the EU and European public health.

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A Case of Weak Architecture: The French Ministry of Health

Cited by 17 publications

References 25 publications

Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities: results from the CHEPSAA project

Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities: results from the CHEPSAA project

Framework for assessing the capacity of a health ministry to conduct health policy processes-a case study from Tajikistan

The European Centre for Disease Prevention and Control: Hub or Hollow Core?

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