Expert Consensus on Factors Reducing Policy Coherence in the Context of Iran: Delphi-AHP

Danaeefard, Hassan; Ahmadi, Hanieh; Pourezzat, Ali Asghar

doi:10.1080/01900692.2017.1400558

Cited by 7 publications

(9 citation statements)

References 47 publications

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“…Another South African study found policy incoherence between government action to promote a healthy food supply and the government objectives for economic liberalisation [74]. A study in Iran found that power dynamics, disagreements and diverse interests among policy-makers and organisations resulted in policy incoherence [75]. Similarly, a multicountry study in China, India and Vietnam also found a lack of coherence between each country's human resource strategy and maternal and child health policy, which adversely affected implementation [76].…”

Section: Discussionmentioning

confidence: 99%

Policy context, coherence and disjuncture in the implementation of the Ideal Clinic Realisation and Maintenance programme in the Gauteng and Mpumalanga provinces of South Africa

Muthathi

Rispel

2020

Health Res Policy Sys

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Background: Universal health coverage is a key target of the Sustainable Development Goals and quality of care is fundamental to its attainment. In South Africa, the National Health Insurance (NHI) system is a major health financing reform towards universal health coverage. The Ideal Clinic Realisation and Maintenance (ICRM) programme aims to improve the quality of care at primary healthcare level in preparation for NHI system implementation. This study draws on Bressers' Contextual Interaction Theory to explore the wider, structural and specific policy context of the ICRM programme and the influence of this context on policy actors' motivation, cognition and perceived power. Methods: This was a nested qualitative study, conducted in two NHI pilot districts in the Gauteng and Mpumalanga Provinces of South Africa. Following informed consent, we conducted in-depth interviews with key informants involved in the conceptualisation and implementation of the ICRM programme. The questions focused on ICRM policy context, rationale and philosophy, intergovernmental relationships, perceptions of roles and responsibilities in implementation, ICRM programme resourcing, and implementation progress, challenges and constraints. We used thematic analysis, informed by Bressers' theory, to analyse the data. Results: A total of 36 interviews were conducted with key informants from national, provincial and local government. The wider context of the ICRM programme implementation was the drive to improve the quality of care at primary healthcare level in preparation for NHI. However, the context was characterised by contestations about the roles and responsibilities of the three government spheres and weak intergovernmental relationships. Notwithstanding examples of strong local leadership, the disjuncture between two national quality of care initiatives and resource constraints influenced policy actors' experiences and perceptions of the ICRM programme. They expressed frustrations about the lack of or diffuse accountability and their lack of involvement in decisionmaking, thus questioning the sustainability of the ICRM programme.

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Section: Discussionmentioning

confidence: 99%

Policy context, coherence and disjuncture in the implementation of the Ideal Clinic Realisation and Maintenance programme in the Gauteng and Mpumalanga provinces of South Africa

Muthathi

Rispel

2020

Health Res Policy Sys

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“…In fact, these factors can be barriers or enablers of PC. Only a few studies (Danaeefard et al, 2019; May et al, 2006; Meijers & Stead, 2004; Sianes, 2013) have described some PC factors. For example, Sianes (2013) outlined factors determining inconsistencies in the development aid system, while Danaeefard et al (2019) examined PC factors in the context of Iranian public administration.…”

Section: Introductionmentioning

confidence: 99%

“…Only a few studies (Danaeefard et al, 2019; May et al, 2006; Meijers & Stead, 2004; Sianes, 2013) have described some PC factors. For example, Sianes (2013) outlined factors determining inconsistencies in the development aid system, while Danaeefard et al (2019) examined PC factors in the context of Iranian public administration. However, limited studies have focused on their identification and mitigation for a better environmental policy design, implementation, and management.…”

Section: Introductionmentioning

confidence: 99%

Barriers and enablers of environmental policy coherence: A systematic review

Tchinda

Talbot

2023

Env Pol Gov

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The literature on policy coherence (PC) examines contradictions and synergies between policies. This systematic review explores factors that facilitate or disrupt PC in the environmental field. Based on 70 empirical studies, this research describes the evolution of the PC literature, identifying eight critical PC factors. Furthermore, this study identifies six avenues for future research on PC, such as methodological innovations and including stakeholders in the policy development process. In addition to drawing on contradictions and synergies for PC analysis, this study suggests an integrative framework of barriers and enablers. These findings have implications for policymakers and program managers in the environmental field.

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“…It is argued that their low-level performance is related to the lack of capabilities among public servants, is attributed to partisan and clique values, or stems from the politicization of the public service more generally. Furthermore, the chaotic form of politicization and corruption in the Iranian system has recently severely decreased public trust in political leaders and their role in controlling the bureaucratic system (Danaeefard et al, 2019). The politicization of public services in the Iranian context is rampant, and the politicsadministration dichotomy is not separable even at the local level of public service (Danaeefard et al, 2016).…”

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confidence: 99%

“…One of the major challenges is that, despite strong control of the public servant's performance and political performance in legal and administrative forums and different auditing systems, the public is still dissatisfied with the performance of elected politicians. This issue is aggravated further when, in the policy process-especially the implementation and evaluation phases-political criteria are applied to justify policy execution (Danaeefard et al, 2019).…”

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confidence: 99%

Consequences of a politicized public service system: Perspectives of politicians, public servants, and political experts

et al. 2021

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Politicization has different consequences for public administration and public services in different countries. This study seeks to identify the consequences of politicization in the Iranian public service. After reviewing the theoretical foundations of politicization, the authors reflect on different researchers' and political experts' views about the consequences of politicization. In the first phase of the study, qualitative data were gathered and categorized into structural, content-behavioral, and environmental dimensions, and Rouban's framework was used to organize themes. In the second phase, statistical analyses were performed to corroborate the results of the first phase. Results indicated that the consequences of two types of politicization were perceived to be negative ones, and there was one type of politicization in which the consequences were assumed to be more constructive than destructive. Implications and recommendations for future studies are advanced.

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Expert Consensus on Factors Reducing Policy Coherence in the Context of Iran: Delphi-AHP

Cited by 7 publications

References 47 publications

Policy context, coherence and disjuncture in the implementation of the Ideal Clinic Realisation and Maintenance programme in the Gauteng and Mpumalanga provinces of South Africa

Policy context, coherence and disjuncture in the implementation of the Ideal Clinic Realisation and Maintenance programme in the Gauteng and Mpumalanga provinces of South Africa

Barriers and enablers of environmental policy coherence: A systematic review

Consequences of a politicized public service system: Perspectives of politicians, public servants, and political experts

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