Health policy triangle framework: Narrative review of the recent literature

O’Brien, Gary L.; Sinnott, Sarah-Jo; Walshe, Valerie; Mulcahy, Mark; Byrne, Stephen

doi:10.1016/j.hpopen.2020.100016

Cited by 54 publications

(57 citation statements)

References 84 publications

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“…A qualitative descriptive study design was used to explore and illustrate the current maternity protection benefits available to women in positions of non-standard employment in SA. As is typical of public health policy analysis, data collection techniques included a combination of document analysis and key informant interviews [ 16 ] (Fig. 1 ) together with synthesis from published literature.…”

Section: Methodsmentioning

confidence: 99%

Maternity protection for female non-standard workers in South Africa: the case of domestic workers

Pereira-Kotze

Doherty

Faber

2022

BMC Pregnancy Childbirth

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Background Many women work in positions of non-standard employment, with limited legal and social protection. Access to comprehensive maternity protection for all working women could ensure that all women and children can access health and social protection. This study aimed to describe the maternity protection benefits available to women in positions of non-standard employment in South Africa, using domestic workers as a case study. Methods A qualitative descriptive study design was used. National policy documents containing provisions on maternity protection were identified and analysed. Interviews were conducted with purposively selected key informants. Data extracted from published policy documents and information obtained from interviews were triangulated. A thematic analysis approach was used for evaluation of policy content and analysis of the interviews. Results Twenty-nine policy and legislative documents were identified that contain provisions on maternity protection relevant to non-standard workers. These documents together with three key informant interviews and two media releases are used to describe availability and accessibility of maternity protection benefits for non-standard workers in South Africa, using domestic workers as a case study. Maternity protection is available in South Africa for some non-standard workers. However, the components of maternity protection are dispersed through many policy documents and there is weak alignment within government on maternity protection. Implementation, monitoring, and enforcement of existing maternity protection policy is inadequate. It is difficult for non-standard workers to access maternity protection benefits, particularly cash payments. Some non-standard workers have unique challenges in accessing maternity protection, for example domestic workers whose place of work is a private household and therefore difficult to monitor. Conclusion The heterogeneity of non-standard employment makes it challenging for many women to access maternity protection. There are policy amendments that could be made and improvements to policy implementation that would enhance non-standard workers’ access to maternity protection. Potential long-term benefits to women and children’s health and development could come from making comprehensive maternity protection available and accessible to all women.

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Section: Methodsmentioning

confidence: 99%

Maternity protection for female non-standard workers in South Africa: the case of domestic workers

Pereira-Kotze

Doherty

Faber

2022

BMC Pregnancy Childbirth

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“…Findings from the document review were analyzed using the policy triangle framework developed by Walt et al (2008) and further enhanced specifically for the health sector (O'Brien et al 2020). Using this framework, the analytical procedure of this study focused on the context (mostly disaster occurrence) informing the need for the policy; the explicit concern about DRM in the policy, for example, mention of shifts from a reactive to a proactive DRM approach and financial commitments (content); the participants in the formulation and implementation process to investigate inclusion of stakeholders, including those from districts and the international community (actors); and the adopted policy implementation process, focusing on the rollout plan and resource commitment (process).…”

Section: Qualitative Data Analysismentioning

confidence: 99%

Assessing Capacity and Implementation Status of the Disaster Risk Management Strategy for Health and Community Disaster Resilience in Malawi

Dewa

Makoka

Ayo‐Yusuf

2021

Int J Disaster Risk Sci

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Floods are among the most frequently occurring natural hazards in Malawi, often with public health implications. This mixed methods study assessed the capacity for and implementation status of the disaster risk management (DRM) strategy for the health sector in Malawi, using flooding in the Nsanje District as a case. Data were collected using desk review and a workshop methodology involving key officials from government ministries, national and international development partners, and the academia. The results show that Malawi had recently strengthened its DRM institutional frameworks, with a pronounced policy shift from reactive to proactive management of disasters. Health sector personnel and structures were key contributors in the design and implementation of DRM activities at all levels. Development partners played a significant role in strengthening DRM coordination and implementation capacity. Lack of funding and the limited availability, and often fragmented nature, of vulnerability and risk assessment data were identified as key challenges. Limited human resource capacity and inadequate planning processes at district level impeded full implementation of DRM policies. These findings call for community-level interventions for improved coordination, planning, and human resource capacity to strengthen community disaster resilience and improve public health. The approach used in this study can serve as a model framework for other districts in Malawi, as well as in other low- and middle-income countries in the context of Sendai Framework implementation.

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“…Indeed, healthcare policies legislated by politicians, economists, and healthcare administrators interfere in collaboration to reduce the devastating impact of COVID-19 on the healthcare systems. The aim of this study is to analyze healthcare policies, on both the macro and micro levels in relevance to COVID-19 management in KSA using Walt and Gilson's policy triangular model ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

Health Policy Development During COVID-19 in Saudi Arabia: Mixed Methods Analysis

Alonazi

Altuwaijri

2022

Front. Public Health

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Healthcare systems are increasingly required to utilize effective approaches, apply evidence-based practice, and consequently sustain successful strategic management. Document analysis provides insights into the effective management tools applied by agencies to respond to crises. This article provides a practical exploration of how the Saudi health authority applied effective measures to eventually reduce the administrative and clinical consequences while managing the COVID-19 pandemic. The conceptual descriptive framework was based on health policy triangle of Walt and Gilson. Official reports and supporting documents issued by the Saudi government toward COVID-19 were operationally analyzed. Moreover, five healthcare professional experts were invited in a semistructured interview to assess the strategic steps that have been utilized to minimize the health risk by conducting a healthcare risk analysis. Various documents showed that two major entities were responsible for managing regulations and medications of COVID-19 in addition to six other entities that were partially involved. Although each entity was approved to work independently, their efforts were cohesively associated with each other. Most documents were well-applied on personal, social, organizational, and national strata. However, it is unclear how lessons identified became affirmative, while the collaboration remains vague, especially under the emergence of a new entity such as the Public Health Authority. Healthcare professional experts also positively supported the effectiveness of such policies to confront COVID-19 through the following three domains: health guidelines, utilizing simulation (telehealth/telecommunication) services, and ensuring continuity of services.

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Health policy triangle framework: Narrative review of the recent literature

Cited by 54 publications

References 84 publications

Maternity protection for female non-standard workers in South Africa: the case of domestic workers

Maternity protection for female non-standard workers in South Africa: the case of domestic workers

Assessing Capacity and Implementation Status of the Disaster Risk Management Strategy for Health and Community Disaster Resilience in Malawi

Health Policy Development During COVID-19 in Saudi Arabia: Mixed Methods Analysis

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