Introduction to the Special Issue on "Analysing the Politics of Health Policy Change in Low- and Middle-Income Countries: The HPA Fellowship Programme 2017-2019"

Gilson, Lucy; Shroff, Zubin Cyrus; Shung-King, Maylene

doi:10.34172/ijhpm.2021.43

Cited by 17 publications

(26 citation statements)

References 12 publications

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“…To build capacity to support Member States in using political economy analysis, the Alliance for Health Policy and Systems Research has developed the health policy analysis fellowship programme. 14 In 2017, in collaboration with the University of Cape Town, South Africa, the programme (now in its second round) has supported over 20 doctoral candidates in low- and middle-income countries to incorporate political economy and policy analysis perspectives within their existing doctoral theses. The programme includes intensive training and technical support to these students from global leaders in the field, coupled with financial assistance to carry out political economy research.…”

Section: Relevant Changesmentioning

confidence: 99%

Normalizing the political economy of improving health

Sparkes¹,

Rivera²,

Jang³

et al. 2022

Bull World Health Organ

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Section: Relevant Changesmentioning

confidence: 99%

Normalizing the political economy of improving health

Sparkes¹,

Rivera²,

Jang³

et al. 2022

Bull World Health Organ

Self Cite

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“…Using Health Policy Analysis (HPA) [ 22 ], otherwise known as the Policy Triangle Framework (PTF) [ 22 , 23 ], this policy analysis intends to contribute to addressing this knowledge gap. This framework has been widely used in many countries, particularly low- and middle-income countries, to address a variety of health policy issues, including health sector transformations and population health [ 24 – 26 ]. It focuses on four key aspects: the policy’s content; the people involved in policy change; the procedures involved in producing and implementing change; and the context in which the policy is created.…”

Section: Introductionmentioning

confidence: 99%

“…It focuses on four key aspects: the policy’s content; the people involved in policy change; the procedures involved in producing and implementing change; and the context in which the policy is created. The framework is premised on the idea that policy derives from and is shaped by political and social processes [ 22 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Indonesia free from pasung: a policy analysis

Hidayat

Oster

Muir‐Cochrane

et al. 2023

Int J Ment Health Syst

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Background Many people with mental illnesses remain isolated, chained, and inside cages, called Pasung in Indonesia. Despite numerous policies introduced to eradicate Pasung, Indonesia has made slow progress in decreasing this practice. This policy analysis examined existing policies, plans and initiatives in Indonesia targeted at eradicating Pasung. Policy gaps and contextual constraints are identified in order to propose stronger policy solutions. Methods Eighteen policy documents were examined, including government news releases and organisational archives. A content analysis was undertaken of national-level policies that address Pasung within the context of the health system, social system and human rights since the establishment of Indonesia. This was followed by a case study analysis of policy and program responses particularly in West Java Province. Findings While policy to address Pasung exists at a national level, implementation at national and local levels is complicated. Pasung policy has generated a sense of awareness but the different directions and ambiguous messaging across all stakeholders, including policy actors, has created a lack of clarity about institutions’ roles and responsibilities in the implementation process, as well as accountability for outcomes. This situation is exacerbated by an incomplete decentralisation of healthcare policymaking and service delivery, particularly at the primary level. It is possible that policymakers have overlooked international obligations and lessons learned from successful policymaking in comparable regional countries, resulting in disparities in target-setting, implementation mechanisms, and evaluation. Conclusion While the public has become more informed of the need to eradicate Pasung, ongoing communication with the various clusters of policy actors on the aforementioned issues will be critical. Addressing the various segments of the policy actors and their challenges in response to policy will be critical as part of building the evidence base to establish a feasible and effective policy to combat Pasung in Indonesia.

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“…[16][17][18][19] In reality, the process is influenced by multiple social, economic and political factors. 17,20 Black and Donald caution against the assumption of a linear relationship between evidence and policy 12 suggesting that evidence-based policy making is more an interactive process. This view is supported by Fogarty who writes that 'different narratives and priorities come together in complex wayscoexisting and sometimes sitting in tension with one another'.…”

Section: Introductionmentioning

confidence: 99%

“…The outcomes are then subject to evaluation and the cycle begins again 16–19 . In reality, the process is influenced by multiple social, economic and political factors 17,20 …”

Section: Introductionmentioning

confidence: 99%

What's data got to do with it? A scoping review of data used as evidence in policies promoting the health of Aboriginal and Torres Strait Islander children in the Northern Territory, Australia

Lloyd-Johnsen

Eades

D’Aprano

et al. 2022

Health Prom J of Aust

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Issue addressed Accurate data on the health of Australia's First Nations peoples is critical in determining appropriate public health programs and establishing a baseline against which to measure progress. The effective translation of evidence into practice continues to be a challenge for Australian health departments and policymakers. The objective of this scoping review was to (i) determine the extent and range of policies relevant to the health and well‐being of Aboriginal and Torres Strait Islander children in the Northern Territory (NT); to (ii) identify what data is reported to be used as evidence to reconcile policy goals with outcomes, (iii) to describe issues acknowledged by policy makers relating to data availability and/or limitations, and to (iv) examine how principles of Indigenous inclusion and self‐determination are included in these policies. Methods A search for current policy documents, strategic plans/initiatives or frameworks was conducted across Ovid Medline, PubMed, Informit, Scopus, in addition to a web‐based search for grey literature. Current policy documents for the period 2010‐2021 were included providing at least one of the goals or objectives were relevant to the health and well‐being of Australian Aboriginal and Torres Strait Islander children from the NT. Results The search located 2610 unique citations. Full‐text screening was conducted on 85 documents, a total of 49 policy documents or strategic plans/frameworks were included in the final synthesis. The source of data being used as evidence was unclear or absent in 10 of the 49 (20.4%) identified policy documents. Limitations of the available data were mentioned to some extent, but detailed information on quality and completeness was largely absent. In mapping the key principles of working in Aboriginal and Torres Strait Islander health contexts, only two policies articulated the need for information sharing and data governance. Conclusions This review underscores the importance of providing clear information about which data is being used to inform policy decisions so that they may be evaluated and critiqued in meaningful ways that ensure decision makers are accountable. So what? Specific data items and/or indicators should be explicitly referenced as evidence used in the development of policies promoting the health of Aboriginal and Torres Strait Islander children and their communities from the outset so that evaluation is clear and policy makers are held accountable.

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Introduction to the Special Issue on "Analysing the Politics of Health Policy Change in Low- and Middle-Income Countries: The HPA Fellowship Programme 2017-2019"

Cited by 17 publications

References 12 publications

Normalizing the political economy of improving health

Normalizing the political economy of improving health

Indonesia free from pasung: a policy analysis

What's data got to do with it? A scoping review of data used as evidence in policies promoting the health of Aboriginal and Torres Strait Islander children in the Northern Territory, Australia

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