Ministers of Health: short-term tenure for long-term goals?

Ferraz, Marcos Bosi; Azevedo, Ramiro Anthero de

doi:10.1590/s1516-31802011000200005

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…En comparación con otros países, la duración de la gestión ministerial en el Perú es breve y se ha reducido en años recientes. Un estudio que revisó la duración de la gestión de los ministros de salud de 23 países de 1990 al 2010, reportó una mediana de 20 meses, siendo Suiza (96 meses), Estados Unidos (47,5 meses) y Singapur (42 meses) los países con las medianas de duración más extensas y Corea del Sur (10 meses), Polonia y República Checa (13 meses) los países con medianas de duración más breves (17) . Esta revisión incluyó dos países latinoamericanos, Chile (32 meses) y Brasil (13 meses).…”

Section: Discussionunclassified

Duración de la gestión ministerial y logros en salud en el Perú

Gozzer

Canchihuamán

Chalco

et al. 2021

Rev Peru Med Exp Salud Publica

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Los periodos breves en la gestión de un ministerio de salud pueden poner en riesgo la implementación y la efectividad de políticas de Estado por cambios en la orientación de la gestión, por un proceso natural de aprendizaje, o por otros factores. El propósito de este artículo fue determinar y comparar la duración de la gestión ministerial en salud en Perú, describir sus características y discutir su relación con los logros en salud pública. Entre 1935 y 2021, la media de duración de la gestión fue de 13,7 meses y la mediana fue de 11 meses, siendo la más extensa de 67 meses, de Constantino Carvallo, y la más breve de un día, de Javier Correa. La duración de la gestión ministerial en el Perú tiene un amplio rango de variación (1día hasta 67 meses), es menor comparada con la de otros países, y está disminuyendo desde el 2016. Si bien, una duración mayor a la encontrada no sería suficiente para garantizar los logros en salud, podría contribuir en el sostenimiento de las acciones de salud y tener un efecto positivo en las políticas de largo plazo.

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Section: Discussionunclassified

Duración de la gestión ministerial y logros en salud en el Perú

Gozzer

Canchihuamán

Chalco

et al. 2021

Rev Peru Med Exp Salud Publica

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“…These findings are consistent with research in other countries which indicate a negative impact of short tenures on healthcare systems. 33 …”

Section: Conflict and Opportunity Within Fragmented Political Institu...mentioning

confidence: 99%

“…These findings are consistent with research in other countries which indicate a negative impact of short tenures on healthcare systems. 33 Further, amid political uncertainty and instability, there are issues related to continuity of programmes and initiatives. We found, for example, that in April 2021 the government abruptly decided to disband the Tobacco Control Cell that had been set up within the federal health ministry in 2007 with a mandate to control tobacco use in Pakistan.…”

Section: Issues Related To Intra-agency Fragmentationmentioning

confidence: 99%

Conflicting interests, institutional fragmentation and opportunity structures: an analysis of political institutions and the health taxes regime in Pakistan

Mirza,

Munir

2023

BMJ Glob Health

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Pakistan is the world’s fifth most populous country, with large segments of its population at risk from non-communicable diseases caused by consumption of harmful products, including tobacco and sugar-sweetened beverages. Even though evidence exists that increased taxes on harmful products leads to consumption reductions as well as increased revenues, Pakistan’s health taxes remain low. We seek to understand the reasons for the deficient health tax regime. Much of the existing literature emphasises industry tactics, resources and motivations. We take a different approach and instead focus on political institutions in Pakistan which could help explain deficiencies in the health taxes regime. We employed a mixed method design. We conducted: (1) a detailed analysis of media content, (2) semistructured interviews with key stakeholders (and attended relevant meetings) and (3) an analysis of primary and secondary literature, including legal and policy documents. We identify two key aspects of Pakistan’s political institutions which may help explain deficiencies in health taxes. First, we identified structural issues in the design and functioning of key institutions responsible for health taxes, including with respect to federalism, intraelite conflict, interagency coordination and intra-agency fragmentation. Second, we found evidence of an entrenchment of industry interests within governmental institutions, which are characterised by weak frameworks for regulating conflicts of interest. We conclude that gaps and conflict within political institutions, owing to weak design, instability and fragmentation, create political opportunity for industry actors to influence the system to advance their interests. The findings of this research indicate towards needed interventions.

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“…Finally, funding would often be feasible within ministry of health budgets in some cases. Potential barriers, apart from competing health priorities, include knowledge of the benefits of radiation therapy and political will to invest in a service that may take years to implement (6,73). Zambia is an example of such successful commitment.…”

Section: Costs Of Carementioning

confidence: 99%

Global palliative radiotherapy: a framework to improve access in resource-constrained settings

Elmore¹,

Grover²,

Bourque³

et al. 2019

Ann. Palliat. Med.

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Radiotherapy is an essential component of cancer therapy. Lack of access to radiotherapy in lessdeveloped countries prevents its use for both cure and symptom relief, resulting in a significant disparity in patient suffering. Several recent initiatives have highlighted the need for expanded access to both palliative medicine and radiotherapy globally. Yet, these efforts have remained largely independent, without attention to overlap and integration. This review provides an update on the progress toward global palliative radiotherapy access and proposes a strategic framework to address further scale-up. Synergies between radiotherapy, palliative medicine, and other global health initiatives will be essential in bringing palliative radiotherapy to patients around the globe.

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Ministers of Health: short-term tenure for long-term goals?

Cited by 5 publications

References 19 publications

Duración de la gestión ministerial y logros en salud en el Perú

Duración de la gestión ministerial y logros en salud en el Perú

Conflicting interests, institutional fragmentation and opportunity structures: an analysis of political institutions and the health taxes regime in Pakistan

Global palliative radiotherapy: a framework to improve access in resource-constrained settings

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