Policy process for health sector reforms: a case study of Punjab Province (Pakistan)

The International Journal of Health Planning and Management
Ehsanullah TarinJane Shaw

Abstract

The health sector in the Punjab (Pakistan) faces many problems, and, the government introduced reforms during 1993-2000. This paper explores the policy process for the reforms. A case study method was used and, to assist this, a conceptual framework was developed. Analysis of four initiatives indicated that there were deviations from the government guidelines and that the policy processes used were weak. The progress of different reforms was affected by a variety of factors: the immaturity of the political process and civil society, which together with innate conservatism and resistance to change on the part of the bureaucracy resulted in weak strategic sectoral leadership and a lack of clear purpose underpinning the reforms. It also resulted in weaknesses in preparation of the detail of reforms leading to poor implementation. The study suggests a need for broadening the stakeholders' base, building the capacity of policy-makers in policy analysis and strengthening the institutional basis of policymaking bodies.

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Citations

Jun 30, 2015·The International Journal of Health Planning and Management·Federica Segato, Cristina Masella
Dec 14, 2019·Global Health Research and Policy·Xuan ZhaoWeiyan Jian

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