Political Analysis for Health Policy Implementation

Health Systems and Reform
Paola Abril Campos, Michael R Reich

Abstract

Any effort to improve health system performance must address the challenges of policy implementation. This article examines one aspect of implementation-the politics of policy implementation for the health sector, particularly the management of stakeholders in order to help change teams improve the chances of achieving policy objectives. Based on a literature scan of political analyses and descriptions of health policy implementation in low- and middle-income countries, we propose six major categories of stakeholder groups that are likely to influence implementation: interest group politics, bureaucratic politics, budget politics, leadership politics, beneficiary politics, and external actor politics. The categories of stakeholders can be overlapping. We examine the politics of these different stakeholder categories, and then present selected examples of published case studies that show the types of implementation challenges that arise for each category and how implementers can use political strategies to manage specific stakeholder groups and related political processes. Understanding the political dimensions of implementation can help those responsible for implementation drive policy into practice more effectively. Understand...Continue Reading

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Jul 2, 2016·Health Systems and Reform·Lucy Gilson

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Citations

Nov 30, 2019·African Journal of AIDS Research : AJAR·Charles Birungi, Timothy Colbourn
Jan 7, 2020·Health Policy and Planning·Syed Shahiq RizviPeter S Hill
Jun 13, 2020·Health Systems and Reform·Pablo Villalobos DintransTito Pizarro
Aug 2, 2019·Health Systems and Reform·Susan P SparkesMichael R Reich
Aug 16, 2019·Health Systems and Reform·Jeremy Shiffman
Jun 25, 2020·International Journal of Environmental Research and Public Health·Doris SchaefferKlaus Hurrelmann
Sep 24, 2019·Health Systems and Reform·Susan P SparkesMichael R Reich
Jul 23, 2020·Health Research Policy and Systems·Joël Arthur KiendrébéogoBruno Meessen
Aug 27, 2019·Health Systems and Reform·Michael R Reich
Jan 22, 2021·The International Journal of Health Planning and Management·Peter Mgawe, Stephen O Maluka
Jan 31, 2021·International Journal of Environmental Research and Public Health·Mirosław KrzyśkoAndrzej Wojtyła
Apr 16, 2021·Health Research Policy and Systems·Puspa Raj PantSunil Kumar Joshi
May 7, 2021·Journal of Pharmaceutical Policy and Practice·Laura C Vargas LópezMichael R Reich
May 29, 2021·Journal of Applied Research in Intellectual Disabilities : JARID·Rafat HussainNicola Hayhoe
Jul 28, 2021·Public Health Nutrition·Gastón AresAnne Marie Thow
Aug 27, 2021·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Opeyemi BabajideNana A Y Twum-Danso
Sep 9, 2021·Cadernos de saúde pública·Lucilene Rafael AguiarDemocrito de Barros Miranda-Filho
Oct 26, 2021·Family Practice·Pallavi PrathivadiElizabeth Sturgiss

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