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Health Policy Analysis Conceptual Framework

Health Policy Analysis Conceptual Framework. Shahaduz Zaman Newcastle University, UK. What does a health policy analysis involve?. Conceptual frameworks provide a particular perspective, or lens, through which to examine a topic.

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Health Policy Analysis Conceptual Framework

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  1. Health Policy Analysis Conceptual Framework Shahaduz Zaman Newcastle University, UK

  2. What does a health policy analysis involve?

  3. Conceptual frameworks provide a particular perspective, or lens, through which to examine a topic.

  4. Frameworks organize inquiry by identifying elements and relationships among elements that needs to be considered for theory building. ( Ostrom 2007)

  5. Health policy framework helps to contextualize the ‘health policy environment.’

  6. Three major health policy analysis frameworks

  7. Policy Triangle Framework

  8. An Example of using Policy triangle framework

  9. Mediterranean studies of Cardiovascular diseases and Hyperglycaemia: analytical Modelling of Population Socio-economic transitions (MEDCHAMPS)

  10. MEDCHAMPS objectives Developing a CVD and diabetes model for use within the project countries, in order to explain trends and predict likely future impact of diseases Defining the national policy context and characterising the health system for developing policy options

  11. Situation analysis (1) Translating recommended interventions to different cultural settings Health outcomes influence Health policies Analysis of: Health services Gaps Informs policy options Qualitative data from key stakeholders Barriers Health beliefs Opportunities for implementing change

  12. National situation analysis of current policy and health systems context • Objectives: • Using established schematic frameworks of potentially effective policy measures and health system interventions for the prevention of CVD and Type 2 diabetes in order to guide data collection and analysis • Identify, collating and systematically reviewing all relevant documentary materials on policies and health services provision

  13. Exploring perception and knowledge of relevant national policies through interviews with key informant from relevant organisations, including government, the health sector, private sector and non governmental organizations (including patient group) • Exploring health beliefs with potential target groups, and determining whether these differ by population group. Including by gender and socio economic group.

  14. Two focuses • A. Situation analyses of current policy: • National/Regional/District overview • B. Health system contexts: • Local orientation alongside the national orientation

  15. The project therefore envisages appraising existing situations in partner countries on three different levels:

  16. Level 1: Situation on the level of conceptualization

  17. Source of information • Documentary materials on national policies, strategies, health systems and financing concerning CVD and diabetes, including policy relevant to smoking, diet, physical activity and alcohol use. • Relevant documents on pricing and taxation, agricultural and transport policies. • Documentary materials on policies regarding national and local health service provisions, prescribing , prevention and risk factor management. • National and international guidelines on policy measures and health care structures and interventions developed by WHO, World Bank, World Heart Foundation, International Diabetes Care Interventions. • Method: Document analysis

  18. Level 2: Situation on the level of Awareness and Commitment

  19. Source of information • Implementers and practitioners from: • Government • Private sector • NGOs at national, regional, provincial • Community level • Method: Key informant interviews

  20. Level 3: Situation on the level of practice

  21. Source of information • Patients • Care givers, medical practitioners • Accessed through sample of health care facilities in (a) urban and (b) rural settings. • Method : In depth interviews, Illness narratives, Observations.

  22. Reference Merson, M., Black, R., Mills, A. (Eds) (2012) Global Health: Diseases, Programs, Systems and Policies. London: Jones & Bartlett Publisher Ostrom, E. (2007) Institutional rational choice: as assessment of the institutional analysis and development framework. In Sabatier PA (ed) Theories of the policy process. Boulder, CO Westview Press pp 21-64. Walt, G. et al. (2008) Doing’ health policy analysis: methodological and conceptual reflections and challenges. Health Policy and Planning 23:308–317

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