[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v167y2016icp79-87.html
   My bibliography  Save this article

‘The one with the purse makes policy’: Power, problem definition, framing and maternal health policies and programmes evolution in national level institutionalised policy making processes in Ghana

Author

Listed:
  • Koduah, Augustina
  • Agyepong, Irene Akua
  • van Dijk, Han
Abstract
This paper seeks to advance our understanding of health policy agenda setting and formulation processes in a lower middle income country, Ghana, by exploring how and why maternal health policies and programmes appeared and evolved on the health sector programme of work agenda between 2002 and 2012. We theorized that the appearance of a policy or programme on the agenda and its fate within the programme of work is predominately influenced by how national level decision makers use their sources of power to define maternal health problems and frame their policy narratives. National level decision makers used their power sources as negotiation tools to frame maternal health issues and design maternal health policies and programmes within the framework of the national health sector programme of work. The power sources identified included legal and structural authority; access to authority by way of political influence; control over and access to resources (mainly financial); access to evidence in the form of health sector performance reviews and demographic health surveys; and knowledge of national plans such as Ghana Poverty Reduction Strategy. Understanding of power sources and their use as negotiation tools in policy development should not be ignored in the pursuit of transformative change and sustained improvement in health systems in low- and middle income countries (LMIC).

Suggested Citation

  • Koduah, Augustina & Agyepong, Irene Akua & van Dijk, Han, 2016. "‘The one with the purse makes policy’: Power, problem definition, framing and maternal health policies and programmes evolution in national level institutionalised policy making processes in Ghana," Social Science & Medicine, Elsevier, vol. 167(C), pages 79-87.
    • Handle: RePEc:eee:socmed:v:167:y:2016:i:c:p:79-87
    DOI: 10.1016/j.socscimed.2016.08.051
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953616304877
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2016.08.051?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jeremy Shiffman & Stephanie Smith, 2007. "Generation of Political Priority for Global Health Initiatives: A Framework and Case Study of Maternal Mortality," Working Papers 129, Center for Global Development.
    2. Todd Moss & Stephanie Majerowicz, 2012. "No Longer Poor: Ghana’s New Income Status and Implications of Graduation from IDA," Working Papers 300, Center for Global Development.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chantal Herberholz, 2020. "The role of external actors in shaping migrant health insurance in Thailand," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-17, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Siddiqui, Shayzal & Smith-Morris, Carolyn, 2022. "Professional competition amidst intractable maternal mortality: Midwifery in rural Pakistan during the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 313(C).
    2. Sandberg, Kristin Ingstad & Andresen, Steinar & Bjune, Gunnar, 2010. "A new approach to global health institutions? A case study of new vaccine introduction and the formation of the GAVI Alliance," Social Science & Medicine, Elsevier, vol. 71(7), pages 1349-1356, October.
    3. Gillespie, Stuart & van den Bold, Mara, 2015. "Stories of change in nutrition: A tool pool:," IFPRI discussion papers 1494, International Food Policy Research Institute (IFPRI).
    4. Małgorzata Gałązka-Sobotka & Aldona Frączkiewicz-Wronka & Iwona Kowalska-Bobko & Hanna Kelm & Karolina Szymaniec-Mlicka, 2021. "HB-HTA as an implementation problem in Polish health policy," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-24, September.
    5. Melberg, Andrea & Diallo, Abdoulaye Hama & Storeng, Katerini T. & Tylleskär, Thorkild & Moland, Karen Marie, 2018. "Policy, paperwork and ‘postographs’: Global indicators and maternity care documentation in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 215(C), pages 28-35.
    6. Yuxue Yang & Xuejiao Tan & Yafei Shi & Jun Deng, 2023. "What are the core concerns of policy analysis? A multidisciplinary investigation based on in-depth bibliometric analysis," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-12, December.
    7. Carrie B Dolan & McKinley Saunders & Ariel BenYishay, 2020. "Childhood health and the changing distribution of foreign aid: Evidence from Nigeria's transition to lower-middle-income status," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-13, November.
    8. Han, Lu & Koenig-Archibugi, Mathias & Opsahl, Tore, 2018. "The social network of international health aid," Social Science & Medicine, Elsevier, vol. 206(C), pages 67-74.
    9. Yandisa Ngqangashe & Maddie Heenan & Melanie Pescud, 2021. "Regulating Alcohol: Strategies Used by Actors to Influence COVID-19 Related Alcohol Bans in South Africa," IJERPH, MDPI, vol. 18(21), pages 1-16, October.
    10. Adam, Antonis & Tsarsitalidou, Sofia, 2022. "The effect of international development association's (IDA) aid on conflict. A fuzzy regression discontinuity approach," European Journal of Political Economy, Elsevier, vol. 74(C).
    11. Lisa Jamieson & Dandara Haag & Helena Schuch & Kostas Kapellas & Rui Arantes & W. Murray Thomson, 2020. "Indigenous Oral Health Inequalities at an International Level: A Commentary," IJERPH, MDPI, vol. 17(11), pages 1-6, June.
    12. Resnick, Danielle & Haggblade, Steven & Babu, Suresh & Hendriks, Sheryl L. & Mather, David, 2018. "The Kaleidoscope Model of policy change: Applications to food security policy in Zambia," World Development, Elsevier, vol. 109(C), pages 101-120.
    13. Mogues, Tewodaj & Billings, Lucy, 2019. "The making of public investments: The role of champions, co-ordination, and characteristics of nutrition programmes in Mozambique," Food Policy, Elsevier, vol. 83(C), pages 29-38.
    14. Ha, Bui Thi Thu & Green, Andrew & Gerein, Nancy & Danielsen, Katrine, 2010. "Health policy processes in Vietnam: A comparison of three maternal health case studies," Health Policy, Elsevier, vol. 98(2-3), pages 178-185, December.
    15. Jasmine Gideon & Fenella Porter, 2014. "Unpacking Women's Health in Public-Private Partnerships: A Return to Instrumentalism in Development Policy and Practice?," WIDER Working Paper Series wp-2014-009, World Institute for Development Economic Research (UNU-WIDER).
    16. Ravi Kanbur, 2017. "Citizenship, Migration and Opportunity," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 18(4), pages 429-441, October.
    17. Barlow, P. & Thow, A.M., 2021. "Neoliberal discourse, actor power, and the politics of nutrition policy: A qualitative analysis of informal challenges to nutrition labelling regulations at the World Trade Organization, 2007–2019," Social Science & Medicine, Elsevier, vol. 273(C).
    18. Nisbett, Nicholas & Wach, Elise & Haddad, Lawrence & El Arifeen, Shams, 2015. "What drives and constrains effective leadership in tackling child undernutrition? Findings from Bangladesh, Ethiopia, India and Kenya," Food Policy, Elsevier, vol. 53(C), pages 33-45.
    19. Amy Weimann & Maylene Shung-King & Nicole McCreedy & Lambed Tatah & Clarisse Mapa-Tassou & Trish Muzenda & Ishtar Govia & Vincent Were & Tolu Oni, 2021. "Intersectoral Action for Addressing NCDs through the Food Environment: An Analysis of NCD Framing in Global Policies and Its Relevance for the African Context," IJERPH, MDPI, vol. 18(21), pages 1-17, October.
    20. Harris, Patrick & Kent, Jennifer & Sainsbury, Peter & Thow, Anne Marie, 2016. "Framing health for land-use planning legislation: A qualitative descriptive content analysis," Social Science & Medicine, Elsevier, vol. 148(C), pages 42-51.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:167:y:2016:i:c:p:79-87. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.