Problem-Driven Political Economy in Action: Overview and Synthesis of the Case Studies

Fritz, Verena; Levy, Brian

doi:10.1596/978-1-4648-0121-1_ch1

Cited by 20 publications

(30 citation statements)

References 7 publications

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“…Evidence supports the dampening of 'political will' to be attributable to interference from the tobacco industry and the incentives structure influencing political decisions and policy actions (Fritz and Levy, 2014;Mane et al, 2020).…”

Section: Politics Streammentioning

confidence: 99%

A health policy analysis of the implementation of the National Tobacco Control Act in Nigeria

Udokanma

Ogamba

Ilo

2021

Health Policy and Planning

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Non-communicable diseases (NCDs) have emerged as a public health issue of concern in Nigeria. The massive increase in tobacco use amongst different population groups is a common NCDs risk factor. To this effect, the National Tobacco Control Act (NTCA) was enacted following the WHO Framework Convention on Tobacco Control (FCTC). This article conducts a health policy agenda-setting analysis of the NTCA using the Kingdon’s multiple streams model and analyses its implementation using the Principal-Agent theory. The purposive and snowballing sampling methods were used to select and review relevant peer-review literature. Other data sources included gray literature, government reports, Non-Governmental Organization briefs and media resources. Though NTCA conforms to WHO FCTC, Nigeria only domesticated her obligation to this framework legislatively while the executive and administrative measures were found lacking. The challenges and gaps identified in the NTCA implementation include; revision of textual health warnings and lack of pictorial health warnings on cigarette packs, poor taxation, and the National Tobacco Control Commission’s (NTCC) lack of regulatory autonomy, hence, the poor policy implementation reported in this article. To effectively implement NTCA, a review of textual warnings, enforcement of pictorial warnings, regulatory autonomy of the NTCC and review of the tobacco taxation are suggested to help in the prevention and control of NCDs.

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Section: Politics Streammentioning

confidence: 99%

A health policy analysis of the implementation of the National Tobacco Control Act in Nigeria

Udokanma

Ogamba

Ilo

2021

Health Policy and Planning

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“…The review confirmed the need to apply a problem-driven and inclusive PEA in the context of the PPLRT, which incorporates both macro (sector, national, regional, global) and micro (local, project) levels (Harris, 2013;Fritz and Levy, 2014;Fritz et al, 2009;Poole, 2011). This facilitates alignment of (preferred) bottom-up and top-down approaches, as an important first step in establishing a pro-poor context.…”

Section: Political Economy Analysis (Pea)mentioning

confidence: 78%

Pro-poor land administration: Towards practical, coordinated, and scalable recording systems for all

Hendriks¹,

Zevenbergen

Bennett

et al. 2019

Land Use Policy

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“…This part of the study will explore facilitators for and barriers to successful implementation of family involvement on a broader sociocultural, institutional and political level by the use of political economy analysis (PEA), thereby addressing objective four [ 64 , 65 ]. PEA is concerned with the interaction of political and economic processes in a society such as interests and initiatives, the role of the formal institutions (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…The main objective of the analysis is to identify barriers and facilitators on a political and institutional level that might be addressed to improve implementation of family involvement in CMHCs, by drawing on the analytic framework for PEA as developed by the Department for International Development (DFID) [ 64 , 65 ]. The document analysis will make use of a combination of discourse analysis and content analysis, while the interviews will undergo a qualitative thematic content analysis [ 68 – 70 ].…”

Section: Methodsmentioning

confidence: 99%

Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial

Hestmark

Romøren

Heiervang

et al. 2020

BMC Health Serv Res

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Background Family involvement for persons with psychotic disorders is under-implemented in mental health care, despite its firm scientific, economic, legal and moral basis. This appears to be the case in Norway, despite the presence of national guidelines providing both general recommendations on family involvement and support in the health- and care services, and specific guidance on family interventions for patients with psychotic disorders. The aim of this project is to improve mental health services and the psychosocial health of persons with psychotic disorders and their relatives, by implementing selected recommendations from the national guidelines in community mental health centres, and to evaluate this process. Methods The trial is cluster randomised, where 14 outpatient clusters from community mental health centres undergo stratified randomisation with an allocation ratio of 1:1. The seven intervention clusters will receive implementation support for 18 months, whereas the control clusters will receive the same support after this implementation period. The intervention consists of: 1. A basic level of family involvement and support. 2. Family psychoeducation in single-family groups. 3. Training and guidance of health care personnel. 4. A family coordinator and 5. Other implementation measures. Fidelity to the intervention will be measured four times in the intervention arm and two times in the control arm, and the differences in fidelity changes between the arms constitute the primary outcomes. In each arm, we aim to include 161 patients with psychotic disorders and their closest relative to fill in questionnaires at inclusion, 6 months and 12 months, measuring psychosocial health and satisfaction with services. Clinicians will contribute clinical data about patients at inclusion and 12 months. Use of health and welfare services and work participation, for both patients and relatives, will be retrieved from national registries. We will also perform qualitative interviews with patients, relatives, health care personnel and leaders. Finally, we will conduct a cost-effectiveness analysis and a political economy analysis. Discussion This project, with its multilevel and mixed methods approach, may contribute valuable knowledge to the fields of family involvement, mental health service research and implementation science. Trial registration ClinicalTrials.gov Identifier NCT03869177. Registered 11.03.19.

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Problem-Driven Political Economy in Action: Overview and Synthesis of the Case Studies

Cited by 20 publications

References 7 publications

A health policy analysis of the implementation of the National Tobacco Control Act in Nigeria

A health policy analysis of the implementation of the National Tobacco Control Act in Nigeria

Pro-poor land administration: Towards practical, coordinated, and scalable recording systems for all

Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial

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