The terrain of health policy analysis in low and middle income countries: a review of published literature 1994-2007
Open Access
- 22 July 2008
- journal article
- review article
- Published by Oxford University Press (OUP) in Health Policy and Planning
- Vol. 23 (5), 294-307
- https://doi.org/10.1093/heapol/czn019
Abstract
This article provides the first ever review of literature analysing the health policy processes of low and middle income countries (LMICs). Based on a systematic search of published literature using two leading international databases, the article maps the terrain of work published between 1994 and 2007, in terms of policy topics, lines of inquiry and geographical base, as well as critically evaluating its strengths and weaknesses. The overall objective of the review is to provide a platform for the further development of this field of work. From an initial set of several thousand articles, only 391 were identified as relevant to the focus of inquiry. Of these, 164 were selected for detailed review because they present empirical analyses of health policy change processes within LMIC settings. Examination of these articles clearly shows that LMIC health policy analysis is still in its infancy. There are only small numbers of such analyses, whilst the diversity of policy areas, topics and analytical issues that have been addressed across a large number of country settings results in a limited depth of coverage within this body of work. In addition, the majority of articles are largely descriptive in nature, limiting understanding of policy change processes within or across countries. Nonetheless, the broad features of experience that can be identified from these articles clearly confirm the importance of integrating concern for politics, process and power into the study of health policy. By generating understanding of the factors influencing the experience and results of policy change, such analysis can inform action to strengthen future policy development and implementation. This article, finally, outlines five key actions needed to strengthen the field of health policy analysis within LMICs, including capacity development and efforts to generate systematic and coherent bodies of work underpinned by both the intent to undertake rigorous analytical work and concern to support policy change.Keywords
This publication has 111 references indexed in Scilit:
- The challenges of changing national malaria drug policy to artemisinin-based combinations in KenyaMalaria Journal, 2007
- Generating Political Priority for Maternal Mortality Reduction in 5 Developing CountriesAmerican Journal of Public Health, 2007
- Urban Service Partnerships, ‘Street-Level Bureaucrats’ and Environmental Sanitation in Kumasi and Accra, Ghana: Coping with Organisational Change in the Public BureaucracyDevelopment Policy Review, 2006
- The Changing Process and Politics of Health Policy in KoreaJournal of Health Politics, Policy and Law, 2005
- Qualitative research in health care: Assessing quality in qualitative researchBMJ, 2000
- The national health system and discourses of power in IndonesiaAsian Studies Review, 1996
- Chile's health sector reform: lessons from four reform periodsHealth Policy, 1995
- The politics of health sector reform in developing countries: three cases of pharmaceutical policyHealth Policy, 1995
- Trust in a rent-seeking world: Health and government transformed in Northeast BrazilWorld Development, 1994
- Voices from the inside: Managing district health services in NepalThe International Journal of Health Planning and Management, 1994