Generating political priority for newborn survival in three low-income countries
- 25 April 2014
- journal article
- research article
- Published by Taylor & Francis Ltd in Global Public Health
- Vol. 9 (5), 538-554
- https://doi.org/10.1080/17441692.2014.904918
Abstract
Deaths to babies in their first 28 days of life now account for more than 40% of global under-5 child mortality. High neonatal mortality poses a significant barrier to achieving the child survival Millennium Development Goal. Surmounting the problem requires national-level political commitment, yet only a few nation-states have prioritised this issue. We compare Bolivia, Malawi and Nepal, three low-income countries with high neonatal mortality, with a view to understanding why countries prioritise or neglect the issue. The three have had markedly different trajectories since 2000: attention grew steadily in Nepal, stagnated then grew in Malawi and grew then stagnated in Bolivia. The comparison suggests three implications for proponents seeking to advance attention to neglected health issues in low-income countries: the value of (1) advancing solutions with demonstrated efficacy in low-resource settings, (2) building on existing and emerging national priorities and (3) developing a strong network of domestic and international allies. Such actions help policy communities to weather political storms and take advantage of policy windows.This publication has 32 references indexed in Scilit:
- Political priority in the global fight against non–communicable diseasesJournal of Global Health, 2012
- Why Does Mental Health Not Get the Attention It Deserves? An Application of the Shiffman and Smith FrameworkPLoS Medicine, 2012
- Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysisThe Lancet, 2011
- Constraints to Implementing the Essential Health Package in MalawiPLOS ONE, 2011
- Issue attention in global health: the case of newborn survivalThe Lancet, 2010
- Generating Political Priority to Tackle Health Disparities: A Case Study in the Dutch City of The HagueAmerican Journal of Public Health, 2010
- Generating Political Priority for Maternal Mortality Reduction in 5 Developing CountriesAmerican Journal of Public Health, 2007
- Evidence-based, cost-effective interventions: how many newborn babies can we save?The Lancet, 2005
- Effect of a participatory intervention with women's groups on birth outcomes in Nepal: cluster-randomised controlled trialThe Lancet, 2004
- The politics of health sector reform in developing countries: three cases of pharmaceutical policyHealth Policy, 1995