ArticleHealth research policy and systems2017
Analysis of the policymaking process in Burkina Faso's health sector: case studies of the creation of two health system support units.
Article in Health research policy and systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Form and functioning: contextualising the start of the global financing facility policy processes in Burkina Faso.Global health action · 2024Article
- A scoping review of the uses and institutionalisation of knowledge for health policy in low- and middle-income countries.Health research policy and systems · 2020Article
- Twelve months of implementation of health care performance-based financing in Burkina Faso: A qualitative multiple case study.The International journal of health planning and management · 2018Article
- Setting performance-based financing in the health sector agenda: a case study in Cameroon.Globalization and health · 2017Article
- The factors affecting the institutionalisation of two policy units in Burkina Faso's health system: a case study.Health research policy and systems · 2017Article
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Authors and funding
6 authors.
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Abstract
backgroundBurkina Faso has made a number of health system policy decisions to improve performance on health indicators and strengthen responsiveness to health-related challenges. These included the creation of a General Directorate of Health Information and Statistics (DGISS) and a technical unit to coordinate performance-based financing (CT-FBR). We analysed the policymaking processes associated with the establishment of these units, and documented the factors that influenced this process.
methodWe used a multiple-case study design based on Kingdon's agenda-setting model to investigate the DGISS and CT-FBR policymaking processes. Data were collected from interviews with key informants (n = 28), published literature, policy documents (including two strategic and 230 action plans), and 55 legal/regulatory texts. Interviews were analysed using thematic qualitative analysis. Data from the documentary analysis were triangulated with the qualitative interview data.
resultsKey factors influencing the policymaking processes associated with the two units involved the 'problem' (problem identification), 'policy' (formation of policy proposals), and 'politics' (political climate/change) streams, which came together in a way that resulted in proposals being placed on the decision agenda. A number of problems with Burkina Faso's health information and financing systems were identified. Policy proposals for the DGISS and CT-FBR units were developed in response to these problems, emerging from several sources including development partners. Changes in political and public service administrations (specifically the 2008 appointment of a new Minister of Health and the establishment of a new budget allocation system), with corresponding changes in the actors and interests involved, appeared key in elevating the proposals to the decision agenda.
conclusionsEfforts to improve performance on health indicators and strengthen responsiveness to health-related challenges need focus on the need for a compelling problem, a viable policy, and conducive politics in order to make it to the decision agenda.
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