ArticleHealth research policy and systems2017
The factors affecting the institutionalisation of two policy units in Burkina Faso's health system: a case study.
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 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
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- Development of Monitoring and Evaluation Systems in Four National Programs Addressing Mother and Child Health in Cote d'Ivoire: Qualitative Analysis of the Emergence and Formulation Process.Risk management and healthcare policy · 2023Article
- Scaling-Up Performance-Based Financing in Burkina Faso: From PBF to User Fees Exemption Strategic Purchasing.International journal of health policy and management · 2022Article
- Domains and processes for institutionalizing evidence-informed health policy-making: a critical interpretive synthesis.Health research policy and systems · 2022Review
- Policy options to increase motivation for improving evidence-informed health policy-making in Iran.Health research policy and systems · 2021Article
- Evaluation of the performance and achievements of the WHO Evidence-informed Policy Network (EVIPNet) Europe.Health research policy and systems · 2020Article
- 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
- A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis.PloS one · 2019Article
- A deliberative dialogue as a knowledge translation strategy on road traffic injuries in Burkina Faso: a mixed-method evaluation.Health research policy and systems · 2018Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso's health system. It examines the relationships between the existence of an institutional framework, data production capacity and other resource availability in the institutionalisation of policy units in health systems. It therefore contributes to our understanding of the dynamics linking the key drivers and indicators of institutionalisation. Additionally, it examines how factors within the managerial setting, including workplace environment, and budgetary and human resource availability, may influence the institutionalisation process.
methodsThe study used an explanatory qualitative case study approach, examining two policy units in Burkina Faso's Ministry of Health, the first of which had been institutionalised successfully and the other less so. Data were collected from key policymakers, including 13 connected with the first policy unit and 10 with the second, plus two funders. We also conducted a documentary analysis of the National Program for Health Development, two mid-term strategic plans, 230 action plans, eight Ministry of Health state budgets, eight Ministry of Health annual statistics reports, 16 policy unit budgets and published literature.
resultsThe framework within which the government gave the policy unit its mandate and policy focus had the strongest effect on the institutionalisation process. Institutionalisation depended on political will, in both the host government and any donors, and the priority given to the policy unit's focus. It was also affected by the leadership of the policy unit managers. These factors were influenced by human resource capacity, and our findings suggest that, for successful institutionalisation in Burkina Faso's health system, policy units need to be given sufficient human resources to achieve their objectives.
conclusionPolicy units' institutionalisation in Burkina Faso's health system depend on the leadership of the unit managers to implement relevant activities, mobilise funding, and recruit and maintain enough human resources, as well as the mandate given by the government.
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