Evidence map›Paper›PMID 30728042›Full record

ArticleHealth research policy and systems2019

Kenya's Health in All Policies strategy: a policy analysis using Kingdon's multiple streams.

Joy Mauti, Lara Gautier, Jan-Walter De Neve, Claudia Beiersmann, Jale Tosun, Albrecht Jahn

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Joy MautiHeidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany. joy.mauti@uni-heidelberg.de.ORCID http://orcid.org/0000-0003-0949-4417
Lara GautierDepartment of Social and Preventive Medicine, School of Public Health (ESPUM), University of Montreal, 7101, avenue du Parc, 3rd floor, Montreal, Quebec, H3N 1X9, Canada.
Jan-Walter De NeveHeidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Claudia BeiersmannHeidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Jale TosunInstitute of Political Science, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Albrecht JahnHeidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Heidelberg University · DEUniversité Paris Cité · FR

Funding

health systems global TC01613308Medizinischen Fakultät Heidelberg, Universität Heidelberg IN-1150438
6 · The paper itself

Abstract

backgroundHealth in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014-2030. This study aims to assess the extent to which this commitment is being translated into the process of governmental policy-making and supported by international development partners as well as non-state actors.

methodsTo examine HiAP in Kenya, a qualitative case study was performed, including a review of relevant policy documents. Furthermore, 40 key informants with diverse backgrounds (government, UN agencies, development agencies, civil society) were interviewed. Analysis was carried out using the main dimensions of Kingdon's Multiple Streams Approach (problems, policy, politics).

resultsKenya is facing major health challenges that are influenced by various social determinants, but the implementation of intersectoral action focusing on health promotion is still arbitrary. On the policy level, little is known about HiAP in other government ministries. Many health-related collaborations exist under the concept of intersectoral collaboration, which is prominent in the country's development framework - Vision 2030 - but with no specific reference to HiAP. Under the political stream, the study highlights that political commitment from the highest office would facilitate mainstreaming the HiAP strategy, e.g. by setting up a department under the President's Office. The budgeting process and planning for the Sustainable Development Goals were found to be potential windows of opportunity.

conclusionWhile HiAP is being adopted as policy in Kenya, it is still perceived by many stakeholders as the business of the health sector, rather than a policy for the whole government and beyond. Kenya's Vision 2030 should use HiAP to foster progress in all sectors with health promotion as an explicit goal.

Indexed as

Cooperative BehaviorGovernment AgenciesHealth PromotionPolicy MakingPublic PolicyAdministrative PersonnelDecision MakingDeveloping CountriesGovernmentHealth PlanningHealth PolicyHumansInternational CooperationPoliticsQualitative Researchagenda-settingHealth in all policiesintersectoral collaborationKenyasocial determinants of health

Identifiers

PMID30728042
PMCPMC6366019
OpenAlexW2921897761

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.