Evidence map›Paper›PMID 38511492›Full record

ArticleHealth policy and planning2024

Why does a public health issue (not) get priority? Agenda setting for the national burns programme in India.

Vikash Ranjan Keshri, Jagnoor Jagnoor, Margie Peden, Robyn Norton, Seye Abimbola

Abstract read
In one paragraph

Article in Health policy and planning, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Vikash Ranjan KeshriThe George Institute for Global Health, India.ORCID 0000-0001-6668-0107
Jagnoor JagnoorThe George Institute for Global Health, India.
Margie PedenThe George Institute for Global Health, London, United Kingdom.
Robyn NortonThe George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-3988-315X
Seye AbimbolaSchool of Public Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-1294-3850

Funding

Australian Research Council Discovery Early Career Researcher Award [DE2301015National Health and Medical Research Council Emerging Leadership level -2 fellowshipUniversity of New South Wales Tuition Fee Scholarship by the University of New S
6 · The paper itself

Abstract

There is growing scholarly interest in what leads to global or national prioritization of specific health issues. By retrospectively analysing agenda setting for India's national burn programme, this study aimed to better understand how the agenda-setting process influenced its design, implementation and performance. We conducted document reviews and key informant interviews with stakeholders and used a combination of analytical frameworks on policy prioritization and issue framing for analysis. The READ (readying material, extracting data, analysing data and distilling findings) approach was used for document reviews, and qualitative thematic analysis was used for coding and analysis of documents and interviews. The findings suggest three critical features of burns care policy prioritization in India: challenges of issue characteristics, divergent portrayal of ideas and its framing as a social and/or health issue and over-centralization of agenda setting. First, lack of credible indicators on the magnitude of the problem and evidence on interventions limited issue framing, advocacy and agenda setting. Second, the policy response to burns has two dimensions in India: response to gender-based intentional injuries and the healthcare response. While intentional burns have received policy attention, the healthcare response was limited until the national programme was initiated in 2010 and scaled up in 2014. Third, over-centralization of agenda setting (dominated by a few homogenous actors, located in the national capital, with attention focused on the national ministry of health) contributed to limitations in programme design and implementation. We note following elements to consider when analysing issues of significant burden but limited priority: the need to analyse how actors influence issue framing, the particularities of issues, the inadequacy of any one dominant frame and the limited intersection of frames. Based on this analysis in India, we recommend a decentralized approach to agenda setting and for the design and implementation of national programmes from the outset.

Indexed as

BurnsHealth PolicyHealth PrioritiesPublic HealthHumansIndiaPolicy MakingRetrospective Studiesagenda settingburnsdecentralizationgovernanceHealth policyIndiainjurypolicy analysispolicy process

Identifiers

PMID38511492
PMCPMC11095263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.