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Generating political priority for newborn survival in three low-income countries

Stephanie L Smith1, Jeremy Shiffman, Abigail Kazembe

  • 1a School of Public Administration , University of New Mexico , Albuquerque , NM , USA.

Global Public Health
|April 29, 2014
PubMed

Insights

Neonatal mortality, deaths in the first 28 days, is a major global child survival challenge. This study examines how Bolivia, Malawi, and Nepal prioritized this critical issue, offering lessons for advancing neglected health priorities.

Area of Science:

  • Global Health
  • Public Health Policy
  • Child Survival

Background:

  • Neonatal mortality constitutes over 40% of under-5 child deaths globally.
  • High neonatal mortality rates impede progress towards child survival goals.
  • National political commitment is crucial but often lacking for this issue.

Purpose of the Study:

  • To understand factors influencing the prioritization of neonatal mortality in low-income countries.
  • To compare the policy trajectories of Bolivia, Malawi, and Nepal regarding neonatal health since 2000.
  • To identify strategies for advancing attention to neglected health issues.

Main Methods:

  • Comparative case study analysis of three low-income countries: Bolivia, Malawi, and Nepal.
  • Examination of national policy attention to neonatal mortality from 2000 onwards.
  • Analysis of factors influencing policy prioritization and stagnation.

Main Results:

  • Nepal showed steady growth in attention to neonatal mortality.
  • Malawi experienced a stagnation then growth in policy focus.
  • Bolivia's attention grew initially but then stagnated.
  • Different trajectories highlight the dynamic nature of policy prioritization.

Conclusions:

  • Advancing neglected health issues requires solutions effective in low-resource settings.
  • Building upon existing national priorities is essential for sustained focus.
  • Developing strong domestic and international alliances supports policy persistence.
  • These strategies help navigate political challenges and capitalize on policy opportunities.

Keywords:
BoliviaMalawiNepalhealth policyneonatal mortality

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