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Generación de prioridad política para las iniciativas de salud global: un marco y estudio de caso de la mortalidad
Jeremy Shiffman1, Stephanie Smith
1Department of Public Administration, Maxwell School of Syracuse University, Syracuse, NY 13244-1020, USA. jrshiffm@maxwell.syr.edu
Lancet (London, England)
|October 16, 2007
Resumen
Las iniciativas de salud global requieren actores fuertes, ideas convincentes, contextos políticos adecuados y características de emisión para obtener prioridad política. Una iniciativa de mortalidad materna, a pesar de los esfuerzos, se enfrenta a desafíos, pero puede generar impulso al abordar las necesidades de posicionamiento institucional y público.
Área de la Ciencia:
- Salud Global La salud global.
- Ciencias Políticas Ciencias Políticas.
- Política de salud Política de salud
Sus antecedentes:
- Las iniciativas globales de salud a menudo luchan por obtener prioridad política de los líderes.
- Comprender los determinantes de la prioridad política es crucial para el éxito de la iniciativa.
Objetivo del estudio:
- Analizar por qué algunas iniciativas de salud global obtienen prioridad política mientras que otras no.
- Proponer y aplicar un marco para evaluar los factores que influyen en las prioridades políticas.
Principales métodos:
- Desarrolló un marco con cuatro categorías: fuerza del actor, poder de la idea, contexto político y características del tema.
- Aplicó el marco a una iniciativa mundial de reducción de la mortalidad materna lanzada en 1987.
- Utilizó investigaciones de archivo y entrevistas con la metodología de rastreo de procesos.
Principales resultados:
- La iniciativa de mortalidad materna, después de dos décadas, sigue en desarrollo temprano debido a los desafíos persistentes en todas las categorías marco.
- A pesar de las dificultades, el vigésimo año de la iniciativa (2007) ofreció oportunidades para crear un impulso político.
Conclusiones:
- Los defensores deben crear instituciones efectivas y desarrollar un posicionamiento público convincente para asegurar la prioridad política de las iniciativas globales de salud.
- Se necesita más investigación sobre los determinantes de la prioridad política en la salud global, pasando de la especulación a la erudición.
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