通过对印度社区卫生工作者如何推动政策变革的分析,扩展金顿多流政策框架
Sanjana Santosh1, Sumit Kane1,2
1Centre for Health Policy and Systems, Gokhale Institute of Politics and Economics, Pune, India.
Community health equity research & policy
|December 17, 2023
概括
印度认可的社会卫生活动家 (ASHAs) 通过战略参与,逐步改善工资和工作条件. 在COVID-19大流行期间取得了重大进展,突出了这些社区卫生工作者有效的政策导航.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生社会学 卫生社会学
背景情况:
- 认可的社会卫生活动家 (ASHAs) 是印度的社区卫生工作者,他们面临着工作条件和薪酬方面的挑战.
- 尽管ASHA在卫生层次上的地位很高,但他们通过抗议和罢工积极寻求改善.
研究的目的:
- 分析ASHA用于导航复杂政策流程并实现增量收益的策略.
- 检查导致工资上和ASHA改善条件的因素,特别是在COVID-19大流行期间.
- 通过纳入"叙事流"来扩展金顿多个流的政策框架.
主要方法:
- 分析学术文献和新闻媒体报道.
- 追踪与关键事件和政策企业家行动有关的ASHAs工资变化.
- 质量检查ASHA与政府机构和其他参与者使用的公开和秘密参与策略.
主要成果:
- 艾莎 (ASHA) 实现了渐进式的工资增长,挑战了他们在卫生系统等级中的低地位.
- 在COVID-19大流行的两年里,ASHA获得了重大政策让步和收益.
- 该研究确定了特定事件",机会之窗",以及"政策企业家"在这些结果中的作用.
结论:
- 爱好者有效地利用各种策略来影响政策并改善他们的工作生活.
- 随着COVID-19的流行,出现了独特的机会,ASHAs利用了这些机会获得了巨大的收益.
- 拟议的"叙述流"为理解涉及社区卫生工作者的政策进程动态提供了新的视角.
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