扩大肯尼亚免费产妇政策中的政策制定和参与者角色 (Linda Mama):政策分析
Boniface Oyugi1,2, Zilper Audi-Poquillon3, Sally Kendall2
1M and E Advisory Group, Nairobi, Kenya.
PLOS global public health
|November 21, 2024
概括
肯尼亚 肯尼亚 肯尼亚 肯尼亚
科学领域:
- 卫生政策分析 卫生政策分析
- 公共卫生系统 公共卫生系统
- 医疗保健管理的管理
背景情况:
- 肯尼亚2013年免费产妇服务政策在2016年扩展到"Linda Mama"计划.
- 这一政策的目的是为孕妇提供基本的医疗服务.
研究的目的:
- 探索肯尼亚"琳达"政策中的政策制定背景,流程,内容和参与者的角色.
- 分析影响扩大医疗保健政策设计和实施的因素.
主要方法:
- 融合平行混合方法的案例研究设计.
- 文件审查和与国家利益相关者,县官员和医疗保健工作者进行深入采访.
- 转录数据的框架主题分析.
主要成果:
- 政治上的要求和全球/国家目标,以及先前的学习,塑造了政策.
- 行动者的力量显著影响了政策方向;合作是协调设计和成本问题的关键.
- 国家医疗保险基金 (NHIF) 成为可持续性的主要买家.
结论:
- 政策分析框架对于理解复杂的政策制定至关重要.
- 调查结果为重新设计医疗保健政策的国家提供了见解,强调利益相关者的协作和冲突管理.
- 政府官员和发展伙伴是主要影响者;受益者参与有限.
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