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Factors in health initiative success: Learning from Nepal’s newborn survival initiative

Smith, Stephanie L. ; Neupane, Shailes

Social science & medicine (1982), 2011-02, Vol.72 (4), p.568-575 [Periódico revisado por pares]

Kidlington: Elsevier Ltd

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Título:
Factors in health initiative success: Learning from Nepal’s newborn survival initiative
Autor: Smith, Stephanie L. ; Neupane, Shailes
Assuntos: Biological and medical sciences ; Birth ; Developing Countries ; Global Health ; Health ; Health care ; Health Policy ; Health Priorities ; Health Problems ; Humans ; Infant Mortality ; Infant Mortality - trends ; Infant, Newborn ; Low income groups ; Medical sciences ; Miscellaneous ; Neonatal care ; Neonatal health ; Nepal ; Nepal - epidemiology ; Nepal Health policy Newborn survival Neonatal health Policy community Political priority ; Newborn babies ; Newborn survival ; Policy community ; Policy Making ; Political Factors ; Political Power ; Political priority ; Politics ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Qualitative Research ; Social Constructionism ; Social sciences ; Survival Analysis
É parte de: Social science & medicine (1982), 2011-02, Vol.72 (4), p.568-575
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Descrição: What shapes the level of political priority for alleviation of significant health problems in low-income countries? We investigate this question in the context of the significantly increasing political priority for newborn survival in Nepal since 2000. We use a process-tracing methodology to investigate causes of this shift, drawing on twenty-nine interviews with individuals close to newborn health policymaking in Nepal and extensive document analysis. Shifts in the political context (commitments to the child health MDG), the strength of concerned actors (emergence of collective action, leadership, resources) and the power of ideas (problem status, existence of contextually relevant solutions, agreement on these points) surrounding the issue have been instrumental in elevating priority for newborn survival, if not institutionalizing that priority to ensure long-term support. The findings highlight the significance of political fragmentation in war-torn areas for impeding priority generation. Additionally, theories of social construction provide important insights to the roles of ideas in shaping health initiative success. ►Advances knowledge surrounding determinants of political priority for health initiatives in low-income countries. ►Draws upon social constructionist theory to understand why health initiatives are more or less successful. ►Highlights significance of political fragmentation in war-torn areas for impeding political priority generation and impact.
Editor: Kidlington: Elsevier Ltd
Idioma: Inglês

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Factors in health initiative success: Learning from Nepal’s newborn survival initiative

Smith, Stephanie L. ; Neupane, Shailes

Kidlington: Elsevier Ltd

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