The invisible hands in policy making: A qualitative study of the role of advocacy in priority setting for maternal and child health in Nigeria.

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Chinyere Okeke, Benjamin Uzochukwu, Maylene Shung-King, Lucy Gilson
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Abstract

Background: Maternal and child health is a priority for most governments, especially those in low and middle-income countries (LMICs), due to high mortality rates. The combination of individual and social actions designed to gain political commitment, policy support and social acceptance for health goals are influenced by the interplay between the advocates and the strategies they deploy in planning and advocating for maternal and child health issue. This study aims to deepen our understanding of how advocacy has influenced maternal and child health priority setting in Nigeria.

Methods: This is a mixed method study that involved 24 key informant interviews, document review, policy tracking and mapping of advocacy events that contributed to the repositioning of maternal and child health on the political agenda was done. Respondents were deliberately selected according to their roles and positions. Analysis was based on Shiffman and Smith's policy analysis framework of agenda setting.

Results: Our findings suggest that use of various strategies for advocacy such as influencers, media, generated different outcomes and the use of a combination of strategies was found to be more effective. The role of advocacy in issue emergence was prominent and the presence of powerful actors, favorable policy window helped achieve desired outcomes. The power of the advocates and the strength of the individuals involved played a key role.

Conclusion: This study finds it possible to understand the role of advocacy in policy agenda setting through the application of agenda setting framework. To achieve the health SDG goals, advocacy barriers need to be addressed at multiple levels.

政策制定中看不见的手:关于宣传在尼日利亚确定妇幼保健优先事项中的作用的定性研究。
背景:由于孕产妇和儿童死亡率高,孕产妇和儿童保健是大多数政府,特别是低收入和中等收入国家政府的优先事项。旨在获得对保健目标的政治承诺、政策支持和社会接受的个人和社会行动的结合,受到倡导者及其在规划和宣传妇幼保健问题时部署的战略之间相互作用的影响。本研究旨在加深我们对宣传如何影响尼日利亚妇幼保健优先事项确定的理解。方法:这是一项混合方法研究,涉及24个关键信息提供者访谈、文件审查、政策跟踪和宣传活动制图,这些活动有助于将妇幼保健重新置于政治议程上。受访者是根据他们的角色和职位精心挑选的。分析基于希夫曼和史密斯的议程设置政策分析框架。结果:我们的研究结果表明,使用各种宣传策略(如影响者、媒体)会产生不同的结果,并且发现使用多种策略的组合更为有效。倡导在问题出现中的作用是突出的,强有力的行动者的存在,有利的政策窗口有助于实现预期的结果。倡导者的力量和相关个人的力量发挥了关键作用。结论:本研究发现,透过议程设定框架的应用,可以了解倡导在政策议程设定中的作用。为实现卫生方面的可持续发展目标,需要在多个层面消除宣传障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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