Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 507847
Title ‘The one with the purse makes policy’ : Power, problem definition, framing and maternal health policies and programmes evolution in national level institutionalised policy making processes in Ghana
Author(s) Koduah, Augustina; Agyepong, Irene Akua; Dijk, Han van
Source Social Science and Medicine 167 (2016). - ISSN 0277-9536 - p. 79 - 87.
DOI https://doi.org/10.1016/j.socscimed.2016.08.051
Department(s) Sociology of Development and Change
WASS
Publication type Refereed Article in a scientific journal
Publication year 2016
Keyword(s) Ghana - Institutionalised policy processes - Maternal health - Policy agenda setting - Policy formulation - Problem definition
Abstract

This paper seeks to advance our understanding of health policy agenda setting and formulation processes in a lower middle income country, Ghana, by exploring how and why maternal health policies and programmes appeared and evolved on the health sector programme of work agenda between 2002 and 2012. We theorized that the appearance of a policy or programme on the agenda and its fate within the programme of work is predominately influenced by how national level decision makers use their sources of power to define maternal health problems and frame their policy narratives. National level decision makers used their power sources as negotiation tools to frame maternal health issues and design maternal health policies and programmes within the framework of the national health sector programme of work. The power sources identified included legal and structural authority; access to authority by way of political influence; control over and access to resources (mainly financial); access to evidence in the form of health sector performance reviews and demographic health surveys; and knowledge of national plans such as Ghana Poverty Reduction Strategy. Understanding of power sources and their use as negotiation tools in policy development should not be ignored in the pursuit of transformative change and sustained improvement in health systems in low- and middle income countries (LMIC).

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