The impact of political context upon the health policy process in Pakistan\
The impact of political context upon the health policy process in Pakistan\
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DOI：
10.1016/j.puhe.2006.09.015
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发表时间：
2007-04-01
期刊：
影响因子：
5.2
通讯作者：
Van den Heuvel, W.
中科院分区：
文献类型：
--
作者：
Khan, M. M.;Van den Heuvel, W.
背景：对政治背景的分析对于理解卫生政策及其成功非常重要，因为背景因素可能显著影响卫生政策进程和健康。本文描述了巴基斯坦的政治环境是如何影响卫生政策过程的。方法：我们采用了基于文献分析和相关行为者访谈的定性研究方法，分析了政治环境对卫生政策过程的影响。文件分析包括卫生部、卫生相关部门和国际机构的政策文件和官方报告。结果：巴基斯坦权力结构失衡，政府更迭频繁，扰乱了卫生资源，导致集中的卫生系统阻碍了更广泛的参与，扰乱了卫生政策的制定、规划和实施。结论：政治环境对巴基斯坦卫生政策过程产生了负面影响。(C)2006年皇家公共卫生研究所。爱思唯尔有限公司出版。保留所有权利。
Background: Analysis of the political context is important for the understanding of a health policy and its success, because contextual factors may significantly influence the health policy process and health. This article describes how the political context in Pakistan influences the health policy process.Methods: We used qualitative research methods based on document analysis and interviews of relevant actors in analysing the impact of the political context on the health policy process. Document analysis included policy documents and official reports of the health ministries, health-related departments and international agencies. Interviewees included relevant actors involved in the health policy process at local, provincial, national and international levels.Results: Pakistan has experienced unbalanced power structures and frequent changes in government, which has disturbed health resources and has resulted in a centralized health system that hinders wider participation and disrupts health policy-making, planning and implementation.Conclusion: It is concluded that the political context has had a negative influence on the health policy process in Pakistan. (c) 2006 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.