The emergence of global health partnerships as facilitators of access to medication in Africa: A narrative policy analysis

The emergence of global health partnerships as facilitators of access to medication in Africa: A narrative policy analysis
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DOI:
10.1016/j.socscimed.2008.12.027
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发表时间:
2009-03-01
影响因子:
5.4
通讯作者:
Ngoasong, Michael Zisuh
Ngoasong, Michael Zisuh
中科院分区:
医学2区
文献类型:
--
作者:
Ngoasong, Michael Zisuh

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在过去十年中,已经建立了全球卫生伙伴关系,以便为非洲的卫生问题提供更好的政策回应。本文使用叙述性政策分析来解释国家和全球卫生政策在促进非洲国家获得药物方面所面临的历史进程和挑战。在概述导致温室气体排放方案产生的事件的历史背景之后,分析了两个温室气体排放方案--减少疟疾伙伴关系和加速普及倡议--的内容和背景。历史叙述隐含地反映了政策决定产生和执行的背景。在非洲部署温室气体排放方案,反映了各多边和双边发展机构、国际民间社会组织和私营商业行业以前为便利获得药物而推动的战略方面的相互竞争和相互冲突的叙述的汇合。(C)2008爱思唯尔有限公司。保留所有权利。
Over the last decade global health partnerships (GHPs) have been formed to provide a better policy response to Africa's health problems. This paper uses narrative policy analysis to explain the historical processes and challenges facing national and global health policy in facilitating access to medication in African countries. An overview of the historical context of events leading to the creation of GHPs is followed by a content and context analysis of two GHPs - Roll Back Malaria partnership and the Accelerating Access Initiative. The historical narratives implicitly reflect the context in which policy decisions are produced and implemented. The deployment of GHPs in Africa reflects a convergence of the competing and conflicting narratives, in relating to strategies previously promoted by various multilateral and bilateral development agencies, international civil society organizations, and the private commercial industry to facilitate access to medication. (C) 2008 Elsevier Ltd. All rights reserved.